Vanquish, CoolSculpting, Zerona. What's the Best?

I have experience with Vanquish, CoolSculpting and Zerona.  We have had our CoolSculpting device now for over 5 years and were the first office in Orange County to have Vanquish.  We obtained our Vanquish in January, 2014.  We have had very nice results from both of these devices.  CoolSculpting works by freezing the fat cells and causing the cells to die.  This device is ideal for localized areas of fat such as the 'love handles' and 'bra rolls'.  The downside of CoolSculpting is that it takes one hour per localized area.  Vanquish utilizes a large panel which lies very close to the skin and can cover a broad area.  Vanquish then heats up the fat cells to over 110 degrees fahrenheit to cause the fat cells to die as well.  As you can see, you can reduce fat cells by taking them to either extreme in temperature for enough time.  Both devices take some time to see the final results.  Results can be impressive in certain patients.  I don't compare the results to liposuction as I feel I can obtain better results surgically, but not everyone is interested in surgery.  It is best to obtain a consultation to see which device is best for you.  With regards to Zerona, it utilizes low level energy to supposedly cause fat cells to 'leak'.  I had the device for several results and patients seemed happy; however, I returned the device as I felt they achieved their results from the exercise, diet and supplements that were recommended with it.

Most gimmicky methods like these are worthless and only eat away your money and time. Every great once in a while i hear of a patient who had some improvement though.

It's a great question. Noninvasive fat removal offers minor results, which works for some people. However, for the most dramatic body contouring there is nothing that matches a liposuction procedure. If you're considering a non-invasive procedure check out the patient reviews on realself to make sure that you like the reviews as well as the before-and-after photos posted by people have had the exact same treatment.

There are several new options for non-surgical fat reduction out there. I would personally recommend BTL Vanquish! CoolSculpting is a little more agressive, and Zerona may take longer to see results. Vanquish is a nice medium ground, generally pain free, and gets great results after 3-4 treatments. I will caution you, some people are not going to be canidates for non-surgical fat reduction, depending on how much you expect to lose. If you're looking to loose a few inches around your waist, give Vanquish a try. 

Thank you for your question, in my opinion, Vanquish is the safest, easiest radio frequency laser to use for this. The RF Technology gently heats the unwanted fat cells destroying them without harming the surrounding skin, muscles and vital organs. The RF waves are specifically targeting the fat cells destroying and eliminating them, other non-invasive fat reduction treatments only shrink the fat cells without completely eliminating them. Vanquish is FDA approved for deep heating tissue which has an amazing side effect of eliminating your unwanted abdominal fat and love handles in a single 30-45 minute session compared to other 1 hour procedure time associated with other non-invasive Fat Reduction procedures. There is no pain or restrictions on your personal or professional life following a Vanquish Fat Reduction treatment. Please rememeber, Vanquish fat Reduction is a complement to women and men who are working out and following a healthy diet. Best of luck to you! #vanquish #fatreduction #nonsurgicalliposuction #lipo

Your question dates back two years ago, so I am not surprised you did not reference SculpSure, the new and only FDA-approved laser to provide the quickest treatment
(25-minutes) and easiest recovery (none). Patients complete the treatment and
walk out of our office ready to resume their ordinary activities. Sculpsure is a non-invasive lipolysis device that leverages
controlled and targeted hyperthermic laser. The technique dives past your
dermis for minimal absorption and then penetrates deeply to destroy
subcutaneous fat. I suggest you consult a board certified facial plastic surgeon
to receive the highest quality knowledge, treatment, care and skill available.  A consultation provides you the opportunity to relay your
concerns and desired outcome to the surgeon while the surgeon can assess your
health profile and discuss his/her pertinent advice.

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

Vanquish is an efficient, non-painful, non-invasive fat reduction
procedure.Bottom line is both Vanquish
which uses RF to heat the fat and CoolSculpting, freezing the fat both
work.We spent a full year talking to
people that had Vanquish and/or CoolSculpting in their office (not the reps)
and bought Vanquish.In my opinion, the
Vanquish technology is better for my practice for a few reasons.First Vanquish is not painful.In talking to technicians who have used
both, the CoolSculpting can be painful to very painful so compliance is an
issue.Vanquish is relaxing and does
not hurt.It may feel warn, but not
painful.Also with CoolSculpting you
have to treat one flank, then the other, then the abdomen or in some cases the
upper abdomen and the lower abdomen.Vanquish
can target all of these areas in 1 treatment.Vanquish can be more cost effective for the provider and therefore the
patient as there are no disposables with the procedure.With CoolSculpting you pay for disposable
equipment with each use, Vanquish there are no disposables because the machine
does not touch the skin.We use the Z
Wave with every Vanquish treatment.The
Z Wave uses sound waves to “break up” the fat Vanquish destroyed and in my
opinion it reduces any lumps and helps the body absorb the fat faster.I think the Vanquish combined with the Z wave
gives the best non-painful, non-invasive fat reduction results available.

Without a doubt, the best device for removing face noninvasively is CoolSculpting. It has the most research, studies of any noninvasive fat removal device on the market. Zerona will give no results and I believe the company went bankrupt. Vanquish gave inconsistent results - some it worked and some it didn't. CoolSculpting used cryolipolysis (cold) to cool the fat cells to a point where they are terminally killed (apoptosis). We always use the Zimmer Z wave after the procedure to enhance the results 50% or more. Results should be permanent if weight is stable. It has FDA approval for several areas of the body. Skin tightening has also been seen with CoolSculpting. Risks associated with CoolSculpting are: Contour irregularityProlonged pain/numbnessNo resultsPAH - Paradoxical Adipose HyperplasiaZerona - No Risks and No ResultsVanquish - Risk of burns, no results, inflammation which causes pain/lumps

Hello, thank you for your question. Vanquish is a newer equipment that is more popular in the United States than in Canada. Both Vanquish and Coolsculpting are non-invasive technologies for fat reduction that reduce about 20-30% of fat in the treatment area. Vanquish uses radiofrequency, and the patients feel a comfortable hot sensation over the treatment area. It is positioned near your skin but not touching it. We also have the leg/arm applicator for fat loss in those areas.Patients feel very relaxed and sometimes even have a nice nap during treatment. It has a large applicator that is applied over the target area and the energy is distributed evenly, avoiding lumps or depressions. With coolsculpting, the technician needs to work on the target area manually, which sometimes causes some irregularities and not so even results. Coolsculpting seems to cause more pain, that is why a study performed by a physician who uses both equipments found similar results with greater patient satisfaction with Vanquish. Patients with cryoglobulinemia should not have Coolsculpting, or they could have skin necrosis. As I understand from colleagues that have worked with Zerona, the results are not as good as with Coolsculpting or Vanquish.