Finishing Touches

COVID-safe Evolve treatments tighten, trim and tone the body.

For her 42nd birthday in April, Patricia* badly wanted to throw herself a party. Given that the coronavirus was raging, she opted to err on the side of caution and threw herself a virtual party instead.

She arranged a video conference with 12 of her closest friends and family members, who celebrated not just Patricia’s birthday, but also a monumental achievement: the loss of 24 pounds of excess body fat through a program called First Line Therapy (FLT).

Provided by Deborah A. DeMarta, MD, FACS, FAARFM, at the Institute of Health and Wellness, FLT is a therapeutic lifestyle program that helps people improve their health and avoid diseases through healthy lifestyle choices, including a modified Mediterranean low glycemic diet, medical foods, stress reduction and exercise.

“That was the real reason I wanted to throw the party,” Patricia says. “It wasn’t really about my birthday. It was about the fact that I had spent the previous year working to lose this excess weight, and I’d finally reached my goal.”

Patricia’s goal was to reach 145 pounds, her ideal weight when she married 12 years earlier. She reached her goal in late March but soon realized she still needed more than diet and exercise to regain the look she wanted.

“I’m still young, and I want to feel confident in the way I look when going to the beach or pool,” Patricia explains. “But even after losing all that weight, I didn’t like the few problem areas that needed to be addressed, along with the associated laxity of my skin.

“I didn’t like my waist line, where I was struggling to lose those last few inches that would give me the shape I wanted. I also had some unsightly skin laxity around my abdomen and inner thighs. I didn’t want those love handles.”

To address those issues, Patricia returned to the Institute of Health & Wellness, where Dr. DeMarta and her team offer a trio of body contouring treatments from InMode called Evolve Tite, Trim and Tone.

“These Evolve treatments are part of a completely customizable non-invasive hands-free all-in-one platform that uses multiple technologies to contour the body and remodel the skin,” Dr. DeMarta explains. “It’s designed for people such as Patricia, who are close to their ideal weight but are struggling to lose those last few pounds or simply need to tighten or tone up a few trouble areas.

“By the time I was done, I had that summertime bikini body that I was happy with and proud of.” – Patricia

“It’s effective on all skin types and works well for men as well as women. And there’s no downtime associated with these treatments. They’re painless and can be done in less than an hour, so it’s something you can schedule during your lunch break if you work and time is tight.

“The other thing that’s great about these treatments is that they’re hands-free, so they’re COVID-safe. We follow the highest standards to ensure COVID safety in our facility.
“This is a treatment ideally suited for someone who may have put on a few extra COVID pounds because of the inability to get to the gym during the global pandemic.”

Evolve Tite

Evolve Tite is an aesthetic remodeling solution that creates a slimmer look by tightening loose or sagging skin through leading-edge radio frequency technology, which generates heat to stimulate collagen production.

“The heat is similar to what you feel during a hot stone massage, and it causes elastin and fibroblast cells to go to work repairing the skin,” Dr. DeMarta explains. “Radiofrequency is a technology we’ve used for many indications such as skin tightening and vaginal rejuvenation.

“In this application, it’s use on the abdomen is perfect for someone who is postpartum and is experiencing loose or sagging abdominal skin. It also works very well on the arms, inner thighs, anywhere you have crepey skin or a loss of elasticity.”

Evolve Trim

Evolve Trim is a quick and easy non-surgical alternative to liposuction specifically designed to reduce the unsightly appearance of subcutaneous fat through the combined use of radiofrequency technology and ultrasound cavitation.

During Evolve Trim treatments, patients wear a specially designed belt that holds six treatment applicators that allow the radiofrequency energy to be distributed to the skin and underlying fat cells, which are destroyed through apoptosis.

The improved results noted with this new technology, compared to other devices on the market, are secondary to contoured thermal heating that are not operator dependent.

“Fat cells are like little water balloons, and during apoptosis, those little water balloons, or fat cells, are popped and deflated,” says Pamela Consbruck, CME, LE, at the Institute of Health & Wellness.

“The contents of those fat cells then go into the lymphatic system, and they’re eventually flushed out of the body. That’s why we do a little massage afterward, because the lymphatics help get rid of the fat through the kidneys.”

Pamela states with enthusiasm that Evolve Trim is an anti-aging treatment that can be used to trim or erase the appearance of fat from the abdomen, back, back of thighs, waist, bra strap area and buttocks. She adds that best results typically come from being treated once a week for about eight weeks.

“That’s the general recommendation for all of these treatments,” Pamela adds. “Most people begin to see gradual improvement in the treatment area after the first few treatments, but the best results come from getting weekly sessions for a duration of six to eight weeks.”

Evolve Tone

EVOLVE Tone’s four hands-free applicators allow for multiple areas to be treated simultaneously.

Evolve Tone is designed to increase muscle strength, tone muscle and add definition to areas such as the arms, legs, flanks, abdomen and buttocks. Unlike Evolve Tite and Evolve Trim, it uses electromagnetic energy to stimulate the muscle, which simulates a real workout.

“Evolve Tone is very powerful,” Pamela says. “I had a demo done on myself, and it really contracts the muscle. The next day, you feel like you had a major workout. But it’s hands-free and the muscle contractions it creates are all involuntary.

“You will definitely feel those contractions. That’s why the treatment can be adjusted so that you can get the maximum benefit from the procedure. A patient call button is available if the comfort level requires adjustment.

“In fact, all of these treatments have a patient call button that can be used if an adjustment needs to be made because once we strap the belt on you, the technician leaves the room so you can lay there and meditate or listen to music or just relax, enjoying the serene view of the river from the beautiful historic treatment room made of Dade County pine.”

Evolve Incredible

Patricia began Evolve treatments in June. For eight weeks, she received Evolve Tite treatments on her abdomen and inner thighs on one day and Evolve Trim treatments on her love handles and the back of her thighs on another. The results, she says, were incredible.

“After a couple of weeks I really started to notice a difference in all the areas that were being treated, and by the time I was done, I had that summertime bikini body that I was happy with and proud of,” she says.

“The Evolve treatments really worked wonders for me, and they were very comfortable. I got to the point after just a couple of treatments where I was really looking forward to that half-hour or 45 minutes of relaxation. It was like having a spa day.

“Now that I’ve got my body looking more the way I want, I’m going to start doing the Evolve Tone treatments to help keep it that way. Between the lifestyle and dietary modifications I learned from the FLT program and some home exercises, I can have the body I want and keep it!”

*Patient’s name changed at her request.


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