Hello, that's a bit unusual! Typically, I see patients who gradually increase their tolerance or maintain the same level as they move through their treatments.
Thanks for your question. You should not do EmSculpt Neo with any metal in your body. You can wait until your piercings are more healed, so that you can remove them for 30 minutes without the piercing closing during your treatment. Glass piercings could also work, depending on what your piercer says about their safety. Another option is SculpSure, since this is a localized treatment that can tolerate metal in your body.
You're absolutely right in saying EmSculpt Neo may go either way since the device builds muscle and burns fat. Your success would likely depend on your current composition and distribution of muscle and fat in your legs. With targeted treatment under the supervision of a EmSculpt Neo provider, you would likely be able to meet your goals!
All three devices are FDA approved for body contouring, but I find the best results with SculpSure. Patients get consistent improvement with SculpSure, which uses heat to permanently kill fat cells. This would be a good fit for you because you are looking to get rid of stubborn fat in a targeted area.