What are the options when it comes to non-surgical fat reduction (besides not eating and working out) those are obvious and are already under way. What are the risks?
Vanquish, CoolSculpting, Zerona. What's the Best?
Doctor Answers 9
Freezing and heating fat works - Zerona doesn't
Vanquish is the latest in non-invasive fat reduction. It is FDA-approved for deep tissue heating, but clinical studies demonstrate fat reduction after treatment. Vanquish heats fat using RF (radio frequency) - specially tuned electricity that in this application targets fat without injuring other tissues. Treatment consists of 4-6 weekly sessions. It does not contact the skin, and the treatment feels like sitting under a warm blanket for 30 minutes. Average loss of waist circumference after treatment of the waist and flanks was 2 1/4 inches. Vanquish has a large "spot" area that can treat the abdomen and sides of the waist simultaneously.
CoolSculpting or Zeltiq is "cryolipolysis" or freezing of the fat. A suction cup like applicator is used to freeze the fat over a 1 hour treatment time. The skin after treatment feels like a stick of butter and is massaged. Occasionally, patients have discomfort in the treatment area that requires pain management. Results take around 1 month and result in around 20-30% fat loss in the area of treatment. New treatment regimens recommend that patients have multiple applications to sculpt the area of treatment smoothly and avoid irregularities.
Zerona is a fairly obsolete technology. Although I do not have the technology myself, feedback from colleagues is that it is not very efficacious. It also requires diet and exercise recommendations in order for Zerona to work.
We have experience with Vanquish, CoolSculpting and Zerona for fat reduction.
Vanquish, CoolSculpting and Zerona
- Zerona uses a cool laser to address fat on the waist, thighs and hips
- Results of Zerona have been unimpressive
- CoolSculpting good for very targeted fat reduction
- Some people have temporary discomfort or soreness afterwards
- "Dimpling" is very rare with CoolSculpting
- Vanquish good for larger abdomens
- New applicators are coming out to address fat reduction on the thighs
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Vanquish, CoolSculpting It's all about choices
Vanquish, Coolsculpting and Zerona. Which is the Best?
I get this question all the time since we have both Vanquish and Coolsculpting in our office. We have done the most Coolsculpting in Orange County for the past three years. Zerona is based on low level LED lights to cause the fat cells to leak fat temporarily. However, with Zerona you need to adhere to their diet supplements also. Zerona long term has not proven to be effective. Coolsculpting is designed to be for local areas of fat. It is limited by the ability of the machine to suck the fat into the applicator. Coolsculpting is great for localized areas of fat that can fit into the applicators.
Vanquish is completely different in that the technology utilizes a large three panel, no contact device that delivers radiofrequency waves into the fat to melt the fat without pain. The science of Vanquish specifically targets fat so we have seen inches of fat loss within several weeks. One of the main advantages of Vanquish is that you can cover a large area such as the abdomen and the love handles with the panels in one treatment.
Non-invasive Fat Reduction
We have done a trial with Zerona and we offer Coolsculpting and Vanquish as well as Smart Lipo in our office. Zerona took too much patient participation (!) for us to offer it. Its success is dependent on diet and lifestyle changes that are great but I felt our staff would really have to work with the patients to assure that they got the results possible and we just are not geared for that type of interaction.
We have had Coolsculpting since its inception. I love the science behind it and it does kill fat non-invasively. We have definitely gotten great results for SOME patients and my advice is to make sure you have the right problem for Coolsculpting to be the solution. Patients who need 1-3 applications to grab the majority of their abdominal fat do very well!
We added Vanquish because it seemed likely to help patients for whom Coolsculpting would be too expensive and time consuming to give visible results. That has proved to be the case. For big tummies, our patients that follow the protocol and hydrate well the day before, day of, and day after treatment are seeing more than the average 2 inch loss that the company promotes after 4 weekly treatments. Those patients are thrilled because it is quick, neat and painless.
I think both systems have a place in our fat fighting arsenal.
Vanquish vs CoolSculpt (Zeltiq) vs UltraShape
I recommend Ultrashape for mild fat reduction and waist enhancement for a number of reasons:
CoolSculpt (Zeltiq) is older technology. It works, but there is often discomfort reported with the treatment, it takes more sessions, the applicator paddles do not fit all body parts or shapes, there can be bruising, numbness and paresthesias (unpleasant sensations) afterwards that usually go away with time. I have seen some ridges above the applicators of untreated fat that now must be addressed.
Vanquish is a non-invasive body contouring treatment, is the first that incorporates “focused-field radio frequency” to destroy fat without touching the patient’s body. That is it heats up the fat which despite the company's claims can cause discomfort as reported by some of the patients that have done this.
In contrast UltraShape has none of these limitiations. UltraShape is a non invasive, non thermal, non painful, quick procedure with no downtime for mild to moderate fat reduction whereas liposuction is invasive and reserved for more aggressive fat removal. UltraShape® is a non-surgical treatment option that instantly and selectively through focused ultrasound waves, breakdown fat cells in the targeted area/s, as well as tightens the skin. The targeted fat cells are released through the body’s natural metabolic processes. The treatment is performed in-office and requires no needles, incisions or anesthesia. There is minimal discomfort during the treatment and no bruising, swelling or downtime afterwards. Essentially a “walk-in, walk-out” 45 minute procedure. UltraShape® can be used to contour: Flanks, Abdomen and Thighs
I think the Vanquish combined with the Z wave gives the best non-painful, non-invasive fat reduction results available.
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.