It’s hard to miss these days. New treatments and procedures claiming to blast fat and smooth skin enter the market regularly, offering up the exciting possibility of a contoured, toned body. At a certain time of life in particular, women, even those who are diehard spin or yoga enthusiasts, find weight collecting anywhere from the back, arms, abdomen, hips, thighs and derrière to the dreaded midsection. Frustrated, they seek solutions, but which ones deliver and how safe are they?

The Skinny on the Newest Slim Down Treatments

What is driving women’s decisions to try these treatments and how have attitudes changed from a decade ago?

The Skinny on the Newest Slim Down TreatmentsTen years ago, women would want to emulate  celebrities who were working with highly effective fitness trainers. Today, both women and men are looking at random “hot bodies” in their Instagram feed, looking fabulous in a swimsuit, and want to look like that person. There’s no doubt about it. Social media bombards people with images, and they feel if these people aren’t well-known celebrities and look great, then they can too.

What are the most common frustrations when it comes to achieving their desired look?

Most people try their best to work out, watch what they eat and do what they can to take care of themselves, especially as they age. They notice, though, that after pregnancies, and hormonal and metabolism shifts that happen with age, gravity is winning. While men notice more fat around the waist and “breasts”, women notice cellulite dimples in their thighs and buttocks, bra rolls, extra fat at the waist—despite maintaining their diet and exercise routines. How depressing is that?

The hard fact is: A workout routine at 45 will not yield the same results as 35; it becomes frustrating. Collagen production typically falls off a cliff at a certain point in the early 50s; this means treatments need to treat both fat deposits and skin tightening.

What is most important to know about slim down treatments? 

First and foremost, it’s very important to approach any procedure with the facts and a realistic expectation of what’s achievable, and required. Some women think they just will be magically transformed in just a few hours. In some cases, results are immediate, and in other cases, healing can take up to 2 to 3 months.

Now let’s explore these treatments. What’s the best one out there to deal with cellulite? It seems like most women struggle with cellulite.

The Skinny on the Newest Slim Down TreatmentsCellulite is a very common issue women want a solution for, and fast. Cellulaze is a treatment that safely and effectively treats cellulite under local anesthesia with initial results appearing in one to four weeks, with significant results due to thickening collagen by four months. The 2-hour treatment involves an injection of a local anesthetic and wetting solution onto the cellulite, which is then zapped with a laser. This unique side-cutting laser removes the contracted fibrous bands responsible for the cellulite. Finally, the subdermal region is treated for increased collagen production. The result is tight, smooth, supple skin where the cellulite once was. Many women opt to get Cellulaze along with liposuction to address several concerns at once.

Now let’s talk about liposuction. How has that treatment changed?

There have been significant improvements over the years. Now, we have a much more precise method called Vaser Hi-Def LipoSculpture. This method is liposuction, but with techniques and tools that precisely suction out localized fat deposits from various parts of the body. This technique is used effectively, for example, in “sculpting” the washboard abs so desired by many. The fat that is harvested can then be used to fill out other areas of the body.

The differentiating factor between Vaser Lipo and traditional Liposuction is the preliminary step taken to break down the fat: ultrasound frequencies. The acronym Vaser stands for Vibration Amplification of Sound Energy at Resonance.

The vibrations emitted cause expansion and contraction of air bubbles located in tumescent fluid which is ejected from the Vaser Lipo instrument. The procedure is tissue-selective, targeting fat while protecting other tissues from damage. This means eight times less blood loss, easier fat removal, stimulated skin elasticity, less bruising and a tiny incision. Through this process, the fat that is collected is separated to use for fat injections in other areas. The surgeon has the ability to truly sculpt the body.

What about people who have 20-50 pounds to lose, but not enough weight for gastric bypass surgery?

I had weight loss surgery and it saved my life!

These patients can be considered for the Balloon Weight Loss Method. An ideal candidate for this procedure has a body mass index of 30 to 40 and did not had previous weight loss surgery. Patients diagnosed with bulimia, binge eating, compulsive overeating, high liquid calorie intake habits or similar eating related psychological disorders are not good candidates.

This non-surgical outpatient procedure begins with a diagnostic endoscopy, to ensure that there are no contraindications and that it is safe to perform. Once the patient is mildly sedated and comfortable, the procedure can begin. The deflated gastric balloon is inserted through the esophagus and into the stomach. A syringe is then used to fill the balloon with a sterile saline solution. Once the weight loss balloon has been filled with saline, it expands to approximately the size of a grapefruit and remains there for 6 months.

The entire procedure takes about 20 minutes. Patients can usually return home after the placement or removal procedures within 30 minutes. Over the last 20 years, this procedure has helped over 277,000 people. The gastric balloon encourages portion control while patients make healthy changes to diet and lifestyle. After six months, the balloon is then removed.

Regardless of which treatment you choose, it’s important to do your research by speaking to doctors and understanding the instruments used, the process and what’s needed for an optimal recovery and result.

Dr. Poulos is a Board Certified Plastic Surgeon and Co-Founder with Yngvar Hvistendahl, M.D of Plastic Surgery Specialists recognized as one of the premier aesthetic surgery clinics in Northern California.


About the author

Randi Chapnik Myers

Randi Chapnik Myers is Co-Founder and Content Editor of, the only lifestyle site by women 35+ for women 35+. A journalist, blogger, editor and marketer, she specializes in custom content creation for publications, companies, brands and authors at Proud to call herself a social media addict, Randi is never far from a screen—even when she's out hunting for designer bargains.

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