What risks are involved with Sculpsure? Does it provide any amount of skin tightening and should areas with scars be avoided?

Doctor Answers 14

Sculpsure... risks, skin tightening and scars.

Thanks for sharing your question. I can appreciate your concern.

Very good questions
The risk are minimal if following the proper recommendations by the company. Skin tightening has not been demonstrated because the treatment is aimed to the fat not the skin. there are some isolated reports revealing improvement. 
Scar tissue may gather more heat making the treatment more painful. 

Wishing you the best in your journey

Risks for Sculpsure

Sculpsure is Extremely safe and doesn't have any real risks when performed properly by a physician.  It uses lasers to melt fat which have been used by many different devices for the skin and the fat in the past like smartlipo/laser liposuctin and for laser peels.  It also has applicators that apply constant cooling to the skin making it even more save and comfortable so that the treatment is easy and quick at 25 minutes. 
While heating the skin can cause some tightening, Scuplsure also cools with the applicator. No studies have been performed to show whether Sculpsure works to tighten the skin because it is so new, but skin tightening at this point and with the way that the machine works will be minimal.  So if you have a lot of skin laxity you will have to use something else like Thermi which seems to be very effective for tightening skin.
Sculpsure is not recommended on scars at this time because the lack of data, but if you have scars then there is likely less fat under the scar than under the surrounding tissues.  The applicators can be simply adjusted to be around the scar so that it is not affected or involved during the treatment.


Nikesh K. Patel, MD
Freehold Plastic Surgeon
5.0 out of 5 stars 13 reviews

Sculpsure, Coolsculpting, Vanquish, Thermi

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.

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
Director-Beverly Hills Breast and Body Institute

SculpSure is extremely safe!

SculpSure is the world's first laser FDA approved for non surgical fat reduction!  It is fast,24 minutes,no downtime, minimal discomfort and extremely safe.  There is mild discomfort during and after the procedure, but you can return to normal activity immediately.

It is approved for abdomen and flanks, but actually can be used on any area of the body!  There is a 25% reduction in fat, on average, and can be repeated a second time if needed.  It takes around 6-8 weeks to see the final result.  It is not FDA approved for skin tightening, but we have noticed the heat from the laser is tightening the skin on some patients.

This is 21st century technology, I believe it will replace CoolSculpting, the ICE AGE is over, the HEAT IS ON! 

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 73 reviews

Does it provide any amount of skin tightening and should areas with scars be avoided?

Thank you for your question.

I have had the procedure performed two weeks ago without any risks.  The only common side effect is mild soreness after the procedure.  Sculpsure does not advertise that the laser tightens the skin.  The heat provided is not enough to tighten the skin, on the other hand the Smart-lipo does offer some skin tightening.  Scar areas can have the applicators applied to it,  but might need to use lower energy because it might have decreased sensation in that area.

Thank you

Saul Lahijani, MD
Los Angeles Physician
4.6 out of 5 stars 18 reviews

SculpSure is Safe

SculpSure is a non-invasive treatment fat reduction treatment that has been proven to have up to 25% reduction in the treated area with zero downtime and minimal risks. You may experience very temporary mild redness, swelling, and discomfort. Lasers that use heat to provide results are known to cause the tissue to tighten. Although SculpSure is a laser that utilizes heat, skin tightening has never been officially quantified nor has it been FDA approved for skin tightening. The applicators cannot be placed directly over scars but they can he strategically placed around the scar for optimal results.

Scott Chapin, MD, FACS
Philadelphia Plastic Surgeon
4.8 out of 5 stars 20 reviews

SculpSure is a very safe procedure

Firstly, the procedure is extremely safe, and of all the non invasive body contouring procedures, probably the best tolerated and definitely the fastest. The procedure itself is designed to reduce fat cells and not to provide skin tightening. (As the area is heated to only 45-46 degrees celsius, little collagen contraction is seen). For better collagen stimulation and tightening, Themage is the better option. 

Scared areas can be treated- the special cooling plates or applicators protect the underlying skin, including your scars. Additionally, if you experience pain in the areas of scars, the energy level of that particular applicator can be reduced!

All the best, 
Dr Davin Lim 
Laser and aesthetic dermatologist
Fiori Institute
Brisbane, Australia. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 62 reviews

SculpSure and Scars

Thank you for your questions, they are relevant to being treated with SculpSure. SculpSure is safe and effective for the treatment over areas that have underlying isolated fat pads. There can be side effects with the treatment but they are self limited. The amount of skin tightening will depend on multiple factors including the quality of the overlying skin and age of the patient. Treating over scars would depend on an evaluation by the treating physician, but the laser can be adjusted to work around scars if need be.

Ben J. Tittle, MD
Dallas Plastic Surgeon
4.7 out of 5 stars 13 reviews

Non-invasive SculpSure

Being that SculpSure is a non-invasive treatment, there is little risk involved.  However, you may experience temporary side effects such as a mild discomfort and/or swelling. SculpSure is not a weight lose procedure but it has been proven to have about a 25% reduction in the treated area along with skin tightening. Like any medical proceudre, it's best to consult with your surgeon regarding treatment areas and existing scars. Good luck!

SculpSure over Scars, SculpSure for skin tightening

SculpSure is extremely safe. The few risks are: redness, swelling, and discomfort at the treatment site, all of which have only been experienced temporarily. All lasers use heat to provide their results, and heat is known to cause tissues to tighten, much in the way heat causes shrink wrap to tighten. So SculpSure, being a laser, must provide some tightening effect. However, that tightening has never been quanitified in a study, and may be very slight. If you are looking for a non-invasive skin tightening treatment, there are other technologies you should look into, such as Exillis, Thermage, and Ulthera. The initial FDA clinical trials for SculpSure did not include scars. Factors of unknown safety are listed as unsafe in most guidelines for new technologies, until proven safe. However, we now know through anecdotal evidence of many physicians using SculpSure, that treatment over and around scars can be safe and effective. The real concern here is the physical structuring of the scar tissue, which the skilled hands of a physician can discern. Some scar tissues are fine to treat directly over, and others need to be planned around, so that the SculpSure treatment panels deliver energy directly around but not on top of. 

Mark Karolak, DO, FAOCO
Bridgewater Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.