What else can I do after trying CoolSculpting? (Photo)

Question

A year ago I got my first treatment of CoolSculpting on my neck. After 6 months I went back for my follow up and they seen I got bigger. Staff advised to do another treatment for free. Got my second treatment done. Went back a few weeks ago for my 7 month follow up and my neck actually got bigger. The staff suggested I try Kybella but I’m nervous to put anymore money into something that might now work or make it worse. Suggestions? Why didn’t it work on my fat cells?

Michael A. Zadeh, MD, FACS · Answer

There is a very rare condition called Paradoxical Adipose Hyperplasia (PAH) which can occur after CoolSculpting. In these situations the fat in the treated area becomes bigger rather than smaller. I have never seen it happen with double chin treatments, but it's still a possibility. I would recommend your physician evaluate you for this. If this is indeed the case and the company that makes the device is made aware they will cover the costs of corrective liposuction. I would not do anymore Coolsculpting treatments, and don't recommend Kybella in your situation. Best wishes.

Jason Emer, MD · Answer

Kybella is good for dissolving the submental fat under the chin area while contouring the jawline and making the chin more defined, but a combination approach is needed to get the most improvement with non-invasive options. I often recommend a combination approach with Thermage, Ultherapy, and Exilis. VASER liposuction in combination with ThermiRF is the best alternative for contouring and can be performed with a neck lift, if you're a candidate. I recommend getting a formal evaluation with a cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer

Michael Kerin, MD · Answer

Hi.  Thanks for the question, and the photos.  There are patients who develop growth in their fat cells after CS, rather than reduction in the fat.  Do not have any more CS.  This needs to be corrected with liposuction.  The company will pay for you to have lipo to correct this problem.  See your doctor and discuss this with him/her.Best of luck.Michael Kerin MDKerin MedSpa

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there, this may indeed be PAH as mentioned below, or it may just be an increase in skin laxity from aging? This is hard to know without examining the area more closely. I would recommend consulting with an expert. Skin tightening may be a better option for you. Besides the obvious surgical options, there are several non-surgical options for skin laxity at this time. Exilis Ultra and Ultherapy are two of my favorite. Good luck! Sarah RN BSN

Anshul Gambhir, MD · Answer

I am so sorry about your experience! We typically recommend a combination of treatments for under the chin. Kybella is an injected medication that dissolves fat and may be a good option for you to try. It works differently than CoolSculpting does, so hopefully you would not have the same outcome. Results for Kybella tend to be very gradual and often multiple treatments are needed. I would also recommend including Thermage in your regimen, which is a collagen procedure which often helps to lift and tighten the skin somewhat.

Joseph Franzese, MD (license on probation) · Answer

Thank you for your question.  This may be a case of PAH, in which the Coolsculpting causes the fat tissue to increase.  There are a number of theories as to why this happens ranging from the temperature to the suction.  That being said, you would need a consultation and examination with a claim to the company to determine if this is PAH and if they are going to cover the cost of repair.  If this is more of an issue of natural aging, then I would consider liposuction with skin tightening.

Kristine Brecht, MD (license suspended) · Answer

Dear Rae,Getting bigger after cool sculpting is happening way more often than is being reported.Kybella can give some minimal fat reduction, in some people, but no sculpting.The dilemma is that people want noninvasive treatments to do what only invasive treatments can give.The noninvasive Technologies often are very pricey with variable to minimal results.Get a consult with a specialist who can discuss Vaser Liposuction and Neck lifts options.Best. Dr Brecht

What else can I do after trying CoolSculpting? (Photo)

Answers (7)

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