I recently had Sculpsure, does energy setying affect outcome. Any suggestions?

I recently had sculpsure on lower abdomen and flanks. The pain was so intense with my flanks I could only get up to a midlevel setting, will this effect my final result? My doctor claims output setting does not effect final result but that doesn't make sense to me. I'm think, 32 years old 116lbs, perhaps this is why it was painful?

Doctor Answers 10

SculpSure Results

SculpSure works by engaging a controlled hypothermic 1060 nm wavelength to the body, targeting the fatty tissue. This wavelength is penetrated deep into the subcutaneous fat cells causing your body to eliminate the fat cells. 

The heated wavelength establishes a controlled hyperthermic temperature of 42°C and 47°C. SculpSure is designed to heat up the fat cells up to those temperatures, so although you were not in the 'maximum' range for 'optimal' results, you will still benefit from the treatments to those treated sites. 

Wait about 3 months to see final results. You may repeat SculpSure after 6 weeks to further enhance your results. 

Toronto Facial Plastic Surgeon
4.8 out of 5 stars 105 reviews

Settings and Efficacy

The setting does not impact the results. As long as you are feeling the deep heating sensation then you are in the fat destruction zone and should have a successful treatment. Keep in mind, it can take 6 weeks to see results and optimal results will be seen at 12 weeks.

Most Effective SculpSure Energy Setting

This is a very good question that comes up frequently in my practice. Evidence shows that based on two separate trials that measured the effectiveness of this 1060nm laser technology, the patients responded just as well with the laser power settings between 0.90 and 1.40 watts/sq. cm. This range creates sufficient energy to raise the temperature of the fat cells to the target temperature of 42 to 47 centigrade. In fact studies show that settings of greater than 1.4 watts per sq. cm do not improve the efficacy of the treatment and may be less effective or cause harm. This is why we ask the patient to let us know what their comfort level is. 

A SculpSure treatment should not be painful. The patient is given a discomfort zone chart that let's the patient communicate what is tolerable to him/her. The applicators can each be adjusted independently as the amount of discomfort may not be the same for all areas being treated.
A mid-level setting as you put it will work just fine and no less than a higher setting as long as it is within the recommended therapeutic energy setting. 
I have had happy patients that were treated at the lower range of energy settings and saw satisfactory results.

Shoud be fine

There are a range of settings for the SculpSure device.
The lower settings can provide more comfort, but are within the therapeutic range.

SculpSure Settings

Hi Csc4517,
Thank you for your question.
The SculpSure machine delivers complete treatment even at the lowest setting at .90. The different setting levels ensure maximum comfort for each individual because pain tolerance varies person to person.The setting levels are .90 to 1.4 all of which provide results. 

Jeffrey A. Klein, MD
San Juan Capistrano Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

SculpSure settings are adjustable

The SculpSure laser is very sophisticated and allows for adjustments during the treatment.  As long as you maintain a certain level of energy delivery to the targeted area you will see results.  Pain does not equal results with this machine, if the pain level is too high it must be dialed down to prevent any skin injury.  People with less "target area" (less fat) tolerate the treatments better and the settings tend to be adjusted upward, while people with more "target area" tend to need lower settings.

In this situation, your doctor was correct.  As long as you were in Zone 3 or 4, the fat destruction zones, your treatment will be effective.

Good Luck!

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 70 reviews

Do SculptSure energy setting affect outcome?

It does seem that slender people receiving Sculp[tSure sometimes experience a bit more discomfort than people with thicker layers of fatty tissue. Don't try to over analyze the customized settings which you received. Your results should be should be equal to all other patients.

SculpSure settings

Thank you for your question. The SculpSure settings will not affect your results. The settings are placed according to the pain tolerance of each patient. Our patients, who opted for lower settings during their procedure, still had the same great results.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

SculpSure Settings

Technically, once you hit the "fat destruction zone," with the settings, it shouldn't affect your result. However, in practice, I have noticed that if you can tolerate a higher setting - without being in total agony - then you may have a better result. For my patients, I will keep them at a high setting and continually cool blast them and then raise the setting again. This makes the treatment a little longer, but the end results may be better. It's hard to say - and if you ask the company directly, they'll say that it doesn't matter.  For my patients with a little more fluff, they tend to tolerate the treatment better - if you are thin already, and the handpiece is near or on bone, it can be a little difficult to tolerate a high setting. Rest assured, I'm sure you did not grossly affect your results. Best of luck! 

Sculpsure settings

In general the settings for Sculpsure should not affect the results.  It's recommended that you stay at the hoghest tolerable level and most people can gradually oncrease the amount they tolerate throughout the treatment.
I have noticed that the more fat you have the less you seem to feel (but this is not all the time.) this hasn't affected result however. Enjoy your results

Nikesh K. Patel, MD
Freehold Plastic Surgeon
5.0 out of 5 stars 12 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.