Does Sculpsure provide skin tightening along with fat reduction?

Thank you for your question.  SculpSure uses laser technology applied by up to 4 heads, each roughly the size of a credit card, to deliver the energy deep into the fatty tissue that lies beneath the skin.  The laser heads also cool the skin periodically, in order to make the treatment more comfortable.  The main purpose of SculpSure is to heat up the fatty tissue enough to cause cellular damage and subsequent death to the fat cells, which results in less fat in the area.  Decreased fat, whether from weight loss from dieting, SculpSure, or liposuction, will result in some degree of skin tightening in most people.  The degree of skin tightening depends on many variables, such as smoking history, weight gain/loss, pregnancies, age, and genetics, to name a few.  Cynosure, the company who makes the SculpSure, is seeking an FDA clearance specifically for skin tightening, so they believe the device can do this more than would be attributed to fat reduction alone.  In my practice, we do not market or rely on SculpSure to treat skin laxity.  In my opinion, SculpSure should not be expected to cause much skin tightening, since it does not heat the skin enough, compared to other devices on the market.  We often couple SculpSure treatments with Thermi250, which is a non-surgical radiofrequency (RF) device for enhanced skin tightening.  Interestingly, Thermi250 works fairly well for fat reduction too and, most likely, SculpSure will also prove to give more skin tightening than simple liposuction, although the research to support the latter is pending at this time.  As you can probably guess from my answer so far, the important factor is the heat and what tissues are being heated.  If skin temperature with SculpSure can approach 45 degrees C. and stay there for most of the treatment time, then one should expect to see some skin tightening.  The question in my mind, is, given the fact that the skin surface is being cooled by the device, can it actually achieve skin temperatures high enough to get this result?  I do not know the answer to that one - in my practice, I have been assuming this is not the case.  The most impressive device for skin tightening is the minimally-invasive RF device, ThermiTight.  It delivers heat to the under surface of the skin and heats full thickness to whatever desired temperature the physician selects, but usually in the range of 45-65 degrees C deep with skin surface temperature around 40 degrees.  As a general rule, if you have good skin quality (no stretch marks, no laxity, no smoking history or severe sun damage, and are under age 60) you should not worry about getting loose skin from SculpSure.  If your skin is already loose, then SculpSure should reduce fat, but do not expect it to do much for skin laxity.  If you already have loose skin, then you would be better off with an additional procedure to address the skin laxity, such as those I mention above or other RF or laser devices specifically aimed at skin tightening.

Thank you for your question. Yes, SculpSure can perform fat reduction, and aid in firming and tightening the skin. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

The sculpsure laser is a  non invasive device that reduces fat in a given area. Like liposuction, but to a lesser degree,  some skin contraction can occur. I have seen many liposuction cases where skin contraction occurs 3 months following the procedure. I would not advise, however,  anyone to have this procedure done for the primary purpose of skin contraction.,

No, Sculpsure is good for removing stubborn areas of fat, but lacks skin tightening. For best results, I recommend a hi definition procedure like VASER liposuction, which can be performed at the same time as a tummy tuck or body lifting procedure, depending on skin laxity. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

SculpSure does provide about 24% fat reduction.  While not the intended indication for treatment, some patients may experience some skin tightening in the area treated due to the thermal mechanism of action of SculpSure.   

Hi. SculpSure is an excellent way to remove fat permanently from the treated area in as little as 25 minutes. Because it uses heat it can also tighten skin, but that is not the main action. The laser targets fats cells exclusively and within 6 to 12 weeks the fat is removed. I suggest people continue exercising regularly and include core body strengthening to improve the skin tightening effects of SculpSure. People have been extremely happy with their results when they do this. You definitely will not have loose skin after the treatment, with or without exercise.
Dr. Eros

I agree with the above answers, but if instead, your question deals with possible skin looseness AFTER SculpSure with fat reduced, this is  not a NEW problem. The skin maintains its integrity.

SculpSure is specifically indicated for fat reduction but you may see some secondary skin tightening benefit due to the heat generated by the laser energy.  If you are specifically looking for skin tightening, I would recommend radiofrequency treatments such as Thermi RF or Thermage.  Consult with an experienced and board-certified cosmetic physician.