I recently went for a Cool Sculpting consultation. The physician there recommended that I do not have the procedure because of a incisional hernia I had in 1996, although he says the risk is minimal. He did a physical exam and did not find anything unusual with my abdomen. After exploring other options, I still feel the Cool Sculpting would be the best option for me. Am I really putting myself at a high risk by doing this procedure? Has this been a complication for anyone else that has had this?
What Are the Risks of Cool Sculpting on a Patient with a Repaired Incisional Hernia from 1996?
Doctor Answers 4
CoolSculpting is possible post hernia repair but requires a visit with a physician.
Can a hernia recur after CoolSculpting fat loss by Zeltiq
any hernia that is surgically repaired has some risk of recurrence. The weakened tissues, despite how it is repaired, are not as strong as an individual who has never had and is not destined to have a hernia (many hernias seem to be an inherited weakness of the muscular tissues). I am not aware of any study of the recurrence rate of hernias that are surgically corrected in patients who have not had CoolSculpting vs. those that do have CoolSculpting. It may be possible that someone who had a corrected hernia is starting to have some tendency to recurrence from weakening of the tissues and a recurrence of the hernia is inevitable, but the suction pressure from the CoolSculpting might induce the recurrence sooner.
A patient with a history of a surgically corrected hernia in the region of intended CoolSculpting might wish to consult with their surgeon prior to undergoing the procedure.
Coolsculpting and previous hernia
Though Coolsculpting is clearly not a good idea if you currently have a hernia in the area you want to have treated that has not been repaired, it is not contraindicated if you have had the hernia repaired. For cases like yours, an in person consultation with a surgeon that can evaluate you and that has experience with Coolsculpting is essential. Coolsculpting is an elective, cosmetic procedure so we don't want to take unnecessary risks with your health. We have had many patients that have been treated successfully and uneventfully after having surgical repair of a hernia in the past. Good luck!
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CoolSculpting and Hernia's?
It is not recommended to do CoolSculpting on an area if we know there is an underlying hernia that has not been repaired. If the hernia has already been repaired, and your abdomen is stable, than CoolSculpting should be safe. It's important to understand that there is always a risk that the hernia could recur after the procedure, but I suspect that would be rare if your abdomen is currently stable.
I have had a number of patients with umbilical hernia's who have wanted CoolSculpting on their abdomen. I send all of these patients to a general surgeon first for repair of their hernia before I do their CoolSculpting procedure. So far I have experienced no complications.
I have had great success with the CoolSculpting procedure with respect to happy patients and great results. It's important to be evaluated by a physician with lots of experience to make sure you are a good candidate.
Best of luck,
Jennifer Harrington MD