Will Sculpsure damage muscle if there isn't enough fat?

Thank you for your question. In the SculpSure procedure, the laser dives deep to heat and destroy unwanted fat allowing the body to dispose of them. It is non-invasive and non-surgical so the risks are practically non-existent for good candidates. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

The simple answer is no.  The activity of the laser is based on the wavelength used, which is a 1060 nm diode in the case of Sculpsure.  This wavelength is specific in its selectivity for adipocytes.  Other laser wavelengths can affect muscle tissue, but Sculpsure is safe in this regard.

Clinically, there does not seem to be any evidence that SculpSure will damage muscle cells. It is designed to target fat. Muscle cells have numerous capillaries and much more circulation than fat does. That is why muscles appear reddish in color. This circulation would dissipate the energy much more efficiently than fat cells can. The fat cells are more fragile. We have not seen any issues on treating muscular individuals.

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. 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 treatmentSince 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 SurgeonDirector-Beverly Hills Breast and Body Institute

Lasers have the unique
ability to target specific types of molecules with their energy. For this
reason, SculpSure, which is a laser-based fat reduction treatment, does not
harm the muscle or skin. This laser reaches a max depth of 3cm, or about the
thickness of three iphones (no case).