What is the more effective procedure: Vanquish or Emsculpt?

Thanks for your good question. Vanquish and Emsculpt are both body contouring procedures, but they work in very different ways. Vanquish uses radiofrequency to heat and melt fat cells, eliminating stubborn areas of fat. Emsculpt focuses on tightening and toning the muscles but doesn’t offer much fat reduction. The right procedure for you will depend on your specific goals. I encourage you to meet with a board-certified cosmetic dermatologist with extensive experience in body contouring for an in-person assessment and treatment recommendations catered to your precise needs. 

EMSculpt is the only treatment which will reduce fat and build muscle. We have found the results to be more consistent than vanquish. CoolSculpting remains the best treatment for non-surgical fat reduction. You would need an in-person consultation and evaluation to determine which treatment would be best for you. Make sure you see an experienced physician provider. Best wishes.

You can use Coolsculpting with Vanquish ("Fire & Ice") to get small areas of fat reduced. You can achieve skin tightening as well if you combine this with truSculpt iD, Exilis Ultra or Venus Legacy radiofrequency treatments. We also combine Coolsculpting with radiofrequency and shock therapy like ZWave and Cellutone to get even faster results, more improvement, and less risk of combinations like nodules, swelling, neuropathy or paradoxical hyperplasia. However, Coolsculpting often takes a few treatments separated 8 to 12 weeks apart to get significant improvement. A VASER HI-DEF liposuction/liposculpture procedure with ThermiRF, Renuvion, and InMode BodyTite may be needed to give more contouring, fat removal, skin tightening and definition. This method would give you the most toned, sculpted result, and we could address any loose or sagging skin at the same time.I would suggest getting a formal evaluation with an body contouring expert. Best, Dr. Emer.

Vanquish and EMSculpt work very differently. Vanquish can reduce the subcutaneous fat in some patients while EMSculpt targets the muscle layer, minimizing about 20% of the fat while improving the tone and bulk of the underlying muscle. Vanquish does not treat the muscle layer at all, and in our experience was a little hit or miss on the amount of fat reduction. I would consider having your fat transfer first, then consider EMSculpt to tighten and tone the underlying muscle.Andrew Campbell, M.D.Quintessa

Thank you for your question. The Vanquish is a radio frequency device that targets fat cells and permanently destroys them. Whereas the Emsculpt device builds muscle by contracting your muscle, which is equivalent to 20,000 sit ups. In our office, we have had great success with our patients having a combination of both treatments. Not only are you getting rid of fat cells in the area being treated but also tightening the area by building muscle. I would recommend consulting with a Board-Certified Dermatologist before deciding to have a fat transfer to determine if you are a candidate for the treatment.

Hello and thank you for your question! If you are planning on having a fat transfer I would schedule that first so there is fat available to use. Emsculpt is great for building muscle and burning a little fat. The vanquish applicator covers a bigger surface area to target abdomen and flanks. If your concern is loose skin with a small amount of fullness, I would actually recommend exilis which is fat melting with skin tightening. I would recommend you schedule a consult with an experienced provider for an evaluation. Have a great day!   Holly, RN

Coolsculpting is still the best procedure for abdomen and flanks.  Vanquish and Emsculpt both have to be repeated multiple times and maintained whereas Coolsculpting is permanent after only one session.  Please consult an expert in body contouring for the best cosmetic results. Best, Dr. Green