Body contouring has seen an upward trend in Brisbane over the past few years due to the fact that we now have devices that delivers results with no downtime. SculpSure is the newest non-liposuction alternative to remove unwanted fat from the abdomen and flanks.  One 25-minute treatment can eliminate up to 25% of fat- permanently. I work with The Fiori Institute of Skin and Body, Australia’s most experienced SculpSure clinic. Together we have performed over 3,000 no-liposuction non-invasive body contouring treatments since 2011.  Though I do believe that SculpSure is an effective method to remove unwanted fat, it is not the best.  For the best body contouring services, every clinic should have a variety of noninvasive devices including lasers, CoolSculpting, CoolTech, as well as other RF energy devices and not just SculpSure itself. Video explains who is a good candidate for SculpSure treatment.

Facts on SculpSure body contouring.

  • SculpSure is a nonsurgical, non-liposuction diode laser that removes unwanted fat in targeted areas such as the flanks and abdomen
  • SculpSure uses sapphire crystals as the cooling device to help protect the upper layers of skin whilst laser energy delivers heat to the underlying fat
  • SculpSure laser is safe on all skin types including ethnic and darker skin types
  • SculpSure is only suited to certain individuals, namely for patients who require debulking and not contouring.  For body contouring, I do believe that devices such as CoolSculpting and CoolTech will deliver better, more predictable and nicer results compared to SculpSure itself
  • SculpSure laser can debulk unwanted, pinchable fat on the abdomen and flanks
  • The ideal candidate is someone who has truncal fat of moderate severity and would like to lose up to two inches of the waistline with two treatments
  • SculpSure is a device that has to be incorporated into a clinic that performs all forms of noninvasive fat reduction, including CoolSculpting and Cooltech. Sculpture reduces fat, but for precise contouring, cooling works better than laser heating
  • This treatment is performed by specialist therapist at The Fiori Institute of Skin and Body in the Westfield Garden City branch

How does SculpSure remove unwanted body fat?

SculpSure was developed by the same people who developed CoolSculpting.  Fat can be destroyed by either heat or cold.  Cold, in the form of CoolSculpting or CoolTech, destroys fat more reliably; however, cooling also has a significant downtime in some patients compared to heating.  SculpSure works by gently heating fat to a temperature of between 42° to 47° for a period of 20 minutes.  The whole procedure itself takes 25 minutes.  The heat is delivered via a diode laser in the wavelength of 1060.  SculpSure uses specialised cooling to protect the overlying skin, namely the epidermis, with sapphire cooling crystals that are in constant contact with the skin surface. Laser energy is the key to how SculpSure works. By delivering laser energy in bursts, fat around the flanks and abdomen are broken down by apoptosis or cell destruction. Unlike liposuction, SculpSure uses your body’s immune system to clear the fat once it has been destroyed by the laser.

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Who is the ideal candidate for SculpSure nonsurgical body contouring?

The ideal candidate is someone with a BMI of around 32 or less who has pinchable fat around the flanks and the abdominal area. Company guidelines state that this is only suitable for patients who have a body mass index of 30 or less, but this is incorrect. Once can have a high BMI, but still be very lean as the body mass could be muscle and not fat!  Photography itself cannot depict what is pinchable fat compared to examination and palpation.  Even though you will read many articles saying that SculpSure can be used in areas such as the inner and outer thighs, as well as the arms, this is only FDA approved for the treatment of abdominal and truncal fat as well as treating the love handles or flanks.  In my opinion this is where SculpSure should be used.  For other areas there are better treatments such as CoolSculpting and CoolTech to deliver the results. SculpSure can de-bulk areas such as the ‘spare tyre’ and significantly pinchable love handles, but for finesse and contouring, Coolsculpting, and Cooltech deliver much better and infinitely more predictable results. So why do we use SculpSure if other treatments can give more finesse? The reason behind this is that SculpSure has no downtime after the treatment- zero downtime compared to cooling of fat. As a guide, liposuction has downtime ranging from 5-12 days, depending on the areas treated, Coolsculpting and Cooltech 1-5 days, whilst SculpSure literally is a zero downtime procedure!

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Is SculpSure treatment painful?

Pain is subjective.  With the thousands of procedures that we have undertaken, we have found that women tolerate this procedure better than men.  SculpSure will train practitioners to state that energy levels have no correlation to pain and that pain has no correlation to outcomes.  In our experience this is not the case.  SculpSure treatments should be at the maximal tolerated for the best outcomes.  In the vast majority of cases, patients can tolerate this treatment well as the sapphire crystal cooling system provides both pain relief as well as safety to the overlying skin.  Additionally, the peaks and troughs of energy delivery with the SculpSure diode laser provide areas of rest for patients during the entire 20 minutes of treatment. As with all treatments, pain is subjective. Is this more painful than Coolsculpting? Most patient will find heat more painful than cold, however everyone will get through this treatment!

Can all skin colours be treated with SculpSure body contouring?

Yes.  The special 1060 wavelength has been chosen as the heating wavelength of choice.  This wavelength is colour blind, which means all skin types including Caucasians, Asians and even African-Americans can be treated with SculpSure.

Laser heats the fat within the flanks and abdominal area, and over 20 minutes causes permanent destruction of adipose or fat cells. Over the next 3 months, fat is then removed by your immune system.

How is SculpSure treatment performed?

First of all you are assessed at the Fiori Institute of Skin and Body where our dermal specialists will assess your body type.  SculpSure is ideal for patients who have pinchable fat along the flanks and abdominal area.  Additionally, if you require no downtime then this treatment may be the choice for you.  If you are a suitable candidate we will discuss the treatment areas you want to focus on.  Applicators are then attached to your areas of concern.  We then connect the sapphire cooling plates and ensure that a perfect fit is obtained.  We then turn the device on.  For the first few minutes there is cooling of your skin.  Over the ensuing 20 minutes, your skin will feel hot and cold in peaks and troughs.  This cycling of heat will destroy the fat cells that lie underneath your skin.  If you reach the maximal tolerable limits of the SculpSure device, one can expect up to an inch off your waistline with one treatment.  As a guide, most patients have between two to three treatments.  We always assess patients at the three- to four-month mark to ensure they are on track. Unlike liposuction whereby downtime is over a week, following SculpSure treatment you can continue your daily activities immediately following the procedure!

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How long before I notice a difference with SculpSure treatments?

Most patients will notice fat reduction with a downsizing in their waste-line within 6 weeks, but maximal results are seen at the 12 to 15 week mark. The reason behind this is due to the fact that SculpSure is a noninvasive treatment that relies on your body’s immune system to breakdown adipose tissue or unwanted fat.  Inflammation causes fat breakdown. The destroyed fat is then taken away by your lymphatic system to be safely excreted.  This takes time.  As with other noninvasive body contouring devices such as CoolSculpting, CoolTech and EndyMed Pro, it all takes time.

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How will I know what is the best noninvasive, non-liposuction treatment for me?

At The Fiori Institute of Skin and Body we have over 18 applicator sizes.  It is the applicator size that determines the outcome.  SculpSure only has one applicator size, namely flat.  This means that the patients are not preselected by the device but preselected by the therapist.  This is why it is extremely important that if you are undergoing noninvasive fat reduction treatments that you are seen by specialists who have a vast array of applicator sizes.  In some situations an applicator size will be needed for your specific body type or body area.  For more information watch in detail my multiple videos on how we preselect patients for applicator sizing and fat reduction treatments. As every body type is unique, finding the correct way to remove unwanted fat is the key!

Why did I choose SculpSure for my body fat reduction compared to CoolSculpting?

I have access to CoolSculpting, CoolTech, SculpSure as well as many other RF devices including the EndyMed Pro Shaper.  The reason why I myself chose SculpSure was due to the fact that I had pinchable fat around my flank areas or love handles. Due to my work and the fact that I did not want any downtime, I chose SculpSure over Cooltech or Coolscupting.  As a guide, I had two treatments at maximal level and I achieved a two-inch reduction of my waistline within four months.  Results will vary, I do not encourage that all patients undertake SculpSure.  In many situations CoolSculpting may work better as cooling has a better success rate in reducing unwanted fat than heating. The type of body contouring will depend on your body type, end goals, and lifestyle.

Let the experts at The Fiori Institute of Skin and Body guide you as to the best method for your body type.

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Does diet and exercise play a role in fat reduction and body contouring?

Yes, eating a steady calorie diet and maintaining a healthy exercise program will give control to achieve the end goal of body contouring and fat reduction. This means, you do not need to engage in extra exercise or reduce your calories. No- liposuction body contouring will reduce the stubborn areas of fat, without extra work, all you have to do is maintain what you are currently doing. Obviously should you decide to increase your activity levels and or reduce your calorie intake, this will result in even great gains.  This applied across the board to procedures such as liposuction, Vaser, Coolsculpting, Cooltech and SculpSure.

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Dr Davin Lim's viewpoint on SculpSure body contouring and fat reduction

By Dr Davin Lim
Laser Dermatologist
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As a matter of disclosure, I am one of the company’s key opinion leaders in regards to laser technology.  I was one of the pioneers who adopted this technology early on in its introduction in Australia. Do I believe in this device?

I do believe that it provides a good-to-excellent outcome in select individuals.  I also believe that if you are seeking body contouring and a more reliable treatment of reducing unwanted fat then Coolsculpting, especially for the flank area, is the better choice.  This is because Coolsculpting and CoolTech has the deeper applicator that means more fat can be sucked into the area and cooled accordingly.  The disadvantage of cooling is that in some patients there is downtime that may last anywhere from two to seven days.  I do believe that patient selection is essential for success in SculpSure treatments.  Having a look at the body type does not constitute a good examination.  Fat has to be pinchable and has to exceed 2.5 inches for this to be my treatment of choice.  This is due to the fact that if we are reducing, for example, 25% of fat in the abdominal area whereby only 0.5 cm of fat is subcutaneous, then the results, even though will be demonstrated by ultrasound to reduce by up to 25%, may not be clinically relevant.  This means that the more fat there is to pinch the greater the results.  I also firmly believe that, unlike what the company says, the treatment level does matter.  The higher the level of heating, the better the results. I also believe that Coolsculpting with the max applicator is better for the ‘spare tyre’ in front of the abdomen.  The applicator size is larger than Cooltech, and as mentioned many times before, cooling provides a more reliable source for fat reduction than heating.

For the maximal chances of fat reduction I ask all my therapists to push patients to the maximum level and try to achieve a 47° treatment level for at least 12-15 minutes.  Furthermore, I do believe that ideally two treatments, spaced at least eight weeks apart are needed for optimal outcomes. Once this is achieved, select candidate have at least an 80% chance of achieving their goals with SculpSure.

In summary, for the gold standard in body contouring, a clinic must have several applicators not just one.  At The Fiori Institute of Skin and Body, this clinic is dedicated towards body contouring with over 18 applicators in all forms of energy devices, including cooling, radiofrequency and laser treatments.  Only then can we achieve nonsurgical, non-liposuction fat reduction at a gold standard level.