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I Had Zeltiq Done 2 Wks Ago and I Am Uneven on One Side. What Should I Do?

CoolSculpting can cause some initial swelling post-treatment and the swelling can be unequal on each side. Swelling can take a few weeks to resolve. Results from CoolSculpting normally appear gradually over 1 to 4 months as swelling resolves and the treated fat is cleared.

The unevenness should resolve over the next few months, and if it does not, you should consult your provider. In rare cases, an area can develop a firm, enlarged appearance called paradoxical adipose hyperplasia, which may need to be evaluated and sometimes corrected surgically, so it is worth having your provider check any persistent asymmetry.

Clinical Context

Some swelling asymmetry after CoolSculpting is common, especially if the applicator fit differently on each side or one area had more fat to begin with. Swelling can shift daily depending on hydration and activity, so it's normal for one side to look puffier some days. True results take 4-6 weeks to show as swelling resolves, so it's too early to judge final shape. If unevenness persists past that window, follow up with your provider.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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