Should the Massage After Cool Sculpting Go from the Middle out to the Lymphatic Nodes (And Where Are Those on the Stomach?

How should the "after Cool Sculpting massage" be performed?

Doctor Answers 5



Immediately after Coolsculpting treatment, massage is very important. It helps break down the fat cells and  improves your results by 60 percent. There are no studies indication massaging toward the lymph nodes could make a difference.

Coolsculpting is an excellent form of non-invasive  fat reduction for the right patient. Some applicators take 1 or 2 hours but the new advantage applicators take only 35 minutes and have significantly less risk for delayed onset pain (especially in the abdomen). Results are seen at 2 months and typically 1-3 treatments will be necessary on each area to achieve ideal results. The number of treatments depends on the amount of fat there and the patient's goals.  There is not downtime and the results can be impressive in the right patient.  We also use the Zimmer Z-wave for improved patient comfort and added results. The best candidates are those who are in pretty good shape with areas of stubborn fat that won't go away no matter what.

My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon

Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Lymphatic drainage after CoolSculpting

CoolSculpting does depend on the lymphatic system to eliminate fat cells that have been destroyed from the treatment.  The massage immediately following the applicator removal is a very important part of getting great results but it is not necessary to massage towards the lymph nodes.  My practice in Raleigh, NC administers two techniques of manual massage and one mechanical massage as soon as the applicator is removed following treatment. 
Vibrational therapy in the weeks following CoolSculpting can assist  lymphatic drainage.  The vibrating plate increases lymphatic circulation to encourage the process of clearing the dead fat cells out of the body.  My patients receive this treatment as well as a compression garment and dual treatment system as part of our CoolSculpting Complete package. 

My practice is able to offer CoolSculpting Complete for half the price, as we have Instant Rebates due to our status as the top provider of CoolSculpting in our area.  Our patients can buy one area and get another area free.  This is helpful for patients who need multiple treatments or just one (buy one love handle, get the other free.)

You can find the most experienced provider in your own area on the CoolSculpting website.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Massage after CoolSculpting

The results of CoolSculpting can be improved with massage immediately after the applicator is removed. The technique of the massage is not that important, as long as the area is massaged in some manner. The massage after CoolSculpting is not a lymphatic drainage massage, so that is why it does not need to be done in any particular direction.

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Massage is important after coolsculpting

It is important to do massage after coolsculpting for approximately 10 minutes in duration. Deep massage is best but the path from middle to outer is not important.  What is important is that the massage is done after treatment.  We have wonderful results with Zeltiq.  Let me know how your treatment turns out!

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 76 reviews

Massage after coolsculpting

Immediately after the coolsculpting procedure the treated tissue is massaged by the technician for about 3-5 minutes and the frozen tissue is rapidly rewarmed.   There is no standard method to this massage and it is not something the patient needs to do themselves. 

York Jay Yates, MD
Salt Lake City Plastic Surgeon
4.9 out of 5 stars 175 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.