The decision to use one or two EMSculpt paddles on the abdomen is completely dependent on the size of the abdomen. Most patients don't have a large enough abdomen to fit both paddles so a single paddle can easily create the hypercontractions of the entire abdomen. If you can fit both paddles, that's fine, but even with larger abdomens the single paddle will adequately treat the entire abdomen.Andrew Campbell, M.D.Quintessa
The field delivered by the EMsculpt is typically centered on the umbilicus and is delivered in an upside down bowl/dome confirmation. When appropriately placed this delivers the effective pulse to the target muscle group. However, there are considerations of anatomy for larger patients where 2 paddles will create a more effective field with overlapping domes.That beings aid, for the vast majority of patients a single paddle is adequate. Patients will be able to sense the contractions during treatment from the stimulation and often times offer feedback as to whether it is adequate.As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MDBoard Certified by the American Board of Plastic SurgeryMember: American Society for Aesthetic PlasticSurgery, American Society of Plastic SurgeonsRealSelf Top 100RealSelfHall of Fame