Can't do CoolSculpting due to Raynaud's. Now lipo SculpSure or UltraShape? For cellulite on back of legs-Cellulaze or Cellfina?

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

Thank you for your question. SculpSure is a very popular treatment because it can eliminate up to 25% of unwanted fat in a short 25 minute in-office procedure without any downtime for recovery. It is the only FDA approved non-surgical and non-invasive treatment to reduce the fat, and patients tend to see improvements in 6-12 weeks. SculpSure is the most superior option on the market. Please consult in person with a board certified facial plastic surgeon about SculpSure.
Best wishes,

Thanks for your question.  If you don't mind the expense and the fact that it is surgical, then liposuction with some addition of heat for skin tightening would be my recommendation.  For areas with cellulite, both Cellulaze and VaserSmooth have shown benefit and can be performed at the same time as liposuction.  Celfina can also be used in lieu of these other modalities and does not have to be performed at the same time as liposuction, but can be, if neither Cellulaze nor VaserSmooth is available.  All three of those devices address the dimples associated with cellulite and use different means to achieve the same end, which is cutting the connective tissue bands that are tethering the dimpled skin to the underlying tissue.  I will make two recommendations: one surgical; and one non-surgical.  Surgical:  Vaser lipo with VaserSmooth treatment to cellulite dimples and selective fat-grafting to any large dimples and extensive "lipo-shifting" of superficial fat throughout to create smoothest results.  Non-surgical:  SculpSure for fat reduction; Thermi250 for further fat reduction and skin tightening.  Oops, just thought of a third option: "minimally-invasive": ThermiTight to all areas plus Celfina to bigger dimples.  (I am not a fan of UltraShape.)