Skin Deep

Fat-melting treatment can work for some

In the past, liposuction was the only way to win the battle against stubborn fat, but that all changed when non-invasive fat-melting treatments began to hit the market a few years ago. Based on the data I’ve seen, UltraShape and Liposonix appear to be the most effective, and both of these treatments permanently destroy fat cells that are resistant to a healthy diet and exercise.

UltraShape requires a series of treatments and Liposonix works after just one. I’ve also found that combining the two yields the most dramatic results. Both of these treatments use ultrasound, which literally vibrates the fat cells until they burst. Then the body naturally expels the remains of the cells. Liposonix recently introduced a new treatment protocol, so although it was uncomfortable when it first came out, now it’s relatively painless.

One of my patients was willing to share her UltraShape journey:

First treatment

The first order of business was determining whether I was a candidate for UltraShape. Since I was able to pinch (more than) an inch on my stomach, I was! Then I had “before” pictures taken, was weighed and the circumference of my stomach was measured. To prepare for the treatment, surgical tape was used to smush all of my fat together, and stickers were placed around it so the machine would know where to target.

The actual treatment itself was relaxing. I didn’t feel anything except a little warmth in certain areas. Once I was untaped and cleaned up (similar to a sonogram, gel is used to help the hand piece glide over the skin), I was given my instructions: No alcohol for 72 hours (to help my liver process the destroyed fat cells), keep my diet high in protein and vegetables and low on the carbs and fat. She also recommended a skin-tightening lotion (I used SkinCeuticals Body Tightening Concentrate), and said a waist-trainer would help (I got Amia’s Active Band Waist Trainer from Finally, I made my next appointment for two weeks later.

Second treatment

My second appointment was the same as the first, minus the photos and measurements. I was asked if I noticed a difference and I said I wasn’t really sure—but I definitely saw results four days after the second treatment. I was shocked at how flat my stomach was!

Third treatment

This appointment was just like the others, and I continued to see results. My pants were definitely looser around the waist and I could literally feel the difference in my stomach when sitting.

My final appointment

One month after my final treatment, I went back for my “after” photos and measurements. It turns out I lost one inch, and although that doesn’t sound like much, it really has made a big difference in how my clothes fit and more importantly, how I feel about myself. I’m really motivated to maintain the results because if I don’t watch my diet, the fat will go somewhere else (like my hips or thighs).

Anyone interested in UltraShape needs to know that this isn’t a means of weight loss. This treatment is ideal for people who eat healthy and exercise, and still have stubborn fat.

This patient is just one of the many women and men who are happy with their UltraShape outcomes, but keep in mind that it’s not one-size-fits-all. Any treatment approach for unwanted fat should be tailored to your concerns and goals.

Dr. Leslie Baumann is a board-certified dermatologist, New York Times best-selling author and CEO of Baumann Cosmetic & Research Institute in Miami.