**3.3 Challenging case**

Patient C presented with concerns regarding all three: Skin laxity, loose muscles, and localized fat. After multiple childbirths, the patient suffered from the separation of abdominal muscles (diastasis), excessive fat accumulation on the abdomen, and skin laxity (so-called jelly belly). She opted for the combination of HIFEM and RF + TPE treatments to target the skin, muscle, and partly fat tissues. Each HIFEM treatment lasted for 30 minutes, and intensity was gradually increased to maximum tolerable level within the range of 0–100%. RF + TPE combined therapies lasted 15 minutes and were administered immediately post each HIFEM procedure. The RF intensity was set to 65%, and the built-in thermometer monitored tissue temperature to be in the range of 40–45 degrees Celsius. TPE was set to 4 at the device's pressure scale. Both procedures were tolerated well. The achieved results are shown in **Figure 3**.
