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.)

Yes. You can have SculpSure with Raynaud's but whether or not that is the right call for you is impossible to say without examining you in person. Liposuction is the gold standard of body contouring but it is surgery and entails significant down time. SculpSure is non-surgical so little to no downtime, but it will require at least 2 sessions. Cellfina great for cellulite but not about fat reduction. Hope this helps. 

Yes, you may have SculpSure treatments with a history of Raynaud's.  If you can pinch an inch, we can treat you! 

I would hold off on any cellulite treatment for the time being.  I can tell you there is a product to treat cellulite in the office, without surgery that is going through FDA approval right now.  It should be on the market soon.As for fat reduction, CoolSculpting and SculpSure are probably both out due to your Raynaud's, you may need routine liposuction instead.Good Luck!

If you were previously considering Cool Sculpting, then SculpSure would be great and safe for you.  In general, you will get similar results (up to 24% reduction in fat of the treatment area) between the 2 treatments.  The patient experience will be vastly different (24min for SculpSure versus 60min for Cool Sculpting for example).  
You should have realistic expectations though.  Depending on the amount of fat you are targeting to remove, SculpSure may or may not be the fastest or most cost-effective way to do it.  I would recommend that you get a consultation from one of your local SculpSure physicians.  Many offices do free consultations.  This will help you make a more informed decision regarding the expected results and cost.
The great thing about SculpSure is that there is no pain or cutting or scars.  And there is no down time.  There are some definite advantages with SculpSure.

medial thighs are a great area to treat (off-label though) and there are great results. Cellulite is a different matter, and since there are several types, I would not count on these being improved. Body contouring is the benefit.

Hi. I think you may be asking two different things. For permanent removal of fat Sculpture is the best way. It will remove 24% of fat in the treatment. Most people need two treatments in each area. It will go to the fat underneath the skin, subcutaneous, and dissolve it. You will begin to see results after 6 weeks and final results at 12 weeks. You don't need to do an invasive surgical procedure such as lipo. For cellulite you may opt for Velashape or other procedures. Cellulite is difficult to target. Good luck. Dr,. Eros

SculpSure would be safe in a patient with Raynauds syndrome.Not sure about the other techniques. Scarring would not really be a risk with SculpSure.