Does Water Retention Affect the Efficacy of Zeltiq Coolsculpting?

I am wondering whether being bloated due to hormones or retaining a lot of water due to salty food intake affects the amount of fat that is sucked in and adequately frozen by the zeltiq applicator. I had a Coolsculpting session the morning after a heavy, salt laden meal, and now I worry that I might have negatively impacted my fat loss results. Thank you!

Doctor Answers 4

Coolsculpting for fat loss and bloating

Bloating often refers to the intestinal enlargement that occurs with a slowing down of the movement of the intestinal tract and gas build-up. Water retention in the dermis often affects the lower extremities and face but not as much the abdominal skin. Bloating with gas in the intestines wouldn't prevent getting the typical skin and subcutaneous fat compartments into the CoolSculpting applicator and one should get a good result with fat loss. Similarly, as water retention is not very significant in the skin of the abdomen, theroretically, the freezing of the fat should not be impaired. 

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews


If one is retaining a significant amount of water and you believe you may have a hormonal imbalance you should get a check up from a primary care physician. However, minimal water retention from a salty meal should not interefere with results of CoolSculpting

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

Hydration before Coolsculpting

Adequate hydration is always recommend prior to a Coolsculpting procedure. However to my knowledge over hydration is not related to overall outcome and end result. Typically this procedure works great in properly selected patients.

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

Does water retention affect the efficacy of Coolsculpting?

Thank you for your question.  I am not aware of water retention affecting the results after a Coolsculpting treatment.  If the area treated was adequately pulled into the Coolsculpting applicator and the area was raised and firm immediately after removal of the applicator, I would suspect you received an adequate treatment.  Remember that it may take 4 months or longer to see the final results.  In addition, I have seen very good results when the same area was treated 2-3 times. 

William J. Vinyard, MD, FACS
Palm Beach Plastic Surgeon
5.0 out of 5 stars 32 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.