I had Sculpsure on my outer thighs 15 weeks ago. The setting was 1.4 throughout the treatment, it was very painful, and the area was tender for weeks afterward, with lots of palpable lumps. Yet, for all that, I've seen a minimal reduction in thigh circumference (1/4"). My lovely doctor has offered to treat the area again at a very, very reduced price. But is it worth doing again? Am I more likely to see results a second time? Or can I reasonably assume I'm just a poor responder?
Answer: Painful SculpSure Treatment at 1.4, Lumps Afterward. Should I Have Another Treatment? The settings start at 1.1 and go up as tolerated. If the treatment was causing a lot of discomfort at 1.4 it would be recommended to lower the setting until there is tolerable if any discomfort. More heat would correlate with a higher risk of lumps. In the FDA trials, nodules occurred 23 % of patients for the abdomen and 12% for the flanks. The duration of lumps was 35-139 days for the abdomen, and 38 to 138 days for the flanks. The thighs were not done as the FDA approval was for the abdomen and flanks.It would seem reasonable to wait until the lumps have entirely resolved before having another treatment. Consider settings that do not cause pain if you do it again. It does not have to cause pain to get a good result.As far as number of treatments, our standard protocol when there is a fair amount of fat present is two treatments at six week intervals to see optimal results.
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Answer: Painful SculpSure Treatment at 1.4, Lumps Afterward. Should I Have Another Treatment? The settings start at 1.1 and go up as tolerated. If the treatment was causing a lot of discomfort at 1.4 it would be recommended to lower the setting until there is tolerable if any discomfort. More heat would correlate with a higher risk of lumps. In the FDA trials, nodules occurred 23 % of patients for the abdomen and 12% for the flanks. The duration of lumps was 35-139 days for the abdomen, and 38 to 138 days for the flanks. The thighs were not done as the FDA approval was for the abdomen and flanks.It would seem reasonable to wait until the lumps have entirely resolved before having another treatment. Consider settings that do not cause pain if you do it again. It does not have to cause pain to get a good result.As far as number of treatments, our standard protocol when there is a fair amount of fat present is two treatments at six week intervals to see optimal results.
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Answer: SculpSure protocol is 2 treatments 6 weeks apart Having lumps is completely normal and temporary. It will take some time for them to go away, but they definitely will. I would encourage you to massage the area. In regards to treating the thigh, I did not have any patient who had a significant improvement after a single treatment on the thigh area. The protocol calls for a minimum of 2 sessions at least 6 weeks apart. You should definitely have the second treatment and then wait 12 weeks for the optimal results to show up. You may even need a third session. You do not need to be so uncomfortable at 1.40 settings, you can definitely go to lower setting. Make sure you do not come on or close your menstrual cycle as your sensitivity is increased. Second time around there is much less discomfort as you already know what to expect. Provided you stayed the same weight. Hope this helps. Best, Dr.Avaliani
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Answer: SculpSure protocol is 2 treatments 6 weeks apart Having lumps is completely normal and temporary. It will take some time for them to go away, but they definitely will. I would encourage you to massage the area. In regards to treating the thigh, I did not have any patient who had a significant improvement after a single treatment on the thigh area. The protocol calls for a minimum of 2 sessions at least 6 weeks apart. You should definitely have the second treatment and then wait 12 weeks for the optimal results to show up. You may even need a third session. You do not need to be so uncomfortable at 1.40 settings, you can definitely go to lower setting. Make sure you do not come on or close your menstrual cycle as your sensitivity is increased. Second time around there is much less discomfort as you already know what to expect. Provided you stayed the same weight. Hope this helps. Best, Dr.Avaliani
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September 27, 2016
Answer: #sculpsure/#Body Contouring/ #Hi Definition Procedures 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 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
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September 27, 2016
Answer: #sculpsure/#Body Contouring/ #Hi Definition Procedures 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 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
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September 16, 2016
Answer: SculpSure Thank you for your question. It would be worth a revisit consultation to determine the setting of the machine during your first treatment and how an increased setting in your potential second treatment can benefit your results. More than likely, your second treatment will be able to supplement the first treatment to become closer to your desired result. Please always consult with a board certified facial plastic surgeon. Best wishes,
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September 16, 2016
Answer: SculpSure Thank you for your question. It would be worth a revisit consultation to determine the setting of the machine during your first treatment and how an increased setting in your potential second treatment can benefit your results. More than likely, your second treatment will be able to supplement the first treatment to become closer to your desired result. Please always consult with a board certified facial plastic surgeon. Best wishes,
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August 22, 2016
Answer: 2nd treatment with Sculptra Please note that the standard of care is two treatments about 6 weeks apart for optimal results. In fact we usually encourage the patients to buy a package treatment as almost all patients will need the second treatment, This does not mean that you should not have any results for the first treatment and in fact many patients do see fantastic results within few week. We just see much steeper improvement with the second treatment. You should also try to have your MD move the applicator around a bit of you are experiencing pain. It's usually on of the four plates that causes most of the pain and that pain is often resolved with some relocation of the plate.
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August 22, 2016
Answer: 2nd treatment with Sculptra Please note that the standard of care is two treatments about 6 weeks apart for optimal results. In fact we usually encourage the patients to buy a package treatment as almost all patients will need the second treatment, This does not mean that you should not have any results for the first treatment and in fact many patients do see fantastic results within few week. We just see much steeper improvement with the second treatment. You should also try to have your MD move the applicator around a bit of you are experiencing pain. It's usually on of the four plates that causes most of the pain and that pain is often resolved with some relocation of the plate.
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August 21, 2016
Answer: Additional SculpSure Treatment We have found that an additional SculpSure treatment is often beneficial in patients such as yourself. Provided your physician recommends it, you've waited the appropriate time between treatments, and you feel you are getting some benefit from the treatment. We are seeing some great results from this device with our patients.
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August 21, 2016
Answer: Additional SculpSure Treatment We have found that an additional SculpSure treatment is often beneficial in patients such as yourself. Provided your physician recommends it, you've waited the appropriate time between treatments, and you feel you are getting some benefit from the treatment. We are seeing some great results from this device with our patients.
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