Core and Floor
Strengthen Your Pelvic Core: 11,000 Kegel Exercises in 30 Minutes, Fully Clothed
- ExpertiseTop 1%Injector in the country
- ExperienceOver 11,000Patients treated
- Excellence590+Five star reviews
Why Choose Dr. Avaliani for Core & Floor Treatment?
Over 200 million people globally suffer from pelvic floor weakness and incontinence, yet most suffer in silence. Dr. Avaliani’s Core & Floor treatment uses HIFEM technology to deliver 11,000 supramaximal pelvic floor contractions in just 30 minutes, rebuilding strength without surgery, needles, or medication. You sit fully clothed on a treatment chair while the device does the work.
Non-Invasive Solution
Sit fully clothed on a comfortable treatment chair, no needles, no anesthesia, no undressing. HIFEM technology does all the work while you relax
Board-Certified Physician
11+ years of aesthetic medicine experience. Dr. Avaliani designs personalized pelvic floor strengthening protocols for both men and women
95% Patient Satisfaction
95% of patients report significant improvement in pelvic floor strength and incontinence symptoms, without surgery or medication
A Reputation Built on Results
5.0-star rating with 565+ verified patient reviews and proven pelvic floor strengthening results
Personalized Approach
Personalized treatment protocols tailored to your specific pelvic floor concerns, goals, and lifestyle
What Is Core & Floor Treatment?
Core & Floor uses High-Intensity Focused Electromagnetic (HIFEM) technology to perform 11,000 kegel-equivalent contractions per session, strengthening the entire pelvic floor without surgery, needles, or medication. This FDA-cleared treatment rebuilds the deep muscles responsible for bladder control, core stability, and intimate wellness.
At Dr. Avaliani’s practice, you simply sit fully clothed on the EMSELLA treatment chair for 30 minutes. The device generates focused electromagnetic energy that causes deep pelvic floor muscle contractions, far more intense than voluntary kegel exercises. You feel gentle vibrations while the technology does all the work.
How Core & Floor Works
The Core & Floor treatment follows a simple, comfortable protocol:
- Dr. Avaliani evaluates your pelvic floor concerns and designs a personalized treatment protocol
- You sit fully clothed on the EMSELLA chair, no preparation needed beyond emptying your bladder
- HIFEM technology delivers 11,000 supramaximal pelvic floor contractions during each 30-minute session
- The deep muscle contractions rebuild pelvic floor strength, improving bladder control and core stability
- Over 6 sessions (twice weekly for 3 weeks), patients experience significant pelvic floor restoration with results after even a single treatment
Conditions We Treat
Urinary Stress Incontinence
Involuntary leakage when coughing, laughing, sneezing, or exercising. Core & Floor strengthens the muscles that support bladder control, significantly reducing or eliminating stress incontinence episodes.
Postpartum Pelvic Weakness
Weakened pelvic floor muscles after pregnancy and childbirth that cause leakage, pressure, and reduced core support. Core & Floor rebuilds pelvic strength to restore pre-pregnancy function and confidence.
Age-Related Pelvic Floor Decline
Natural weakening of pelvic floor muscles over time due to aging, hormonal changes, and decreased collagen. Core & Floor reverses age-related decline and restores muscular tone and support.
Sexual Wellness
Improved pelvic tone enhances intimacy and sexual wellness for both men and women. Stronger pelvic floor muscles contribute to better sensation, control, and overall confidence.
Core Muscle Strengthening
A stronger pelvic core provides improved support for overall fitness, posture, and daily activities. Core & Floor builds the foundational muscle group that supports your entire midsection.
Rectal Incontinence
Strengthening the anal sphincter and surrounding pelvic muscles for improved bowel control. Core & Floor addresses both urinary and rectal incontinence with the same non-invasive treatment.
Our Core & Floor Technologies
Dr. Avaliani offers a comprehensive pelvic floor strengthening program. Here’s what makes the Core & Floor treatment exceptional:
EMSELLA HIFEM Technology
High-Intensity Focused Electromagnetic technology delivers 11,000 supramaximal pelvic floor contractions per 30-minute session. FDA-cleared, non-invasive, fully clothed treatment that rebuilds pelvic floor strength from the inside out.
Core Strengthening Protocol
6 sessions over 3 weeks, twice weekly. Results reported after a single treatment. Maintenance every 3-6 months for sustained pelvic floor strength. Each session is just 30 minutes with zero downtime.
AccuVein & Comfort
Treatment is comfortable and painless. You simply sit on a chair. No anesthesia, no preparation beyond emptying your bladder. Pro-Nox available if desired for additional relaxation during your session.
Call us today to schedule your Core & Floor consultation with Dr. Avaliani and take the first step toward a stronger, more confident pelvic core!
Does It Hurt?
Your comfort options (we tailor this to you)
The Core & Floor treatment is completely painless. You sit fully clothed on the EMSELLA chair and feel gentle vibrations. No anesthesia is needed. Most patients read, scroll their phones, or relax during the 30-minute session. You may experience temporary soreness similar to a core workout afterward. Zero downtime: return to all activities immediately.
Dr. Avaliani prioritizes your comfort at every step. Pro-Nox (nitrous oxide) is available if you prefer additional relaxation, though most patients find the treatment entirely comfortable on its own. There are no side effects beyond possible temporary muscle soreness. You can drive yourself home and resume all normal activities immediately after each session.
Feel Calm. Stay in Control. Look Amazing.
Learn about your comfort options ›- Reduced anxietySettle into a calm, relaxed state before and during your treatment, with no stress and no tension.
- Less discomfortEnhanced comfort for your treatment, so you can focus on your results.
- No downtimeWalk out feeling great and drive yourself home. No recovery time required.
Is Core & Floor Treatment Right for Me?
Ideal Candidates
You may be a good candidate if you:
- Experience urinary stress incontinence (leakage when coughing, laughing, or exercising)
- Have postpartum pelvic floor weakness after pregnancy or childbirth
- Notice age-related pelvic floor decline affecting daily confidence
- Want a stronger pelvic floor without surgery, medication, or downtime
- Prefer a non-surgical, non-invasive approach to pelvic floor strengthening
- Are seeking improved intimacy and sexual wellness through pelvic tone
What Does Core & Floor Treatment Cost?
Pricing Information
The cost of Core & Floor treatment depends on the number of sessions in your personalized protocol. Price Range: $250-$400 per session, with a 6-session protocol recommended During your consultation, Dr. Avaliani will evaluate your pelvic floor concerns, discuss your goals, and recommend a personalized treatment plan with transparent pricing. Most patients complete the full 6-session protocol for optimal results, with maintenance sessions every 3-6 months.
View before & after gallery
Results vary from patient to patient. The gallery shows real outcomes from treatments performed by Dr. Avaliani.
Before and after imagery to be added for this treatment.
Core and Floor frequently asked questions
What is Core & Floor treatment?
Core & Floor is a non-invasive pelvic floor strengthening treatment that uses EMSELLA HIFEM (High-Intensity Focused Electromagnetic) technology to deliver 11,000 supramaximal pelvic floor contractions in a single 30-minute session. You sit fully clothed on the treatment chair while the device rebuilds your pelvic floor muscles without surgery, needles, or medication.
How does Core & Floor work?
The EMSELLA chair generates focused electromagnetic energy that penetrates deep into the pelvic floor muscles, triggering thousands of supramaximal contractions. These contractions are far more intense than voluntary kegel exercises, rapidly strengthening the muscles responsible for bladder control, core stability, and intimate wellness.
Is the treatment painful?
No. Core & Floor is completely painless. You sit fully clothed on the treatment chair and feel gentle vibrations and tingling during the session. Most patients read, scroll their phones, or simply relax. You may experience mild muscle soreness afterward, similar to what you would feel after a core workout, but this resolves quickly.
How many sessions do I need?
The standard protocol is 6 sessions over 3 weeks, performed twice weekly. Many patients report improvement after just a single session. For sustained results, maintenance sessions every 3 to 6 months are recommended. Dr. Avaliani will tailor the protocol to your specific needs during your consultation.
How quickly will I see results?
Many patients notice improvement after their very first session. Results continue to improve over the full 6-session protocol as the pelvic floor muscles progressively strengthen. Maximum results are typically achieved 2 to 4 weeks after completing the full treatment course.
Who is a good candidate for Core & Floor?
Core & Floor is ideal for men and women experiencing urinary stress incontinence, postpartum pelvic weakness, age-related pelvic floor decline, or anyone wanting a stronger pelvic core. It is suitable for patients who prefer a non-surgical, non-invasive approach with zero downtime.
Are there any contraindications?
Core & Floor is not recommended for patients with metal implants in the lower spine, hip replacements, pacemakers, penile implants, pain pumps, a history of seizures, recent pelvic surgery, or inability to sit for 30 minutes. Pregnant patients should not undergo treatment. Dr. Avaliani will screen for all contraindications during consultation.
Is this treatment for men and women?
Yes. Core & Floor benefits both men and women. For women, it addresses urinary incontinence, postpartum weakness, and overall pelvic tone. For men, it can help with premature ejaculation, erectile dysfunction, and pelvic floor weakness. The treatment protocol is the same for both.
How long do results last?
Results from the initial 6-session protocol can last several months. For sustained pelvic floor strength, Dr. Avaliani recommends maintenance sessions every 3 to 6 months. Consistent maintenance helps preserve and build upon your results over time.
How is this different from doing regular kegels?
A single Core & Floor session delivers approximately 11,000 supramaximal pelvic floor contractions in 30 minutes. Achieving this level of muscle activation through voluntary kegel exercises is physically impossible. The electromagnetic technology also engages deeper muscle fibers that are difficult to target with manual exercises alone.
Luxury treatments. Flexible payment options.
Exceptional aesthetic care should be available when you are ready. We offer financing that lets you begin treatment now and manage the cost over time.
