There’s a lot being said about fat reduction, and I’m happy to weigh in

fat reduction san antonio tx |Cool Sculpting Texas | Dr. Vivian Bucay Seems like every day more and more methods for non-surgically destroying fat cells are entering the market and making headlines. And I recently offered my views for publication on the technology that I prefer to use for my patients, and why. In case you missed it, here’s some of what I had to say in the recent publication:

The options I recommend

I offer my patients multiple fat-reduction options in order to customize a plan for you — rather than using a “one-and-only tool” on every patient and every trouble spot. I use:

  • CoolSculpting
  • Vanquish
  • UltraShape

Each offers a distinct advantage depending on your needs and medical history.

It’s important to work with a medical doctor for these procedures

In the article I emphasized that a doctor would know, for example, that people who have pacemakers can’t have radiofrequency treatments, so Vanquish wouldn’t be an option; those with abdominal hernias can’t have CoolSculpting due to the use of vacuum suction.

What’ s the right procedure for you?

If you want to avoid bruising, I will recommend Vanquish or UltraShape over CoolSculpting. And I often use two devices within the same procedure, hitting larger areas with Vanquish first, and then fine-tuning with CoolSculpting. I believe that the more options, the better the results.

Vanquish your fat

This device hovers above the body, emitting multipolar radiofrequency energy to heat and destroy fat in the abdomen, flanks, upper back and thighs. It also has a special “flex applicator” for treating inner and outer thighs. I find that most patients need a series of four to six sessions, every 10 to 14 days. The only side effect is mild pinkness.

UltraShape is a milder alternative

It uses pulsed ultrasound to painlessly kill fat using far less heat. Quick bursts of ultrasound waves mechanically stress the fat cells by causing them to move rapidly against each other, inducing damage and destroying them. A series of three treatments, spaced two weeks apart, can give you a two-inch reduction in the abdomen, with no bruising or tenderness.

Let me answer your questions about non-surgical fat removal in person. Call for a consultation appointment today: (210) 692-3000 or (210) 370-9995.

 

 

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Exciting News – We’re Moving!

For 35 years, as a board-certified dermatologist, I have provided compassionate and exceptional care while offering the latest advancements in skin health and rejuvenation.

 

Health care continues to evolve toward regenerative medicine and longevity, and dermatology is no exception.

 

My core beliefs are that health and beauty are not mutually exclusive, but beauty must never come at the expense of health. Skin health is foundational to overall wellness, and my mission is to empower every patient with the education and tools to optimize skin health.

 

In this spirit, I am thrilled to announce that effective August 3, 2026, the Hardy Oak location of Bucay Dermatology and Aesthetics will have a new home at Stone Oak Physician’s Plaza II, where I will be sharing a wonderful space with Dr. Michelle Harden, MD, Concierge Women’s Health, Menopause, Lifestyle Medicine.

 

I cannot think of a better setting that reflects the future of comprehensive wellness, regenerative care, and healthy aging.

 

I look forward to welcoming both our longtime patients and those visiting us for the first time to our new location:

 

Stone Oak Physician’s Plaza II

540 Oak Centre Drive, Suite 280

San Antonio, TX 78258

 

Now accepting new patients

To schedule your appointment, please call 210.692.3000

 

I am grateful for your trust and confidence – Vivian Bucay, MD

 

P.S. Of course, we will continue to welcome patients to our “La Casita” Monte Vista location at:

La Casita

326 W. Craig Place

San Antonio, TX 78212

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