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Body Contouring

SculpSure in San Francisco

Are you looking for a way to lose stubborn fat and sculpt your body without invasive surgical procedures? Try SculpSure®, the first FDA-approved laser procedure for safe, effective fat destruction. SculpSure is the newest generation technology in non-invasive body contouring and gaining in popularity every day. This treatment has a patient satisfaction rate of over 90% .

Contrary to what is typically assumed, losing weight does not mean removing fat cells. During traditional weight loss through diet and exercise, the body’s fat cells shrink but stay in the body. There is no way to do this in a targeted manner, so these weight-loss methods may not result in the fat reduction that we want. Stubborn fat deposits, like the ones often found in the love handles, flanks, and abdomen, resist these methods.

SculpSure before and after

SculpSure, on the other hand, is a way to specifically and permanently remove fat cells from these stubborn areas of the body, resulting in targeted fat reduction. Up to 24% of the fat cells in the treatment area are removed. Once a fat cell is disabled and filtered out of the body through this method, new fat cells do not replace it; this keeps the area slim and fit.

Unlike liposuction or freezing fat, SculpSure is a selective hyperthermic lipolysis process. It will not harm the surrounding tissue. SculpSure uses a 1060 nm wavelength laser, which affects fat cells without injuring the dermis. This treatment is very versatile, thanks to the design of its applicators, and can be used safely on all skin types and in a variety of treatment areas. Contact Dr. Leonard Gray at Bay Area Plastic Surgery, or call our office at 415-434-8858 to learn more.

Fat Cells

Contrary to what is typically assumed, losing weight does not mean removing fat cells. During traditional weight loss through diet and exercise, the body’s fat cells shrink but stay in the body.
There is no way to do this in a targeted manner, so these weight-loss methods may not result in the fat reduction that we want. Stubborn fat deposits, like the ones often found in the love handles, flanks, and abdomen, resist these methods.

SculpSure, on the other hand, is a way to specifically and permanently remove fat cells from these stubborn areas of the body, resulting in targeted fat reduction. Up to 24% of the fat cells in the treatment area are removed. Once a fat cell is disabled and filtered out of the body through this method, new fat cells do not replace it; this keeps the area slim and fit.

Unlike liposuction or freezing fat, SculpSure is a selective hyperthermic lipolysis process. It will not harm the surrounding tissue. SculpSure uses a 1060 nm wavelength laser, which affects fat cells without injuring the dermis. This treatment is very versatile, thanks to the design of its applicators, and can be used safely on all skin types and in a variety of treatment areas.

What To Expect

SculpSure is a convenient process. In only 25 minutes, multiple trouble areas of the body can be treated.
Because SculpSure is non-surgical, no anesthesia will be required for the treatment. Instead, cooling plates are placed on the target area in order to keep the skin cool and comfortable.

The SculpSure applicator then targets the fat region with concentrated heat, bringing the fat cells to a temperature between 42°C and 47°C. This disrupts the unwanted fat cells in a process called controlled hyperthermic lipolysis.

In order to help the results blend naturally, the heat from this process spreads around the applicator slightly. This is known as thermal spread. Freezing fat does not have thermal spread and therefore is prone to “step-offs” and irregularities.

As the SculpSure treatment is occurring, the patient is awake and comfortable. Patients typically feel occasional mild warming and tingling sensations.

Dr. Leonard Gray

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Instilling Beauty
Inspiring Confidence

Dr. Gray is a board-certified plastic surgeon with over 20 years of experience conducting surgical procedures of the breast, body, and face. His emphasis on patient education and attention to detail have made him the top choice for plastic surgery in the Bay Area. Dr. Gray invites you to meet with him for a friendly and informative consultation.

How Many Treatments Will I Need?

Patients will see, on average, 24% fat reduction with just 1 treatment of SculpSure. If more fat reduction is desired, this can be attained with the help of additional sessions. We recommend treating all areas with two sessions of SculpSure.

Post Treatment

Once the patient’s SculpSure treatment is complete, they will be free to return to their normal daily schedule, including their workday. This makes it an ideal procedure for busy professionals on their lunch breaks.

In the months following the treatment, the body is gradually filtering out the disrupted fat cells. As this occurs, patients see a volume reduction in their trouble areas. After six weeks, partial results are often evident but two treatments per area are recommended. After twelve weeks, the removal of the cells is usually complete and the full results are achieved.

SculpSure before and after

SculpSure FAQ

SculpSure is a non-invasive treatment that reduces fat an average of 24% in 25 minutes.

Yes. SculpSure permanently reduces fat by destroying the treated fat cells.

In the studies leading to FDA approval, one SculpSure treatment reduced the treated area an average of 24%.

One SculpSure treatment gives an average of 24% permanent fat reduction.

Yes; the SculpSure has four applicators that are about the size of a loaf of bread when placed side-by-side. The four applicators are the equivalent to one treatment. If someone wants to treat many different areas of the body they can be treated sequentially during the visit. Each four-pack counts as one treatment and takes approximately 25 minutes.

Yes. A patient can do their second SculpSure treatment as early as 6 weeks after the initial treatment. With a second treatment in the same area, the patient can expect an additional 24% fat reduction.

A SculpSure treatment is fast. It takes only 25 minutes. Yes, you could do a SculpSure treatment in your lunch hour.

It takes some time for the destroyed fat cells to be processed by the body and for mild swelling to resolve. Generally, it is thought to take 3 months for your results to be complete. People say, however, that they already notice a difference at 4-6 weeks.

Patients are mildly swollen after a SculpSure treatment. They can still fit into their regular clothing and go right back to working out.

There is absolutely no downtime following a SculpSure treatment. You can go right back to work, the gym, or yoga class. There is no restriction on activity following a SculpSure treatment.

Some patients do experience soreness following a SculpSure treatment, similar to that following a workout.

No, SculpSure does not damage skin, nerves, or muscle. The laser specifically targets fat cells only.

Most patients say they feel warmth, tightness, and a slight tingle during their SculpSure treatment, sometimes with a bit of discomfort but not painful. The energy level of the laser can be adjusted so that the treatment is tolerable. According to the studies leading to the FDA approval, patients were asked to report their level of comfort during the treatment. Patients who reported the end point of tolerable warmth and tightness saw an average of 24% permanent fat reduction. In other words, we want you to feel the treatment, but we don’t want you to be in pain!

Yes, the SculpSure treatment is safe for both lighter and darker skin tones. There are no skin changes. There is no skin injury. SculpSure is safe for all skin types.

It took the Cynosure company 8 years to find and perfect a laser that destroyed fat cells and left all other tissues alone. They found that the 1060 nanometer wavelength laser was perfect for that purpose. This 1060nm laser reacts with fat cells only, heats them, and destroys them. It bypasses skin and muscle cells so there is no damage to the skin or underlying structures. Also, the laser does not penetrate deep enough to even affect the deeper structures.

The fat cells treated with SculpSure are heated. They then go through a process called apoptosis where they gradually die out. The dead cells rupture, leaving a cell membrane and triglycerides which are then absorbed by the lymphatic system. The lymphatic system then processes the cellular waste as it would any type of bodily waste. Staying hydrated helps this process along.

No. Studies have shown no increase in triglyceride levels following a SculpSure treatment.

Your body will not make new fat cells after a SculpSure treatment. The number of fat cells that a person has is set and permanent early in life. Adults don’t make new fat cells. So, your body will not replace the fat cells destroyed by SculpSure.

Yes. If a person takes in too many calories, it causes fat cells to increase in size. If you lose weight, your fat cells shrink. Fat cells do not increase or decrease in number.

SculpSure is the newest and most advanced, FDA approved, non-invasive fat reduction technology available. It surpasses fat freezing in the following ways:

SculpSure is very fast- a treatment takes only 25 minutes

SculpSure is not painful- a treatment is meant to be comfortable and tolerable. Post treatment people are not sore and resume their regular activities immediately.

SculpSure only treats the fat. There is no damage to skin, nerves, or muscle as reported with the freezing technique.

SculpSure is not associated with dents, irregularities, or skin changes as seen with the freezing technique

SculpSure is not associated with long-term chronic nerve pain as seen with the freezing technique

SculpSure is much less expensive than liposuction surgery and has no downtime with minimal risk. SculpSure costs about the same as cryolipolysis (freezing fat) but does not have the complications of denting, irregularities, step-offs, skin damage, pain, or chronic nerve pain.

Yes, SculpSure was FDA approved for permanent fat reduction near the end of 2015. The FDA clearance studies looked at fat reduction of the abdomen, flanks, and hips. They found an average of 24% reduction following one 25 minute treatment, with virtually zero side-effects. The approval process was quicker than expected because of the safety and effectiveness.

Yes; SculpSure was found to tighten the skin during a fat reduction treatment. It may work by tightening the collagen bonds between the skin and underlying muscle. There is no recovery from this skin tightening effect.

SculpSure will have other applicators available in the near future for specific treatment areas such as the submental region, or the area under the chin.

Yes, we have successfully treated many areas of the body with SculpSure and the results have been equally impressive. Areas that we have successfully treated include the upper arms, anterior and lateral chest (especially in men), bra roll area, inner thighs, outer thighs, medial knee, upper knees, and lower legs such as the calves.

Emsculpt in San Francisco

Do you exercise on a regular basis and eat nutritious, balanced meals but struggle to tone your midsection or buttocks? If so, you could be a candidate for Emsculpt®. This nonsurgical body sculpting technology helps patients strengthen and tone their glutes or abdominals in-office using HIFEM (high intensity focused electromagnetic) energy, which offers results comparable to hours spent doing crunches or squats. 

At Bay Area Plastic Surgery, we enjoy helping patients achieve their aesthetic goals in a manner that suits their lifestyle. For many, this means nonsurgical procedures that are designed to provide results without downtime or long recoveries. This is why we are so excited to offer EMSCULPT. Within a 30-minute session, EMSCULPT contracts the muscles surrounding the treatment area about 20,000 times to create a more chiseled appearance. Call our office in San Francisco, CA to learn more about EMSCULPT and how it can improve your self-esteem and help you reach your fitness goals. Schedule a consultation with plastic surgeon Dr. Leonard Gray today.

EMSculpt before and after

Treatment Technique

Emsculpt procedures typically last for about 30 minutes. For those who choose to treat both their abdominal and buttocks areas at the same time, sessions could last longer. During the appointment, you will rest comfortably while the EMSCULPT handpiece is lowered onto your body. As the high-frequency energy begins to work, you will feel the light contracting of your muscles, which will intensify as the treatment continues. Many compare the sensation to that of a vigorous workout. Our team will supervise your session and modify the treatment to ensure you stay relaxed and comfortable. Following your appointment, it will feel like you just completed a tough workout.

What To Expect

Patients may resume their daily activities immediately after the session. Because the treatment is noninvasive, you will not experience any significant side effects, although muscle soreness is common. Over the following week, you may notice continued soreness in the treatment area. Rest assured that this is normal. Patients should avoid targeting the treatment area when working out for a few days after their session. Dr. Gray will develop a treatment plan that includes the number of treatments recommended to achieve your aesthetic goals. However, 2 EMSculpt sessions per week for 2 weeks is the average number of treatments needed for optimum results.” “The buttocks requires a total of 6 treatments.

FAQs: Emsculpt

The cost of your EMSCULPT treatment will include the total number of sessions Dr. Gray recommends to help you achieve your aesthetic goals. This could include multiple sessions. We encourage patients to focus on the end goal of attaining a chiseled and toned physique versus the cost of each individual session. To help you afford your treatment, we accept a number of payment methods and may be able to help you apply for medical financing.

The best candidates for EMSCULPT maintain a healthy diet and exercise routine and are at a stable weight. EMSCULPT is not a weight loss solution and will not provide favorable results for those with high body fat percentages. To learn whether EMSCULPT is a good treatment for you, schedule a consultation at Bay Area Plastic Surgery.

In most cases, patients need up to six sessions to achieve their goal look. Many patients notice mild results after each session. To learn how many sessions are recommended for you, schedule a meeting with Dr. Gray who will assess your body type and aesthetic goals and help create a treatment plan for you.

While many patients notice results after each session, the most dramatic results will not be noticeable for a few weeks while you attend repeat sessions. Additionally, as is the case with any muscle mass, you will need to continue working out and maintain a stable weight to protect and prolong your results.

SmoothShapes in San Francisco, CA

model posing to show posterior

SmoothShapes is a noninvasive procedure offered by San Francisco, CA board-certified cosmetic surgeon, Dr. Leonard Gray. The treatment helps eliminate cellulite, and assists in achieving visible improvement in body shape and skin tone. The treatment utilizes suction and low-level laser energy to massage the tissue, helping move fluid through the lymphatic system, and smooth the appearance of dimples in the skin. It is the perfect treatment for post-op liposuction patients, as well as anyone looking to smooth the thighs, abdomen, or buttocks. The treatment plan consists of 8 sessions, twice a week, for four weeks for beautiful, flawless results.

During & After The Procedure

Through the use of photomology, SmoothShapes uses a combination of laser and light wavelengths to specifically target cellulite. The treatment area will be properly prepped. The 650 NM wavelength will penetrate the fat cell membrane and make it permeable and more accommodating to be effectively removed. Then, the 915 NM wavelength will penetrate deep into the tissue to elevate the temperature, which will liquefy the fat to move it out of the fat cell. Rollers will massage the area and will be combined with suction to move the fat into the lymphatic system to allow the fat to be eliminated from the body. The entire procedure takes around 20 minutes.

After the procedure, a patient will experience no downtime. There might be a slight soreness that should subside within a few hours. No pain medications should be needed. Patients might notice a slight improvement in the treatment area immediately, but full results should be achieved after 8 sessions. Improved skin should be tighter and smoother as a result.

SmoothShapes FAQS

SmoothShapes can be used virtually anywhere on the body to reduce cellulite. The treatment is most commonly used on the abdomen, hips, buttocks, and thighs.

Since SmoothShapes is noninvasive with no needles or incisions, the procedure should be virtually painless. Most patients experience a warm sensation from the laser, and pressure from the massage. The sensations are comparable to a deep tissue massage. Patients might experience slight soreness afterward that should subside soon afterward.

Most patients will need 8 treatments to produce optimal results, which are normally performed twice per week.