Cynosure has designed the SculpSure laser so that the "strength" setting of the laser can be adjusted either up or down in intensity to best serve all clients. Ultimately, we want our patients to be in what is called Zone 4 for the last 5-10 seconds of each 30 second cycle of the 25 minute treatment. When a patient is in Zone 4 they should experience prickling, pinching, pressure, cramping, and moderate deep heat. This should be tolerable to the patient. If not, the settings are turned down; whereas, if you are in a Zone 3 experiencing a light tingling with only mild warmth, we would ideally like to increase the intensity. Some patients do max out the laser settings for a variety of reasons, but are still receiving good treatment outcomes.