Two different consultations told me I am not a good candidate for sculpsure, because my fat is considered to be visceral?

Question

I have recently went had to get advice and have a few consultations for me getting a scupltsure procedure done on my stomach, back, and flanks? Two different consultations told me I am not a good canidate for sculpsure, because my fat is considered to be visceral? The other four consultations said after doing the scupltsure I would lose 25% of fat in those areas, but they did not tell me nothing about the viseral fat, that the first two places I went for a consultations told me? So, what do I do?

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

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I am curious as to the type of doctors that you have seen. Are they board certified? Do all of them perform SculpSure and liposuction? I suggest that you consult in person with a board certified surgeon whose office has both the SculpSure and liposcution capabilities. For your information, SculpSure is intended to address the stubborn subcutaneous fat that is difficult to eliminate with diet and exercise alone.

Best wishes,

Best wishes,

Jason Emer, MD · Answer

For best results I suggest a 4D VASER hi-def liposuction contouring procedure with fat transfer.  With a VASER Hi Def procedure you get much more than just fat removal you get tightening, toning, and cellulite improvement. Non invasive treamtents like SculpSure give small improvements where body shaping procedures like liposuction give much more of an outcome. I would see an expert for a formal consultation. Best, Dr. Emer

Jon E. Mendelsohn, MD, FACS · Answer

I am very sorry you are getting mixed signals about the type of fat you have. I would be more than happy to take a look at the areas you are concerned about if you would like to send photo's etc...

Sean Doherty, MD, FACS · Answer

SculpSure is only able to treat subcutaneous fat. Visceral fat is the fat that is the deep fat that wraps around our organs and seriously adversely affects our health. This kind of fat can only be diminished through diet and exercise.

Patricia Faraz, MD · Answer

Hello and thank you for your question. You will not see the results from visceral fat treated with Sculpsure. If you have pinch-able fat on the areas you want treated you may see some improvement. Best, Dr Faraz

Craig Schwartz, DO · Answer

Obviously very difficult to provide good info without seeing photos or being able to examine you in person. If your fat is truly visceral, then no, you would not be a candidate for SculpSure, or for that matter, for any other body contouring device, or even for lipo. All of these treatments are designed to treat the Superficial fat only, which is the fat between the skin and the underlying muscle layer. Visceral fat is the fat that is inside your abdominal cavity, and wrapped around your organs. None of the above options can treat this type of fat, which can only be reduced by diet, exercise or hormonal therapy. Whoever you have seen needs to clarify for you which areas are superficial, and can be treated, and which are visceral, and cannot.

Christine Eros, MD · Answer

SculpSure is a good option for people who have subcutaneous ( under the skin ) fat that is hard to get rid of even after exercise and diet. It is a cosmetic body contouring procedure. The visceral fat is the fat that is important to remove to decrease risk of heart disease, diabetes and more. This can only be done through diet and exercise.  I would advice to concentrate on diminishing the visceral fat first and then adding SculpSure in the end for the finishing touch. As mentioned below, it is best to have a BMI of 30 or lower to really see the affects of ScuplSure.

David U. Lipsitz, MD, FACS · Answer

Viceral fat means that the fat is around your various intra-abdominal organs. While this may be true and all of us have some visceral fat, you also may have subcutaneous fat in the areas of flanks, abdomen, etc that would work well with SculpSure. This could potentially make you waistline slimmer even though you do have visceral fat. I would have an opinion from a specialized SculpSure center and have either an MD or Nurse Practitioner evaluate you and decide at that point

Lawrence Eisenhauer, MD · Answer

visceral fat is protected by abdominal wall muscles and sculpSure cannot reach it. Lying down test mentioned above would give you a clue as to which is which.

Two different consultations told me I am not a good candidate for sculpsure, because my fat is considered to be visceral?

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