What is the difference in results for SculpSure Laser Fat Loss vs. Coolsculpting?

SculpSure and CoolSculpting produce similar results, up
to a 24% and 22% reduction in fat, respectively. The advantage with SculpSure
is the variety of application zones (CoolSculpt is somewhat limited by its
handpieces’ ability to fit various body types), comfort of procedure, and
length of procedure time. In our experience, the practical nature of the
handpieces helps to ensure a more predictable result with SculpSure.

Both procedures are often repeated in
monthly intervals to see a more dramatic results. Up to 24% means you
might not see a big enough difference to feel satisfied with a single round. By
the second round, thanks to the magic of compound math, you could see up to 45%
reduction in fat, which would certainly be very noticeable.

You also mentioned some concern over the
effectiveness of the treatment, as you have not lost weight. Neither of these
treatments is intended to be for weight loss. The fat these procedures target
best is light and fluffy, which means you should see a change in volume or
circumference, but it doesn’t tend to weigh enough to amount to a large change
on the scale.

Financial budgeting is a large part of our treatment
recommendation process. We understand patients want to make sound financial
decisions, and honor that by offering a variety of treatment options in a range
of price points, as well as a few different financing and payment options. You
should feel confident in the value of your treatments. Neither CoolSculpting
or SculpSure if right for everyone. It is important that you choose a
physician who is experienced and well respected to help you make a choice that
you will be happy with.

When it comes to Sculpsure vs. Coolsculpting the most noticeable difference is Sculpsure using a heating method to destroy the fat cells while Coolsculpting uses a cooling method Sculpsure allows us to destroy fat cells on patients who are not candidates for Coolsculpt. Results from either treatment are not immediate. I suggest visiting you medical aesthetican for a follow up on your Coolsculpt treatment and discuss the possibility of trying Sculptsure. 

I researched both options prior to deciding to go with the SculpSure device for my patients. Based on my research, I found that both could lead to effective permanent reduction of about the same amount/% of fat in stubborn areas.   Since I don't have a CoolSculpting machine, you may consider me biased towards SculpSure, but the reason I don't have both is because it didn't make sense to buy both since one of them is superior. 
The advantages of SculpSure are 
1) less time for treatment area (25 min vs. 50 min)   
2) wider area of treatment due to WarmSculpting having a "spreading out" quality vs narrow/sharp line of treatment with CoolSculpting.  So you can use the applicators to treat a wider area while still getting a natural look 
3) greater possibility for treatment areas with WarmSculpting (upper lower abdomen, flanks, back, inner/outer thighs, double chin area + even other areas possible)    Can use SculpSure for treatment of double chin area for patients with a BMI up to 40.  Multiple possibilities for applicator layout with WarmSculpting. 
4) WarmSculpting: No significant pain following treatment, no numbness, zero need for pain medications and zero downtime, unlike CoolSculpting where it's common to get some numbness due to the freezing process affecting nerves in the skin.  
5) Better, more natural look with WarmSculpting  vs sharp line of fat treated vs untreated areas with CoolSculpting.  
6) most importantly, no risk for paradoxical adipose hyperplasia with WarmSculpting vs evidence showing that with CoolSculpting that freezing treatment stimulates fat cells to grow more, requiring liposuction surgery to remove those cells later.   
7) The company that manufactures SculpSure is the leader in the field of laser aesthetic medicine and an excellent reputation 
8) I have heard that the actual treatment experience with CoolSculpting is quite tolerable with a feeling of numbness during it.  With WarmSculpting, my personal and clinical experience is that any discomfort during a WarmSculpting treatment is completely tolerable.   
Both of these treatments are really game-changers when it comes to permanent fat reduction compared with surgery.  Both are relatively expensive, but not unaffordable. Neither will work that well if you are very overweight and both will more effective if combined with a safe and effective weight loss program, particularly a fasting mimicking diet like ProLon that we use for our patients. 
Thank you for your question, I wish you the best. 

Yours is a very good question, and it was only after a very thorough examination of this question that I decided to offer SculpSure to my patients and forgo Coolsculpting. I feel that from a results standpoint, they are similar in that they both are noninvasive technologies that can kill fat cells and reduce your overall fat profile. Both technologies usually require multiple treatments. I have found that with SculpSure, my patients need two or three treatments to achieve the result they desire. There are better options for some patients than others:  Some patients want a noninvasive treatment with no downtime, and are willing to take their time to get to the desired result. Some want a more definitive and comprehensive result that will be immediate and can accept 2-3 days of down time, and choose liposculpting. Overall, patients are very happy with the  results offered by fat reduction treatments.I think the most important differences between Coolsculpting and SculpSure come when you look at the potential downsides. In my eyes, Coolsculpting has many potentially serious complications that I do not want to risk.  These include Long-term nerve pain or nerve damage. I have seen many Coolsculpting patients who have had pain that has lasted for several days, weeks or even months - in some cases necessitating the use of prescription pain medication. I have seen patients with specific nerve damage: I had one patient come to my office who was treated with Coolsculpting on the arms and had injury to the ulnar nerve  (the "funny bone nerve") resulting in numbness of the small finger for over a year. SculpSure is targeted only to your fat and does not interfere with anything else except the fat under your skin.  Step-off / Shelf effect.   Coolsculpting is performed with a suction cup that grabs all of the fat in the area of treatment. Unfortunately the cold treatment works only within that area. Any fat just outside of the suction cup will not have the cold treatment and will not be reduced. That has resulted in a step off effect where some patients can literally have a shelf or line demarcating the border of areas that were treated and those that were not. SculpSure has a diffusion effect where the laser energy has a gradient and smoothes out the boundaries of treatment, resulting in an even contour, and, often, a wider area of fat reduction.   Coolsculpting can create more fat!?!? There is a complication of Coolsculpting known as paradoxical  adipose hyperplasia (PAH). That means that a treatment with Coolsculpting can actually result in the development of fat rather than its removal! I have, unfortunately, treated patients with this condition after cool sculpting. The incidence of PAH has been reported at about one in 20,000 patients, but in speaking with colleagues and in some discussions that have been had at national meetings (The American Society of Aesthetic Plastic Surgeons) the consensus is that it happens much more frequently than that. This becomes a challenging situation where patients then need an invasive liposuction procedure and, possibly, skin reduction procedure to manage this complication. There is no incidence of PAH with SculpSure.Significant pain with treatment.  Many of my patients who have had both Coolsculpting and sculpture note that cool sculpting is significantly more painful than SculpSure. In some cases they could not complete the Coolsculpting treatment due to the severe pain associated with the procedure. In most cases, SculpSure is very tolerable. Downtime. There is absolutely no limitation of activity after a treatment session with SculpSure. At worst, patients have a little bit of sensitivity in the area that was treated that is simply a little reminder that it was done. I have patients who go to the gym directly after the treatment session with SculpSure. Unfortunately, with Coolsculpting, I have been told that many patients were quite unable to be active for some time after the treatment. Treatment time. SculpSure takes only 25 minutes per session. Coolsculpting can be double that. This allows us to do more in less time and get our patients back to their regular lives. My answer on the difference between cool sculpting and SculpSure is that both are fairly effective noninvasive fat reduction techniques. The difference, in my mind, is that cool sculpting has a significant complication profile that I do not feel is acceptable to my patients.  What is also important is that as a board certified plastic surgeon, I am able to offer the entire spectrum of fat reduction techniques to my patients. Those involve noninvasive techniques like SculpSure, injection based therapies like Kybella and more comprehensive treatments like liposculpture. My goal is to customize each treatment to the specific needs and desires of my patients. I wish you the best, Dr. Gabbay.

Both do the same thing but in different ways.  Both are FDA approved for permanent fat destruction.  Coolsculpting has a risk of shelving or step offs after treatment, and has a risk of neuropathy after treatment.  Sculpsure does not have these risks.  

I have no hands on experience with coolsculpt. I have researched the two devices and waited more than 18 months to decide. I recently pitched the sculpsure device. I have had 2 treatments on myself with minimal discomfort during tx and the week after. Still waiting for the long term results but if other plastic surgeons experience dictates I anticipate success.  The shorter treatment time,minimal discomfort and comparable results is convincing enough. I would find a plastic surgery clinic that offers both the surgical and non-surgical options so the doctor can provide the best option. Surgery sometimes is the better choice. 

Hello and thank you for your question.  I have been using sculpsure for the last 6 months since it first came out.  I have been very impressed with the results and lack of side effects seen with coolsculpting.These are some of the benefits of Sculpsure.  FDA-approved Highly effective treatment 1060nm laser targeting fat cells more specifically.  Can be used on the flanks, abdomen, upper arms, thighs, knees, and other locations with fat depositsCompletely non-surgical and non-invasiveNo anesthesiaPainless – most patients describe the treatments as feeling like a warming sensationOnly requires one treatmentMost treatments are approximately 25 minutes longNo downtime; can return right back to work or other activitiesIf you have stubborn areas of fat that you can’t seem to get to go away, SculpSure™ is the revolutionary treatment that you’ve been looking for. In addition to its FDA-approval for safety and effectiveness, it also requires only one treatment, whereas several other fat-reduction techniques require multiple treatments. You don’t have to fear any pain or discomfort and can return to work right after your SculpSure™ session. You should notice results within 6-12 weeks and will love the way you look.

Basically, what it comes down to is that CoolSculpting uses cold temperatures to kill fat cells, whereas SculpSure uses heat energy. There will always be differences in opinion as to which non-surgical fat reduction is best. In my opinion, the natural cell death that is induced by cold temperatures such as with CoolSculpting produce more consistent and reducible results. There have now been over 2 million CoolSculpting treatments performed worldwide. In our practice we have performed thousands of treatments and have consistently demonstrated a 20-25% reduction (sometimes more) with a single treatment. CoolSculpting has undergone consistent innovation since it first arrived on the market. With the recent release of the new CoolAdvantage applicators, the treatment time has been cut in half, while results have maintained their consistency. The new applicator also makes the treatment more comfortable. The difference between CoolSculpting and SculpSure in this regard is now negligible. SculpSure is still a new treatment in its infancy, and the body of evidence to support its results are still lacking. Time will tell just how good a treatment it actually is. Most importantly, these treatments are only effective in appropriate candidates. If you are not seeing results from your treatment it is either because you were not an appropriate candidate to begin with, or you received a substandard treatment from a provider without the adequate experience.

Sculpsure removes more fat per treatment by a few percent than Coolsculpting. Also the laser applicators blend the areas treated so there is less chance of a step-off between treated and untreated skin.There is a feeling of heat and tingling during the procedure, not cold, and the procedure only takes 25 minutes compared to Coolsculpting which takes an hour per area.Guidelines currently are to plan on two sessions for an area at six-week intervals.  This allows the initial treatment time to heal and you are likely then to see nice results at the twelve-week post treatment period.

Marithon  Thank you for the questions and comments.  I have personally had and offer my patients both non surgical fat reduction procedures, Coolsculpting and Sculpsure.Coolsculpting is:Time tested to reduce fat by 22% plus using cryolipolysis  ( fat freezing)takes 35- 60 minutes per cycle plus massage and prep timecauses some tingling after the procedure that is on rare occasions intensemay need 1-3 treatments per area for best resultsSculpsure is:a laser made to melt fat and not harm the skin surfacetakes 25 minutes for four applicators so multiple treatments can be performed simultaneouslymay need 1-2 treatmentsearly comments show greater comfort during and post procedureBoth  could be combined with skin tightening.  Look for a center that ofers multiple modalities as treatments need to be customised.

Sculpsure is very different than Coolsculpting.  -Sculpsure destroys the fat with laser eneregy and heat, while Coolsculpting works through freezing and frostbite-Sculpsure takes 25 minutes to what coolsculpting calls a 'large' area, while Coolsculpting takes an hour.-Sculpsure has four applicators that can change the shape and locations of that one 'large' area that coolsculpting gives, with coolsculpting you have only that one applicator or have to goto a smaller size one.-Both take the same time to see results - about 6 weeks to 3 months-Both are non-invasive-Sculpsure can at worse produce a tingling or pinching sensation, Coolsculpting seems tremendously painful to some as the suction pulls and pinches tissue and the freezing kill tissue in the beginning of the treatment.--The main difference: Coolsculpting works on the principle of frostbite to freeze the fat cells.  To get the a cold enough temperature to freeze fat, you have to freeze nerves so many if not most people will experience numbness and tingling due to those injured nerves.  Sculpsure has non of these problems.