| Category Name | Content |
| Name | Evolve (RF Skin Tightening, Muscle Stimulation, and Fat Reduction) |
| Uses | Non-invasive body contouring, skin tightening, muscle toning, and fat reduction using radiofrequency (RF), electrical muscle stimulation (EMS), and vacuum-assisted technology. |
| Route Of Administration | External application using RF, EMS, and vacuum therapy on targeted areas. |
| Frequency Of Use | Typically 1-2 sessions per week for an initial series of 6-8 treatments; maintenance sessions every 3-6 months. |
| Concentration(s) | Customizable intensity levels for RF (temperature-controlled), EMS (adjustable frequency), and vacuum therapy (pressure settings). |
| Maximum Dosage (Day, Wk) | Maximum of 1-2 treatment areas per session, with up to 3 sessions per week. |
| Contraindications | Pregnancy or breastfeeding, pacemakers or implanted electronic devices, metal implants in the treatment area, uncontrolled diabetes, deep vein thrombosis, active skin infections, open wounds, recent surgery in the treatment area, or uncontrolled hypertension. |
| Possible Side Effects | Mild redness, temporary swelling, tingling sensation, minor discomfort, rare cases of bruising or localized sensitivity. |
| Compatibility With Other Treatments/Drugs | Can be combined with CoolSculpting, EmSculpt, or other non-invasive body contouring treatments on separate treatment days. Avoid aggressive treatments like microneedling or deep laser resurfacing on the same day. |
| Allergies | Assess for potential skin sensitivity to conductive gels or adhesive pads used in treatment. |
| Administration Time | 30-60 minutes per session, depending on the combination of RF, EMS, and vacuum therapy used. |
| Dosing/Settings | Customized based on patient goals and comfort level: - **RF Skin Tightening**: 40-45°C (temperature-controlled per skin tolerance) - **EMS Muscle Stimulation**: 10-50 Hz (adjusted based on muscle response) - **Vacuum Therapy**: Low to medium pressure settings, depending on tissue laxity. |
| Test Spot Requirement | Not required, but first-time patients should start at lower intensity settings to assess comfort and response. |
| Pre-Treatment Guidelines | - Ensure the skin is clean and free of lotions, oils, or self-tanners. - Remove all metal jewelry before treatment. - Hydrate well before treatment to improve RF energy conduction. - Avoid excessive sun exposure in the treatment area 48 hours prior. |
| Provider Clearance Guidelines | - Ensure the patient has no contraindications before treatment. - If the patient has recent surgery or compromised circulation, consult a physician before proceeding. - Document all clearance decisions in the patient’s medical record. |
| Pre-Treatment Screening Workflow | - Does the patient have an implanted electronic device? (If YES, contraindicated) - Has the patient undergone recent surgery in the treatment area? (If YES, physician clearance required) - Is the patient pregnant or breastfeeding? (If YES, contraindicated) - Does the patient have active skin conditions or infections in the treatment area? (If YES, delay treatment until resolved) |
| What To Do If Adverse Reaction Occurs | - **Skin irritation or excessive redness**: Apply a cooling gel or aloe vera and monitor. - **Pain or discomfort**: Reduce RF temperature or EMS intensity. - **Dizziness or nausea**: Stop treatment immediately, allow the patient to rest, and provide hydration. - **Severe or prolonged skin sensitivity**: Escalate to physician evaluation. |
| Clinic Implementation Guidelines | - Ensure treatment room setup includes sanitized applicators and conductive gels. - Confirm all consents and pre-treatment screening forms are completed before treatment. - Monitor patient comfort throughout the session and adjust settings accordingly. - Document all treatment parameters and patient response post-session. |
| Photographic Documentation Protocol | - Capture pre-treatment photos of the treatment area. - Take post-treatment photos after the full treatment cycle to assess results. - Store images securely in the patient’s medical record. |
| Post-Treatment Care | - Encourage adequate hydration post-treatment to improve circulation. - Patients may experience mild soreness or a warming sensation in the treated area for a few hours. - Avoid excessive heat exposure (e.g., saunas, hot tubs) for 48 hours post-treatment. - Follow-up sessions should be scheduled based on provider recommendations. |
| Additional Documentation Requirements | - Signed informed consent detailing treatment expectations and risks. - Patient history screening for contraindications. - Treatment session log including intensity settings, treatment duration, and patient response. - Post-treatment recommendations provided and documented. |