Is it safe to have the next Vanquish treatment if there is residual pain at a hot spot site?

This should be fine, but I recommend notifying your Doctor before your treatment. For best results with Vanquish, I combine with Coolsculpting for a "Fire and Ice" Treatment that improves fat reduction and skin tightening. If you are not happy with non surgical options, consider VASER HI DEF liposuction as an alternative.  See an expert. Best, Dr. Emer

It is common to feel a "hot spot" while having a Vanquish done. It is important that you let your provider know if you have any discomfort so they can move the machine to accommodate. Also, you may try placing your hand over that area that is uncomfortable for 10 seconds to help briefly dissipate the heat from that area. The Vanquish is very safe and effective when used properly. 

Hi,I would notify your provider and see their recommendations based on your individual treatment and previous settings since they may want to wait until it is less tender before retreating.Warmly,Dr.Liu

 A discreet spot that is tender is usually an area of inflammation around some fat that was dissolved. This usually goes away in the days following treatment and sometimes an anti inflammatory with be prescribed along with some gentle massage of the area. If it persists going into your next treatment sometimes that treatment might need to be delayed for a few days

It is not uncommon to have some mild tenderness in the treatment area after Vanquish. It usually feels like you had a heavy duty abdominal workout. It is fine for you to have your next treatment. Pay close attention to the hot spot so that the device or your body can be repositioned if that area is excessively hot. Vanquish ME is an amazing body contouring procedure. You will love your results.