Treatment: Four 30-minute sessions 5-10 days apart
Emsculpt Neo is the only FDA-approved device that combines synchronized radiofrequency (RF) energy for fat reduction and high-intensity focused electromagnetic energy (HIFEM®) for muscle stimulation and growth. The RF energy generates heat, resulting in non-invasive fat reduction while simultaneously warming up the muscles—preparing them for an intense “workout,” much like how we warm up at the gym before strenuous exercise.
Within the first 4 minutes of treatment, subcutaneous fat reaches a temperature that triggers apoptosis, a process where fat cells are permanently destroyed and eliminated from the body. Emsculpt Neo has also been shown to improve diastasis recti (abdominal muscle separation), making it a valuable option for postpartum patients or anyone with weakened core muscles.
Clinical studies show an average 30% fat reduction—higher than any other device on the market. And while traditional exercise only activates a limited percentage of muscle fibers due to the brain’s natural limitations, Emsculpt Neo bypasses this restriction, activating 100% of the muscle fibers. This leads to intense supramaximal contractions that cause cellular remodeling and muscular hypertrophy.
Despite the intensity of these contractions, most patients report very little soreness afterward. This is because the machine helps break down and flush out lactic acid during the treatment, reducing post-procedure discomfort. Clinical studies also show an average 25% increase in muscle volume after a full treatment series.
All of this is achieved in just 30 minutes per session, and the treatment is FDA-approved for individuals with a BMI of up to 35. Emsculpt Neo has been validated in over 30 clinical publications, proving both its safety and effectiveness—available now
Once you have been determined to be a good candidate for Emsculpt Neo you will schedule and be seen for the treatment. During the treatment you will lay downand the applicators will be applied to the specific body parts being treated. Each treatment takes 30 minutes and is customizable to each patient’s level of comfort. During the treatment itself you may feel an intense yet tolerable muscle contraction similar to when exercising.
Along with the muscle contractions there will also be a warm sensation comparable to a hot stone massage, this is the radiofrequency working to heat and destroy unwanted fat. After the treatment there is no down time and you’re able to immediately get back to your daily routine. Over the following hours to days you may feel some tightness and soreness in the areas treated as the muscles recover after the treatment.
To find out more about the Emsculpt Neo at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation.
Patients who are good candidates for Emsculpt Neo are of a normal BMI and already have a healthy and active lifestyle. This procedure can be used to treat the following muscle groups and can be used to target fat loss, muscle growth or both simultaneously:
There are no special preparations required for treatment. Wear comfortable clothes to your appointment, and hydrate well for at least 24 hours prior to maximize results. It’s also a good idea to drink plenty of water and consume a high-protein diet around the time of treatment to support fat metabolism and muscle recovery.
There really isn’t any recovery or downtime after the treatment. Some mild muscle soreness is normal and will gradually improve over the days following treatment.
We recommend that all patients receive 4–6 sessions, spaced weekly or twice a week, depending on your goals and availability. This provides optimal fat reduction and muscle growth. For ongoing benefits, maintenance treatments can be done every 6–12 months or as desired.
Emsculpt Neo does not replace a healthy diet and exercise program but can significantly enhance your body contouring results when used alongside a healthy lifestyle.
Clinical studies demonstrate that on average patients see a 30% reduction in fat as well as a 25% increase in muscle mass. They even found that Emsculpt Neo is also able to help close diastasis recti from pregnancy by about 20%!
Yes, anyone who has implantable metal devices such as joints, pacemakers, etc., should not undergo treatment. This is because the radiofrequency can cause the metal to heat up internally, leading to possible injury. Only copper IUDs are not allowed for Emsculpt Neo treatments—hormonal IUDs are safe. If you have any metal implants, including an IUD, please inform Dr. Sieber’s office prior to treatment.
Absolutely! Even in low BMI patients, you are still able to see a 25% increase in muscle mass after completion of a series of 4 treatments. Radiofrequency can always be added for additional fat reduction if necessary.
Emsculpt Neo treatments are totally customizable for each treatment area. In areas such as the buttocks, the HIFEM can be active while the radiofrequency is turned off. This way, you’ll get all the muscle-building benefits with none of the fat loss! In other cases, the RF doesn’t get hot enough for fat loss but is warm enough to help smooth and tighten the skin, making it a versatile tool for both body contouring and skin improvement.
Yes! Because liposuction is a fat reduction procedure, it does not do anything to the muscles underneath. Hi-definition lipo and traditional liposuction patients are still great candidates for Emsculpt Neo, as the treatments can both build muscle and add additional fat reduction if necessary.
Most of the buttocks projection is actually from the muscle underneath so if you had a BBL and don’t have a lot of projection it could be because the muscle underneath is underdeveloped. Emsculpt Neo is able to help build up the gluteal muscles without causing any loss to precious fat which was transferred there.
Based on your goals and your conversation with Dr. Sieber, he will be able to tell you which treatment option is best suited for you. Liposuction is strictly a fat reduction procedure. The benefit of liposuction is that multiple areas are able to be treated in a single surgery and the 80-100% of fat can be removed from each area at once (this is assuming that you’re of a normal BMI and have less than 5 liters of total fat to be removed). Emsculpt Neo does not remove as much fat as liposuction but is able to simultaneously build muscle. Emsculpt Neo is also an in-office procedure without any downtime! Both treatments have their pros and cons.
No, it doesn’t. Paradoxical adipose hyperplasia (PAH) is a rare but documented side effect that can occur after fat-freezing treatments like CoolSculpting, where fat cells enlarge instead of breaking down. Emsculpt Neo does not use any freezing technology—it relies on radiofrequency and HIFEM® energy to reduce fat and build muscle. There have been no reported cases of abnormal fat growth following Emsculpt Neo treatments.
Contact Sieber Plastic Surgery 415-915-9000 to schedule a consultation and start discussing your needs and concerns.
*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.
