Head to head

Alma PrimeX vs FlexSure (2026)

Compare purchase costs, running costs and the evidence behind each device.

Read the comparison overview

Purchase cost: Catalog new-price ranges: Alma PrimeX, $100k–$160k; FlexSure, $40k–$70k. Check the source notes and request current quotes.
Practice fit: Both are listed under body contouring. Check each model’s US regulatory status and labeled indications for your intended use.

Device A

Body Contouring

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Device B

Body Contouring

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Price comparison

Price comparison: Alma PrimeX vs Cynosure FlexSure
Attribute	Alma PrimeX	Cynosure FlexSure
New price range	$100k–$160kSource not documented	$40k–$70kSource not documented
Used asking range	Not published	Not published
Payback calculator	View ROI calculator	View ROI calculator
Next step

New price range

Alma PrimeX: $100k–$160kSource not documented
Cynosure FlexSure: $40k–$70kSource not documented

Used asking range

Alma PrimeX: Not published
Cynosure FlexSure: Not published

Payback calculator

Alma PrimeX: View ROI calculator
Cynosure FlexSure: View ROI calculator

Next step

Alma PrimeX

Cynosure FlexSure

Consumable economics

Consumable economics: Alma PrimeX vs Cynosure FlexSure
Attribute	Alma PrimeX	Cynosure FlexSure
Consumable cost / lock-in	Effectively none — ultrasound gel and routine applicator upkeep; no cards, tips or cycle fees.	—
Service cost	Not published	Not published

Consumable cost / lock-in

Alma PrimeX: Effectively none — ultrasound gel and routine applicator upkeep; no cards, tips or cycle fees.
Cynosure FlexSure: —

Service cost

Alma PrimeX: Not published
Cynosure FlexSure: Not published

FDA clearance

FDA clearance: Alma PrimeX vs Cynosure FlexSure
Attribute	Alma PrimeX	Cynosure FlexSure
FDA status & indication	FDA ClearedK072699, K160075 Read FDA indication wording “The Alma Lasers Family of Accent™ RF Systems [Accent, Accent XL] is intended for use in dermatologic and general surgical procedures. The Alma Lasers Family of Accent™ RF Systems [Accent, Accent XL] is indicated for the noninvasive treatment of wrinkles and rhytids using a combined treatment with Unipolar and Bipolar handpieces.”	FDA ClearedK200241 Read FDA indication wording “The TempSure™ System has the following indications for use: The 10mm, 15mm, and 20mm Smart Handpieces are indicated for non-ablative treatment of mild to moderate facial wrinkles and rhytids. The 18mm, 25mm, 30mm, 60mm Smart Handpieces and FlexSure™ applicators provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The massage device is intended to provide a temporary reduction in the appearance of cellulite. The following surgical modes are applicable to the generator: Coagulation/Hemostasis: General surgical procedures including urologic, thoracic, plastic, reconstructive, and gynecological procedures where electrosurgical coagulation of tissue is performed. Cutting: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, cosmetic repairs, development of skin flaps, skin tags and blepharoplasty. Blended Cutting and Coagulation: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin tags, papilloma keloids, keratosis, verrucae, basal cell carcinoma, nevi, fistulas, epithelioma, cosmetic repairs, cysts, abscesses, and development of skin flaps. Fulguration: basal cell carcinoma, papilloma, cyst destruction, tumors, verrucae, hemostasis. Bipolar: pinpoint precise coagulation, pinpoint hemostasis in any field (wet or dry), snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment and turbinate shrinkage.”

FDA status & indication

Alma PrimeX: FDA ClearedK072699, K160075
Read FDA indication wording
“The Alma Lasers Family of Accent™ RF Systems [Accent, Accent XL] is intended for use in dermatologic and general surgical procedures. The Alma Lasers Family of Accent™ RF Systems [Accent, Accent XL] is indicated for the noninvasive treatment of wrinkles and rhytids using a combined treatment with Unipolar and Bipolar handpieces.”
Cynosure FlexSure: FDA ClearedK200241
Read FDA indication wording
“The TempSure™ System has the following indications for use: The 10mm, 15mm, and 20mm Smart Handpieces are indicated for non-ablative treatment of mild to moderate facial wrinkles and rhytids. The 18mm, 25mm, 30mm, 60mm Smart Handpieces and FlexSure™ applicators provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The massage device is intended to provide a temporary reduction in the appearance of cellulite. The following surgical modes are applicable to the generator: Coagulation/Hemostasis: General surgical procedures including urologic, thoracic, plastic, reconstructive, and gynecological procedures where electrosurgical coagulation of tissue is performed. Cutting: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, cosmetic repairs, development of skin flaps, skin tags and blepharoplasty. Blended Cutting and Coagulation: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin tags, papilloma keloids, keratosis, verrucae, basal cell carcinoma, nevi, fistulas, epithelioma, cosmetic repairs, cysts, abscesses, and development of skin flaps. Fulguration: basal cell carcinoma, papilloma, cyst destruction, tumors, verrucae, hemostasis. Bipolar: pinpoint precise coagulation, pinpoint hemostasis in any field (wet or dry), snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment and turbinate shrinkage.”

Which chains run each

Which chains run each: Alma PrimeX vs Cynosure FlexSure
Attribute	Alma PrimeX	Cynosure FlexSure
Chain adoption	0 recorded pairings	0 recorded pairings
Chains using it	—	—
Approved reviews	0	0

Chain adoption

Alma PrimeX: 0 recorded pairings
Cynosure FlexSure: 0 recorded pairings

Chains using it

Alma PrimeX: —
Cynosure FlexSure: —

Approved reviews

Alma PrimeX: 0
Cynosure FlexSure: 0

Specs and platform

Specs and platform: Alma PrimeX vs Cynosure FlexSure
Attribute	Alma PrimeX	Cynosure FlexSure
Manufacturer	Alma Lasers	Cynosure
Built by (OEM)	Alma Lasers Ltd.	Cynosure LLC
Category	Body Contouring	Body Contouring
Technology	High-power RF + ultrasound (HIFU / Ultrasound)	Wrap-around hands-free RF applicators
Launch year	2022	2021
Status	Current	Current
Manufacturer source record	No linked source on file.	No linked source on file.

Manufacturer

Alma PrimeX: Alma Lasers
Cynosure FlexSure: Cynosure

Built by (OEM)

Alma PrimeX: Alma Lasers Ltd.
Cynosure FlexSure: Cynosure LLC

Current alternatives

Current catalog models in related categories. Confirm availability and configuration with the supplier.

BTL Aesthetics Exion

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Venus Legacy

RF body contouring

New: $60k–$90k

Venus Versa

RF body contouring

New: $70k–$110k

Cutera truSculpt iD

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New: —

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