Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Body Contouring · Fleming Island, FL
Reshape and contour, without surgery
Emsculpt Neo, non-surgical fat reduction, muscle definition, and shape treatments matched to your goals by a clinician-led team. We choose the right device for what your body needs and give you an honest picture of what non-surgical care can and cannot do.
Written by the Well Labs+ editorial team · Last updated July 2026
Category Overview
How non-surgical body contouring works
Body contouring is not weight loss. It is a set of non-surgical treatments that reduce stubborn fat, build muscle definition, or refine shape for patients who are already near a stable, healthy weight and want to address what diet and exercise have not fully reached. Some treatments use heat and electromagnetic energy, others are injectable, and each works with your body’s own biology rather than against it.
Because of that, change builds over weeks to months, not overnight, and we say so plainly. Choosing well is the whole point, so we match the treatment, or combination, to your goal, part of our complete wellness and body program, and we will tell you honestly when a medical weight-loss conversation should come first instead.
The Contouring Options
Ways to reshape, compared
Each of these addresses a different goal, muscle, fat, shape, or texture. Use this as a guide, then let your provider match the right one to your body, so the choice is based on your goals rather than on a single device.
Emsculpt Neo · muscle + fat
Nonsurgical Body Contouring
HIFEM plus radiofrequency in one session, building muscle definition and reducing stubborn fat at the same time. Chosen over CoolSculpting after our own review of the evidence.
Learn about Nonsurgical Body ContouringInjectable · fat reduction
Liquid Lipo
An injectable deoxycholic acid treatment that reduces small pockets of stubborn body fat without a needle-free device or surgery. A different mechanism from Emsculpt Neo, and distinct from our chin-focused Kybella.
Learn about Liquid LipoNon-surgical · Radiesse + Sculptra
Brazilian Butt Lift
A non-surgical shape and volume treatment using injectable biostimulators, not the surgical fat-transfer procedure of the same name. We are careful to make that distinction clear at your consult.
Learn about Brazilian Butt LiftGeneral fat-reduction planning
Nonsurgical Fat Reduction
For patients who want to talk through non-surgical fat-reduction options broadly before committing to a specific device, we map your goals to the right treatment in this hub, honestly.
Learn about Nonsurgical Fat ReductionNon-surgical · postpartum combination
Nonsurgical Mommy Makeover
A curated, non-surgical combination of core, skin, and contour treatments built around the postpartum body, not the surgical procedure of the same name.
Learn about Nonsurgical Mommy MakeoverScar & stretch-mark revision
Scar Treatment
Texture and pigment revision for scars and stretch marks that often follow pregnancy, weight change, or surgery, paired where useful with resurfacing devices on our Lasers & Devices side.
Learn about Scar TreatmentWhich one is right for you is decided together at your consultation, based on your goals and your candidacy.
Also Part Of Your Plan
How we plan and track your results
A contouring plan is more than a single device. These come up at consultation as we build and track your plan.
Styku 3D Body Scan
Before we recommend a plan, many patients start with a Styku 3D body scan: a precise, repeatable measurement of your shape and composition. It gives us a real baseline to plan from and lets us track change session to session, a data-informed complement to the mirror, not a stand-alone weight-loss service.
Building a Combined Plan
Muscle, fat, shape, and skin quality are separate concerns, and they often call for more than one treatment. Your provider can combine Emsculpt Neo, Liquid Lipo, or our biostimulator treatments into a single sequenced plan, and will tell you honestly when a simpler, single-treatment path serves you just as well.
In Expert Hands
Contouring matched to your body, by a real clinician
A contouring result depends on the judgment behind the plan, not the machine. Every treatment at Pura Vida is built and overseen by our nurse practitioner and physician assistant team, led by Kara Wilfong, DNP, APRN, FNP-C, who assesses your goals and your candidacy before recommending anything.
When loose skin is part of the picture, we may pair your plan with Quantum RF skin tightening on our Lasers & Devices side, part of a single plan built around your body rather than one machine.
Fleming Island · Northeast Florida
Contouring the First Coast asks for
Fleming Island is a boating, pool, and beach-weekend community, and our patients here tend to be established, active, and already close to the shape they are working toward, whether that is a new parent rebuilding core strength, an active-aging professional maintaining definition, or someone refining a stubborn area diet and exercise never quite reached. Non-surgical contouring fits that patient well, and we are honest about what a device can and cannot do for a goal that surgery, not a machine, would better serve.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
The practice Fleming Island trusts for medical wellness. Voted the area’s best medspa six years running, cared for from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
Is This For You?
Am I a Candidate?
A Good Fit If…
- You are near a stable, healthy weight and want to refine muscle definition, a stubborn fat pocket, or shape.
- You want a non-surgical option and understand results build over weeks to months, not overnight.
- You are comfortable with a maintenance rhythm rather than a single, permanent change.
- You want a plan built around your goals, whether that is one treatment or a combination.
Let’s Talk First If…
- Your actual goal is significant weight loss, in which case our medical weight-loss program is the more honest starting point.
- You have a larger volume of excess skin or fat that a surgical procedure would address better, and we will refer you to our Medical Director.
- You are pregnant or breastfeeding, so we will ask you to wait.
- You have certain implanted electronic devices, which can affect candidacy for energy-based treatments, so we review your history.
If a non-surgical treatment will not meet your goal, we will tell you honestly and point you toward what will, including a surgical referral to our Medical Director when that is the more honest answer. Declining a treatment that will not serve you is part of how we work.
Ready to Start?
Sounds like you? Let’s build your body contouring plan.
Request an appointment and we’ll map a non-surgical plan around your goals, here in Fleming Island.
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"I visited Pura Vida for hormone health support. Kara is so caring and informational to help you understand how your body works and what you are feeling… a holistic approach of treating from the inside out, down to the cellular and nutrient level, which I appreciate."
"I had my first appointment with Kara today and I have all the faith in the world that she will sort out my perimenopause issues. Look forward to the road ahead."
"We see Kara for BHRT and our overall better health. She is kind, knowledgeable, and relatable. The care we have received is life changing. She is a true professional."
Prefer to Talk First?
Questions before you book? Call us.
Talk through which body contouring option fits your goals with our Fleming Island team before you schedule.
Our Process
How your plan comes together
Start with your goals, not a device
Every plan begins with an unhurried consultation here in Fleming Island. We ask what you actually want to change, whether that is definition, a stubborn pocket of fat, shape, or skin texture, before we ever discuss a specific treatment.
An honest candidacy screen
Body contouring works best on patients who are already close to a stable, healthy weight and want to refine what diet and exercise have not fully addressed. We screen for that honestly, and we will say so if a medical weight-loss conversation should come first.
Match the treatment to the goal
Muscle definition, injectable fat reduction, and shape-building each call for a different tool. Your provider recommends the treatment, or combination, that fits your goal and your body, not the newest machine in the room.
Results build over weeks to months, and we track them
Non-surgical contouring works with your body's own biology, so change is gradual rather than immediate. We photograph and, where useful, Styku-scan your progress, and set a realistic maintenance rhythm together.
Proven Excellence
Trusted across Clay County
Non-surgical body contouring is available at our Island Lane Medical Spa, serving Orange Park, Middleburg, and greater Jacksonville.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Meet Your Care Team
Clinician-led, from consult to results
Led by Kara Wilfong, DNP, APRN, FNP-C, our nurse practitioners and physician assistants build every contouring plan around your goals and your health history.
Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Emily Arnold
Physician Assistant-Certified
Fleming IslandA board-certified physician assistant specializing in aesthetic medicine, with a Master of Physician Assistant Studies from Augusta University.
Portrait coming soon
Brooke Taylor
Medical Assistant
Fleming IslandSupports the clinical team through every appointment so your provider can deliver attentive, unhurried care.
Patient Care Team
Scroll to meet the full team
Frequently Asked Questions
Body Contouring Questions, Answered
Is body contouring the same thing as weight loss?
No, body contouring is not weight loss. It reduces stubborn fat pockets, builds muscle definition, or refines shape for patients who are already near a stable, healthy weight, not a program for losing significant weight. If real weight loss is your goal, we will tell you honestly and point you toward our medical weight-loss program instead of positioning a contouring device as a substitute.
How do I choose between Emsculpt Neo, Liquid Lipo, and the other body contouring options?
Emsculpt Neo is usually the right fit if you want muscle definition along with fat reduction in one session, Liquid Lipo is an injectable better suited to a specific stubborn fat pocket, and our non-surgical Brazilian Butt Lift or Mommy Makeover use biostimulators for shape and volume. Many patients combine two or three of these into a single sequenced plan. Your provider maps your goal, whether that is definition, a stubborn pocket, or shape, to the right treatment or combination at your consultation, and will tell you honestly when a simpler single-treatment path serves you just as well.
Is body contouring at Pura Vida surgery?
No, every body contouring treatment at Pura Vida is non-surgical. That distinction matters most for our Brazilian Butt Lift and Mommy Makeover, which use injectable biostimulators like Sculptra and Radiesse rather than the surgical fat-transfer or combination-surgery procedures that share those names elsewhere. We make that distinction plain before you ever book.
How soon will body contouring results show, and how long do they last?
Most patients notice initial change within several weeks, with the fuller result settling in over a few months, since these treatments work with your body's own biology rather than delivering an overnight change. How long results last also depends on maintaining a stable weight afterward, and we set honest, treatment-specific timelines at your consultation.
When is surgery a better choice than non-surgical body contouring?
Surgery is usually the better route when the goal involves large-volume fat removal, significant loose or excess skin, or a dramatic change in shape that a non-surgical device cannot reach. Our treatments are built for refining a stubborn pocket, adding definition, or restoring volume for someone already near a stable weight, not for replacing a tummy tuck or a surgical lift. When your goals call for that conversation, our Medical Director receives referrals directly, so you get an honest answer about which path actually fits rather than a device sold as something it is not.
Who performs body contouring at Pura Vida, and who oversees it?
Every body contouring plan at Pura Vida is built and overseen by our nurse practitioner and physician assistant team, led by Kara Wilfong, DNP, APRN, FNP-C, with all health content on this site medically reviewed by our Medical Director. Pura Vida has been voted the area's best medspa six years running, and our Medical Director receives referrals directly whenever a patient's goals call for a surgical conversation instead.
Real Results
Body Contouring Before & After
Scroll for more results
Individual results may vary and are not guaranteed. Photos are of real Pura Vida patients, shared with consent.
Powered by Ageless AI
Curious what you’d look like? Find out in about 60 seconds.
Our AI preview tool shows you potential treatment results on your own face and body before you ever step into our office. No commitment, no guessing.
Preview My Results Free · takes about 60 seconds
Ready When You Are
Let’s build a plan around your body
Request an appointment and we’ll assess your goals, explain honestly which non-surgical treatment, or combination, fits your body, and set a realistic timeline for the result you actually want.
Not ready to book? Send us a question instead.