Which is the best non invasive permanent fat reduction procedure for thighs?

Question

Sculpsure vs coolsculpting vs liposonix vs vasershape am i missing anything? I want to get permanent fat reduction on my inner thighs from the inner knee all the way up. Which procedure would be best and im thinking of only doing one time because i dont have that much fat but just from the inner knee all the way up the inner thigh.

Robert M. Lowen, MD · Answer

Since most of the doctors answering these types of questions have a SculpSure device, you are going to get biased answers possibly. SculpSure is relatively new, and I am reluctant to make any superiority claims, particularly since I have no experience with the other devices you mention, other than hearsay, which should not be relied upon.I feel that SculpSure is an outstanding advance in non-invasive body contouring because of comfort, convenience, repeatability and cost.  This is a treatment that only takes 25 minutes, and you do not have to be frozen like a popsicle, which can't feel that good.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. SculpSure is revolutionary for its non-surgical, non-invasive treatment process that can reduce up to 25% of your difficult to lose subcutaneous fat in 25 minutes. There is absolutely no downtime associated with this procedure. I suggest that you move forward and consult with a board certified facial plastic surgeon.

Best wishes,

Best wishes,

Jaime S. Schwartz, MD, FACS · Answer

Thank you for your question.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.

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 her 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

Kristin M. Baird, MD · Answer

It is difficult to make a specific recommendation without seeing a photograph of the area but there are preferred devices based on your area of treatment and having little fat on your inner thighs. The most effective treatments for inner thighs are Sculpsure and Coolsculpting. Sculpsure has the advantage of no downtime, faster treatment time, and ease of applicator placement in this area. Both procedures usually require 1-2 treatments per area. Please consult a board certified dermatologist of plastic surgeon experienced in these devices.

Jason Emer, MD · Answer

Without photos it is impossible to give you the best opinion.  I suggest seeing an expert who uses and has all the devices.  Best, Dr. Emer.

Dennis Gross, MD · Answer

Even with diet and exercise, most people have stubborn pockets of fat that seem impossible to lose. SculpSure targets and permanently destroys these fat cells without surgery, downtime, redness or pain. SculpSure is the newest non-surgical 25 minute procedure that uses light-based technology to permanently destroy up to 24% of fat per treatment. Each treatment goes deeper into the fat layer for additive results. The laser uses heat at high temperatures to destroy fat and most patients do not experience pain during the treatment and the applicators can be adjusted if any discomfort is felt.SculpSure can treat virtually any area you have excess fat. Most common areas are the stomach, hips, love handles, thighs, buttocks, upper arms, over knees and fat bulges over the bra and now the neck!Dr. Dennis Gross is in the firm opinion that SculpSure is the best laser technology for reducing body fat, surpassing other technologies including CoolSculpting. Many find CoolSculpting painful and requiring longer and more frequent treatments whereas the opposite is true for SculpSure. Furthermore, SculpSure allows small areas of fat to be treated allowing better contoured results that are customized to each individual. And finally, unlike CoolSculpt, SculpSure can treat twice the body areas in half the time and may improve the skin surface as well because only SculpSure stimulates collagen.

Sean Doherty, MD, FACS · Answer

Honestly, without examining you in person, it is impossible to say. Each has its pros and cons. To be honest, liposuction is the gold standard but if you are wanting a non-surgical option, I am a fan of SculpSure. I think it is extremely effective in the right patient. My best advice is for you to see a board certified plastic surgeon and get examined in person. Best of luck.

Keith Denkler, MD · Answer

There have been no specific comparisons between the three treatments in any medical study.Few doctors have all three devices.In the FDA studies Coolsculpting and Sculpsure had similar amounts of fat that disappeared, so the two are comparable.Best to keep studying Realself about the techniques and visit some doctors.Best wishes,Dr. Denkler

Robert Pettis, MD · Answer

Hello - this in an interesting question, and depends to a large degree on your exam.  There are many factors which could affect the effectiveness of each treatment.  In general, I think sculpsure is a good non-invasive method to try first.  Your not burning any bridges.

Bruce E. Katz, MD · Answer

Thank you for your question. At my practice we like the SculpSure procedure the
best for removing fat non-invasively. Our patients have had great results with
the inner and outer thigh area. Each area must have an approved amount of fat
deposit which is reviewed by the doctor that you consult with. Make sure to
research one that is well versed on the SculpSure procedure. Good luck!