SculpSure and CoolSculpting combination for thighs?

Question

I've been torn between sculpsure, coolscuplting and lipo. In the end, I am likely going to go for non-invasive to deal with skin laxity. I want to do inner, outer and banana rolls. After doing extensive research, I think that I'd like to do a combination. I want to start with coolsculpting then at 4-6 weeks top it off with sculpsure. I have read that coolsculpting will get the thigh fat best, then to get the rest and to tighten skin, backing it up with sculpsure would be ideal. Thoughts?

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest you consult with a board certified facial plastic surgeon to determine your candidacy and to develop a treatment plan. Please keep in mind that SculpSure is a body contouring treatment while liposuction is a fat reduction treatment.
Best wishes,

Robert M. Wald, Jr., MD · Answer

There are several devices available for non invasive fat removal. Coolsculpting has been around longer and is better known than Sculpsure. Every doctor will have there own opinion on what is the best modality to treat the fat non invasively. The newer technology is sculpture which heats the fat and consistently removes 24% of fat in a given area. My best advice is to pick one modality, but my personal preference is sculpture.

Jaime S. Schwartz, MD, FACS · Answer

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.  No compression garment required.
  
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 our 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

Jason Emer, MD · Answer

In our office, we combine Coolsculpting with Vanquish for a "Fire and Ice" treatment and get great results. However, for best results with areas like the thighs , I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Patricia Faraz, MD · Answer

There really is no reason to do a combination of treatments for fat destruction. I prefer SculpSure. SculpSure is the newest FDA approved laser to destroy 24% of fat cells in 25 minutes to the treated area. Although SculpSure is not FDA approved for skin tightening, our patients are seeing beautiful fat reduction, smoothing and tightening in the areas treated.Good luck with your decision!

Sean Doherty, MD, FACS · Answer

Personally, I prefer SculpSure. I think it delivers better results. Also, since it is a laser, there is some skin tightening associated with the procedure. My advice would be to stick with SculpSure only. Best of luck.

David Finkle, MD · Answer

Both of these methods achieve the same end result, about 25% reduction in the treated area.  I would choose one over the other and do 2 sessions of the same rather that switch back and forth, it should be more cost effective.

Haven J. Barlow, MD, FACS · Answer

The answer is simple. If you're looking for fat reduction and improvement with skin laxity, SculpSure would be the answer, particularly for thigh fat. SculpSure is FDA approved to permanently destroy up to 24% of fat cells in a single session, and as a laser treatment, is the only option that would deliver any skin tightening benefits, although minimal. If anything, I would recommend SculpSure in combination with a radiofrequency body treatment such as PelleFirm or Thermage to address skin laxity more effectively post fat reduction.
I do not offer nor do I recommend CoolSculpting to any patients who visit my practice due to the risk of Paradoxical Adipose Hyperplasia (PAH), which causes a gradual enlargement of the treatment area --the exact opposite of what we are trying to achieve. This side effect is only associated with cryolipolisis (freezing of fat cells). While the risk is low, there have been a number reported instances, and unfortunately, the only solution for PAH is surgical liposuction, which most patients seeking this type of procedure are looking to avoid. 
Best of luck in your search for the ideal combination treatment of fat reduction and skin laxity. Be sure to ask for and see before and after photos of patients the provider has treated in order to see if your expectations match what they can and have delivered.

Lawrence Eisenhauer, MD · Answer

I do not get it. If price is no object, or same doctor will combine them for a price break fine3, but there are significant savings to stick with one therapy. SculpSure "packages" are usually much more reasonable than isolated treatments. More for the money means "MORE!" More means happier. Both work, but warm is much faster and more comfortable.

Sara Yegiyants, MD, FACS · Answer

You have several options for getting rid of unwanted fat in thighs.  Getting rid of the loose skin is a bit more tricky. Recommend looking into Bodytite which is a new technology, radiofrequency assisted liposuction, which tightens the skin while removing fat.   
Best, Dr. Yegiyants

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