Sculpsure is made by Cynosure, a well known, highly reputable laser company (also invented lasers such as Picosure and Excel V). This company has taken steps to pass this laser under FDA approval, a long, and lengthy process of approval based upon safety and results. This is similar to devices such as Coolsculpting. Other companies 'short cut' this process, hence the safety and results may not be as good. I can not say that Sculpsure is better than Hot Sculpting, but all I can advice is that Sculpsure has scientifically proven results of up to 24% reduction of fat in one 25 minute treatment, with the added bonus of absolute SAFETY. RegardsDr Davin LimLaser and aesthetic dermatologistBrisbane, Australia.