Long term results & side effects of SculpSure?

I'm a 59 yr old woman, considering SculpSure for my thighs, arms, and abdomen. My doctor thinks I'm a good candidate. Please explain this light/laser therapy, scientifically? What is it on the light/laser scale in science terms? I've see the videos and photos, but don't understand the procedure. Also, will my body revert in 5 or 10 years in some weird way? Will this ruin my body? I am active and work out eat carefully, but have trouble losing 20 pounds, post menopause.

Doctor Answers 10


Thank you for your question. SculpSure utilizes heat on the subcutaneous fat to destroy it. Meanwhile, the feeling of heat on your body is counteracted through Contact CoolingTM technology to prevent damage to the skin and keep you, the patient, comfortable. I suggest that you next consult in person with a board certified facial plastic surgeon.

Best wishes,

Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 121 reviews

SculpSure and Fat Melting

kills fat cells and eliminates them permanently. The only side
effects I've seen are short-term bruising, swelling, lumpiness and
soreness. This should all subside within days to months. Final
results take about three to four months to see. Your body will not
“revert,” unless you gain weight. Please see an expert. Best, Dr.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

SculpSure is light (laser)

SculpSure uses light to travel through the  skin (which is cooled) and as the light penetrates into the fat, the fat cell is damaged.  Over the next weeks to months the damage fat cells and their fat are metabolized.The body does not make new fat cells, so this area will be reduced.  SculpSure can be a great jump start to further weight loss.  Stressing your damaged fat cells with a diet during the recovery period should help further.Best wishes,Dr. Denkler

Keith Denkler, MD
Marin Plastic Surgeon
5.0 out of 5 stars 19 reviews

Depends where the 20 lbs are located

You mentioned that you are having difficulty losing 20 lbs and this is a common complaint of my patients after menopause, etc. SculpSure is indicated if it is in specific locations (abdomen, flanks, thighs, etc). If the weight is spread around everywhere, this may not be the correct procedure. Having said that however, the 1064 nm wavelength laser penetrates 3 cm and is excellent at causing destruction of fat cells. The surface cooling on the SculpSure keeps any thermal damage from occurring. In terms of what we will look like in 10 years, I don't think any physician will make a suggestion about that, but we can only predict that there may be improved technology in the future to solve those issues.

David U. Lipsitz, MD
Charlotte Physician
5.0 out of 5 stars 11 reviews

SculpSure is safe

SculpSure uses a laser that targets fat cells.  Laser stands for "light amplification by stimulated emission of radiation".  In slightly simpler terms, a beam of light that is coherent and consists of electromagnetic rays of light of the same wavelength.  The amplitude of a laser depends on it's source (ie ruby, CO2, diode).  The light can be absorbed, reflected or dispersed.  Different wavelengths of light are absorbed by different colors and objects.  If an object absorbs the light energy it will heat up and could lead to disruption.The SculpSure laser is from a diode, similar to bar code readers, DVD readers and laser pointers.  The wavelength is 1060 nanometers, which is the frequency that fat cells will absorb the energy.  An applicator panel is placed on the skin with the laser confined to the applicator head. The laser is turned on and penetrates through the skin, without harming it, and targets the fat cells.  The cells absorb the heat and are disrupted, our body then removes the cellular debris during a process referred to as inflammation.  About 25% of the subcutaneous fat that is targeted is destroyed  and removed over 6-12 weeks.  Our bodies remove millions of dead cells daily on the skin and in the bowel.We are all born with a finite number of fat cells in our body.  As our weight fluctuates the cells increase and decrease in size.  If some fat cells are removed or destroyed, they are gone forever, they do not regenerate.  SculpSure safely destroys those fat cells without any residual damage to the surrendering tissues.  The result is permanent.The SculpSure session takes 25 minutes and is not painful.  There is no down time and no anesthesia or IV's are necessary.  It can be performed as an outpatient and repeat sessions are sometimes necessary to achieve the desired results.  Do not fear this new technology, it is not the future, it is now!Good Luck!

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 75 reviews


The sculpture machine is the newest noninvasive technology to improve contours of the body. Instead of liposuction, this laser dissolves fat without surgery. The laser energy bypasses the skin and the wavelength that is chosen targets specifically the fat cells and causes them to die. It generally takes 6 weeks to see the results. It is not uncommon, that 3 treatments are required. This treatment will not cause any permanent problems in the future. Realize this is not a treatment for weight loss.

Robert M. Wald, Jr., MD
Orange County Plastic Surgeon
5.0 out of 5 stars 20 reviews

How SculpSure Works

Thank you for your question. SculpSure works by emitting a laser that specifically targets fat cells. Although the applicators are placed on the skin, the laser bypasses the skin and because of a specific wavelength directly targets the adipocytes, or fat cells, and causes them to die. Then, your body naturally eliminates these cells over the next few months. Typically, people start to see results at around 6 weeks with full effects at 3 months. The laser can be placed on multiple settings, and during the start of the treatment, you are continually asked about how the procedure feels - so that the settings can be adjusted to have you hit your "fat destruction zone" setting.SculpSure is FDA-approved to treat the abdomen and flanks, but many clinicians are using it off-label to treat the arms and thighs - with good success. It is important to realize that it doesn't help your lose weight - but it does help to improve your overall contour, and lose inches. Best of luck! 

Anthony J. Taglienti, MD
Smithtown Plastic Surgeon
5.0 out of 5 stars 18 reviews

SculpSure Results

Thank you for your question. SculpSure™ is FDA- approved and non-invasive treatment in killing fat cells in unwanted areas such as flanks, abdomen, upper arms, thighs, knees, and other locations with fat deposits. The heating energy of the SculpSure™ laser also causes the production of collagen and elastin, making the treated area look firmer and younger. Please note that while it does kill fat cells it does not treat cellulite. For more information, I recommend getting a in person consultation with a board-certified dermatologist. 

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

SculpSure Technology

SculpSure works by engaging a controlled hypothermic 1060 nm wavelength to the body, targeting the fatty tissue. This wavelength is penetrated deep into the subcutaneous fat cells causing your body to eliminate the fat cells with minimal absorption in the dermis allowing for a safe and effective treatments for all skin types. The heated wavelength establishes a controlled hyperthermic temperature of 42°C and 47°C causing an injury to the adipose, without any damage to the dermal tissue. The damaged adipocytes will be absorbed and removed gradually by the body’s inflammatory process and the volume of fat in the treatment area will decrease. Patients can expect to see results in approximately 6 weeks with optimal results seen in 12 weeks. You may re-treat the same areas after 6 weeks.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 151 reviews

#sculpsure/#Body Contouring/ #Hi Definition Procedures

Sculpsure is a noninvasive 1060nm diode laser treatment that removes up to 25% of stubborn fat in the treated area in 25 minutes.It is FDA approved for the abdomen and flanks. It is safe if you get pregnant in the future.
The body contouring effects are seen in as quick as six weeks with final results at 12 weeks. 
The results are permanent as long as you maintain your weight and health.
The laser targets and destroys the fat cells only which are then naturally removed from the body. Since the laser does not affect the skin or muscle it can be used on all skin colors and there has been no reported incidents of burns when treated by a properly trained physician. It is protective since it alternates heating and cooling. 
It has four applicators that can be customized to treat the areas of stubborn fat. 
If a second treatment is needed we wait at least six weeks and usually closer to 12. 

If you notice lumps after (which I've never seen) I would recommend massage. You should also alert your surgeon.

There is no downtime and you can resume your normal activities right after the treatment. There may be some soreness in the area for a few days for which you can take ibuprofen or tylenol. A cold compress can also be used.

Sculpsure is not used for skin tightening however some of her patients have seen this. If more skin tightening is needed we have combined this with thermi or Ulthera for a complete treatment. Sculpsure is recommended for stubborn areas of fat that are not being lost by diet and exercise. It is not a weight loss treatment

Since I have both a coolsculpting and sculpsure I am working on protocols of utilizing both of these depending upon what areas need to be treated and the response to the treatment. 
I have used sculpsure on other areas other than the abdomen with very good results. 

I also use a Vectra 3D imaging system to try and show people what their treatment areas could look like.

Since Sculpsure outcomes can be based on technique and experience, please see a board certified plastic surgeon that specializes body contouring to see if Sculpsure or other treatments are available to meet your goals. 

Take care,

Dr. Schwartz 
Board Certified Plastic Surgeon

Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

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.