Home Ask The Doctor Can a person with cold-induced hives get Coolsculpting?

Can a person with cold-induced hives get Coolsculpting?

I have cold-induced hives, would I be able to get Coolsculpting? I currently control the hives with Claritin 2-3 times a week. If I get really cold, I break out in hives on my buttocks, arms, lips mostly. I have used ice packs in the past without issue.

Patients with a known sensitivity to cold such as cold urticaria or Raynaud’s disease may not tolerate Coolsculpting as well as other patients, although it is not an absolute contraindication to treatment. Personally, I would be reluctant to treat you, as the Coolsculpting head gets down to minus seven degrees centigrade, and even with anti-histamines you still may break out in hives. Coolsculpting is an elective procedure, and your overall health and safety must be the number one priority in any treatment setting. There are other options to consider, such as surgical liposuction, or fat dissolving injections for double chin fat. Patients with a history of cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria should definitely not undergo treatment with Coolsculpting.