Will CoolSculpting help after a 13 year old c-section? (Photos)

Question

36, mother of 3, had a c-section in 2005. Now the scar tissue of the incision has caused my stomach to have a mushroom shape pushed over the incision. I don't want to get a tummy tuck or liposuction just want to have this pushed gone.

Chad K. Wheeler, MD · Answer

When the skin overhangs a c section scar I find the solution is a scar revision if they are otherwise satisfied with the appearance of the abdomen.  There is a layer of fascia under the skin in the central abdomen that is often not repaired at the time of a c-section and results in a depression at that scar.  Cool sculpting may help reduce the fat above the scar but won’t treat the fundamental cause of the problem.

Joe Gryskiewicz, MD, FACS · Answer

CoolSculpting is only intended to treat subcutaneous fat.  When your body produces scar tissue after a surgery , it is mostly made up of collagen fibers, which Coolsculpt can not freeze away. Your best bet would be consulting with a licensed professional about a scar revision procedure.

Ron Shelton, MD · Answer

if there is fat in the skin above the abdominal muscle wall then shrinkage of that volume can help flatten the bulge. If it is just skin that has folded, there actually may be some skin tightening from coolsculpting but not enough to imagine a result similar to a tummy tuck.  If there is fat in the layer below the skin and above the muscle wall in the upper abdomen it would be worth having a few treatments in the upper abdomen to reduce the weightiness pushing down on the skin which is folding over the C-section scar, along with treating fat in that skin immediately over the scar.

Jennifer Reichel, MD · Answer

It is very common to develop an "Over-Hang" of excess skin, or skin and fat after a C-Section. From your photos, it appears that you have at least a bit of excess skin  (+/- fat). Unfortunately, I don't think that a non-invasive device is going to solve your concern. I recommend consulting with an MD that has experience in/access to all tummy rejuvenation options. This includes everything from CoolSculpting, to Liposuction, to tummy tucks. You do not want to settle on a consult with someone who can't offer all options. As we know, if the only option they have is CoolSculpting, the doctor or consultant will be tempted to say yes - when CoolSculpting might not be the right answer. CoolSculpting is a actually a super-neat way of reducing fatty tissue. The best thing about it: IT WORKS. You just need to be sure to go to a practice where the doctor is a body contouring expert!!!

Janet Allenby, DO · Answer

Hello,Thank you for your question and picture. Based on what can be seen you may be able to treat the area with CoolSculpting, however it will take more than one session. Please consult with a local provider in person so that they can determine the best course of action. Good luck!

Jason Emer, MD · Answer

Coolsculpting is good for stubborn areas of fat, but lacks skin tightening. 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/J Plasma/Renuvion/InMode BodyTite 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

Andrew Campbell, MD · Answer

If the bulge above your scar is fat between the skin and muscle (fat you can pinch) then you should be a great candidate for Coolsculpting. See a facility with extensive experience. We almost always recommend two treatments spaced about two months apart. You may also want to consider EMSculpt. It can reduce fat AND tone muscle.Andrew Campbell, M.D.Quintessa Aesthetic Centers

Monika Soni, MD · Answer

Thank you for your question. Based on what can be seen you may be able to treat the area with CoolSculpting, however it will take more than one session. Please consult with a local provider in person so that they can determine the best course of action. Best of luck!

Jean M. Casello, MD · Answer

We treat many patients with coolsculpting that have had c-sections.  It is important however that the area to be treated is fat that can be pinched  and not skin laxity or visceral (under the muscle) fat.  You should have a formal consultation with an experienced coolsculpting provider who can best advise you.

Grant Stevens, MD · Answer

It's difficult to say if you'd be a good candidate without examining your tummy in person.  If the primary problem is loose skin then Coolsculpting wouldn't be the best treatment for you.  We commonly treat women after C-sections, even many years later, but results are most favorable if it is primarily fat we are addressing.  For the best and most comprehensive answer for you, consider a consultation with a board certified plastic surgeon that offers both Coolsculpting and surgical options. Best of luck

Will CoolSculpting help after a 13 year old c-section? (Photos)

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