CoolSculpting Elite & EMSCULPT

Golden Triangle Plastic Surgery and Medical Spa offers CoolSculpting Elite and EMSCULPT non-surgical body contouring at Dr. Roy David's San Diego practice. CoolSculpting Elite ($800–$5,400 for 1–12 cycles) uses controlled cryolipolysis to permanently reduce stubborn fat deposits. EMSCULPT ($450–$2,000) uses high-intensity focused electromagnetic (HIFEM) energy to induce supramaximal muscle contractions for simultaneous fat reduction and muscle toning — particularly effective for abdomen and buttocks.

Non-surgical body contouring at Ora Plastic Surgery San Diego (Golden Triangle Plastic Surgery and Medical Spa) is delivered through two complementary modalities — CoolSculpting Elite and EMSCULPT — which target body composition improvement through distinct mechanisms. CoolSculpting Elite is the second-generation cryolipolysis platform from Allergan/AbbVie, featuring dual applicators that allow two body areas to be treated simultaneously, reducing total treatment time by up to 50% compared to the original CoolSculpting system. The device uses controlled cooling to selectively lower the temperature of subcutaneous adipose tissue to a range of -11°C to 5°C — a thermal window in which fat cells undergo cryoapoptosis (cold-induced programmed cell death) while the overlying skin and surrounding tissue remain unharmed. The apoptotic fat cells are then gradually cleared by the body's lymphatic system over two to four months, resulting in a permanent reduction of the treated fat deposit of approximately 20–25% per cycle. At the San Diego practice, CoolSculpting Elite is priced at $800–$5,400 for one to twelve cycles, with common treatment areas including the abdomen, flanks, inner and outer thighs, bra line, and submental area. Multiple cycles are typically required for each area to achieve target reduction. EMSCULPT uses high-intensity focused electromagnetic (HIFEM) technology to induce supramaximal muscle contractions — contractions at an intensity that cannot be achieved through voluntary exercise — at a rate of approximately 20,000 contractions per 30-minute session in the treated muscle group. These extreme mechanical contractions trigger a rapid sequence of metabolic adaptations: myofibril hypertrophy (increased muscle fibre size and density), development of new muscle fibres, and concurrent lipolysis in the overlying adipose tissue driven by the metabolic demand of the contracting muscle. Clinical data reports approximately 16% increase in muscle mass and 19% reduction in subcutaneous fat in the treated zone after a standard four-session protocol. At the San Diego practice, EMSCULPT sessions are priced at $450–$2,000 depending on the anatomical area and number of sessions, with abdomen, buttocks, arms, calves, and thighs all treatable. EMSCULPT is frequently combined with CoolSculpting Elite — the fat reduction of cryolipolysis complementing the muscle toning of HIFEM — and both can be positioned as preparatory or maintenance treatments alongside the surgical body contouring (tummy tuck, liposuction) performed by Dr. D'Souza at the same practice.