The common non-invasive energy types utilized to create non-surgical body contouring include RF, focused ultrasound, infrared, RF-coupled suction and massage, and diode laser energy. These non-invasive energy sources that reduce areas of enlarged fat concentrations such as tummy, hips, thighs, and the back — reducing fat without harming other structures like nerves and blood vessels. Some are more effective than others. Zerona® claims that its cool diode laser has a generalized “whole body” slimming technology by making fat cells leaky rather than using thermal mechanisms or cavitation energy to alter or break apart the fat cell. T CoolSculpting® is effective but has some discomfort noted by many patients, and the applicator paddle sizes can only treat a few areas at a time, require several treatments (3–5), have to wait between treatments, and takes several weeks to see the full effect and occasionally fat ridges are seen above the treated areas. UltraShape® by Syneron Candela uses focused ultrasound energy, can treat at three different levels, and the different size applicators can treat just about anywhere on the body and even do lipo-sculpting. It is painless and the results are seen quickly with treatments a few weeks apart (series of 3 is typical, more depending on desires may be recommended). It is great for localized areas. BTL Vanquish uses RF energy to heat the fatty layer precisely, painlessly and selectively to a temperature that causes fat cells to undergo early cell death (apoptosis) by destroying the integrity of the fat cell. Like other techniques that accomplish the same effect, the body then clears the remnants by the lymphatic system. The VelaShape III, is new technology and much more effective than its predecessors (VelaShape I and II). It is a non-invasive body shaping device used to reduce cellulite, and reduce (slim) the area around the tummy, back, hips and thighs. The machine combines four different technologies — infrared, bi-polar RF, pulsed vacuum, and massage rollers — to improve skin texture and reduce the overall volume of the treated area. Deciding between these options should be done on a case-by-case basis between patient and physician.