What procedure will remove this pouch from pregnancy/after c-section? (Photos)

Question

I'd prefer a non surgical procedure but I'd like to know if that will work to remove this pouch. I'm not sure if it's all loose skin, but it's not all fat because after having a baby I weigh 230lbs now like I did pre-pregnancy and when i gave birth i weighed 300. I had a 10 lbs baby. So I know this is not just fat because I never had this pouch. Will CoolSculpting tackle this pouch or I need to tighten skin? Please, anyone please let me know what i can do and if it's 1 procedure I need. Thank you

Anil R. Shah, MD · Answer

Based on your photos, I suggest seeking an in-person examination with a body plastic surgeon. CoolSculpt resolves fat but does not necessarily tighten the skin. Some patient's see a difference with their skin tightness, others do not. CoolSculpt is an option for fat loss if you can work around the C-Section scar, but if you are looking for one procedure to give you the most optimal result, you will most likely be recommended something surgical.Best, Dr. Anil Shah

Douglas Wu, MD · Answer

Thank you for your question and congratulations on the birth of your baby. Based on your photos, it appears you have a substantial amount of lingering fat and skin laxity to address. It is unlikely CoolSculpting alone would provide you satisfying results. While I would need to examine you in person to know for sure, I would probably be more inclined to recommend a combination of liposculpture and a skin tightening treatment like ThermiTight. 
Liposculpture is a minimally-invasive treatment that removes unwanted fat via tiny tubes called cannulas. I use the Awake lipo technique, which infuses tumscent fluid into the area to loosen fat cells. This approach creates greater precision with less trauma to surrounding tissue. The procedure can remove significantly more fat that CoolSculpting in a single treatment session. ThermiTight is a non-surgical procedure that uses radiofrequency energy delivered deep into the dermal structure to constrict tissue and boost collagen levels. Make sure you work with an experienced, board-certified dermatologist with expertise in non-surgical body contouring to ensure an optimal outcome.

Jason Emer, MD · Answer

For best results, I recommend a hi definition procedure like VASER liposuction, which can be performed at the same time as a tummy tuck, depending on skin laxity. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Janet Allenby, DO · Answer

Hi there, Thank you for your question and pictures and congratulations on your new bundle of joy and weight-loss! Based on what can be seen it appears that you would be a good candidate for CoolSculpting. This procedure is a non-invasive treatment that can reduce stubborn pockets of fat. With that being said, there also appears to be some skin laxity that will need to be addressed. You should consult with a local physician to determine what the best course of action would be based on your goals. Best of luck!

Frank Lista, MD · Answer

Congratulations on your new baby and on the amazing weight loss! I highly recommend that you book an in person consultation with a board certified plastic surgeon in order to assess what treatment would be best for you. That said, unfortunately CoolSculpting will not address skin laxity. We tend to see about a 20% fat reduction in the targeted area following one CoolSculpting treatment, and typically it's a procedure that works best if you are just trying to get rid of small pockets of unwanted fat that are resistant to diet and exercise.It looks as though you might benefit from a tummy tuck procedure in order to address the excess skin and fat. Often during pregnancy, the two major rectus abdominal muscles
actually come apart—a huge testament to what a woman's body is capable of in
supporting the life and growth of her baby. For some women, these muscles do
not come back together after childbirth, creating a condition known as rectus
diastasis that gives us that lower abdominal fullness. Unfortunately, sit-ups
or other exercises won't bring these muscles back together. But with a tummy
tuck, we're able to suture them together while also removing excess skin and
fat. But again best to be assessed in person by a board certified plastic surgeon.

Michael I. Echavez, MD · Answer

It appears from your pictures that you have some excess fat and skin on your abdomen.  CoolSculpting can help to reduce any fullness from fat, but it will not tighten the skin.  A tummy tuck can address both the excess skin and excess fat.

Keith M. Blechman, MD · Answer

From your photos it looks like you'd benefit most from a surgical procedure of some kind, meaning some type of tummy tuck, either to remove skin, fat, or both, with or without tightening of the muscles.  Be wary of coolsculpting or other non-invasive options -- they definitely work for some patients but they're unable to deliver dramatic results, especially since they usually don't address the skin or underlying muscle, so be sure to research all your options before paying for anything.  It's best to visit a plastic surgeon for an in-person consultation so you can be advised on the full spectrum of non-surgical and surgical options.  Make sure they're certified by the American Board of Plastic Surgery.  Good luck!

Ryan Neinstein, MD, FRCSC · Answer

Thanks for the question, and congrats on the baby. I just had one myself. My suggestion for you is a skin only tummy tuck. It has the benefits of removing the pouch but not all the downtime and risks of a full tummy tuck

Shamim Shakibai, MD · Answer

Thank you for your question. Judging from your pictures I would say that tummy tuck is the only way to see significant results. There are many skin-tightening medical spa procedures but I do not think they will be effective in your case. Many women experience problems such as yours after pregnancy. Most abdominoplasty patients are mothers and post bariatric patients. Best of luck.

Vibha Gambhir, MD · Answer

Hello and thank you for your question.  Congratulations on your new baby and amazing weight loss!  Coolsculpting will help decrease fat cells in the area treated by 20-25%.  It will not tighten skin in this area to the degree that is needed.   Coolsculpting in the areas shown most likely need 2-3 treatments.   Looking at the photos provided, it appears you may  need a surgical intervention to remove some of the lax skin.  You will need to have a consultation with an experienced, board certified cosmetic surgeon.  There you can discuss your goals and which procedure would be most beneficial.  Hope this helps, good luck and congratulations again!!!

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