Emsculpt NEO combines high-intensity focused electromagnetic (HIFEM) energy with synchronized radiofrequency (RF) to target both fat reduction and muscle hypertrophy in a single, noninvasive procedure. Clinical trials and systematic reviews demonstrate average subcutaneous fat reduction of 25–30% and muscle mass increases of 20–30% in treated areas such as the abdomen, buttocks, thighs, and arms. Individual results vary based on BMI, adherence, and treatment area. All procedures at Cosmetic Injectables Center Medspa are performed by certified providers under the direct supervision of Dr. Sherly Soleiman, MD, a board-certified physician and national leader in medical aesthetics.
How Emsculpt NEO Works: Technology and Mechanism
Emsculpt NEO delivers HIFEM energy to induce supramaximal muscle contractions—far beyond voluntary exercise—while RF simultaneously heats subcutaneous fat to 43–45°C, triggering fat cell apoptosis. This dual-action approach enables simultaneous muscle building and fat reduction, with applications for the abdomen, buttocks, thighs, arms, and flanks.
Treatment Protocols and Areas
- Standard Protocol: Four 30-minute sessions over two weeks
- Target Areas: Abdomen, buttocks, thighs, arms, calves, flanks
- Applications: Fat reduction, muscle toning, diastasis recti improvement, post-surgical rehabilitation
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Clinical Evidence: Efficacy and Outcomes
Key Clinical Trials
| Study Reference | Design | Participants | Protocol | Fat Reduction | Muscle Gain | Imaging | Safety |
|---|---|---|---|---|---|---|---|
| Jacob et al (2021) | Prospective, open-label | 40 | 3 x 30-min | -8.7 mm | +2.4 mm | MRI | No complications |
| Samuels et al (2022) | Prospective, single-arm | 56 | 3 x 30-min | -6.5 mm | +2.3 mm | Ultrasound | No adverse events |
| Multicenter Flank Study (2023) | Multicenter, open-label | 73 | 4 x 30-min | -30.5% (CSA) | +29.0% (CSA) | MRI | Mild, resolved events |
| Systematic Review (2023) | Systematic review | ~300 | 4 x 30-min | -5.5 mm | +2 mm | MRI/CT/US | No complications |
- Average Fat Reduction: 5–8 mm (abdomen), up to 30% (flanks)
- Average Muscle Gain: 2–2.5 mm, up to 29%
- Waist Circumference: Decrease of 3–4 cm (not always statistically significant)
- Patient Satisfaction: 75–90% report visible improvement
Histological Evidence
- Animal Studies: Up to 31% adipocyte volume reduction, confirmed by histology and SEM.
- Human Studies: Fat cell lysis and normal dermal structure post-treatment, supporting selective fat apoptosis and muscle hypertrophy.
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Safety Profile and Patient Selection
Emsculpt NEO is well-tolerated, with minimal side effects such as temporary muscle soreness or mild erythema. No serious complications have been reported in published trials. The procedure is suitable for a wide range of skin types, but patients with higher BMIs or certain medical conditions may see less pronounced results. All patients at Cosmetic Injectables Center Medspa undergo a comprehensive medical evaluation to ensure safety and optimal outcomes.
Regulatory Status and FDA Clearances
- Initial FDA Clearance (2019): For noninvasive abdominal lipolysis and circumference reduction in Skin Types I–III (FDA 510(k) K192224).
- Expanded FDA Clearance (2024): For neuromuscular stimulation in arms and legs, including medical conditions such as muscle weakness, disuse atrophy, and post-surgical rehabilitation (PR Newswire).
Emsculpt NEO vs. Other Body Contouring Technologies
| Device | Technology | Fat Reduction | Muscle Gain | FDA Indications | Treatment Areas | Key Differences |
|---|---|---|---|---|---|---|
| Emsculpt NEO | HIFEM + RF | Up to 30% | Up to 29% | Fat reduction, muscle building, rehabilitation | Abdomen, buttocks, thighs, arms, calves, flanks | Dual-action (fat + muscle), FDA-cleared for rehab |
| Emsculpt | HIFEM | Up to 19% | Up to 16% | Fat reduction, muscle building | Abdomen, buttocks, thighs, arms | No RF, less fat reduction |
| CoolSculpting | Cryolipolysis | Up to 27% | None | Fat reduction | Abdomen, flanks, thighs, arms, chin | No muscle effect, only fat |
| Accufit | Electrical stimulation | Up to 30% | Unclear | Muscle toning | Abdomen, buttocks, thighs | Less published data, no RF |
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Procedure Options and Treatment Areas
Emsculpt NEO is available for multiple body areas, with protocols tailored to individual goals and anatomy:
- Abdomen: Fat reduction, muscle definition, diastasis recti improvement
- Buttocks: Lifting and muscle toning
- Thighs: Inner and outer thigh contouring
- Arms: Biceps and triceps toning
- Calves: Muscle definition
- Flanks: Waistline sculpting
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Why Choose Cosmetic Injectables Center Medspa for Emsculpt NEO?
- Physician-Led Care: Dr. Sherly Soleiman, MD, board-certified and nationally recognized, provides full-time supervision and advanced training for all certified providers.
- Top 1% National Ranking: Recognized as an Allergan Top 250 practice for expertise and volume.
- Safety and Transparency: All patients receive a Good Faith Exam and informed consent, with strict adherence to HIPAA and regulatory standards.
- Natural Results Philosophy: Emphasis on proportional, subtle outcomes and patient education.
- Accessible Location: Sherman Oaks facility serves Los Angeles, Encino, Studio City, Beverly Hills, and surrounding areas.
Frequently Asked Questions
What is Emsculpt NEO?
Emsculpt NEO is a noninvasive body contouring device that combines HIFEM and RF to reduce fat and build muscle in areas like the abdomen and buttocks.
How many Emsculpt NEO sessions are recommended?
Most protocols involve four 30-minute sessions over two weeks for optimal results, but plans are customized to each patient’s needs.
Is Emsculpt NEO safe?
Clinical trials report minimal side effects, such as temporary soreness or mild redness, with no serious complications.
How soon will I see results from Emsculpt NEO?
Visible improvements are often noted within weeks, with peak results at 2–3 months post-treatment. Individual outcomes may vary.
Can Emsculpt NEO treat diastasis recti?
Yes, studies show measurable improvement in diastasis recti, especially in the abdominal area.
How does Emsculpt NEO compare to CoolSculpting?
Emsculpt NEO reduces fat and builds muscle, while CoolSculpting only targets fat. NEO offers dual benefits in one procedure.
Who is a good candidate for Emsculpt NEO?
Candidates include adults seeking noninvasive fat reduction and muscle toning, with BMI under 35 and no contraindications.
Are results from Emsculpt NEO permanent?
Fat cells destroyed are permanently removed, but maintenance of muscle tone and fat loss depends on lifestyle and follow-up treatments.
What areas can be treated with Emsculpt NEO?
Common areas include the abdomen, buttocks, thighs, arms, calves, and flanks.
Is there downtime after Emsculpt NEO?
No downtime is required. Patients can return to normal activities immediately after treatment.