During Sculpsure treatment, does lowering or increasing the intensity effect how much fat cells it destroys? Or does it matter?
Doctor Answers 12
If you can tolerate it, it is better to keep the setting high
if you deliver more energy and you can tolerate it, it will probably destroy more fat cells. the discomfort was short lived and it should be worth it for you.
david berman md
Pain During SculpSure
Thank you for your question. Pain is a very subjective thing - the exact same stimulus may be perceived as painful by one person and totally comfortable by another. With SculpSure, the company trains its providers to adjust the power levels to the point where the patient feels a little discomfort, but not intolerable - more like a 4 or 5 out of 10 (not 8). It may be possible that the settings were as low as they can go and you were still feeling pain. At my office, we always try to set the power to the point where the patient is at least feeling mild discomfort (2 or 3 out of 10), but occasionally, we have gone up a little more (4-5/10) in the belief that more energy delivered equals better results. I say "belief," because there are no studies to show that this is true. With that said, the good news is that you should expect some good results, given your degree of pain. Pain after treatment is also variable, both from one patient to the next and also from one site to the next. For example, when we first received our SculpSure device, we, of course, had to try it out on ourselves. One of my staff did her tummy and also her outer thighs; I did my left abdomen and left love handle (now I'm a little lop-sided, lol). Well, my love handle hurt quite a bit afterwards - for about a week; but my tummy did not hurt at all. My staff member had the same experience, only the opposite - her tummy hurt and thigh didn't. We all had great results though (you can see the photos on our Facebook page, if you're interested - see link, below)! The point is, some bodies are more sensitive than others and some body parts are more sensitive than others, but from my experience, they all will respond to SculpSure. It's unfortunate that it hurt you so much, but the silver lining is that you should have a great result - let's hope so!
Pain during SculpSure treatment
Thank you for your question. I am sorry you had such discomfort during the procedure. To be fair, some patients are a bit more sensitive than others, but the SculpSure apparatus has 10 possible energy levels - and it sounds like you should have been lowered a little.
I encourage my patients to try and tolerate a smidge of discomfort if able - only to potentially see better results. Has this been studied officially? No, but there are anecdotes that if a patient can tolerate a higher setting then they achieve better results. With that being said, I will often adjust the energy setting if a patient is in pain, or at least deliver a cool blast (which both lowers the setting and simultaneously cools the skin) to ensure that the patient is never in frank pain. Some of my patients self pre-medicate with tylenol - just for their own peace of mind.
As you said though, you're not in any pain after the procedure - and that's the best part of it. It really is very little downtime. In my experience, patients who tolerate a higher temperature setting may have some more tenderness when the area is touched (like a muscle soreness) for a couple of days, or even firm nodules that gradually dissipate after a month or two. Or, you may feel completely fine. Best of luck - you should start to see results in about 6 weeks with maximal effects at 3 months.
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Thank you for your question. I am disappointed to hear about your discomfort during the procedure. SculpSure is intended to be a painless procedure completed in 25 minutes. I suggest that you next consult in person with a board certified facial plastic surgeon for another treatment. Please also review the video on my page from a SculpSure patient!
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