Real Treatment Insight: Does truSculpt iD work?

Updated: Oct 7

Does truSculpt iD body sculpting work? That is the million dollar question! For starters, there are numerous body sculpting treatments on the market. You have probably come across numerous options to include iLipo, cavitation, radio frequency, cavi-lipo, photonic laser body contouring, Zerona, VelaShape, endermologie, ultrasonic lipo, lipo laser, SculpSure, Emsculpt… the list goes on and on. It is no wonder there is misconception and confusion about what works and what does not work.


The main thing with most non-invasive fat reduction treatments is that nearly all of them require multiple treatments to see results, and beyond that, generally require continued maintenance. That is the simple truth about non-invasive body sculpting. In general, a single session of any number of non-invasive body sculpting procedures is usually not enough to dramatically transform or correct a problem.


Of course, some machines are more technologically advanced and more powerful than others and provide noticeable results more quickly--and more fat-reduction in per session. With all the marketing jargon and varying devices on the market, it can be hard to know which device is the best. Currently, the two most well-known body sculpting fat-reduction devices on the market are CoolSculpting and Cutera truSculpt id.

Cutera truSculpt id

The most obvious difference between the two is that CoolSculpting uses cold fat-freezing technology to freeze fat and Cutera truSculpt id uses Monopolar RF technology to selectively target fat and therapeutically heat it. Both are powerful, but beyond that, unless you have tried both treatments or talked to experts, it can be hard to know which is better.


So, we did some research and found that while CoolSculpting has been around for longer, it seems to produce inconsistent results. One of the main issues with CoolSculpting is the risk of paradoxical adipose hyperplasia (PAH), which is an occurrence where the fat cells in the treatment site grow larger rather than smaller. If this happens, the issue cannot be resolved on its own and requires liposuction. Additionally, some patients experience post-procedure pain, itching, swelling, stinging, and more. Finally, a post-treatment massage is critical because otherwise lumps can form in the treated areas. What can happen during treatment is the area can sometimes expand and harden in response to the extreme cold resulting in the formation of hardened lumps. With this in mind, CoolSculpting seems both risky and counter-intuitive in terms of the way the body metabolizes fat in the sense that we typically aim to burn fat through workout, sweat, and heat.


Armed with new knowledge, we wanted some real insight about the powerful fat-reducing technology behind Cutera truSculpt id and caught up with Dr. Rob Rosenbaum of Janus Medical Spa to get his expert advice. Certainly, he is a leading provider at APMI Wellness Center, but he is also an evidence-based practitioner and invested in Cutera truSculpt id based on extensive research. Before we discuss Cutera truSculpt id, a little bit about Dr. Rosenbaum and Janus Medical Spa.


About Janus Medical Spa

Dr. Robert Rosenbaum of Janus Medical Spa

Dr. Rosenbaum is a board certified neurosurgeon who volunteers his service at Walter Reed National Military Medical Center in Bethesda, MD. He is well respected in the profession and community and has spent the last 25 years developing a passion for patient centered, safety focused multimodal health care. His commitment to integrated and complimentary medicine in the healing process was the driving force behind joining AMPI Wellness Center. Dr. Rosenbaum has a passion for providing services that are reparative and transformative and, upon retirement, found a natural transition into esthetics with Janus Medical Spa. He explains, “I have always had a passion for fixing things, and I love being able to work with patients to improve the things that bother them. I believe in the capability of our machines and find a great deal of reward in giving our clients new confidence.” Janus Medical Spa provides medical, cosmetic, and laser services to patients within the greater Washington, DC area and boasts an exceptional team led by Dr. Rosenbaum, MD.


About Cutera truSculpt id

Okay, so let us get real about Cutera truSculpt id body sculpting. It carries a bit of price tag, so does it actually work? Yes, Cutera truSculpt id legitimately produces, on average, 24 percent volume loss (not weight loss) over the course of 12 weeks post-treatment. truSculpt iD uses innovative Monopolar RF technology to selectively target fat and therapeutically heat it--until fat cells are eliminated by passing through the body naturally. Clinical studies resulted in an average of 24 percent fat reduction. Of course that is an average, but nevertheless is a good amount of fat loss. Additionally, the most appealing factors about Cutera truSculpt id are that it only takes 15 minutes, is painless, and requires no-downtime. truSculpt id is known as an easy “lunch-time” treatment because it can be done during your lunch hour!


During my meeting with Dr. Rosenbaum, he explained that post-treatment dietary care is important following a truSculpt id session. “If your diet does not change and you take in more calories than you expend, then the volume will eventually return.” Additionally, it is known issue that some patients may eat more carelessly following their treatment because they expect that the procedure has taken care of all their extra fat and therefore may eat more liberally. With this procedure, volume loss occurs gradually over a 12 week period and for the best results patients should manage their caloric intake and continue their regular workout regime.


Insight about the truSculpt id treatment process

Dr. Rosenbaum was kind enough to walk us through the treatment process from start to finish for the purposes of writing this article. When I arrived to meet Dr. Rosenbaum he led me to the consultation room so we could get a good look at my problem areas. I explained to him that I make strong efforts to maintain a healthy diet and that I work out regularly. However, at age 40 I find myself struggling with pockets of cellulite that I seemingly cannot get rid of. Frankly, some areas have been there for years either because of pregnancy, less optimal eating habits in my youth, or simply genetics. Whatever the reason, the fact remains that the cellulite is there and I cannot get rid of it. Dr. Rosenbaum talked to me about my diet and regime and told me he wanted me to make a stronger effort to get about 55 grams of protein in my diet per day and to also include some workout training that entails reaching muscular failure. Given my existing focus on health, I knew incorporating these changes would be reasonable and agreed to do so.


Next, it was time to just get over my insecurity and show him the problem, and, in turn, show you, the reader, my problem. The pictures below clearly reveal the problems. Below you can see my bulges, cellulite, loose skin, and stretch marks! Admittedly, I cannot help but feel insecure about these photos, but, all I can do at this point is try and improve the situation.


truSculpt iD body sculpting real before pictures

The first thing to understand about my situation is that I have numerous issues and one session of body sculpting is not going to fix everything in one shot. The main problem to address right now though is the stubborn cellulite--and then beyond that I will have to deal with the sagging skin and stretch marks.


After carefully measuring and marking my treatment areas I was ready to move to the treatment room. "The good news" said Dr. Rosenbaum is that truSculpt iD will work to reduce about 24% of the volume in the areas marked in white, and will also have a minor skin tightening effect." "However, realistically," he said, "we will want to see about utilizing our XEO 2D laser skin resurfacing device to address the sagging skin and stretch marks once the desired volume loss is achieved."


While it was hard to face my biggest insecurity, I felt better knowing that I could do something about it--without going under the knife. And now, it was treatment time!

The truSculpt id treatment


With my freshly marked up stomach and flanks, Dr. Rosenbaum directed me to the body sculpting treatment room, which is comfortable and posh, and overlooks downtown Chevy Chase.

Janus Medical Spa Body Sculpting Treatment Room

My treatment that day required six paddles: one on each flank, two on my upper abdomen and two on my lower abdomen. Additionally, because truSculpt iD uses innovative Monopolar RF technology to selectively target fat and therapeutically heat it, a grounding control is used (which are just sticky applicators applied to your back). Once the grounding stickers were positioned, I laid down and then Dr. Rosenbaum began the process of applying the paddles to the areas he marked during our consultation.

truSculpt iD body sculpting paddle application

truSculpt iD body sculpting paddle application

You will notice in the photos that there is a clear wrap around my waist. That is simply a stretchy clear wrap that helps to tightly secure the paddles in place and keep them from moving around during the treatment.


I knew the treatment would be warm, but beyond that I did not really know what to expect. I assumed it would get pretty hot! Dr. Rosenbaum configured the machine, confirmed the grounding was enabled while at the same time explaining that grounding is a preset safety measure built-in to the machine. Then he offered me blanket, which I took! Then it was time to start.


The treatment started and the paddles gradually began warming. After about 5 minutes the paddles definitely started getting hotter, but the heat rotated so that one area was never too hot. As the paddles worked their magic Dr. Rosenbaum explained that he is a real fan of the machine--and so is his wife! "She loves it" he said. I could not help but feel excited!


In the last 5 minutes the paddles were definitely generating heat, but I was tolerating it just fine. If it had become too hot for me, all I had to do was press a button and the device would safely stop. I personally did not have a problem with the heat, but I am sure everyone has different tolerance levels.

Before I knew it the treatment was done. My fifteen minutes was no problem at all. It really was a lunch-time treatment! After Dr. Rosenbaum removed the wrap, paddles, and grounding applicators, and then I looked at my stomach. It was red from the heat, but that was it. I pulled my shirt down and was on my way. On the way out, Dr. Rosenbaum explained that I could resume all my normal activities and that the redness would likely be gone later that afternoon--next day at the latest.


In the days to follow I felt like my stomach was a bit flatter. A week later I told Dr. Rosenbaum that I was already seeing a difference! He smiled and reminded me that it takes up to 12 weeks to see the full results because it takes time for the burst fat cells to pass through the lymphatic system. I knew that already but in my case, there was some slight improvement fairly quickly and I hoped more was yet to come. I also continued my workout routine in the days to follow and maintained my diet.


Additionally, following my treatment I included Whole Body Cryotherapy at Capital Cryo as part of my regular regime. I incorporated cryo once or twice a week depending on my schedule to help with my blood flow, work-out recoveries, and general well-being.


About Whole Body Cryotherapy


Whole Body Cryotherapy takes about 3 minutes! Essentially, you stand in a safe, nitrogen gas cryotherapy chamber, which exposes your body to extremely low temperatures. As a reaction to this sudden drop in temperature, your cold receptors (a kind of survival mechanism) are activated, endorphins are released, and oxygen-rich blood starts circulating, helping your body to recover and rejuvenate itself naturally.


Meanwhile, I am due back in a few weeks and will post updates about where we stand 12 weeks post-treatment. Stay tuned for updates!


If you would like to learn more about APMI Wellness Center, please visit our About Us page. Also be sure to learn more about Janus Medical Spa and body sculpting at APMI Wellness Center by visiting our Body Sculpting page Finally, follow APMI Wellness Center and Janus Medical Spa on Facebook @apmiwellnesscenter and @janusmedicalspa and Instagram at @apmiwellnesscenter for updates, tips, ideas and more.

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