Core and Floor
Strengthen Your Pelvic Core — 11,000 Kegel Exercises in 30 Minutes, Fully Clothed
Expertise
Injector in US
Experience
12k + Patients
Excellence
25+ Injectables
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:
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.
✓
Reduced Anxiety
Settle into a calm, relaxed state before and during your treatment — no stress, no tension.
✓
Less Discomfort
Enhanced comfort for your treatment, so you can focus on your results.
✓
No Downtime
Walk out feeling great and drive yourself home — absolutely no recovery time required.
PRO-NOX™
Nitrous Oxide
Available On Request
For patients who prefer an extra layer of relaxation, Pro‑Nox™ provides a gentle, calming effect that wears off instantly. Most patients find their treatments very manageable — but it’s always here if you want it.
View Before &
After Gallery
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.
Individual results may vary. No guarantee of specific results can be given. The degree of side effects and duration of results may vary. Content is for informational
purposes and does not substitute for professional medical advice provided during an in-office consultation and examination by a physician.
Luxury Treatments.
Flexible Payment Options.
Your Confidence Should Never Have to Wait.
At Anna Avaliani MD Cosmetic & Laser Surgery, we believe exceptional aesthetic care should be accessible when you are ready — not months or years later. That’s why we offer elegant financing solutions that allow you to begin your transformation today while comfortably managing the investment over time. Because confidence is priceless — and now it’s flexible.