Will Cool Sculpting (Zeltiq) Address Skin Laxity?

I Have Banana Rolls with Too Much Skin and Fat. What will happen to the already lax skin if more fat is removed?

Doctor Answers 57

Skin with good elasticity will tighten after Coolsculpting

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Coolsculpting is targeted to reduce fat not affect the top layer of skin which is where much of the natural elasticity of the skin resides. Because the results are seen over a 4 month period, patients with good skin elasticity will often see the skin contract as the fat is slowly lost. Patients who have pre-existing skin looseness (laxity) usually will not see the skin tighten as the fat is lost, because the elasticity is already lost.

Just like when you take off a bra, the elastic band will shrink down as the stretch from the body is removed, if you have good elasticity the skin will shrink down as the fat is removed. If the elasticity in your bra is shot, it won't contract, and if the elasticity in your skin is not good, it won't shrink either.

Your doctor will be able to tell you before treatment whether your natural skin elasticity is good enough to contract as the fat is lost. If it is not, you may need additional treatment that targets the elastic layer, like Thermage. But I have not seen Coolsculpting make the laxity (looseness) of the skin get worse.

Amarillo Dermatologist

CoolSculpting Does Not Address Skin Laxity

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Younger people who have CoolSculpting will find that their lax skin often comes back to its natural appearance.  Older people do not have as much luck with lax skin normalizing.  Because of this, in many of our patients, we will do laser skin tightening in addition to CoolSculpting so that when the fat is gone the skin is not as lax. 

Jonathan Crane, DO
Wilmington Dermatologist

Skin Laxity with CoolSculpting

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CoolSculpting's primary purpose is to reduce fat cells and volume.  You do risk additional skin laxity from the treatment, particularly if it's already pre-existing.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.4 out of 5 stars 19 reviews

Skin can retract

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when fat is removed below the skin, the skin can retract to match the new contour.  however, after severe amounts of weight loss, or yo-yo dieting or multiple or large pregnancies, this ability of the skin can be comprimised.  so it truly depends on your skin and how severe the laxity is to begin with.

Eric Chang, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 11 reviews

Zeltiq will not address lax skin

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If your skin has lost its elasticity, it will probably look even looser after you have zeltiq.   A good analogy is the abdominal skin in a pregnant woman.  If the skin has lost its elasticity, it can look wrinkly and hang down after the mother has given birth and lost weight.  If the skin is tight, it will shrink back after the baby is born.    This is why patients with tight skin get the best results with zeltiq.  People with loose skin should consider a surgical procedure to remove both skin and fat (eg tummy tuck).

Zeltiq/Coolsculpting reduces fat NOT skin laxity

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Currently, there is no evidence that Zeltiq's Coolsculping will either improve or worsen skin laxity.  Skin inherently has some elasticity, so when we gain weight or lose weight, skin will naturally "expand" or "contract" against our body.  Likewise, using coolsculpting to reduce the fat layer at the subcutaneous layer, will not affect skin laxity.  If you have too much skin laxity after Coolsculpting, then you may require skin excision of the affected areas. 

Steve Lee, MD
New York Plastic Surgeon

Skin Laxity with CoolSculpting

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People who have naturally good skin laxity will see their skin contract as the fat slowly vanishes. Like any elastic band, it shrinks down from the movement of your body. 

Daljeet Samra, MD
Pleasanton Physician
5.0 out of 5 stars 5 reviews

Coolsculpting will not address skin laxity

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Cool sculpting is the best nonsurgical procedure to permanently reduce fat deposits from different areas. This treatment will not have any effect on the skin, nerves or blood vessels. There are however a few other modalities most of them utilizing radio frequency, and these will help tighten the skin post a coolsculpting session. One of them is called Venus Legacy. This treatment delivers Multi polar Radio frequency AND Magnetic pulse therapy to the skin. Radio frequency and Magnetic pulse therapy have been used in medicine for many years.  This treatment causes fibroblastic proliferation and neovascularity , which stimulates the body's natural collagen and elastin to help tighten, tone and smooth the treated area.  This is safe and effective technology .The procedure is typically pain free and there is no need for downtime. We wish you good luck in achieving your aesthetic goals.

Anca Tchelebi-Moscatello, MD
Mount Kisco Hair Restoration Surgeon

Coolsculpting does not address laxity issues

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Coolsculpting is a non-invasive way to permanently remove unwanted fat cells from the body. When fat cells are removed there can be additional laxity or lose skin depending on the natural elasticity of the skin of the patient or the laxity that was present prior to the Coolsculpting treatment. Combining Coolsculpting with another modality such as Venus Legacy is a synergistic approach to treating both unwanted fat and lax skin. The Venus legacy device uses radio frequency heat to stimulate the body's natural collagen and elastin to help tighten, tone and smooth the treated area. Combining both services will yield a more desired overall result for the patient, reducing fat and also address skin laxity concerns.  Hope that helps. 

All the Best,

Dr. Paul Flashner

Paul Flashner, MD
Boston Physician
4.9 out of 5 stars 26 reviews

Does CoolSculpting Address Skin Laxity

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CoolSculpting is a non-invasive treatment used for fat reduction. It does not address skin laxity. You are at risk of additional skin laxity, especially if it is already an issue. You can combine CoolSculpting with a non-invasive skin tightening treatment such as ThermiSmooth. 

Shamim Shakibai, MD
Los Angeles Physician
5.0 out of 5 stars 9 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.