Who is the ideal candidate for Sculpsure?

SculpSure gives the best results for patients who live a healthy lifestyle, but are struggling with localized problem areas, despite their diet and exercise efforts.Some of our patients have described that they've hit a plateau in the results they're seeing with diet and exercise, and they feel frustrated. Often, there are hormonal, genetic, or aging changes at play, which are causing them to store fat in unflattering locations. For these patients, who live a healthy, active lifestyle, SculpSure is a wonderful solution, because we know once we eliminate these fat cells, they're going to experience a lasting result.Some doctors have mentioned that ideal patients should have good skin quality. Of course, if you have tight, thick, youthful skin, it is likely your skin will contract nicely in conjunction with the fat loss provided by SculpSure. What if you don't have good skin quality, though? What if child birth, weight loss, or aging has caused some skin laxity? SculpSure would actually be your best choice for non-invasive fat loss in this case. Other non-invasive options, like Zerona, LipoSonix, and CoolSculpt are not good choices for those with loose skin. However, SculpSure is a laser, and we know with warming lasers, there will be some contraction and tightening of the skin.

In my experience the best candidate for SculpSure is someone who takes pretty good care of themselves.  The person exercises (at least sometimes) and has a fairly healthy diet.  The person may even be quite in good shape and have a problem area where the fat just doesn't seem to come off no matter what he/she does.  The person can be overweight, but not too overweight. Cynosure, the manufacturer of SculpSure, states that people should have a BMI less than 30 and that treatment is most effective for people no more than 30 lbs over their ideal body weight (IBW).  
Here is a good BMI calculator you can use from the NIH. Here is an IBW calculator.  Keep in mind you need to adjust it if you are under 5 feet tall.  Yes, it is sometimes hard to believe what your IBW comes out to be or that you could ever reach it.  
This doesn't mean that doing SculpSure if you are more than 30 lbs overweight wouldn't do anything for you, but you might be better off getting your weight down first before spending the money on it.  Keep in mind the treatment is destroying 1/4 of the fat cells located 1.5 to 3 centimeters under your skin.  So if you have a subcutaneous fat layer that is much thicker than that, the results may not be very noticeable.  This is also why it takes 2 (or even more) treatments for an area to reduce the fat cells enough to be able to notice it in photographs.  In my experience there will still be a reduction in fat enough to see that your clothes are fitting better even before you see the results you want in photographs.     
If you really want results quickly, you can certainly look into surgery (liposuction or even bariatric surgery).  But before you do that (surgery), please do yourself a favor and consult with a physician who is certified in Functional Medicine.  Often there are factors involved with difficulty losing weight having to do with hormones, toxins, nutrition, activity level, sleep, and digestive health, among others which can be addressed to help weight loss.   
In order to make sure you are happy with your results from SculpSure (or any treatment for that matter), you should consult with a physician who is honest and will tell you that you are not a good candidate yet.   The physician should be able to you to become a good candidate by helping you to lose weight in a safe and effective way. Or the physician should be able to recommend a different treatment or even a different physician to help you get the results you are looking for. 

Sculpsure is a very versatile noninvasive fat reduction technology that can be applied to many types of people.  The important things to know is that it can achieve modest to significant fat reduction when done properly over a course of a few treatments. A major benefit is that there is absolutely no downtime, and virtually no complication rate. It is best suited to people who are not significantly overweight or have very large areas of fat excess. Also, ideally, there should be no scars or hernias in the area that is to be treated. People with certain medical conditions such as autoimmune disorders should not have the procedure done.That said, with the appropriate dedication to the treatment, great results can be obtained. I wish you the best, Dr. Gabbay.