Chesapeake Weight Loss has been successfully helping people lose weight since 2011, but sometimes weight loss and exercise are just not enough. Many people are frustrated by stubborn fat in areas like the abdomen, flanks and thighs, and are unhappy with their appearance despite achieving a healthy body weight. Sometimes the saggy skin left behind after weight loss can be equally distressing. People have genetic and hormonal influences that make some areas resistant to weight loss efforts. No amount of exercise will achieve “spot reduction” of these trouble areas, and no amount of weightlifting will lift the skin.
The staff of Chesapeake Weight Loss & Aesthetics have been reluctant to recommend body shaping or contouring devices in the past because of concerns about issues such as ineffectiveness, lack of permanence, pain, small treatment areas, expense, and lack of any available device for patients who still carry some extra weight. Most devices designed to treat localized fat can not be used in patients with a body mass index (BMI) over 30, the obesity threshold. They are recommended for patients at or near their ideal body weight. A company called BTL changed all that with 2 amazing machines: Vanquish ME (used to kill fat cells) and Exilis Ultra 360 (a multipurpose machine with both fat treatment and skin tightening ability).
Vanquish ME, the new Maximal Energy version of the Vanquish Radiofrequency device, is the world’s most advanced system for body shaping and circumferential reduction of abdomen and thighs. It represents the only contactless selective RF technology available, and targets the largest treatment area in a single session. Exilis Ultra 360 requires direct contact and treats smaller areas, but can treat fat and skin laxity.
The Vanquish ME device focuses the energy at a point about 1cm below the skin. Fat preferentially holds the energy by providing more resistance than high water tissues like skin and muscle. The fat is heated to the point of cell death while the skin remains only warm. Then, over the next few weeks the body flushes out the dead cell debris decreasing the fat layer. Most people should plan on 4 weekly treatments and can count on losing an average fat depth of over half a cm, which translates to about 2 inches off the waist circumference. The trunk treatments last 45 minutes, while the thigh treatments are 30 minutes per thigh.
It is important to note that body shaping devices are not a substitute for weight loss and do not improve health. By killing fat cells in one area, they can improve a person’s appearance, but if the weight remains the same, the fat deposits throughout the rest of the body will slightly increase in compensation. If a person has fat reduction treatment with some of the older technologies and then gains weight, this can result in a depression or deformity in the small treatment areas compared to the surrounding areas, creating an unsightly “cobblestone” effect. Fortunately, Vanquish ME (our best machine for large-area fat destruction) has a very large treatment area and a feathering effect at the edges, so that irregularity does not occur, and this is why it can be used on people who are not able to reach that elusive ideal body weight. Exilis is also used in a way which provides a natural gradual decrease in effect at the edges of the treatment area.
Exilis Ultra 360 is the first and only device to simultaneously combine radio-frequency and ultrasound to tighten skin and address body concerns. The smaller head, which provides only skin tightening, is designed primarily for use on the head and neck. The larger head simultaneously cools the skin while beaming energy to the deeper tissues, allowing fat cell destruction without excess skin heat. Changing power and cooling during treatment allows the provider to treat deep tissue all the way up to the superficial layer. This allows maximal comfort while producing excellent results.
Chesapeake Weight Loss & Aesthetics also uses the Cellutone device (targeted acoustic wave technology) to reduce the appearance of cellulite, another common source of frustration for patients. The staff are very excited about the synergism provided by using Cellutone after the Vanquish ME or Exilis Ultra 360 body treatments to increase the number of fat cells that are destroyed and to smooth the texture of the soft tissue in the area. Cellutone improves the Vanquish ME and Exilis Ultra 360 results so significantly that the doctors have decided to add it FREE to every appropriate treatment, so no one misses out on this benefit. Other practices may not offer this important adjunctive treatment or may charge extra.
The providers at CWL feel that body contouring is the perfect addition to their practice since weight loss alone does not always result in a patient-pleasing body shape. When patients work really hard to achieve weight loss and health, but remain unhappy about their body shape, they may be tempted to slack off or give up. Body shaping rewards their efforts and motivates them to keep up the healthy habits.
The providers do caution that while non-invasive body sculpting is generally the best option for people who have always maintained a healthy weight, it is not best for everyone. Plastic surgery is often the very best option after massive weight loss. Unfortunately, all surgery results in pain and scars, and carries some risk of complications. Plastic surgery is also quite a bit more expensive than non-invasive body shaping, so some patients may still choose the non-invasive option. Dr. Chastanet also notes that Vanquish ME is specifically designed to treat fat deposits, and although it may also tighten skin a little, the Exilis Ultra 360 is better for tightening skin, and not as good at decreasing the circumference of the abdomen or thighs. Many patients may benefit from a combination of the two technologies. Chesapeake Weight Loss provides a free initial consultation about non-invasive body shaping to help patients decide what is best for them.
It is important to note that these technologies (Radiofrequency alone or combined with Ultrasound) can not be used on anyone who has an electronic implant such as a pacemaker, or is pregnant, dehydrated or ill, or who has metal implants such as a joint replacement or copper IUD anywhere near the treatment area. Feel free to ask about anything concerning you at your free consultation.
Vanquish ME, as a radiofrequency (RF) heating device, and Exilis Ultra 360, which uses RF and ultrasound to heat, also do not cause the rare but important side effect that can occur with freezing devices such as Cool Sculpt, called paradoxical adipose hyperplasia, a reactionary enlargement of the treated fat.