What is the Most Exciting New Development in Women's Intimate Wellness? Hello, Emsella!
What is Emsella, and what happens during treatment? Darren M. Smith, MD, a board-certified plastic surgeon in New York City, describes a chair-based treatment that uses electromagnetic stimulation of the pelvic floor. The patient remains clothed, without an internal applicator. The episode focuses on pelvic floor function and stress-related urinary leakage.
Originally published August 1, 2020. The recording's treatment schedules, prices and early study statistics reflect that period and are not a personalized treatment plan.
What you will learn
🎯 Treatment targets
Emsella and Emsculpt use related electromagnetic technology, but target different muscle groups: the pelvic floor and body muscles respectively.
🪑 Chair-based treatment
The recording describes sitting on a dedicated chair while its magnetic field stimulates pelvic floor contractions.
💬 Urinary leakage
Dr. Smith discusses leakage associated with activity or laughing, including concerns people may notice after childbirth or with age.
🩺 Pelvic floor physical therapy
He describes how device treatment may be considered alongside pelvic floor physical therapy rather than treating these as mutually exclusive approaches.
🧩 Combined treatment planning
The episode introduces the practice's then-current concept of combining abdominal muscle treatment and pelvic floor treatment.
🎧 Episode guide
00:00 — Introduction
01:44 — A clothed, chair-based treatment
03:21 — Urinary leakage discussion
04:12 — What treatment involves
05:06 — Historical treatment schedule and cost
05:37 — Physical therapy and pelvic floor goals
💬 Common questions
Does Emsella require an internal probe?
No internal probe is described in the recording. The patient stays clothed and sits on the treatment chair. An assessment is still needed to decide whether the treatment is appropriate.
How many sessions are discussed?
In this 2020 episode, Dr. Smith describes six approximately 30-minute sessions over three weeks. That is a historical example; a current clinician should confirm the protocol, contraindications and expected benefits for the individual patient.
Can it be paired with pelvic floor physical therapy?
Yes, Dr. Smith discusses that possibility. The episode is not a diagnosis of the cause of leakage or a promise that one treatment can address every pelvic floor concern.
🔗 Related information
See the practice's current Emsella information and, for the separate abdominal body-contouring treatment, Emsculpt NEO information. You can also schedule a consultation to discuss suitability.
About the host — current biography
Darren M. Smith, MD, FACS specializes in mommy makeover surgery, breast surgery, and body contouring in Manhattan. He was named to Newsweek’s America’s Best Plastic Surgeons 2026 and has co-authored authoritative peer-reviewed publications on combined breast surgery and abdominoplasty and the surgical care of postpartum patients.
Educational information, not individualized medical advice. Benefits, risks and responses vary; intimate-wellness claims in the audio are not guarantees. Show notes updated September 30, 2026.
