Thank you for your question. EmSculpt uses HIFEM (High Intensity Focused Electro-Magnetic) fields to cause intense contractions of the target muscle. The muscle contractions caused by EmSculpt is so intense that we cannot replicate this with voluntary contractions if we tried. These contractions are called ‘supramaximal’ contractions. Over a course of 30 minutes, the patient experiences over 20,000 such contractions, i.e. a very intense workout. EmSculpt can be used to help build abdominal muscles, but also has the secondary benefit of reducing fat in those areas. The intense muscular workout releases free fatty acids (FFA) and when the concentration of FFA increasing, it becomes toxic to the surrounding fat cells. Studies have shown that the fatty tissue layer can be reduced by up to 19% with four treatment sessions. In addition, your muscle grows in stature by 16%. Any fat reduction achieved by EmSculpt can be very long lasting as it permanently reduces the number of fat cells. The muscle, however, may be different story. Imagine going to the gym and working extensively for weeks and months. You can tell that your muscle is building strength, girth, and tone. Then you stop for six months. Your muscles will feel and appear deflated and ‘out of shape’. Patients can use EmSculpt to not only build their muscles, but also to maintain the growth of those muscles. For patients that have a very active exercise regimen, they may not need to do EmSculpt as often. However, for those that want to maintain their muscular build, consider EmSculpt as you ‘medical gym’ partner/ trainer. Remember that EmSculpt is just one of several different options out there for BodySculpting. In my experience, a multi-modal approach provides a greater and longer lasting result than a single modality. I would visit with a board certified plastic surgeon who can help you discuss both surgical and non-surgical options with you in more detail.