Combination treatment for buttock and abdominal remodeling and skin improvement using HIFEM procedure and simultaneous delivery of radiofrequency and targeted pressure energy

J Cosmet Dermatol. 2021 Dec;20(12):3893-3898. doi: 10.1111/jocd.14554. Epub 2021 Oct 22.


Background: High-intensity electromagnetic field procedure (HIFEM) is an effective tool for body shaping and muscle toning. Radiofrequency (RF) combined with targeted pressure energy (TPE) provides the solution for skin laxity and cellulite.

Aims: To document the effect of consecutive use of HIFEM, RF, and TPE for treatment of abdomen and buttocks.

Methods: Fifteen subjects (44.3 ± 14.2 years, 22.3 ± 2.3 kg/m2 ) finished treatments and consequent follow-ups. They were treated over the abdomen (Group 1, N = 7) or buttocks (Group 2, N = 8), receiving four treatment procedures consisting of HIFEM treatment administered first, immediately followed by the simultaneous RF & TPE treatment. Each session took approximately 50 min (30 min of HIFEM; up to 20 min of RF & TPE) depending on the treated area. Study outcomes were assessed by the circumference measurement, satisfaction and comfort questionnaires, and digital photographs.

Results: Combined treatments were safe and comfortable. At 1 month, the abdominal circumference significantly decreased by 4.4 cm, while buttocks showed a significant increase by 1.0 cm. The abdomen (-4.1 cm) and buttocks (+1.2 cm) circumference results were sustained for three months without a significant decline. Satisfaction was high in both groups (93.3%) since most subjects noted that the appearance of the treated area has been improved, referring to both body sculpting and skin appearance.

Conclusions: The consecutive application of HIFEM, RF, and TPE treatments noticeably improved the appearance of the abdomen and buttocks. Subjects showed enhancement of abdominal body contour, buttock lifting, and improved skin quality manifested by reduced skin laxity and cellulite.

Keywords: HIFEM; abdominal remodeling; buttock lifting; radiofrequency; targeted pressure energy.

MeSH terms

  • Abdomen
  • Buttocks
  • Cosmetic Techniques*
  • Electromagnetic Fields
  • Humans
  • Radio Waves
  • Radiofrequency Therapy*
  • Treatment Outcome