Body Contouring

Body Contouring


The truSculpt iD device is a monopolar RF system designed for the reduction of unwanted excess fat pockets or bulges. It has been shown to destroy adipose cells with an average of 24% fat thickness reduction.iv Configured for hands-free operation, it is comprised of 6 hands-free and 2 hand-held RF handpieces connected to a console which enables electric current to flow between a single electrode and a grounding point. The temperature-controlled handpieces allow for deep volumetric heating of the tissue without damaging the epidermis by maintaining the skin surface temperature between 43°C and 44.5°C, while heating the adipose tissue to between 47°C and 48°C.

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The truSculpt flex is a direct bio-electric current muscle stimulation device intended to improve muscle tone, strengthen and develop firmer muscles of the abdomen, buttocks, and thighs by contracting muscles rhythmically, and increasing stimulating metabolism.v By providing equal distribution of up to 30 mA of electrical current between the handpieces, specific, targeted muscles can be stimulated directly. Changing polarity of the electrodes allows for different types of torsional contractions of the muscles. Equipped with a touch screen LCD user interface, four core electrode cables, and sixteen handpieces, the device can simultaneously treat up to eight areas at varying intensities using specialized treatment modes.

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Reshaping the Future of Body Contouring via Fat Reduction and Muscle Sculpting

By Cindy Papp, Contributing Editor
Before and 12 weeks after six truSculpt flex
treatments and one truSculpt iD treatment

The next evolution in non-invasive body sculpting has arrived via the pairing of truSculpt iD and truSculpt flex from Cutera (Brisbane, Calif.). These technologies have given physicians an unprecedented means to serve the patient’s desire for non-invasive body shaping, while increasing their ROI.

Using truSculpt iD’s hands-free solution with monopolar RF to permanently destroy fat cells, and the multi-directional stimulation (MDS) of truSculpt flex, patients will see sculpting and muscle tone improvement in as little as 12 weeks, with no downtime.

The truSculpt iD RF device has been cleared by the FDA for lipolysis. It treats adipose tissue with an impressive 24% average reduction in fat thickness. The truSculpt flex uses a bio-electric current muscle stimulation technology to tone and strengthen muscles in as little as four treatments.

According to Neil S. Sadick, MD, a dermatologist in New York City, N.Y., this is a combination that works. “The most important benefit of these devices working together is that you obtain non-invasive fat removal in addition to increased muscle definition. The results of using the two technologies together appear to be synergistic,” he said.

Patient response has been excellent,” he added. “They have an improved image of themselves, they feel that their bodies are more in line with the youthful years of their life, and they feel the outcomes are lasting more than other therapies, especially those patients who have had treatments with competitive technologies.

Arash Moradzadeh, MD, of AM Facial Plastics in Beverly Hills, Calif., loves pairing truSculpt iD with truSculpt flex. “My patients are seeing accelerated fat loss, combined with a substantial increase in muscle strength and definition in treatment areas,” he reported. “A big bonus with the truSculpt flex treatment is the increase in your basal metabolic rate. This means your metabolism is elevated, creating an optimal environment to improve your body shape.

The truSculpt iD is configured for hands free operation, using volumetric heating to raise adipose tissue temperature from 46° C to 48° C for apoptosis of subcutaneous fat, while maintaining a skin surface temperature of 43° C to 44.5° C.

Muscles are toned with the truSculpt flex, which incorporates three levels of direct bio-electric current muscle stimulation: Prep to warm and stretch muscles, Tone to increase strength and endurance, and Sculpt to build new muscle fibers.

Amy Taub, MD, founder of Advanced Dermatology in Chicago, Ill., has found the benefits for patients are evident. “My patients have reported much better fit in their clothes. And, a renewed dedication to eating healthy and exercise,” she noted. “Many of them report that they no longer have any back pain and they find their posture improving. All feel quite rejuvenated.

So, what does the future hold for this dynamic duo of body sculpting? Dr. Taub believes it lies in maintenance. “Many seek to maintain their correction, so we are now recommending one treatment with the truSculpt flex every three months. However, we are open to doing it more often (some patients want to do it once a month, because they love the way it makes them feel).”


Patients receive 1 treatment with the truSculpt iD radiofrequency 2 MHhz device for reduction of abdominal fat. Then 3 months after their initial treatment, a subset of those patients were treated with the truSculpt flex for muscle toning. Each patient received 2 truSculpt flex treatments on each of the Prep, Tone and Sculpt modes, working up to exceed 40 to 50% intensity. Results were assessed with digital photos at baseline, 12 weeks following the truSculpt iD treatment and again 1 month after the last treatment with truSculpt flex. Treatment parameters are presented in Table 1.

Table 1. Device Parameters and Settings


In 10 subjects evaluated, fat reduction ranged between 23% and 24% following a single truSculpt iD treatment. The following images show two example patients who underwent both the truSculpt iD and truSculpt flex procedures.


Using truSculpt iD and truSculpt flex paired together enhances body sculpting results by targeting fat deposits as well as increasing musculature. Patients experienced added benefits by receiving truSculpt iD and truSculpt flex treatments in conjunction with each other. This novel protocol has the potential to improve targeted body shaping desired by a growing number of patients.

trusculpt id and flex results