Art of Skin MD is the FIRST dermatology practice in San Diego to provide Vanquish to patients. Art of Skin MD Director Dr. Melanie Palm is one of a few elite group of physicians nationwide to unveil this non-invasive, no pain approach to eliminate unwanted fat of the abdomen, flanks, upper back, arms and bra line. Dr. Palm is one of only three physicians in California to offer this device for non-invasive body contouring.
What is Vanquish?
Vanquish is the first non-invasive, non-contact, no pain, no downtime device used to eliminate unwanted fat. Vanquish is FDA-approved for deep tissue heating. Vanquish uses high frequency radiofrequency to gently warm the fat layer of the abdomen, creating heat damage that kills unwanted fat cells.
How does Vanquish work?
Vanquish uses radiofrequency energy in an adjustable panel that hovers over the targeted area of unwanted fat. Radiofrequency energy from the Vanquish device is specially tuned to target fat cells. The energy passes easily through the skin but has a harder time getting through the fat. The energy collection in the fat causes heating of adipocytes (fat cells), leading to thermal damage that causes a natural, controlled form of cell death termed "apoptosis." The elimination of fat cells leads to a decreased thickness of the fat layer in the area of Vanquish treatment.
Who is a good candidate for Vanquish?
Adults in good shape with areas of unwanted fat that do not want to undergo surgery are ideal candidates for Vanquish. Good candidates are already physically active and adhere to a healthy diet.read more
What is radiofrequency?
Radiofrequency is a special form of electricity. Radiofrequency is used extensively in dermatology and cosmetic surgery to target certain layers of the skin to help with skin tightening, collagen regeneration, and now deep tissue heating and fat elimination.
What areas of the body can be treated with Vanquish?
Treatment with Vanquish is intended to "Conquer Your Core" - the treatment panel fits over the abdomen and flanks to reduce the size of the tummy and love handles (flanks). However, the panel can also be adjusted to treat the back of the waist to eliminate an unwanted muffin top. It is likely that the back of the bra line and outer thighs are amenable to treatment. In the future, it is likely that new applicators for the Vanquish will allow treatment of the arms and inner thighs.
What does Vanquish feel like? Does Vanquish hurt?
There is a mild, gentle warming sensation during treatment that is similar to having a heating pad placed in the area of treatment. Vanquish is not painful, and the patient's comfort level is monitored during Vanquish treatment.
How should I prepare for Vanquish treatment?
All metal jewelry should be removed from the treatment area.
In the 1-2 days prior to treatment, patients are requested to stay well hydrated. Patients should continue to drink appropriate amounts of water through the treatment day and even the day afterwards. Water helps to hydrate the skin. This allows the radiofrequency energy from Vanquish to travel easily through the skin and target the fat layer more effectively.
Patients should avoid dehydrating activities in the couple of days prior to treatment. This would include high-intensity, high-perspiration activities such as extensive aerobics, physical training, or hot yoga. Patients should also avoid excessive alcohol intake prior to Vanquish as this can have a dehydrating effect on the body.
How long is a treatment session? How many treatments will I need?
A Vanquish treatment session lasts 30 - 45 minutes. Clinical studies on Vanquish were based on a total of four weekly sessions. Individual results may vary and some patients may require more treatments or wish to undergo additional series of treatments to target additional areas of the body.
What should I expect immediately after Vanquish treatment?
The skin in the area of the treatment will be warm to touch as the core fat has reached an approximate temperature of 120 degrees Farenheit and the skin approximately 100 degrees Farenheit. The skin remains warm and slightly pink for a period of minutes to a couple of hours following Vanquish treatment. Temporary swelling is also possible in the area of treatment and resolves within a few hours.
Our experience at Art of Skin MD has been that some patients may experience mild thirst or fatigue following treatment. Symptoms are not significant enough to interfere with return to work or daily activities.
How long does it take to see results following Vanquish?
Based on clinical studies in Europe, patients may report an improvement in their waistline as soon as 2 weeks following the last (fourth) treatment with Vanquish.
What should I expect following Vanquish treatment?
According to clinical studies, patients experienced approximately 2 inches of fat loss off their waist circumference. Individual results will vary. Some patients may experience mild weight loss, although this does not always occur.
Animal studies using Vanquish demonstrated a 60% reduction in fat in the areas of treatment. Human studies are currently underway to measure the decrease in fat thickness using ultrasound measurements.
What happens to fat cells after they are treated by Vanquish?
Fat cells that undergo apoptosis (the natural form of cell death) are broken down by our own body's scavenger cells, filtered through the lymphatic system, metabolized by the liver, and finally eliminated from the body, primarily through urine.
Who is a poor candidate for Vanquish? Are there contraindications?
Individuals with a metal or implantable device should not be treated with Vanquish. Women who are pregnant or breast feeding cannot undergo treatment with Vanquish.
Is Vanquish safe? Are there any side effects from Vanquish treatment?
Yes, Vanquish is safe for deep tissue indicating as validated by animal and human studies.
There are very few side effects from Vanquish treatment. A "hot spot" may occur if Vanquish is positioned too close to a bony area of the body. This is remedied by repositioning the Vanquish panel around the body.
During treatment, patient's skin may warm causing light perspiration that can attract heat, leading to an increased warmth sensation. To avoid this or the opportunity for a skin burn, the individual is monitored during treatment and excess sweat is removed mid-way through Vanquish treatment.
Can Vanquish hurt my skin or internal organs?
Vanquish is very safe and has built-in safety measures to ensure patient comfort and health during treatment. The high frequency nature of the device preferentially targets fat. Skin, sweat glands, hair follicles, muscle, and internal organs are not affected by treatment, as proven by clinical studies of the Vanquish device.
If the skin accumulates moisture during treatment, or if the Vanquish panels are positioned too close to an underlying bone, the patient could feel a "hot spot" on the skin. The panel is simply repositioned and perspiration on the skin is removed by the operator if needed to ensure that treatment is comfortable.
A safety cord is provided to the patient during treatment, and if discomfort is experienced, treatment can be stopped through this device. Furthermore, there are automatic shut off mechanisms built into the device. The Vanquish device continually adjusts the level of energy delivered to the tissues through feedback mechanisms and monitoring of the tissues.
How does Vanquish compare to other methods of fat reduction such as liposuction or CoolSculpting?
Vanquish is intended for individuals close to their ideal body weight that struggle with stubborn areas of fat deposition, resistant to dietary and exercise measures. It is not a substitute for liposuction, which allows a greater volume of fat removal. However, for some patients that are not candidates for surgery or who do not wish to undergo surgery, Vanquish may be an good treatment option.
Cryolipolysis, often termed "CoolSculpting" by Zeltiq, is a method of non-invasive fat removal that freezes fat, causes fat death and elimination. Like Vanquish, CoolSculpting is noninvasive and can reduce unwanted fat. However, cryolipolysis is a form of spot treatment for fat reduction. Larger areas such as the abdomen often require multiple applications, each session lasting 1 hour. The fat during treatment is frozen, and must be massaged afterwards, as it feels like a frozen stick of butter after treatment. In a minority of cases, cryolipolysis can cause significant discomfort following treatment, requiring pain medication after treatment. Additionally, cryolipolysis is somewhat technique-dependent. Multiple applicators to treat a large area such as the abdomen must be stacked and overlapped to avoid irregularities following treatment.
Is fat loss permanent following Vanquish treatment?
Yes, as Vanquish causes apoptosis (cell death) of fat cells, affected cells are permanently eliminated. So long as weight and diet are maintained, the results following Vanquish are likely to be permanent.
What happens if I gain weight following Vanquish treatment?
Diet and exercise maintenance are encouraged following Vanquish treatment. An increase in weight will allow fat stores to accumulate. This may occur disproportionately in areas untreated by Vanquish.
How much does Vanquish cost?
Costs vary by the number of Vanquish sessions completed. Vanquish is priced competitively with other non-invasive fat reduction and body contouring devices. Generally speaking, each 30-minute session is priced between $500-$800. This makes Vanquish an affordable, no-downtime option for non-invasive fat removal.