Z Wave

Conveniently located to serve the areas of San Antonio, TX

Z Wave sound waves improve circulation and stimulates collagen formation

Z Wave is a non-invasive device that uses sound waves to improve circulation and stimulates collagen formation.

Z Wave emits high-frequency sound waves known as shockwaves – but the only shocking thing about it is the results! Unlike other treatments, it’s painless, there’s no downtime, and treatments are fast. Imagine enjoying a relaxing massage, and getting lasting improvements. 

Shockwave Therapy stimulates the production of new healthy tissue, and because it’s safe and versatile, it can be used to treat conditions like plantar fasciitis and erectile dysfunction. It can also be used for aesthetic treatments because it increases collagen levels beneath the skin, leading to smoother, firmer skin.

Dr. Suresh Koneru offers a wide range of body contouring treatments, and Z Wave is the perfect addition to perfect your results. It can also be used as a standalone treatment to firm up skin, improve your performance in the bedroom, or finally find relief from heel pain. You deserve a body you can be proud of. At Advanced Concepts in Plastic Surgery, patients from San Antonio and beyond enjoy personalized treatment plans so that they can enjoy everything life has to offer with confidence. If you’d like to put an end to frustrating loose skin and embarrassing cellulite, or just want a smoother, more even skin tone, Z Wave might be just the thing! Call 210-499-5900 to reach our offices on Treeline Park and schedule your personal consultation. To keep up with all the latest advances in aesthetics, make sure to follow Dr. Koneru’s blog.

How Does Z Wave Work?

Z Wave is a handheld device that emits shockwaves produced by a computer-controlled platform that lets medical professionals customize treatments. 

Shockwaves are short, fast, sound waves that carry energy and can penetrate tissues. Sound waves create changes in pressure that result in a vibration. Unlike the sound waves that create the everyday noise we hear, shock waves travel faster than the speed of sound, which is why we hear a sonic boom only after aircraft breaks the speed of sound! 

Z Wave is a form of radial extracorporeal shockwave therapy. This means that the device is simply placed on the skin above the treatment area, and the shockwaves’ energy radiates into the tissue below. This energy creates short, abrupt changes in pressure. When cells get the “jolt” from the shock wave, they start sending signals that lead to the production of new cells. This leads to tissue regeneration, which can help heal injuries and create new blood vessels. It’s also thought that it can alleviate pain by treating nerve endings.(1)(2) This makes Z Wave a versatile and effective treatment for anywhere on the body that can benefit from an influx of healthy new cells. 

Z Wave After Surgery

Surgeons agree: Z Wave treatments can be a valuable therapy after surgery. In fact, Dr. Koneru was a featured plastic surgeon in a recent article discussing the benefits of Z Wave treatment after surgery. The gentle pulses of energy can help to reduce swelling and promote lymphatic drainage. A soothing massage with Z Wave after liposuction can also help smooth out a patient’s results and avoid the risk of any contour irregularities. Regular treatments during recovery speed up the healing process by promoting good circulation so that patients experience less discomfort and improved results. Z Wave can be added to your recovery protocol after procedures like breast surgery, a tummy tuck,  and more. 

Z Wave and CoolSculpting

After a CoolSculpting session, your body is hard at work. And, Z Wave can speed things up! The controlled cold temperature freezes fat and damages the unwanted tissue. Then, the damaged fat cells are naturally eliminated from the body. The addition of a massaging Z Wave session can ensure that the targeted areas are smooth and your contours are ideal. And even better, studies have proven that combining ZWave with CoolSculpting speeds up your results. Improved circulation from the shockwaves speeds up how quickly the body is able to metabolize the fat. This study also found that the improved collagen noticeably reduced the appearance of cellulite! (3)

Z Wave for Skin Tightening

Loose, sagging skin is a troublesome condition and unfortunately, it’s common after weight loss, with age, or after pregnancy. Collagen is the protein in our connective tissue that keeps skin firm and supple. When skin expands, either due to a growing fetus or weight gain, collagen production can’t keep up to create the support system necessary for firm skin. And, with age, our bodies produce less and less collagen, and the remaining collagen becomes degraded and sparse.

Shockwave therapy with Z Wave activates fibroblasts, the cells responsible for producing collagen. It also stimulates inflammatory cells, which get to work rebuilding tissue in the deepest layers of our skin.(3) By improving collagen levels in our connective tissue, skin can be firmer, tighter, and thicker! And because Z Wave causes tissue remodeling, it can also be used to reduce cellulite and fade scars and stretch marks. Z Wave is approved to improve skin quality in the:

  • Abdomen
  • Upper Arms
  • Legs
  • Buttocks

Non-Invasive Treatment for ED

There’s no shortage of treatments for erectile dysfunction today. But for many men, cumbersome devices like penis pumps, uncomfortable injections, or the side effects of pills can kill the mood, or keep them from enjoying sex when the time is right. 

Z Wave is a non-invasive, non-drug therapy, that lets men and their partners enjoy spontaneous sex. After receiving gentle, painless shockwave therapy to the penis, a process called neovascularization occurs. This is the formation of new blood vessels. Better circulation to the penis results in better blood flow so that upon arousal, men can achieve harder, longer-lasting erections.(1) 

Relief from Plantar Fasciitis

Plantar Fasciitis occurs when the band of tissue that runs from the heel to the toes and supports the arch of the foot becomes inflamed. This painful condition is common, and in some individuals, can be an ongoing battle that keeps them from staying active. Z Wave treatments can help reduce inflammation, lead to the production of healthy new tissue, and resolve one of the most urgent concerns that this condition causes: pain.

Personal Consultation

The best way to find out whether Z Wave is right for you is to schedule an appointment for a personal consultation with Dr. Koneru. You’ll have the opportunity to discuss your concerns and goals, and learn more about how Z Wave works. After examining the areas you’d like to treat and reviewing your medical history, Dr. Koneru will be able to make an honest recommendation for the best course of treatment. Although most patients can undergo Z Wave treatments safely, it’s not a suitable treatment for pregnant women.  


Z Wave treatment sessions are fast and easy and don’t require any preparation or downtime. They typically only take about 30 minutes per treatment area, so they’re easy to squeeze in on a lunch break or between errands. Just arrive at our offices with a book or an iPad, and lay back and relax as the smooth Z Wave handpiece is used to massage the treatment area. Once your treatment is over, you’re free to return to your day. There are no side effects or visible changes after a session, so no one will be able to tell that you’ve had treatments. 


Because Z Wave stimulates the body’s regenerative processes, results won’t happen overnight. Z Wave does require more than one treatment session. Patients that are being treated for skin tightening usually need two or three sessions before they start to see a difference. You’ll discuss the number of sessions needed to address your concerns during your personal consultation with Dr. Koneru. It is important to note that individual results may vary, and the effectiveness of Z Wave therapy depends on factors such as the patient’s condition, treatment area, and the number of sessions.

Complementary Procedures

Z Wave is the perfect addition to body contouring treatments. Advanced Concepts in Plastic Surgery offers several non-surgical fat reduction treatments that are easy and effective.

  • CoolSculpting: Freeze away fat for good with non-invasive and effective treatment sessions.
  • Emsculpt Neo: Tone muscle and burn fat in a short 30-minute session. You lay back and relax, Emsculpt does the rest!
  • GreenLight: Green LED lights emit low-level laser light therapy to target fat cells for 360 degrees of slenderizing and a comfortable, effortless treatment.

How Much Does Z Wave Cost in San Antonio?

The price of your Z Wave treatment will depend on the areas of your body being treated, the condition you’re looking to improve, and the number of sessions required to achieve your desired results. The best way to get an idea of the total cost of your Z Wave treatment is to visit our offices for a personal consultation and learn more about what’s possible with energy-based treatments. 


Does shockwave therapy hurt?

Shockwave therapy like Z Wave uses short controlled pulses emitted through a smooth handpiece. It’s not painful, and most patients compare the sensation to a massage.

Can Z Wave make my penis bigger?

Z Wave can help improve circulation and replenish collagen in the dermis. Improved circulation can improve the quality of erections, but it won’t change the size of the penis.

How does Z Wave tighten skin?

Z Wave uses radial extracorporeal shockwave therapy. The shockwaves radiate from the handpiece to the deepest layers of the skin, where they stimulate the production of new collagen and other important regenerative components for firmer, tighter skin.


  1. Katz JE, Clavijo RI, Rizk P, Ramasamy R. The Basic Physics of Waves, Soundwaves, and Shockwaves for Erectile Dysfunction. Sex Med Rev. 2020;8(1):100-105. doi:10.1016/j.sxmr.2019.09.004
  2. Simplicio CL, Purita J, Murrell W, Santos GS, Dos Santos RG, Lana JFSD. Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine. J Clin Orthop Trauma. 2020;11(Suppl 3):S309-S318. doi:10.1016/j.jcot.2020.02.004
  3. Oliveira Modena DA, Soares CD, Candido EC, Chaim FM, Cazzo E, Chaim EA. Effect of Extracorporeal Shock Waves on Induced Neocollagenesis of Integumentary Tissue. The Journal of clinical and aesthetic dermatology. 2022;15(10):52-57. Accessed January 27, 2023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9586529/
  4. Giordani F, Bernini A, Müller-Ehrenberg H, Stecco C, Masiero S. A global approach for plantar fasciitis with extracorporeal shockwaves treatment. Eur J Transl Myol. 2019;29(3):8372. Published 2019 Sep 9. doi:10.4081/ejtm.2019.8372

To complete your weight loss experience and enhance your figure with body contouring in San Antonio, please contact our offices to book a consultation with Dr. Koneru today.