Why three modalities, not one.
A lot of body treatment marketing simplifies the science: "cool the fat" or "build the muscle." The reality is that skin, fat, and muscle each respond best to different inputs. Treating one without the others leaves results on the table.
That is why we use the ExoSkin device. It cycles all three modalities in a single session. Below is what each one does on its own and why they are stronger together.
The three modalities.
Cryo
CryolipolysisControlled cooling that targets fat cells beneath the skin. Fat cells are more cold-sensitive than the surrounding skin, muscle, and nerves. When cooled to a specific temperature for a specific time, they undergo programmed cell death and the body clears them through the lymphatic system over the following weeks.
≈ 10 to 20 min per sessionEMS
Electrical Muscle StimulationElectrical impulses that trigger muscle contractions. Unlike a workout where contractions are voluntary and sub-maximal, clinical-grade EMS triggers tens of thousands of contractions in a short window — far more than a person could perform on their own. Engaged muscle is more defined muscle.
≈ 10 to 20 min per sessionHeat
RadiofrequencyControlled heat to skin and deeper tissue stimulates fibroblasts (the cells that make collagen) to produce new collagen fibers, which firm and thicken the skin over the following weeks and months. Most clinical research reports visible firming 3 to 6 months after a series.
≈ 10 to 20 min per sessionCryo (cryolipolysis).
Cryolipolysis is the science of using controlled cold to target fat cells beneath the skin. This is the same general technology used by branded systems like CoolSculpting. The FDA cleared cryolipolysis for non-invasive fat reduction in 2010.
Clinical studies published in the Journal of the American Academy of Dermatology and other peer-reviewed sources have reported approximately 20 percent fat layer reduction from a single cryolipolysis treatment, with systematic reviews showing reduction ranges from roughly 14 to 28 percent depending on measurement method and treatment area. Results are gradual and most clients run multiple sessions.
In a session at Create Anew, the Cryo phase typically runs 10 to 20 minutes depending on area.
EMS (electrical muscle stimulation).
EMS uses electrical impulses to trigger muscle contractions. The research on EMS is broad: supervised whole-body and targeted EMS has been shown in multiple peer-reviewed studies to produce measurable strength and muscle composition changes in shorter session times than equivalent voluntary training.
The aesthetic application is similar. Engaged muscle is more defined muscle, and the area being treated visually firms as a result.
In a session at Create Anew, the EMS phase typically runs 10 to 20 minutes. You will feel rhythmic, deep muscle contractions throughout.
Heat (radiofrequency).
Controlled heat to skin and deeper tissue is one of the most studied non-invasive skin tightening mechanisms. The heat stimulates fibroblasts to produce new collagen fibers, which firm and thicken the skin over the following weeks and months.
Heat works in a series because collagen remodeling is slow. Clinical research on radiofrequency-based skin tightening reports visible firming developing across 3 to 6 months after a series of treatments, with continued improvement observed up to 12 months in some patients as collagen remodeling continues.
In a session at Create Anew, the Heat phase typically runs 10 to 20 minutes.
Why combining them matters.
Each modality strengthens what the others do.
- Cryo reduces fat layer thickness, which lets the heat reach the dermis more efficiently.
- Heat improves the skin's response to the structural change happening underneath.
- EMS engages and tones the muscle layer that the Cryo and Heat are working above.
Running them in sequence in a single session lets all three effects compound. Running them in separate visits at separate practices on separate devices is less efficient — both for the body and for your schedule and wallet.
That is the whole logic of the ExoSkin platform. It is the reason we built the studio around it instead of around a single-modality device.
What a full session looks like.
A typical 45-minute session at Create Anew Skin Studio:
Intake
3 to 5 minCheck in, change, brief any updates since last session.
Setup
5 minTreatment area prepped, gel pads or wand contact applied, ExoSkin device calibrated for the plan.
Cryo phase
10 to 15 minCooling cycle. Intense cold for the first few minutes, then numb.
EMS phase
10 to 15 minRhythmic, deep muscle contractions. Strong but not painful.
Heat phase
10 to 15 minWarming cycle to stimulate collagen response.
Cool-down + dress out
5 minHydrate, brief next-step plan, schedule.
You leave and go on with your day. No downtime, no restrictions, drink water.