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.
Nonsurgical Body Contouring · Fleming Island, FL
Emsculpt Neo pairs electromagnetic muscle stimulation with radiofrequency fat reduction in a single session. It’s a contouring treatment for patients near a stable weight, chosen over CoolSculpting after our own review, and delivered with an honest timeline.
Written by the Well Labs+ editorial team · Last updated July 2026
Treatment Overview
Emsculpt Neo combines two energies most fat-only devices do not: HIFEM electromagnetic stimulation, which triggers rapid, involuntary muscle contractions to build definition, and radiofrequency, which heats the fat layer sitting above that muscle. Treating both in a single session is why we chose it over CoolSculpting after reviewing the evidence ourselves.
This is a contouring treatment for patients already near a stable, healthy weight, not a weight-loss program. It is part of our complete body contouring program. If a stubborn fat pocket rather than muscle definition is your main concern, our Liquid Lipo injectable may be the better fit, and we will tell you honestly which one serves your goal.
Common Areas
Any area with an underlying muscle and a stubborn fat layer above it can benefit. Sessions are matched to the applicator size the area calls for.
HIFEM contractions build core muscle definition while the paired radiofrequency addresses the fat layer above it, all in the same session. A frequent choice for the midsection diet and exercise have not fully reached.
The same muscle-building and fat-reducing combination applied to the glutes, for patients who want more shape and tone without surgery.
Smaller applicators reach the arms and thighs for the same muscle-and-fat combination, matched to a treatment plan built around your goals.
Emsculpt Neo is often combined with Liquid Lipo or our biostimulator shape treatments for a broader plan, which your provider can walk through at your consultation.
Fleming Island · Northeast Florida
Between the river, the pool, and weekend boat trips, our Fleming Island patients want definition they can see in real life, not just a number on a scale. New parents rebuilding core strength and active-aging professionals maintaining tone both ask for Emsculpt Neo by name, and we are candid that it works with a stable weight, not instead of one.
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
The Pura Vida Approach
Every Emsculpt Neo treatment at Pura Vida starts with a candid conversation about your goals and whether you are a good candidate. We chose this device because it treats muscle and fat together, and we are equally candid about what it will not do for a patient who needs to lose weight first.
That honesty is part of our complete body contouring program, built around your goals rather than around one machine.
Is This For You?
If Emsculpt Neo is not the right tool for your goal, we will tell you honestly and point you toward what is, whether that is a different contouring treatment or our medical weight-loss program. Declining a treatment that would not serve you is part of how we work.
Ready to Start?
Request a consultation at our Fleming Island medical spa and we’ll confirm you’re a good candidate before we build your plan.
Our Process
Every plan starts with a consultation here in Fleming Island. We ask what you actually want to change, muscle definition, a stubborn area, or both, and confirm you are near a stable weight, since this is a contouring treatment, not a weight-loss program.
We reviewed both technologies before choosing what to carry. Emsculpt Neo pairs HIFEM muscle stimulation with radiofrequency fat reduction in one device, addressing muscle and fat together, which is why it earned a place in our plan.
Sessions are typically scheduled as a short series, a few weeks apart. Most patients describe the sensation as an intense, involuntary muscle contraction alongside warmth, and return to their day immediately after.
Muscle response and fat reduction both take time to show. Change typically becomes visible over several weeks, with the fuller result settling in around two to three months, and we discuss a maintenance rhythm at follow-up.
What Our Patients Are Saying
"Kara is incredibly patient, understanding, and knowledgeable. I never felt pressured or rushed to do or buy anything extra. Super professional and clean atmosphere. Will be back again and again."
"Can’t say enough great things about this place! Everyone is so nice!… All are so knowledgeable and really tailor treatments to the person. I’ve been seeing them for 2 years and I’ve been happy with every visit."
"The Pura Vida facility is always very pleasant and professional… She always explains every procedure in detail and gives great recommendations. Always very satisfied with all the services I receive there!"
Prefer to Talk First?
Call our Fleming Island team and talk through your goals and candidacy with a real person.
Real Results
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Individual results may vary and are not guaranteed. Photos are of real Pura Vida patients, shared with consent.
Proven Excellence
Emsculpt Neo is available at our Island Lane Medical Spa, serving Orange Park, Middleburg, and greater Jacksonville.
Meet Your Care Team
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.
Scroll to meet the full team
Frequently Asked Questions
Non-surgical body contouring with Emsculpt Neo builds muscle definition and reduces a stubborn fat layer in one session, using HIFEM electromagnetic stimulation to trigger rapid muscle contractions and radiofrequency to heat the fat layer above the muscle. That combination, treating muscle and fat together rather than fat alone, is why we chose Emsculpt Neo over options like CoolSculpting after reviewing the evidence ourselves.
No, and we want to be direct about that. Non-surgical body contouring reduces a stubborn fat layer and builds muscle definition for patients who are already near a stable, healthy weight, and it is not designed to produce significant weight loss. If weight loss is your goal, we will talk with you honestly about our medical weight-loss program instead.
For patients who want muscle definition along with fat reduction, Emsculpt Neo is the better choice because it treats both in the same session, while CoolSculpting addresses fat alone. We reviewed the evidence for both devices before deciding which one earned a place in our practice, and Emsculpt Neo is what we recommend for most patients seeking contouring rather than fat reduction alone. That kind of evidence-based device selection is part of why Fleming Island has voted us the area's best medspa six years running.
Emsculpt Neo is typically done as a short series spaced a few weeks apart, with results building over the following two to three months as your body responds. It is priced per session and confirmed at your consultation. Results are not guaranteed to be permanent, since muscle and fat continue to respond to your activity level and lifestyle after treatment, so we discuss a sensible maintenance plan at your consultation.
Emsculpt Neo body contouring is not painful the way surgery is: most patients feel an intense, involuntary muscle contraction during the session and only mild soreness afterward, similar to a hard workout. Downtime is minimal, typically a day or two of muscle fatigue along with mild warmth or redness in the treated area, and most patients return to normal activity right away. We walk you through exactly what to expect for your specific plan at your consultation.
Pura Vida offers Emsculpt Neo body contouring at our Island Lane Medical Spa in Fleming Island, FL, and serves patients throughout Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville across Clay County. Between the river, the pool, and weekend boat trips, our Fleming Island patients often want definition they can see in real life, not just a number on a scale, and we are candid that Emsculpt Neo works with a stable weight, not instead of one.
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Ready When You Are
Request an appointment and we’ll assess your candidacy, explain honestly what Emsculpt Neo can do for your muscle definition and stubborn fat, and build a plan around the result you actually want.
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