Stomach bloated and bigger at 6 weeks after coolscuplting even after seeing a reduction at 4 weeks. (photo)
Doctor Answers 5
CoolSculpting and Increased Swelling
Stomach bloated and bigger at 6 weeks after coolscuplting even after seeing a reduction at 4 weeks
CoolSculpting post procedure
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Increased swelling and CoolSculpting
I am sorry to hear things are not progressing as you had anticipated. Generally speaking by 4 weeks post procedure much of the inflammation, numbness and skin sensitivities will be gone and you will start to see the results anticipated. Some people do take longer than this depending on many factors. Unfortunately from photos alone we cannot make a determination of normal or abnormal regarding hardness or other tissue qualities. There are some more rare circumstances where the fat tissue can in fact become hard. In cases of "subcutaneous induration" (swelling and hardness of the underlying tissue) you may look and feel as described and may even appear like little nodules. This is typically treated conservatively and will resolve on its own. I would urge you to keep the appointment you have coming up and discuss all with your treating professional for increased clarification and direction.
Swelling after Cool Sculpt
JAMA Dermatol. 2014 Mar;150(3):317-9. doi: 10.1001/jamadermatol.2013.8071.
Paradoxical adipose hyperplasia after cryolipolysis.Jalian HR1, Avram MM2, Garibyan L2, Mihm MC3, Anderson RR2.
AbstractIMPORTANCE: Cryolipolysis is the noninvasive reduction of fat with localized cutaneous cooling. Since initial introduction, over 650,000 cryolipolysis treatment cycles have been performed worldwide. We present a previously unreported, rare adverse effect following cryolipolysis: paradoxical adipose hyperplasia.OBSERVATIONS: A man in his 40s underwent a single cycle of cryolipolysis to his abdomen. Three months following his treatment, a gradual enlargement of the treatment area was noted. This enlargement was a large, well-demarcated subcutaneous mass, slightly tender to palpation. Imaging studies revealed accumulation of adipose tissue with normal signal intensity within the treatment area.
CONCLUSIONS AND RELEVANCE: Paradoxical adipose hyperplasia is a rare, previously unreported adverse effect of cryolipolysis with an incidence of 0.0051%. No single unifying risk factor has been identified. The phenomenon seems to be more common in male patients undergoing cryolipolysis. At this time, there is no evidence of spontaneous resolution. Further studies are needed to characterize the pathogenesis and histologic findings of this rare adverse event.
It's also possible that you have a "shelf" of untreated tissue overlying an area of lipolysis. You are doing the right thing to consult with your service provider. You may need to have a different type of procedure done to correct this (SculpSure Laser, Liposuction, etc...)
Lisa Vuich, MD
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