Can truSculpt remove/reach fat that liposuction can't?

Hi, and thanks for your great question. Yes, surgeons will leave a thin layer of subcutaneous fat after liposuction to prevent an uneven appearance to the skin, or the peaks and valleys of the canula. What we have seen in our practice is that TruSculpt ID is great at evening out that small layer of fat that can still remain over the abdomen. It will also tighten the skin in that area due to the RF energy and heating of the tissue, so you will get a better overall appearance.
Now, as for your question of depth. The histological studies from Cutera, the maker of TruSculpt ID demonstrate that the RF energy that kills the fat travels approximately 1.5cm, or a little more than half an inch beneath the skin's surface. So, the answer is no, it will not reach visceral fat. The only way to remove visceral fat is via diet and exercise.
I hope this gives you a better understanding of TruSculpt ID, and helps you make a better decision.
Kind regards, Dr. Edward AlvarezDiplomate, American Academy of Aesthetic MedicineMember, American Academy of Cosmetic Surgery

Great question! Any permanent fat removal treatment, whether traditional lipo, LaserLipo, CoolSculpting, truSculpt, etc removes fat from the subcutaneous layer, but not the visceral layer. In other words, these treatments remove fat that lives under the skin and on top of the muscle. Visceral fat lives under the muscle and the only way to reduce this is through high protein/low carb and fat diet and regular cardio exercise. It is not possible to permanently remove the visceral fat cells but a healthy lifestyle will reduce their size. And to your second question, the answer is yes, the best surgeons will leave a small layer of fat under the skin when doing lipo, so the skin will look smooth without indentations once the surgical area has healed. Best wishes, Mary Beth Mudd