BTL-Dr. Diane Duncan-Overview of the Emsculpt NEO technology

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Non-invasive body shaping technologies are based on controlled heating or cooling (localized tissue hyper/hypothermia). They primarily address subcutaneous fat and have no effect on muscle. There are several ways for intact adipocyte to be eliminated without surgery. Apoptosis, or programmed cell death, occurs with traditional Emsculpt. When radiofrequency is added, the process of electroporation accelerates cell lysis without causing undue inflammation.

Emsculpt created a whole new category in the aesthetic field. It is the first non-invasive technology that provides an entire core to floor treatment: abdomen, buttocks, arms, calves, pelvic floor.

HIFEM (high-intensity focused electromagnetic field) has very long wavelengths but carries low energy. Energy of these waves is not absorbed by the tissue and thus does not cause thermal effects. Passing electromagnetic waves induce secondary currents in the surrounding tissue. The circulating currents are predominantly affecting motor neurons. Other tissue remains unaffected. In a single treatment, HIFEM procedure produces thousands of electric pulses. The induced currents depolarize motor neurons that trigger muscle contractions. This leads to an induction of thousands of muscle contractions in a single 30-minute session.

The benefits of the muscle heating are:

  • Enhanced blood supply
  • Heat shock proteins
  • Muscle increase
  • Faster results than exercise
  • Increased patient comfort

Treatments are done through a 30-minute session and a total of 4 treatments (5-10 days apart) are needed. Despite what is being promoted, the average elimination in fat thickness after cryolipolysis as documented by studies published between 2009-2020 is 22.4% measured 2-4 months post treatment. Combination of RF and HIFEM averages out at 30%.

EMTONE is the first non-invasive device that provides effective cellulite treatment with no time. EMTONE simulates emission of radiofrequency and targeted pressure energy. Mechanical stimulation leads to disruption of rigid collagen fibers. Collagen thermal stability is significantly decreased. Partial shrinkage of collagen triple helix can be observed at lower temperatures. Both energies promote fibroblasts proliferation followed by the production of new collagen and elastin fibers.