EMSculpt Neo

What is EMSculpt Neo: BOOK NOW->>> schedulicity.com/scheduling/ABDXZQ(opens in a new tab)

Emsculpt Neo is a next-generation, FDA-cleared device that combines enhanced HIFEM technology (delivering up to 20% more electromagnetic pulses than the original) with radiofrequency (RF) energy in the form of heat, to burn fat more effectively. Emsculpt Neo can treat all the same areas as the original device, and it recently gained FDA clearance for lipolysis (fat reduction) of the thighs. Treatment of the butt, arms, and calves is typically done without heat, to avoid volume loss from fat reduction. four 30-minute sessions over two weeks are recommended with the original Emsculpt device, whereas the recommended treatment plan for Emsculpt Neo is one 30-minute session each week for four weeks. can also reduce diastasis recti, a condition where your abdominal muscles separate (usually during pregnancy) and create a belly pooch. In fact, these are the only nonsurgical treatments shown to be effective in treating abdominal separation. While doctors still recommend a tummy tuck for people with significant separation, they say Emsculpt can be a good option for avoiding surgery.


  • * These nonsurgical treatments require no anesthesia and come with no downtime afterward.
  • * Both treatments come with the dual advantage of toning muscles and reducing fat. They’re a good option for people who want a more sculpted, defined physique and stronger muscles.
  • * They’re suitable for all skin types and tones, with no reported side effects other than some temporary muscle soreness (like you’d feel after an intensive workout).
  • * Emsculpt Neo offers even better muscle building and fat reduction results; it has also been clinically shown to reduce fat more effectively than fat freezing treatments like CoolSculpting. 
  • * Just four treatments can yield visible results, and a majority of RealSelf members who’ve had the treatment say it’s “Worth It.” Many report seeing an impressive increase in muscle tone, and some also say they felt a boost in strength that helped them achieve more during their workouts. 


  • * People with more than an inch of pinchable fat may not see as much of a change from the first-generation device. The fat can act as a barrier between the magnetic coil and the muscles, reducing the strength of the muscle contractions during treatment. Those with a higher BMI should seek out a provider with the more powerful Emsculpt Neo device. 
  • * Like other muscle building and fat reduction treatments, they’re not intended for weight loss. 
  • * These aren’t one-and-done treatments: your treatment plan will likely include multiple sessions in quick succession—four within a two-week period—for optimal results, followed by maintenance treatments.
  • * You won’t see optimal results until about three months after your last treatment. That’s how long it takes for the new muscle fibers to develop and excess fat cells to break down. 

How do Emsculpt and Emsculpt Neo work?


  • One 30-minute Emsculpt session produces nearly 20,000 muscle contractions (similar to crunches that you‘d do in the gym)
  • Contracting repeatedly without rest stresses the muscles, triggering cellular changes that lead to rapid muscle growth. 
  • To supply energy for so many muscle contractions, neighboring fat cells break down via a process called lipolysis. 
  • The damaged fat cells release their contents as free fatty acids, and the cells themselves eventually die. The body’s lymphatic system naturally eliminates them over the coming weeks and months.  

Emsculpt Neo

  • This second-generation device produces up to 24,000 muscle contractions during a treatment session, thanks to enhanced electromagnetic energy. 
  • It pairs these contractions with radiofrequency heat, using a patented electrode found in no other device. The RF heat boosts blood supply to the muscles, which helps increase the number of muscle fibers and overall muscle volume. According to one study, Emsculpt Neo “activates muscle-derived stem cells similar to a 12-week resistance training.”  
  • The thermal energy also heats the fat layer to just above 42°C, the temperature at which fat cells begin to break down. Severely damaged fat cells are metabolized and eliminated by the body over the next several weeks, leading to permanent fat loss.
  • This combination of muscle building and fat burning creates stronger, more defined muscles and a leaner physique.

Both treatments keep working after you finish your last session: your muscles should continue to grow and your fat to shrink for about four months after you finish your last procedure.

RealSelf Tip: Emsculpt is a popular nonsurgical butt lift option. It creates a firmer, more shapely butt via muscle building (minus the fat cell destruction), so it won’t create the same degree of projection as what you’d get with a surgical Brazilian butt lift, which transfers a significant volume of fat cells into the butt. That said, it can be a good option for athletic patients that want a rounder, higher butt.

Who makes a good candidate?

Emsculpt works best for those who have less than an inch of pinchable fat in the treatment area, according to Dr. Kinney’s research. “The ideal candidate is really anyone who’s looking to get stronger muscles and a stronger core, who wants to be tighter and burn fat,” says San Diego dermatologic surgeon Dr. Eugene Nowak. 

Emsculpt Neo, on the other hand, can treat patients with a BMI up to 35—higher than most other nonsurgical body contouring treatment options. 

Both treatments are suitable for all skin types.

What happens during an Emsculpt Neo treatment?


  • Expect the session to last about 30 minutes for large areas and just 20 minutes if you’re having smaller areas treated.
  • First, you’ll lie down, and the applicators will be strapped onto the targeted treatment area. 
  • If it’s your first Emsculpt procedure, your doctor will start the device on its lowest setting. 
  • As it begins sending high-intensity electromagnetic energy to the target muscles, you’ll feel them contract powerfully. 
  • The feeling can be strange—like you’re in the middle of an intense workout, though your body isn’t actually doing anything—but it shouldn’t hurt. In fact, some people find the feeling so unusual that they laugh.

Emsculpt Neo

  • An Emsculpt Neo treatment is similar, but you’ll also feel the RF heat, which should reach its full intensity within the first four minutes. 
  • A sensor in each applicator will monitor your skin temperature in real-time to prevent burns, but your provider will still check in regularly to ensure that you’re comfortable. 
  • Your provider will gradually increase the intensity as much as you can tolerate, asking you if you’re comfortable as it ramps up. Most people in Dr. Kinney’s clinical study were able to endure close to the maximum level of intensity by the end of their first session, which doctors encourage for best results. Over time, you may be able to start your sessions at higher settings.
  • The Emsculpt machine will contract your muscles hundreds or thousands of times, in just a few seconds. 
  • The supramaximal contractions will cycle through different phases. Some will be rapid and light, and some will be more powerful. 
  • During the last phase of treatment, the muscle contractions will be slow but intense, to flush out any toxins or lactic acid released during the procedure and help reduce soreness.

You won’t need recovery time afterward, but don’t be surprised if you feel sore, like you pushed yourself through a tough workout. The soreness should resolve within one or two days. You can resume regular activity—including exercise—right away, though you may want to rest if your muscles feel tired.

How many treatment sessions do you need?

Most patients need four 30-minute treatment sessions, spaced two to three days apart, for optimal results. 

Additional sessions beyond the initial four won’t hurt, but they may not improve your results. 

“Current studies have shown that results tend to plateau after four sessions,” says Dr. Nicole Hayre, a dermatologic surgeon in McLean, Virginia. “Therefore, extra sessions will likely not increase the benefits of the treatment.” 

You’ll see the best results from living a healthy lifestyle after your Emsculpt treatment series (including regular exercise) and returning for maintenance treatment sessions every six months.

What kind of results can you expect?

Emsculpt results

Clinical studies conducted by Emsculpt’s manufacturer, BTL, show reductions in waist size and fat and increases in muscle mass with the original Emsculpt device.

Research led by Dr. Brian M. Kinney, a plastic surgeon in Beverly Hills, California, showed that muscle mass increased by about 16%, while fat decreased by nearly 19% after four sessions. 

In amulti-center study involving both Dr. Kinney and BTL medical advisor Dr. Carolyn Jacob, a dermatological surgeon in Chicago, patients who originally weren’t happy with the shape of their buttocks reported an 85% improvement after four Emsculpt treatments, noting that their butt felt more lifted and firm. 

Dr. Jacob’s study also found that the treatment reduced people’s waist circumference by an average of 1.5 inches (3.29 centimeters) after four treatments. Three months later, their waist size had shrunk even more: his Emsculpt patients had lost 1.7 inches (4.37 cm) in total.

“I think overall, patients are very pleased with it,” says Dr. Grover. “I’ve also done treatments on myself, and I feel like it’s definitely increased my tone and improved my muscle definition.”

Emsculpt Neo results

Clinical trials funded by BTL show an average fat loss of 30% in the treated area, a 25% increase in muscle mass, and a waist circumference reduction of up to 2.3 inches (5.9 cm), one month after treatment. 

They also demonstrated a 19% reduction in abdominal muscle separation, a boon for people with diastasis recti.

Do you lose weight with Emsculpt?

Like other body contouring treatments, this one isn’t intended for weight loss. 

You can expect to see an average fat loss of nearly 19% in the treated area with Emsculpt and 30% with Emsculpt Neo, but you’re unlikely to see a change in weight, according to a 2019 study in the Journal of Aesthetic & Reconstructive Surgery. 

It’s also important to keep in mind that good candidates for the classic version of the treatment are already at or very near their ideal weight, while Emsculpt Neo can treat patients with a BMI up to 35.

How soon will you see results?

People who are relatively fit may start to see some improvements within a few days of their first treatment session. 

After the recommended series of four treatment sessions, all good candidates should feel stronger and see more muscle tone and reduced fat in the treated areas, with the most results visible after three months.

Final results can take even longer to appear, especially in areas with more fat. “Building muscle takes time. We can’t go to the gym once and say we’re toned and strong,” Dr. Nowak says. “The muscle builds over the next couple of months. Apoptosis—the breakdown of fat cells—takes a couple of months to happen.”

How long do Emsculpt results last?

As with other nonsurgical treatment options, Emsculpt results aren’t permanent: they will last as long as you maintain them with regular exercise (including strength training) and follow-up treatments every six months.

What are the risks and potential side effects?

No Emsculptside effects have been reported. That said, this noninvasive treatment is still relatively new, having launched in mid-2018, so we don’t know much yet about its long-term effects—including how high-intensity electromagnetic energy might affect your organs over time. 

Emsculpt Neo is even newer, but no serious side effects have been reported.

“So far, Emsculpt is shown to be a very safe treatment,” Dr. Nowak says. However, doctors say that you shouldn’t have this treatment if you’re pregnant; have a pacemaker or other implanted electronic device near the treatment site; or have heart issues, a history of seizures, or any other medical conditions that could make the device’s electromagnetic field dangerous for you.

Avoid Emsculpt if you have any type of metal, such as a copper IUD or a hip implant, near the treatment zone. The high-intensity focused electromagnetic energy of Emsculpt can heat up the metal or dislodge it.

What are some alternatives?

Emsculpt & Emsculpt NeononsurgicalCoolTonenonsurgicalCoolSculptingnonsurgicalLiposuctionsurgical
Worth It Rating83%60%81%87%
Average Cost$3000$1750$2475$6550
DowntimeNo downtimeNo downtimeMinimal downtime1–2 weeks of downtime
AnesthesiaNo anesthesiaNo anesthesiaNo anesthesiaLocal or general anesthesia

Many fat reduction treatments are available using cold, heat, or ultrasound waves. Because Emsculpt is the only one that both reduces fat and tones muscle, it can be used as a complement to other fat-loss treatments.