I had the first treatment of SculpSure done on my inner/outer thighs 6 weeks ago and it is remarkable the improvement in skin tightening and fat loss!!! What an easy way to spot reduce those areas that we struggle with at the gym! I'll post before/after pics after my second treatment but for now, I give my endorsement to Dr. Dunbar for this treatment - simply amazing!
Both SculpSure and CoolSculpting destroy about the same amount of fat with each treatment. However, SculpSure has a few advantages. First, the treatment time is 25 minutes per area compared to about 1 hour with CoolSculpting. SculpSure also has some heat spread just outside of the treatment area which gives a smoother transition from treated to untreated area. There is zero downtime with SculpSure and most people have no discomfort after the treatment where some people have lingering discomfort and/or numbness for a few weeks after CoolSculpting. Whichever method you choose, keep in mind that you will likely need 2-3 treatments per area to get the desired results. For loose skin, some have noticed that SculpSure may give a slight tightening but this is not a claim from SculpSure itself. There are radiofrequency devices that can help such as Exilis Ultra. Tightening results are subtle and take time with multiple treatments.
I suspect that the inflammation and red dots will be temporary. Exilis has not been associated with hair loss.
A small amount of Botox injected in the lateral brow on each side usually lifts the brows slightly which would also lift the lid. Be sure to go to someone who has plenty of experience with Botox. If that doesn't lift it enough, surgery would likely be the next option.
It looks like the treatment was uneven, meaning that there were areas missed in between the spots treated. However, it is hard to tell from the picture if there is also hypopigmentation or if this is the normal pigment and redness reduction. Usually for pigment and redness reduction with IPL, several treatments are done to get the best results. It is possible that with another treatment or two you will have even looking results. If you feel it is truly hypopigmentation, you may want to consider a consultation with another provider to fully assess and give recommendations.
There are several devices that can tighten skin. I like Exilis Ultra 360 because it combines radiofrequency (RF) and ultrasound to heat the tissues and simulate production of collagen and elastin. This is not an immediate process. It takes a few treatments spaced a few weeks apart. In addition, you will probably see the best results by combining it with shock wave treatments such as Cellutone and even a skin firming cream like Nectifirm.