Is SculpSure worth it?

Great question, but not an easy answer, given the other information you shared about yourself.  When I am counseling a patient in my practice regarding SculpSure, I always preface my remarks with, "it will not be as dramatic a difference as liposuction, but....".  So, if you found that liposuction was less than satisfactory, then I am not sure what to tell you with regards to SculpSure.  In my experience, SculpSure does produce results, but it often takes two treatments and it is not as drastic as liposuction.  In their clinical studies, SculpSure was able to reduce the fat layer in the treated area by 24%.  That means that if you have a 1" layer of fat before, it will be a 3/4" layer after - and that's 12 weeks after, by the way.  If that is "worth it" to you, then go for it.

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

Your best bet is probably lipo.  When well done, this will really remove the excess fat. at your BMI and with the fat in the areas that you are having trouble with, you would get results with SculpSure but you may need three or more treatments. It is less a question of the lipo not working, but of whoever did the lipo not doing it well enough.