Minimal results after 1 treatment of Sculpsure - should I have a second treatment?

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?

Doctor Answers 17

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.

Mountain View Plastic Surgeon
5.0 out of 5 stars 43 reviews

Repeat treatments can help

Repeat treatments with SculpSure can provide additional fat removal.  Your doctor is trying to help and the secondary treatments would be beneficial.


We find that a second treatment greatly improves the end result.  I would definitely take your doctor up on their offer!
Dr. C

Should I have a second SculpSure treatment?

Yes, I often recommend two treatments per area,5-6 weeks apart, for optimum results. Best, Dr. Yegiyants 

Sara Yegiyants, MD, FACS
Santa Barbara Plastic Surgeon
5.0 out of 5 stars 6 reviews

Minimal Response?

Thank you for your question.  I am assuming that you did see some response with the first treatment.  Hopefully, this was notable on good quality before-and-after photos.  In people who have an adequate layer of fat, I have not had a patient with no response, but some do get more of a response than others.  In studies, SculpSure was shown to reduce fat in treated areas by 24% on average, but that includes hundreds of procedures with a range of results - so some people may have only had a 10% reduction, while others may have had a 35% reduction.  If you did get some improvement, then it would be reasonable to assume that a repeat treatment will also give you some reduction too, most likely not any better than the first, however, but the results should be additive.  Best of luck!

Sculpsure treatments

Yes for sure, you should undergo another treatment, especially if you have seen a response from the first one. We routinely suggest at a minimum of two sessions to obtain ideal results. Good luck!

Dilip D. Madnani, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 73 reviews

Should second SculpSure treatment be done?

In my experience, the results from SculpSure are improved with multiple treatment sessions.  So, I would say it would be worthwhile to treat your outer thighs again.  Each treatment session will destroy fat cells that were not destroyed in prior treatments. 

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Sculpsure of Thighs

I would definitely recommend a second treatment.  Each treatment with sculpsure has a maximal reduction of 22%.  Also be sure to drink lots of fluids and be active after the procedure to promote lymphatic absorption of the fat calls that have been killed.

#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


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,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 93 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.