Body Contouring


Body Treatments at La Casita include:

We are the only practice in San Antonio providing this combination treatment.

We offer Non-Invasive Body Treatments

Even though you are at or near your ideal weight, would you like to reduce stubborn areas of fat? Rather than seeking invasive treatments from a cosmetic surgeon, Dr. Vivian Bucay’s patients have the option of enhancing contours through several completely non-invasive treatments, including CoolSculpting®, Exilis, and Vanquish.


In use in Canada and Europe since 2009, CoolSculpting® is now available in the United States as a non-surgical alternative to liposuction.

The CoolSculpting® treatment takes a new approach to targeted fat reduction. Rather than using heat to literally melt fat, the procedure induces early cell death of fat cells with cold temperature. The process, called cryolipolysis, was developed through scientific research to determine the optimal temperature to freeze fat cells without harm to the skin. Based on these findings, CoolSculpting® technology was created.

During a CoolSculpting® session, performed in our office, a hand held device is placed against the skin in the area to be treated – upper arm, thigh, buttocks, or abdomen. There is no need for anesthesia. The device gently pulls flesh into the cooling chamber. You’ll notice the suction pressure and your skin will feel cold at first, but the process is painless. You relax, nap, read, or work on your computer while fat cells are frozen in about an hour. That’s it! After treatment, the tissue is gently messaged to return it to normal temperature and pliancy, and you go back to your normal activities with no downtime.

Since CoolSculpting® sets off a natural response within the body, results from treatment are not immediately visible. Within about three weeks, you’ll begin to see improvement as fat cells shrink and die. The full effect appears in approximately two months, as your body harmlessly excretes the destroyed fat cells. The process is a gradual one, but natural elimination of fat cells is safe and effective.

What’s the coolest thing about CoolSculpting®? Results are permanent! Once you reach adulthood, your body no longer produces new fat cells, so if you gain weight in the future, it will be in other areas. However, you can maintain your trim new figure with a normal, healthy diet and sensible activity.


EXILIS is another body contouring option developed by BTL Aesthetics, which works a little differently than CoolSculpting®. Instead of cooling the skin, this method uses heat delivered through radio frequency energy. Exilis is delivered with a special device that administers this energy to the skin and helps in shrinking fat cells. Just like CoolSculpting®, this method does not provide immediate results. Instead, gradual improvements occur over time as the fat cells are flushed out of the body and collagen production is stimulated. Exilis can be used on both the face and body to tighten skin, eliminate unwanted areas of fat, and contour the body.


BTL Aesthetics is also the mastermind behind Vanquish ME treatment, another body contouring solution. Vanquish also uses radio frequency energy, but is delivered through a patented device that does not touch the skin. Instead, these panels deliver energy through deep tissue heating via a series of panels that are situated just inches above the skin. Patients notice heating of the skin similar to that delivered through a heating pad and are comfortable throughout their treatment sessions. Vanquish is an FDA approved treatment for heating the tissues and helping in contouring specific areas of the body.


EMSCULPT – the first and only non-invasive buttock lift procedure, with no injections necessary! EMSCULPT is FDA cleared to strengthen, tone, and firm the buttocks as well as reduce fat and build muscle on the abdomen. This provides a safe and completely non-invasive alternative to popular, yet controversial, surgical and injectable procedures.

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