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Core to Floor: How EmSculpt NEO & Emsella are an Excellent Combo Treatment Plan

by | Body Sculpting

The innovative combination of BTL Industries’ most sophisticated technologies has given rise to the latest and only non-invasive core conditioning treatment. The “Core to Floor” combination utilizes HIFEM and radiofrequency energy (EmSculpt NEO only) from the Emsella and EmSculpt NEO devices to strengthen primary core musculature.

Emsella targets the pelvic floor muscles, while EmSculpt NEO works to tone and strengthen the abdominal area. When done in conjunction, these two treatments allow people to improve neuromuscular control, muscular strength, sexual pleasure, and vitality.

Core to Floor Therapy: The First & Only Non-Invasive Core Treatment

“Core to Floor” refers to the combined benefits provided by Emsella and EmSculpt NEO technologies to improve strength, neuromuscular control, and sexual intimacy. This novel combination therapy is the first and only non-invasive treatment to power up the entire core — from the pelvic floor muscles to the abdomen.

This combination therapy can be the ideal way to help you reach your goals, whether you want to tone your muscles, burn fat, recover muscular control, or improve bladder control. Treating the abdominals with EmSculpt NEO is excellent for those struggling with issues related to weak core strength, such as limited mobility, back pain, or loss of balance. When combined with Emsella treatments, it can also benefit those looking to avoid developing issues as they age, such as incontinence or diminished sexual arousal during intercourse.

What is EmSculpt NEO?

EmSculpt NEO is a highly advanced non-invasive body contouring treatment. It uses radiofrequency and HIFEM technology to simultaneously reduce subcutaneous fat and strengthen muscles.

The applicator delivers radiofrequency energy to increase subcutaneous fat’s temperature, therefore triggering apoptosis. The body slowly removes the damaged fat cells, resulting in an average of 30% fat reduction.

At the same time, the HIFEM energy causes the abdominal muscles to contract. These contractions are called “supramaximal contractions” because they exceed the usual amount of contractions possible through regular human exercise. These intense contractions force the muscles to adapt, increasing the number and growth of muscle cells and fibers by an average of 25%.

What is Emsella?

Emsella is a groundbreaking non-invasive pelvic floor therapy, FDA-approved for incontinence, with significant physical and mental benefits. The Emsella chair device emits HIFEM energy into deep pelvic floor muscles, stimulating rapid contractions in the perianal area (between the legs).

Like EmSculpt NEO, these contractions force the pelvic floor muscles to acclimate to stress by increasing the amount and growth of muscle cells and fibers. Despite being FDA-approved for incontinence, Emsella treatments have demonstrated various other benefits impacting sexual wellness.

How does Core to Floor work?

Combining EmSculpt NEO and Emsella technologies into a singular form of core therapy has delivered a 95% satisfaction rate among patients.

EmSculpt Neo for the Abdomen

Core to Floor uses EmSculpt NEO to strengthen the abdominal muscles, stimulating an average of 25% muscle development. An additional bonus is EmSculpt NEO’s fat reduction capability, allowing patients to reap the benefits of a 30% fat reduction in the abdominal area.

Emsella for the Pelvic Floor

Emsella is utilized in core to the floor for its innate capability to strengthen the foundation of the core faster and more effectively than any alternative treatments or exercises. These two state-of-the-art technologies together provide a painless and non-invasive solution to anyone struggling with or looking to prevent issues related to a weak core.

Why Choose Core to Floor Therapy?

The core is a grouping of the back, pelvic, glute, hip, abdominal, and diaphragm muscles—all of which stabilize the trunk and support the spine. Sufficient core strength is crucial for any physical activity, from running or swinging a golf club to simple everyday tasks such as grabbing something from the top shelf.

A weak core can cause a multitude of physical impairments, from chronic back pain to lack of mobility and balance. Core to Floor therapy helps train the muscles of the pelvis and abdomen to work in harmony, restoring one’s quality of life and helping achieve fitness goals.

Causes of Core Weakness

There are a variety of reasons one’s core may lack sufficient strength. A few common causes may include:

  • The Natural Aging Process
  • Inactivity
  • Surgery
  • Injury
  • Pregnancy
  • Lack of Targeting Core Muscles during Exercise

Symptoms of a Weak Core

Core to Floor is an ideal non-invasive solution to correct and strengthen a weakened core. The symptoms of insufficient core strength are often hard to decipher. Some symptoms may include:

  • Relying on your arms to lift yourself out of bed or a chair
  • Tilting or swaying while walking
  • An arch in the lower back when standing or walking
  • Holding your breath during core exercises
  • Back and shoulder sag and tighten during weight lifting
  • Difficulty standing up from a squatted position (without using your hands for support)

Issues Caused by Lack of Core Strength

Weak core muscles can present many problems that affect your everyday activities and overall quality of life. Core to Floor therapy allows individuals to improve these chronic irritants and restore their confidence and independence. Some common issues that arise due to a weak core include:

  • Lower Back Pain
  • Bad Balance
  • Poor Posture
  • Muscle and Joint Injuries
  • Digestion Issues
  • Arm and Leg Weakness
  • Incontinence

Benefits of Core to Floor Therapy

Core to Floor Therapy is a highly effective, non-invasive core conditioning treatment. Studies have shown that 95% of patients treated with Emsella report an improvement in quality of life. EmSculpt NEO has also been shown to effectively reduce fat by 30% and increase muscle by 25%.

The combination of two advanced technologies helps to strengthen, tone, and firm the abdominal and pelvic muscles. The primary benefits of this therapy include:

  • Increased Muscle Mass
  • Enhanced Core Strength
  • Restoration of Neuromuscular Control
  • Improved Balance, Mobility, and Posture
  • Improved Blood Flow
  • Correction of Abdominal Separation
  • Correction of Incontinence

While the primary purpose of combining Emsella and EmSculpt NEO is to strengthen the core and restore neuromuscular control, these treatments have demonstrated additional mental, physical, and intimate benefits. The beneficial side effects of Emsella and EmSculpt NEO include:

  • Abdominal Fat Reduction (30%)
  • Increased Confidence
  • Increased Sensitivity of Vaginal Tissues (Labia, Clitoris, Vagina)
  • Decreased Vaginal Laxity
  • Increased Ability to Achieve Orgasm
  • Enhanced Sexual Satisfaction
  • Increased Penile Hardness and Rigidity
  • Increased Ability to Obtain and Maintain An Erection

Core To Floor Results

What to Expect

Core to Floor combines two non-invasive cosmetic technologies to strengthen the deep pelvic and abdominal muscles. The treatment process is simple, painless, and highly effective. This therapy requires minimal preparation—the standard treatment process is as follows.


Consult a practitioner to determine if a combination of EmSculpt NEO and Emsella, or “Core to Floor” is suitable for you. It is essential to locate a provider with significant experience in non-surgical treatments, such as Dr. Sherly Soleiman at the Cosmetic Injectables Center in Sherman Oaks, CA.

Core to Floor Therapy: Treatment Plan

A typical treatment plan comprises:

  • 4 Emscuplt NEO Treatments: once per week for four weeks
  • 6 Emsella Treatments: twice a week for three weeks

Each treatment takes approximately 30 minutes to complete with virtually no downtime. The treatment can be intense but is not painful. Your provider can adjust the setting of each device to ensure the utmost comfort.


Some participants may notice changes immediately after their first session, while others begin to feel the positive effects part-way through their treatment plan. Results will continue to improve for several weeks after your final treatment session.

The effects of Emsella typically last six to twelve months, and EmSculpt NEO treatments may last six months or more. Practitioners often recommend one maintenance treatment of both Emsella and EmSculpt NEO every four to six months to maintain optimal effects.

Ideal Candidates for Core to Floor Therapy

Core to Floor combination treatment is ideal for men and women looking to tone, tighten, and strengthen their core and pelvic floor muscles. It may be a good option for those looking to improve balance, posture, abdominal firmness, mobility, or incontinence. Ideal candidates for treatment will meet the following qualifications.

  • In Good Health
  • Have A BMI of 35 Or Less
  • Within 30 Pounds of Your Ideal Body Weight
  • Ability to Maintain A Stable Weight
  • Struggle with Urinary Incontinence
  • Looking to Build Muscle and Burn Fat
  • Experiencing Vaginal Laxity (Women)
  • Experiencing Sexual or Erectile Dysfunction (Men)

Core to Floor Contraindications

Core to Floor Therapy may not be suitable if you meet the following contraindications.

  • Obese
  • Pregnant or Nursing
  • Have Metal Implants—Pacemakers or other Electronic Devices

Core to Floor Therapy Cost & Pricing

Pricing for this core strengthening therapy varies based on geographical location, medical facility, and practitioner experience.

  • EmSculpt NEO Treatments: Typically cost $700-$1,000 per session.
  • Emsella Treatments: Emsella treatments can cost $300-$400 per session.

Many practices offer package rates and payment plans for Core to Floor Therapy. The Cosmetic Injectables Center in Sherman Oaks, Ca, offers competitive prices and expert care for non-surgical cosmetic procedures. Contact us for more information on treatment costs.

Side Effects of Core to Floor Therapy

The unique combination therapy of Emsella and EmSculpt NEO does not cause any adverse side effects. Both treatments utilize HIFEM energy, and EmSculpt NEO combines HIFEM technology with radiofrequency for an entirely non-invasive and comfortable treatment.

Patients may experience temporary muscle soreness after treatments but can return to everyday activities immediately after therapy.

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Frequently Asked Questions

What are EmSculpt Neo and Emsella?

EmSculpt NEO is a one-of-a-kind non-invasive body contouring treatment that uses HIFEM and radiofrequency energy to tone muscles and eliminate excess fat simultaneously. Emsella is a non-invasive incontinence correction therapy that emits HIFEM energy to strengthen pelvic floor muscles. Combining these innovative technologies results in improved core strength and neuromuscular control with substantial physical, mental, and intimate benefits.

What is core to floor therapy?

Core to Floor Therapy combines Emsella and EmSculpt NEO technologies to improve strength, balance, neuromuscular control, and sexual intimacy. This unique combination therapy is the first and only non-invasive treatment to power up the entire core—from the pelvic floor muscles to the abdomen.

Does EmSculpt work for the pelvic floor?

Combination therapy with EmSculpt NEO and Emsella can effectively strengthen, tone, and reduce excess fat in the abdominal region. EmSculpt NEO is not indicated for strengthening pelvic floor muscles alone. Emsella works to strengthen the pelvic floor muscles, thusly supporting the abdominal muscles. The inverse, however, is not accurate. Only Emsella can strengthen the pelvic floor; EmSculpt NEO cannot accomplish this.

How long do Emsella results last?

The results from an Emsella treatment last between six to twelve months after your final session. A typical Emsella treatment comprises six sessions—twice a week for three weeks. Maintenance treatments and at-home pelvic floor exercises can help extend the duration of optimal effects.

How long do EmSculpt results last?

Optimal results from EmSculpt treatments can last six months or more. Maintaining a healthy weight and exercising can help extend treatment effects. Practitioners often recommend follow-up sessions every four to six months to preserve the best results.

How many sessions of EmSculpt neo do you need?

The number of EmSculpt NEO sessions depends on the treatment area(s) and desired results. A standard EmSculpt NEO treatment plan consists of four sessions—once a week for four weeks.

Does EmSculpt strengthen your core?

Yes. EmSculpt uses radiofrequency and HIFEM energy to tone and strengthen core muscles. This cutting-edge body sculpting procedure simultaneously tones, tightens, and strengthens muscles while reducing the amount of fat in the treatment area.

Does insurance cover Emsella?

Emsella is a new FDA-approved procedure for urinary incontinence and is not currently covered by all insurance plans. It is often referred to as an out-of-pocket expense. However, at Cosmetic Injectables Center in Sherman Oaks, California, we offer PatientFi and Care Credit payment options in addition to our regular packaged pricing specials.

Is Emsella FDA approved?

Emsella is FDA-approved for the correction of urinary incontinence. It has also demonstrated significant improvements in sexual pleasure, vaginal laxity, intimate sensation, and symptoms of erectile dysfunction. However, it is not FDA-approved for these indications.

How much weight do you lose with EmSculpt Neo?

EmSculpt NEO treatments result in an average of 30% fat reduction and a 25% increase in muscle mass. It is an effective non-invasive body contouring procedure. However, it is essential to note that EmSculpt NEO is not a weight-loss treatment, and patients must have a BMI of 35 or less to make an ideal candidate. Fat loss incurred as a result of EmSculpt NEO treatment may not be noticeable on the scale as muscle density is also increasing as a result of the treatment.

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