What is the recommended preparation for and aftercare for the Coolsculpting procedure?

I want to do my best to get the best results. I am looking to have the treatment done on the upper back fat (bra overhang) area, and flanks.

Doctor Answers 11

CoolSculpting aftercare

I agree, this is one of the advantages to CoolSculpting. There is no standard recommended preparation or aftercare with a CoolSculpting procedure. Maintaining an active lifestyle with a healthy diet and regular exercise, as well as staying well hydrated, are typical recommendations and likely to help you get the best result possible.

Long Island Dermatologic Surgeon
4.9 out of 5 stars 19 reviews

After Care for CoolSculpting

There are no specific recommended after care for CoolSculpting from Zeltiq. However, from my own experience I have found that patients benefit from wearing some type of compression around the treated areas. The compression helps keep the swelling down and most patients feel better with it on. I also recommend patients to drink a lot of water to help flush the system and push out the dead cells, apoptosis begins as early as three days after treatment. Most importantly, I highlight the fact that the patients must maintain a healthy diet and lifestyle in order to fully appreciate the result of the treatment.

Michael L. Workman, MD
Portland Plastic Surgeon
4.7 out of 5 stars 36 reviews

Preparation and aftercare for Coolsculpting for back fat and flanks

The best part of Coolsculpting is that there is no preparation or after care required for the procedure.  I have treated many patients for the upper back and flanks with fabulous results.  Please consult a board certified dermatologist who has a great deal of experience with Coolsculpting for the best results.

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

Before and after instructions for CoolSculpting

There are no "standard of care" instructions but I recommend avoiding blood thinners (aspirin, advil, motrin, etc.) for a week or so prior to treatment as long as these have not been prescribed by your doctor and staying active and well hydrated after treatment.  I recommend continuing your normal diet and exercise routine. 

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

CoolSculpting procedure

One of the reasons Coolsculpting is so successful is that there is little preparation required for the fat freezing treatment and minimal downtime following the treatment. Maintain a healthy stable diet and avoid aspirin, ibuprofen, and prescription blood thinners to minimize bruising prior to treatment.

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Recommended preparation for and aftercare for the Coolsculpting procedure

Each physician has his or her own guidelines for post treatment care. You should follow your physician's protocols. Prior to treatment avoid blood thinners to minimize bruising post treatment.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 40 reviews


coolsculpting selectively freezes fat cells to induce programmed cell death. The FDA has approved this treatment for abdomen and flanks. However, there are several other areas that have been treated successfully, although as an off label application. Avoiding things that "thin the blood" may reduce bruising and afterwards you can follow your physician's instructions.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Pre and Post CoolSculpting care

Dear WestTXhappy:

CoolSculpting (CS) is now a tried and true method for very limited fat loss in areas of fatty bulges. Consider that the fat is gone but you will have to maintain the new weight. This means a lifestyle change in your nutrition and / or calorie reduction and exercise.

Since CS removes up to 20% of fat in a well executed procedure, depending on the small (approximately 100 grams) or large (approximately 200 grams) of fat are lost. There are about 454 grams of fat to the pound, so you can easily figure how much you have to lose on the scale before the fat will redistribute to other living fat cells. 

Unfortunately, CS does not tighten the overlying skin but I, as many others do observe that the skin will shrink down to the less fatty bulge. As more technology develops, skin tightening will also help.

I hope this has been helpful! All the best!

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.8 out of 5 stars 81 reviews

Coolsculpting optimization

Coolsculpting is an excellent option for treatment of diet and exercise resistant fat in patients with good skin tone and no contraindications to the procedure such as cold insensitivity.  To optimize your results, you should be at your goal weight.  Before and aftercare are rather uncomplicated as long as you understand the typical post-procedural experience with the potential for temporary burning, numbness and time needed for results.  Best of luck!

Brooke French, MD
Aurora Plastic Surgeon

CoolSculpting and Care

Nothing but following the right diet and exercise is what you need.  Go to the best doctor, as I see many complications from noninvasive devices that I am fixing with properly performed liposuction/contouring.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 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.