**3.2 Moderate case**

Patient B presented with a protruding stomach due to excessive subcutaneous fat, visceral fat deposits, and loose muscles. The patient declined liposuction and abdominoplasty. He wanted to achieve both fat reduction and muscle strength. Therefore, he opted for HIFEM+RF procedure. Each treatment lasted for 30 minutes, starting with the HIFEM intensity set to 0%, increasing it to the maximum tolerable level. The RF intensity was set to 100% since the beginning of the procedure. Two applicators were used at the same time on the abdomen. Subject's results, captured in the digital photographs, are shown on the **Figure 2**. In addition,

#### **Figure 2.**

*Patient B - male 57 years old, BMI 32.8 kg/m2 , 3 treatments administered with HIFEM+RF, digital photographs captured at baseline (left) and 1-month (right) post-treatment. The subject reported none to mild discomfort during the procedure and maintained his diet and exercise regime post-treatments. At 3 months, the MRI showed a 30.3% increase in muscle thickness, 35.3% subcutaneous fat reduction, and 17.2% reduction in muscle separation. Due to these extensive changes, the body contour was improved greatly just after three HIFEM+RF treatments.*

#### **Figure 3.**

*Patient C - female 35 years old, BMI 22.7 kg/m2 , four treatments administered with HIFEM, RF, and TPE. The subject showed considerable improvement of body contour and skin appearance 6 weeks after the last treatment (right). The patient reported a noticeable muscle tightening effect on top of the improvement in skin laxity.*

an MRI examination was performed to identify changes in the abdominal fat and muscle tissue.
