Swelling with Zeltiq

is it normal to have some swelling after zeltiq. i had it 4 days ago, my stomach is definitely a bit 'bigger' puffier than it was prior to the procedure. i have tingling and occasional numbness and slight tenderness, no other symptoms, but will my stomach not be as puffy as the days go on? any suggestions to help with this puffiness?

Doctor Answers 12

Swelling after Coolsculpting

Swelling is a perfectly normal response to CoolSculpting that typically lasts around 2 weeks.  If it does not resolve or you are concerned please follow up with your treating physician.

Livingston Physician
5.0 out of 5 stars 3 reviews

Cool Sculpting and swelling

The swelling is normal and does go down!

Body reshaping can be performed with a cannula that removes fat via liposuction or with noninvasive technology like Cool Sculpting. With Cool Sculpting there is no cannula inserted into your body. All treatments are performed on the surface from the outside in using technology that freezes the fat. Don’t hesitate to give us a call in Austin regarding a Body Reshaping Consult at the Upper Room. On our Facebook Page there is an Interview I recently did with KVUE, a local news station in Austin, that was picked by affiliates around the United States, including Miami. During the Interview we discussed the technology of Cool Sculpting as well as it application process.

The discomfort from treatment does resolve. Taking over the counter tylenol or naproxen resolves this in the majority of cases. If you have swelling that is persistent then a waist binder is helpful.

It can happen but it self limiting

Swelling is possible but it should resolve in 7-10 days. Most patients feel numbness for a few days after the treatment, mild tingling, itchiness and soreness. The downtime is minimal and patients can return to their normal activities immediately after the treatment. Coolsculpting is a permanent solution for patients that are looking to eliminate small areas of stubborn fat without surgery or recovery.

Gregory Turowski, MD, PhD, FACS
Chicago Plastic Surgeon
4.5 out of 5 stars 61 reviews

Swelling is normal

Some swelling can be normal for several days and even a couple of weeks after your treatment, as well as numbness, tingling and soreness. Sometimes patients find it helpful to wear something that compresses the area to control the swelling (spans or a compression garment or even just an ace wrap). For the most part, the swelling should subside and you should start seeing results start as early as 4 weeks.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

Swelling after CoolSculpting

Thank you for your question.

The swelling and tingling that you are describing is something that happens to some patients after the coolsculpting treatment.  It should get better with time (a few days up to a few weeks).

Keep in touch with the office where you had your treatment if you have further questions.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Swelling is normal

coolsculpting truly target tissue, causing tissue to ultimately breakdown.  this treatment causes inflammatory effects as you described.  although it is not surgery, many of the symptoms that we associate with surgery do occur - bruising, swelling, tingling, itching, etc.  be patient, time is your friend.  these symptoms will go away sooner than you think.

Eric Chang, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 10 reviews

Reduce any swelling after CoolSculpting by Zeltiq treatments

Most patients say that there really wasn’t much hurting or swelling after their CoolSculpting by Zeltiq treatment. "My skin felt a bit numb, there was some sensitivity, and maybe there was some bruising, but that all went away" is most we hear. But there are some patients who have had discomfort afterward, almost a nerve pain like-feeling, that has resolved in all patients. But there is a fuller answer possible here. For instance, throughout the history of liposuction, all patients were given form-fitting compression garments after their procedure to avoid swelling, bruising, and discomfort, and achieve “best results”. So the big question with CoolSculpting® is why not use a compression garment, just like after liposuction? It has worked so well for all of these years, so CoolSculpting patients should wear them for a few days, maybe a week, (not the weeks needed after lasers and liposuction). What have we found? Wow, what a big difference for comfort after CoolSculpting®, with a few days use of a compression garment.

Douglas J. Key, MD
Portland Dermatologic Surgeon
4.5 out of 5 stars 15 reviews

It is normal to have some puffiness after CoolSculpting by Zeltiq

Everything sounds quite normal.  It is not unusual to have some mild swelling or puffiness after CoolSculpting.  Expected after effects include temporary numbness, tingling, skin sensitivity and rarely some pain.  I have only  had one patient with some pain and it responded to a few ibuprofen.  The altered sensations can last for a few days, up to a few weeks but they always go away.  Your results will be worth the mild discomfort.

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Swelling is normal after Coolsculpting

After a coolsculpting treatment it is normal to experience swelling, numbness, and tingling. This will resolve in 1-2 weeks post treatment. Rarely patients can experience pain after a treatment which can start on day 3-5 and last 1-2 weeks as well. For patients with post procedure pain, topical lidocaine patches will effectively treat the discomfort. This is usually more of an annoyance and our patients have been extremely happy with the results.

Rosalyn George, MD
Wilmington Dermatologic Surgeon
4.4 out of 5 stars 12 reviews

Swelling is normal after Zeltiq


Swelling, puffiness, some numbness and tingling and tenderness are quite normal after Zeltiq/Coolsculpting.  It may last a few weeks.  You will start the see improvement in the areas treated after a few weeks but it can take a few months--so don't get discouraged.  Some patients do require 2-3 treatments in the same area for optimal results.  Our patients have been extremely happy with their results from Zeltiq. 

Good luck

Dr. Grant Stevens   

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 147 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.