Friday, December 5, 2014

Vanquish vs. CoolSculpting

I have been asked now and then which is better.  I offer both treatments in my office and can say first-hand that they are both effective for small pinchable (squeezable) pockets of fat.  If you have more than a few inches to pinch and really want drama faster, then I prefer tumescent liposuction.  As far as how to choose between the two (Vanquish and CoolSculpting), we price them similar and will use a few criteria to distinguish which patient would do best with which.

If you have excess fat on the abdomen, waist and back that continues pretty circumferentially, then I prefer the Vanquish.

If it is difficult for you to come once a week for four weeks in a row for an 45 minute long treatment with Vanquish, then you may prefer the CoolSculpting which can be done in one to two treatment sessions.

If you have lots of skin laxity in the abdomen or thighs, I may prefer Vanquish because there is more data to support collagen stimulation from heat than cold.

Both CoolSculpting and Vanquish can be done on the thighs.  CoolSculpting can be done off-label on the arms and chest (man-boobs).  Vanquish can wrap around almost 2/3 of the thigh circumference per treatment where as the CoolSculpting applicators are much smaller.  So if your thighs are large, Vanquish may be better.

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