Body Contouring

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Body Contouring and Fat Reduction with Vanquish ME & BTL Exilis Ultra

Skin Appeal in Tucson offers Body Contouring with Vanquish ME & BTL Exilis Ultra. This is the only technology available to destroy fat with no patient contact and no pain. Vanquish ME uses its large applicator and power to evenly distribute heat directly to the fat in the abdomen, love handles and legs. This is accomplished with a sensation of a heating pad without touching the skin. The 60 minute treatments are scheduled one week apart and usually range from 4-6 treatments to get the desired volume loss and overall contouring. You can reduce the fat on your entire abdomen and love handles at the same time.

  • There is NO incision, cutting, or downtime with Vanquish ME
  • You will only feel a warming sensation, similar to a heating pad.

Vanquish ME Silhouette Treatment

If you want to lose 3-6 inches in your waistline in 4 weeks, then you will want Vanquish ME Silhouette.  Our Silhouette treatment combines 3 highly effective devices to treat the waistline back to front and all the way around for outstanding results. We start with Exilis Ultra to preheat the fat and tighten the skin, followed by Vanquish ME to permanently kill the fat cells and then finish with Zimmer Z-Wave to treat cellulite and extend the effectiveness of the other devices.  For best results, we recommend a package of 4 treatments done at 1 week intervals.  There is no downtime or discomfort with proper hydration. 

Vanquish ME Slender Treatment

Don’t need Vanquish ME Silhouette? Then enjoy the same benefits on one area with our Vanquish ME Slender Treatment.  Common areas are back fat, love handles, thighs and the abdomen. We start with Exilis Ultra to preheat the fat and tighten the skin, followed by Vanquish ME to permanently kill the fat cells and then finish with Zimmer Z-Wave to treat cellulite and extend the effectiveness of the other devices.  For best results, we recommend a package of 4 treatments done at 1 week intervals.  There is no downtime or discomfort with proper hydration. 

Is it safe and pain-free? Are their any side effects?

The Vanquish ME has been clinically proven to be a safe and effective treatment option for permanent fat reduction without touching the patient’s skin. The system’s patented technology creates a high-frequency energy field that targets the fat layer while protecting surrounding skin and muscle tissue. There is no pain or downtime associated with the Vanquish treatments. During the therapy you will feel a mild to moderate heat sensation. Side effects are minimal and include mild redness, warmth, and tissue tenderness.

What is the Vanquish ME procedure and how does Vanquish ME work??

The Vanquish ME system is designed to deliver energy (radiofrequency) to your body to eliminate fat cells.

Am I a candidate for Vanquish ME?

The Vanquish ME is for patients who have areas of unwanted fat. Vanquish ME is not a weight reduction treatment for people who are obese, or is a substitute for surgical methods such as liposuction. Talk to our Skin Appeal staff to see if the procedure is right for you. You will receive a complimentary consult prior to any treatment to assure you are the appropriate candidate.

How long does each treatment last and how many treatments will I need?

You will need 4-6 treatments per area. Each treatment lasts 45-60 minutes.  After Vanquish ME, we will use the  Radial Pulse Therapy of the Zimmer ZWave to maximize your fat loss. In a clinical study it was demonstrated a 64% increase in circumferential reduction with the combined Vanquish ME / ZWave treatment over Vanquish ME alone!

What does it feel like?

You will be positioned comfortably. The device will be placed over the treatment area. As the treatment progresses you will feel a mild to moderate heat sensation. Many patients close their eyes and relax and listen to music.

Can I return to my normal routine after treatments?

Yes, you can return to your normal routine right after your treatment. While patients may experience mild redness and warmth after treatment these side effects last only minutes to hours and have no effect on your daily life.

How quickly will I see results?

You may start to see improvement within a few days after your first treatment. However, you will see the greatest results as early as 2 weeks after your final treatment. You may experience continued improvement as your body rids itself of fat cells, especially as you drink enough water every day during the treatment period.

Is diet and exercise required in order to see results?

No, the treatments are effective without diet or exercise. However, it is encouraged to live a healthier lifestyle. Many patients decide to start eating better and exercise once they’ve received the Vanquish ME treatments so that they can maintain their new physique. If you choose not to exercise, eat a balanced diet and maintain the fat loss, fat may return, but it may return in other areas.

How long do the results last?

“As this is a targeted spot reduction treatment and not a weight loss system, patients should still maintain a health lifestyle. The fat reduction is permanent if the patient does not gain weight. Treatment does not affect patients ability to gain weight. Healthy nutrition and sufficient exercise are always recommended”

—Selective Radiofrequency Therapy as Non-Invasive Approach for Contactless Body Contouring and Circumferential Reduction, March 2014, Journal of Drugs in Dermatology, Katerina Fajokouva MU Dr. Alena Machovcova MD, Meltem Onder MD and Klaus Fritz MD.

What can I expect for results?

At the end of your treatment series you will see and feel a difference of decreased size in your treated area. Many patients are happier with the contour of their treated area. They report that their pants fit looser around the waste and their muffin top has been decreased or eliminated. It really depends on what area has been treated. This treatment is not for weight loss, but for body contouring.

How many times can I have the Vanquish ME procedure?

Vanquish ME treatments can be performed an unlimited number of times on a particular patient. After the recommended treatment period of 4 treatments over 4-6 weeks, there will be differences in how each patient will respond. But each patient will be smaller in the treated area each treatment. You may have the Vanquish ME treatment in the same area for another 4 treatments if more contouring is desired.


The newest technology for skin tightening and fat reduction. Skin Appeal is the first in Tucson to offer this exciting new technology. BTL EXILIS ULTRA™ is the first non-invasive aesthetic device to simultaneously transmit radio frequency and ultrasound energy. By combining two highly effective energies, we can deliver superior results with no downtime or discomfort. This is the ideal solution for shaping, tightening, cellulite reduction, and facial rejuvenation.

What areas can be treated?

Spot reduction for fat with skin tightening. Any area can be treated. Common areas: bra fat, thighs, abdomen, back fat, knees, ankles. Recommend at least 4 treatments, 5-10 days apart per area.

Skin tightening. Any area can be treated. Common areas: around eyes, jawline lift, neck lift , upper arms, thighs, knees, chest, breast lift, butt lift. Recommend at least 4 treatments, 1 month apart.

How many treatments will I need?

For Fat Reduction we recommend at least 4 treatments, 5-10 days apart per area

For skin tightening and lift we recommend at least 4 treatments, 1 month apart

What can I expect during the Exilis Ultra Treatment?

At the time of your appointment, we will review the treatment, expectations, and results. You remove all jewelry. Your weight, measurements, percent body fat, percent hydration and pictures will be taken. The treatment area will be cleansed. Ultrasound gel will be placed. The Exilis Ultra hand piece will be glided over the treatment area for 15-30 minutes. You will feel heat from the tip as it glides.

Is there any downtime afterward?

There is no healing time after treatment. There may be some residual redness for a few hours. On occasion, you may feel a tender area or a lumpy area afterward. These usually resolve within a few days to a few weeks. You may resume normal activity immediately. Remember to stay well hydrated if going to exercise.

How can I get the best results?

Hydration: VERY IMPORTANT status needs to be at least 45% per our scale or treatment cannot be done. To achieve the best hydration, we recommend drinking 100-128oz water daily before and during entire treatment process. Add electrolyte tabs to your water for better hydration.

Diet: Vanquish and Exilis Ultra are not for weight loss but can be a great tool for motivation to lose weight. Patients see the most dramatic results with Vanquish if they are following a healthy diet and exercise plan along with the treatments.

Sculptra Butt Lift and Cellulite Reduction

Lift the buttocks and smooth cellulite with Sculptra injections> Sculptra is a long lasting injectable made from Poly-L-Lactic acid which stiumlates you body’s own collagen production. With this non-invasive treatment, see lifting of the buttocks and smoothing of cellulite after 1-3 treatment sessions. For most of our patients, improvement is noticeable 2 months after the first treatment. Results last 18 months to 2 years. There is minimal downtime with possible bruising.