Ultimate Contour

Available at our Cow Hollow and Larkspur locations. Ultimate Contour logo

Two complementary modalities — a revolution in body contouring. Immediate results! Loose an inch or more at your first appointment.

What Is Ultimate Contour?

Ultimate Contour is a non-invasive procedure designed to change the appearance of the treated area by using a combination of ultrasound and/or radiofrequency (RF) energy to cause a reduction in fat and circumference, induce skin tightening and for temporarily lessening the appearance of cellulite. It triggers metabolic processes through uniform deep tissue heating, which breaks down fats.

It is the only FDA-cleared low-frequency ultrasound and radiofrequency device that provides painless, immediate results.

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Which conditions can be treated?

It is used most frequently to reduce the circumference of the abdomen and thighs, for cellulite reduction, and for skin tightening and toning of the arms, abdomen, flanks, hips, thighs, and calves. Ultimate Contour is not a weight-loss solution and it does not replace traditional methods of weight reduction such as diet and exercise.

Is Ultimate Contour right for me?

Anyone wanting to reduce the appearance of stubborn fat, cellulite or skin laxity is a perfect candidate. You should be in good overall health and looking to address specific areas, such as the abdomen or “love handles”. Ultimate Contour is FDA-cleared for abdominal circumference reduction in candidates with a body mass index (BMI) of 25 or greater.

Key Benefits and Typical Results

  • Fast results. Patients can lose up to an inch or more in waist circumference on their first visit – and more with time and additional treatments.
  • Targets specific zones such as the belly, love handles, knees and more. Your practitioner can treat these problem areas precisely, ensuring better and more defined results.
  • Non-invasive. This makes it much safer and less painful than surgical cosmetic treatments.
  • Does not cause any pain. Patients say it feels similar to a hot stone massage.
  • No downtime. Shortly after the treatment, patients can return to their normal daily routine.
  • Works on all skin types and colors and can be used on many parts of the body.

Before and after one, two and three treatments

Before and after one treatment

Before and after one treatment

Before and after one treatment

Before and after one, two and three treatments

Before and after one, two and three treatments

Before MRI measurement is 1.65 CM and the after is 1.48.
That is an 11% decrease in fat in one treatment in less than 12 hours.

Before and after five treatments

Before and after one treatment

Before and after one treatment

Before and after third treatment

How do I prepare for treatment?

We suggest wearing loose, comfortable clothing to your appointment and to not consume a large meal or drink immediately prior since we will be applying pressure to your abdominal area for a period of 20 to 40 minutes.

  • Get plenty of hydration the day before and early on the day of treatment.
  • Avoid eating a large meal for two hours prior to the treatment
  • Limit alcohol consumption 48 hours prior as this can interfere with the metabolism involved in the lipolysis process.

What happens during treatment?

For a typical abdominal treatment, the area will be segmented into four quadrants. Then a gel is applied to lubricate the skin and to improve energy absorption. A handpiece is applied to the skin, working across the four treatment areas, one a time. Most patients report feeling no pain during the treatment but many patients hear an internal ringing sound during the application of the ultrasound energy. This is completely normal and after a while you get used to the feeling. You can return to regular daily activities immediately after the treatment.

Post-treatment care or downtime?

You may experience redness or tenderness of the skin immediately after the treatment but typically it subsides within a few hours. Most patients do not experience any downtime following the treatment.

  • Avoid eating a large meal for two hours after treatment
  • Keep away from intense heat such as a sauna or hot shower until any redness or tenderness subsides

Ultimate Contour is FDA-cleared and has been tested in many clinical studies. Similar devices have been on the market for decades with a proven track record for safety. There are very few risks associated with this procedure. Potential side effects will be discussed with you during a free, no obligation consultation.

Additional pre and post-care tips

How long until I see results?

For fat loss, you may start to see changes immediately following the first treatment. Some patients see a full inch of reduction in waist circumference after just one session. However, for the full effects it typically takes six to eight weeks for the body to completely process the destroyed fat cells. For skin tightening and cellulite, it takes a month or more to see improvement as the body needs time for collagen and elastin growth to take effect. For fat loss, multiple treatments are generally required to achieve the desired outcome.

How long will results last?

The improvement in skin quality should last six to twelve months on average. Some patients may want to continue with one to two treatments per year for optimal preservation of outcomes. However, maintaining the results of body contouring treatments is also subject to a person’s calorie intake, exercise and lifestyle; a good diet and regular exercise program will help to extend the desired effects.

How many treatments will I need?

Though you may see immediate results after your first procedure, the best results are obtained by applying multiple treatments to a single area over a period of two to three months. Patients typically schedule three to six sessions spaced one to two weeks apart to achieve their goals.

Can this treatment be used as part of a combo therapy?

Yes, we offer other body contouring treatments such as EMSculpt and Coolsculpting Elite, which when combined can help you achieve superior results over a shorter time period. You and your practitioner can review options and customize a therapy plan that’s right for you during your complimentary consultation.

What is the science?

The underlying modality is lipolysis, a chemical process that breaks down fats and other lipids in the body to remove unwanted fat tissue deposits. Low frequency ultrasound sends a disruptive vibration that breaks apart fat cells. Voids and pockets are introduced in fat tissue that mechanically rupture the fat cell membranes. Once disrupted, the contents are metabolized and eliminated from the body naturally over time.

When used for skin tightening, Ultimate Contour uses radio frequency (RF) energy to heat the deeper, collagen-rich layers of the skin. The applied heat causes collagen to contract, and encourages new collagen and elastin creation and growth, resulting in the reduction of skin laxity, creating smoother skin. For the reduction of the appearance of cellulite, RF energy targets the deposits of fat under the skin, tightens the underlying tissue and increases blood circulation to help lessen the look of cellulite over time.

Low-frequency ultrasound has the unique ability to disrupt fat without creating excessive heat, which means more control over the treated area and practically no discomfort. When combined with radiofrequency, it can aid in improving the skin’s overall tone, texture and laxity while reducing the volume of the treated area.


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Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Suzanne P.
Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical and Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical & Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Kathleen F.
Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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