Pain during Sculpsure. Is this normal?
Doctor Answers 12
Is pain normal during a Sculpsure treatment?
Pain is a subjective issue. In most of the cases the procedure is very well tolerated. However, stria, or scar tissue may be the reason for overheating tissue generating more sensitivity, and requiring lowering the settings.
Wishing you the best in your journey
Pain and SculpSure
The trend is that SculpSure is less painful in FDA approved areas, such as the flanks and abdomen, and universally painful on the inner thighs. This goes for most other treatments as well. Nerves are more common in that area (superficial nerves), hence accounting for more sensitivity.
As for the black and blue- that suggest bruising rather than skin burns. I personally have not seen that happen with Sculpsure. Perhaps applicator on too tightly? Hard to comment without a picture or examination.
All the best
Dr Davin Lim
Laser and aesthetic dermatologist
FIORI INSTITUTE of Body Contouring
Pain varies with Sculpture
One patient found it very painful, however, this same patient did great treating her flanks the same day without any great pain. Not sure why her abdomen hurt so much more than her flanks both with the same intensity, the same day.
Certain areas such as the inner thighs and arms are more tender.
There is variability within the Sculpsure laser machine to increase or decrease the laser intensity and help you with pain.
Not sure why it is bruised.
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Pain During SculpSure is it Normal?
The outcome should not be affected, but with our patients we have found bruising to not be typical. In our office we have done over 760 applicators and only one instance was there mild bruising on the abdomen. Good luck with your recovery!
Pain during SculpSure is very unusual
I have found that the discomfort is higher in the arms and in patients with more target tissue (fat). This is one of the reasons that it is not indicated for people with a Body Mass Index (BMI) greater than 30. In areas around bone the discomfort is greater. This technology was FDA approved in the fall of 2015 and we as providers are still learning the nuances and applications of this laser. It is my understanding that the company is also updating it's software to allow lower settings to help in situations where the pain during the procedure is too high. There is a fail safe cooling setting that can be used during the treatment session to cool the area for about 4 minutes, but still continue with the planned session, just over a little longer period of time than the original 25 minutes.
I have not seen any bruising (black and blue) from the laser. But, the straps used to hold the applicator templates in place can pinch the skin and cause some bruising. Also, if a patient is on any type of blood thinners or anti-inflammatory medications bruising can occur.
SculpSure is always slightly uncomfortable but everyone's pain tolerance is different. Different areas of the body can be more sensitive than others. We have also found that the way the applicators are set up can also depend on how much pain you feel. The good thing though is that it does not affect the outcome, you will still get the same results. The black and blues may be from the technician not applying the applicators correctly and it could have been pinching the skin.
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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.
Dr. Schwartz Board Certified Plastic Surgeon