What are the options when it comes to non-surgical fat reduction (besides not eating and working out) those are obvious and are already under way. What are the risks?
Vanquish, CoolSculpting, Zerona. What's the Best?
Doctor Answers 16
We have experience with Vanquish, CoolSculpting and Zerona for fat reduction.
Freezing and heating fat works - Zerona doesn't
Vanquish is the latest in non-invasive fat reduction. It is FDA-approved for deep tissue heating, but clinical studies demonstrate fat reduction after treatment. Vanquish heats fat using RF (radio frequency) - specially tuned electricity that in this application targets fat without injuring other tissues. Treatment consists of 4-6 weekly sessions. It does not contact the skin, and the treatment feels like sitting under a warm blanket for 30 minutes. Average loss of waist circumference after treatment of the waist and flanks was 2 1/4 inches. Vanquish has a large "spot" area that can treat the abdomen and sides of the waist simultaneously.
CoolSculpting or Zeltiq is "cryolipolysis" or freezing of the fat. A suction cup like applicator is used to freeze the fat over a 1 hour treatment time. The skin after treatment feels like a stick of butter and is massaged. Occasionally, patients have discomfort in the treatment area that requires pain management. Results take around 1 month and result in around 20-30% fat loss in the area of treatment. New treatment regimens recommend that patients have multiple applications to sculpt the area of treatment smoothly and avoid irregularities.
Zerona is a fairly obsolete technology. Although I do not have the technology myself, feedback from colleagues is that it is not very efficacious. It also requires diet and exercise recommendations in order for Zerona to work.
Vanquish vs Coolsculpting vs Zerona
If you are within 25-30 pounds of your ideal body weight and are looking to get rid of focal areas of fat, then Coolscuplting would be the best treatment. The technology causes destruction of fat cells using cold to treat specific "bulges" that fit into specific applicators.
If you are heavier set and have larger volumes of fat that cannot be treated by Coolsculpting applicators, then I would recommend Vanquish, which uses an array of panels that emit radiofrequency energy to destroy fat cells. This is much more effective for circumferential reduction and can create appreciable reduction in waistlines up to 4 pant sizes.
There are also differences in time required to treat and treatment discomfort. Coolsculpting achieves treatment goals in 1-2 treatments, although there can be moderate and rarely severe discomfort associated with the treatments, sometimes lasting up to 2 weeks. Vanquish requires more treatments: 4 to 6 treatments scheduled once a week to achieve treatment goals, although the treatments are more comfortable (akin to heat exposure from a dry sauna).
These are the primary factors I would consider in determining the best treatment for you.
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I think the Vanquish combined with the Z wave gives the best non-painful, non-invasive fat reduction results available.
SculpSure is the best!
Non-invasive Fat Reduction
We have done a trial with Zerona and we offer Coolsculpting and Vanquish as well as Smart Lipo in our office. Zerona took too much patient participation (!) for us to offer it. Its success is dependent on diet and lifestyle changes that are great but I felt our staff would really have to work with the patients to assure that they got the results possible and we just are not geared for that type of interaction.
We have had Coolsculpting since its inception. I love the science behind it and it does kill fat non-invasively. We have definitely gotten great results for SOME patients and my advice is to make sure you have the right problem for Coolsculpting to be the solution. Patients who need 1-3 applications to grab the majority of their abdominal fat do very well!
We added Vanquish because it seemed likely to help patients for whom Coolsculpting would be too expensive and time consuming to give visible results. That has proved to be the case. For big tummies, our patients that follow the protocol and hydrate well the day before, day of, and day after treatment are seeing more than the average 2 inch loss that the company promotes after 4 weekly treatments. Those patients are thrilled because it is quick, neat and painless.
I think both systems have a place in our fat fighting arsenal.
Vanquish vs other technologies
Our practice has had a terrific experience with Vanquish, with minimal negative effects. After looking closely at the available devices, I decided to offer Vanquish due to treatment area (the whole abdomen) as well as what appears to be a low incidence of side effects that are self limiting. When performed with a consistent protocol, in an established practice with close supervision to ensure that the treatments are being done properly, Vanquish works beautifully for the right patients with the right expectations. It is certainly to your advantage to seek out any of these treatments at the office of a Board Certified Plastic surgeon who can offer the full range of surgical treatments, such as liposuction, abdominoplasty, or any other body contouring procedures. This will ensure that you will receive the best treatment program for you, not just the one or two things they offer.
Coolsculpting works best
I have been using these technologies for years and find that Coolsculpting works the best. Vanquish has some success with specific patients. Please find a board certified dermatologist who is certified for Coolsculpting and knows about all of the available devices on the market to have the best cosmetic result. Best, Dr. Green
SculpSure - the best non-invasive fat reduction treatment
Patients complete the treatment and walk out of our office ready to resume their ordinary activities. Sculpsure is a non-invasive lipolysis device that leverages controlled and targeted hyperthermic laser. The technique dives past your dermis for minimal absorption and then penetrates deeply to destroy subcutaneous fat.
I suggest you consult a board certified facial plastic surgeon to receive the highest quality knowledge, treatment, care and skill available. A consultation provides you the opportunity to relay your concerns and desired outcome to the surgeon while the surgeon can assess your health profile and discuss his/her pertinent advice.
Experience with Vanquish, Sculpsure, Coolsculpt, Zerona, & Ultrashape
For circumferential reduction (losing inches around the waist or thighs), Vanquish has the best reproducible results. In Houston, our patients typically lose 2 inches and one to two pant sizes. There is no limitation based on a patient's size or BMI. The fat reduction is permanent and the procedure is painless. It feels like you are sitting under a heating blanket.
The Sculpsure is the only device in the world that uses a laser (1060 mm) to permanently remove pockets of fat. Up to four areas can be treated in 25 minutes. The ideal candidate is a person who is fit but cannot remove stubborn areas of fat. Like the Vanquish, the patient feels warmth over the fat areas being permanently removed. The treatment is incredibly effective and pain-free.
The Coolsculpt device uses a vacuum suction to permanently reduce fat pockets. Similar to Sculpsure, the ideal candidate is looking to remove smaller pockets of fat. The difference is pain noted with the suction and the hour long treatment for one area. The results are highly dependent on the person applying the suction. The most common side effect is numbness and tingling lasting from one week to three months following the procedure.
The Zerona is not effective in reducing fat. Theoretically, fat cells are reduced in size but effects are highly variable depending on patients strictly following the prescribed diet.
The Ultrashape may be effective in temporary fat reduction. Unfortunately, the results are highly dependent on the technician performing the treatment. The areas being treated must be heated to the correct temperature for the appropriate amount of time. Results are highly variable and not always reproducible.
Based on our extensive testing and long term experience, we currently offer Vanquish and Sculpsure to permanently remove fat. Results are impressive, reproducible, and painless.