Muscle, Fat, and Skin Together

TotalSculpt is how Dr. Grossman thinks of external body contouring. She aims to address all the different levels of your skin, fat, and muscle to totally sculpt your body and give you the absolute best body possible.   

Why Choose TotalSculpt?

Liposuction will always work best for body contouring, but not everyone wants to undergo a procedure as invasive as this. And when it comes to minimally invasive treatments, not everyone is one-size-fits-all. Everyone has a different body type and different aesthetic goals. This is why our team at Grossman Dermatology employs different modalities and technologies to provide each patient with the best options for their needs.

Take a look at the following to learn about the procedures that can be included in Dr. Grossman’s TotalSculpt treatment. Because all of these procedures are done from the outside, there is no downtime, swelling, or bruising; and very little risk.


CoolSculpting® uses a process called cryolipolysis to freeze fat cells to the point that they’re destroyed. The handpiece suctions the skin and fat up into the device and then freezes the fat.

After this, the fat dies and eventually leaves the body through the lymphatic system. CoolSculpting is excellent for fat under the chin, bra fat, arm fat, the belly, the flanks, and the inner/outer thighs. 


While CoolSculpting gets great results in some patients, remember that not everyone is one-size-fits-all. Some people have what we call “flat fat”, and for those patients, a fat reduction procedure that uses heat tends to get better results. “Flat fat” is when an individual may have a very flat belly and there’s a thin layer of fat everywhere, or something like an anterior thigh. In this case, we would use something like EVOLVE under the “Trim” modality, where the fat cells are killed by heat and suction. This procedure also provides skin tightening.


For patients who don’t have any fat, just loose skin, our focus shifts to skin tightening — and for this, we typically use Thermage®. This treatment, which Dr. Grossman uses herself, utilizes radiofrequency heat energy in an intense way deep within the tissues to create a lifting effect, build collagen, and tighten the skin. Thermage is particularly excellent for a saggy belly, lifting the buttocks, and improving cellulite. 


Another option for patients with loose skin only is Forma, another radiofrequency-based procedure that stimulates the formation of new collagen and improves the skin’s elasticity using A.C.E. (acquire, control, extend) technology. Forma uses a large plain of radiofrequency, where we cover the entire area in big passes over the skin. Forma is a great choice for the legs, belly, and arms, and will require several treatments. 


EVOLVE Tite uses the same concept as Forma, only instead of the device working in large passes over the skin, the device(s) are held at a fixed place on the skin. EVOLVE Tite effectively delivers radiofrequency heat energy to the needed area, which shrinks and tightens the skin. EVOLVE Tite works very well for the stomach, arms, and thighs. 

Muscle Toning

The third part of Dr. Grossman’s TotalSculpt concept is focusing on the muscles. This part is for patients who are already in good shape and want to take their body to the next level. We will tone those muscles and get your body to where you want it to be. EVOLVE Tone builds muscle strength and refines the appearance of the muscles of the stomach, obliques (side of the stomach), the arms, legs, and buttocks (for both lift and height).  

Dr. Karyn Grossman, MD

Why Choose Grossman Dermatology?

While Dr. Karyn Grossman is known for the level of education she provides to her patients and her dedicated attention, she’s also known for her highly effective combination procedures. TotalSculpt falls into this category, where she and her team will create the ideal combination of body contouring procedures for your specific body in order to achieve the best body possible for you. Combination procedures are one of the services that Dr. Grossman is well-known for at her long-established, high-end boutique cosmetic dermatology practice — and it’s one of the reasons why her patients appreciate her so much. She has a wide range of technology options, and she knows how to team them up to get incredible outcomes. To schedule a consultation to see what we can do for you, please contact our office. 

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