Stomach Pain After Zeltiq (CoolSculpting)

I Have Tenderness After Zeltiq on my Stomach It Has Been 4 Days Since and It Feels Like I Have Been Doing a Million Sit Ups? is this common? it actually really hurts i am quite worried i had it done on my lower stomach,i only have a small amount of fat there im not a big person its just a pot belly, i also wanted to know if i have to go on a strict diet or the fat should go away by itself not worring about what i eat? i know i have to wait 4-8 weeks though just curious? :)

Doctor Answers 27

Mild Discomfort Not Uncommon with CoolSculpting

It is not uncommon to have mild discomfort following CoolSculpting to the abdomen.  The longest length of discomfort time reported from any of my patients has been 2 weeks.  If you are worried about it, be sure to follow-up with your provider.  We recommend in our post-care instructions some things to help reduce swelling or pain, and to help support the detoxification of the liver, but CoolSculpting itself should not be used as a tool to excuse poor dietary habits.  A simple balanced diet that we discuss with patients in their post-care is the best way to help support optimal results with CoolSculpting.

Austin Plastic Surgeon
4.5 out of 5 stars 18 reviews

Pain and Zeltiq's CoolSculpting of the abdomen

If you have a pot belly, that means the fat is behind the stomach wall, around the intestinal tract, and as you say you had little fat in the abdomen, meaning above the muscle wall, then the Zeltiq was pulling harder on the deeper tissues, and although the muscle is not pulled into the machine, the nerve endings or collagen attachments to the muscle from teh subcutaneous tissues might have pulled harder and it hurts now.  This should go away in a few weeks.  Follow up with your doctor.  You should be concerned about your diet as increasing your calories will make you gain weight and some will go back to the residual 80% of fat cells that don't die from the Zeltiq in that area.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Zeltiq - CoolSculpting and pain

Some patients experience minor discomfort for about 7-10 days following the procedure in the treated area.  Rarely (less than 1%) some patients may have more significant pain requiring anti-inflammatory or other pain medication.  In my experience, patients that require the use of the large applicator tip experience a little more discomfort.  While no specific diet is required after CoolSculpting, it is ideal to maintain a healthy weight to optimize results.

Lori Stetler, MD
Dallas Dermatologic Surgeon
4.6 out of 5 stars 9 reviews

Zeltiq Coolsculpting can cause tenderness

Zeltiq coolsculpting can cause tenderness for up to 2 weeks after your procedure.  It is most common in the abdominal area, especially with the new large handpiece (both sides treated at once.)  Wear comfortable clothing that doesn't rub the area and it should resolve soon.  We tell our patients to let us know if it is severe, continues after 2 weeks or worsens.  Also, no special diet is needed but don't eat more than you usually do.

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
4.9 out of 5 stars 217 reviews

Soreness after Zeltiq

It's really not uncommon to have soreness 4 days later in the area treated by Zeltiq, especially if you are relatively thin to begin with.  Some patients experience soreness, bruising and pins & needles-like sensation in the areas treated.  If the pain continues to increase, I would speak to the physician that treated you.  Though a special diet is not necessary, Zeltiq does work best for people of a stable weight.  It is not a free pass to eat whatever you want.  Though fat in the treated areas is gone with time, if you gain weight you will gain it somewhere.  Results are generally not evident for 2-3 months.  Most patients have 2-3 treatments in an area, approximately 2 months apart.


Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

No diet required with Zeltiq

While of course it is optimal to diet when one is interested in losing weight, one would still see a reduction in the fat pad being treated even without being on a strict diet. In reference to abdominal pain after Zeltiq, it is pretty unusual. However the funny feeling that people feel in the abdomen will usually disappear in several weeks.

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
4.9 out of 5 stars 19 reviews

Coolsculpting pain after treatment

It is not unusual to have abdominal discomfort after Coolsculpting. It can be uncomfortable for a few weeks but always resolves. I explain this to all my patients and none have had pain that persisted for more than a few weeks. The results have been consistently excellent with treatment and the pain has no bearing on outcome. I suggest always let your doctor know.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Pain after CS

This kind of pain is expected. I had that pain for about a month after having my love handles done. Although annoying, not dangerous and actually expected. If it is annoying you can ask your practitioner about it and see what they offer. 

Steven Costalas, DO
Bryn Mawr Physician
5.0 out of 5 stars 3 reviews

Stomach pain after Zeltiq

If you treat your abdomen there is a chance that you can experience some feelings that are uncomfortable. The most common side effect feels like a superficial bruise, if you were to touch the area you may feel some discomfort. Some thing that can occur is called delayed on set pain. This happens about 3-5 days after the treatment and can last about 3-5 days after that. What you can experience is pins and needles, itchiness, a feeling of broken glass underneath the skin. It is However completely manageable. 

Edward Stokes, MD
West Hollywood Physician
5.0 out of 5 stars 4 reviews

Pain with Coolsculpting

Soreness in the area treated is not to be unexpected after doing Coolsculpting.  The discomfort can last up to 2 weeks. Diet and exercise will only improve upon the results of the treatment. Good luck with your continued transformation.

Michelle Ellern, DO
Livingston Physician
5.0 out of 5 stars 3 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.