Coolsculpting Revision

Coolsculpting Revision

At Neinstein Plastic Surgery we see about 5 patients per week to discuss Coolsculpting revision due to the serious complications from Coolsculpting.

Coolsculpting is a heavily marketed device that promises to get rid of fat non surgically. If there was a way of removing fat without actually removing any fat we all would be doing it – but sadly, there is not. In reality, Coolsculpting is painful, unpredictable, expensive, and takes a long time.

The creators of Coolsculpting even list the following in their fine print:

Common immediate side effects of Coolsculpting include: redness, firmness, pinching sensation, minor swelling, tenderness, bruising, stinging, tingling, numbness, skin sensitivity, mild to moderate pain, muscle cramping


Patients who come to Neinstein Plastic Surgery for Coolsculpting revisions are generally upset and often feel embarrassed that they spent a lot of time, energy, and money and saw no results.

Here is an interesting comparison between Coolsculpting and minimally invasive liposculpting:

  • Coolsculpting of the abdomen takes 4 hours, is painful, and has unpredictable results
  • Minimally invasive liposculpting of the abdomen takes 45 minutes with predictable, extraordinary results (as this option actually removes unwanted fat then sculpts and tightens loose skin).

Coolsculpting and Abnormal Growth of Fat

Abnormal growth of fat from Coolsculpting (or paradoxical hyperplasia post cryolipolysis) is the biggest risk and concern of all. This Coolsculpting complication often comes  up in medical literature but the creator of the device has done a good job of hiding it from the public.

Typically, at the 3 month mark Coolsculpting patients begin to notice a growth of fat in the area that was treated. It is not attributed to simple weight gain because the growth only happens in the area it was treated by Coolsculpting.

Recently, a patient had a tummy tuck to remove this area. The pathology report showed abnormally large fat cells with thickening of the tissue around the fat and a large amount of abnormal blood vessels. Why this happens nobody knows but it does happen.

I had a patient from Australia recently that literally had a shelf on her upper abdomen that she could place a coffee cup on.

Treating Coolsculpting Complications


Luckily you can melt the abnormal fat and remove it with Vaser ultrasound based liposuction. The company will actually pay for the operation if the patient is given a letter from a board certified plastic surgeon describing that they had this complication

Here is an example of one of the cases I treated recently

The picture on the left is the patient before Coolsculpting and the one on the right is 4 months after her Coolsculpting.

Since she had the procedure at a medspa unsupervised, she went to see a local plastic surgeon who referred her to me for definitive management. I performed minimally invasive Vaser liposuction using a few special instruments I had made to help break down the scar and get a smooth result. The procedure was 60 minutes and here is her 2 weeks.

Coolsculpting Revision Cost NYC

The cost of Coolsculpting revision surgery varies based on Coolsculpting results and patient goals. Our expert team is ready to help you overcome Coolsculpting complications to help you reach the body you deserve.

Contact Neinstein Plastic Surgery today to book your consultation at our Upper East Side location. During your consultation, Dr. Neinstein will examine you and discuss pricing and payment options.

Dr. Neinstein is a board certified plastic surgeon and a mini arm lift specialist.

Coolsculpting Revision Photos

Coolsculpting Revision Videos