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After over 2 years of working from home, many have gained weight. The interest towards weight management has increased as finally, we now meet up with friends and colleagues in person. Being body beautiful has become a necessity again.


A lot of interest has picked up with a relatively newer technology thats being promoted heavily with sponsored ads on social media to help sculpt muscles, namely the HIFEM (High Intensity Focused Electro Magnetic) technology/ EMSculpting/ EMSlimming etc. This comes as a new and exciting technology as compared to the previous wave on cryolipolisis or fat freezing.


How does HIFEM work as compared to Cryolipolysis?


Cryolipolysis works by freezing your fat till it is destroyed. The subcutaneous (superficial fat under the skin) fat is sucked up and a transducer which delivers a very cold temperature freezes the fat. The procedure may last up to an hour for one small area. Subsequently, the fatty tissue which gets depleted of blood flow undergoes an apoptotic (natural cell death) process. The body removes the dead fat tissue and voila... you notice the treatment area becomes more sculpted due to the loss of superficial fats. Cryolipolysis does not do anything to the muscles or the visceral fat.


The reason HIFEM became a significant player in the body contouring field is because it does what the cryolipolysis devices do not do... and at a shorter time. Most are now aware that its not just the lack of fat but also prominence of muscles that is important to look good. HIFEM uses high intensity electromagnetic energy to trigger focused muscle twitches and jerks. With repetitive twitching, the targeted muscle gets a focused wear and tear and naturally, the body stimulates a reparative mechanism at the muscles, leading to the muscles becoming hypertrophied or increased in size. Each treatment lasts about 30 minutes but you are required to do at least 2-3 sessions per week to see good results. To some degree, you do get some degree of superficial fat reduction too.


Are HIFEM the best there is?


It really depends on the patient, not the technology. Every technology when used correctly on the correct patient can give excellent results. One needs to be careful not to be easily influenced by commercialised treatment offers.


As HIFEM in principle targets individual muscles, its benefit is best when used on clients who are physically active with a good general physique but would like to enhance the tightness appearance of certain muscles such as the abs (abdominal) and gluts(gluteal). For such patients, you can expect the HIFEM to assist you in achieving the desired 6 packs abs or the tighter bottom.



However, for those who are physically active but still has an issue getting rid of stubborn fats especially superficial subcutaneous fat tissue such as the 'love handles' or the 'spare tires', cryolipolysis may give you a better result in trimming those fats for a more sculpted appearance.



Finally, if you are one who is physically not very active, or you find it difficult to get rid of visceral fats and would like to build some muscles... or if you find it difficult to kick start your exercise program due to excess weight, weak muscles or previous injuries, I'd like to bring to your attention another less commercialized technology which works wonders.


The Virtual Gym (HIEF:MS)

Hailing from London University, designed by Nobel award nominee Dr. Gerry Pollock; who co-founded the cardiac pacemaker technology widely used by many patients with cardiac arrythmia (abnormal heart contraction rhythms), is the FDA approved Virtual Gym - HIEF:MS ( High Intensity Effortless Fitness via Muscle Signalling).


Do take note that this technology is one of a kind as it does not use high intensity electromagnetic waves, but micro-current signaling. When we exercise, our brain send signals to our muscles to contract. The Virtual Gym sends similar signals to our muscles exactly like when we exercise to gently flex your muscles (like how the cardiac pacemaker gently flexes your heart). These signals are sent not to individual muscles, but groups of muscles in different parts of the body to give you a high intensity effortless workout. In a one hour treatment session, your muscles contract like you were doing 20 different high intensity exercises. What more, your body burns fat without a build up of lactic acid, allowing you to recover quickly with only a fraction of the soreness that you'll get from an actual high intensity physical workout.


The result of this HIEF:MS technology is much more wholesome then just purely sculpting your muscles. With the signals being similar to those sent out during exercise, feel good anabolic hormones are naturally released during a session with the Virtual Gym. As the muscles work, superficial fat gets burned. However, the burning is not limited to only superficial fat. With this technology, visceral fats are also reduced, improving your metabolic health in general. People with high cholesterol and diabetes will see improvement in their cholesterol and sugar control as well!


This muscle signaling technology is not as commercialised as HIFEM / cryolipolysis because the technology and production requires highly specific workmanship and is not easily duplicated. Pure analog waveforms coupled with high quality cables and silver lined pads are used as compared to the cheaper digital circuits in HIFEM that is easily duplicated for mass production. Thus, the actual cost of the device and cost per treatment with HIEF:MS is much higher compared to HIFEM, making it the less popular choice for treatment providers.


The treatment price for patients are roughly the same for each 3 of the treatments mentioned in this post.. however, there is no doubt The Virtual Gym HIEF:MS Technology is the most wholesome for weight management, fat reduction, muscle toning and metabolic health improvement and is therefore our technology of choice.


If you'd like to get assistance in weight management, or improve your metabolic health, visceral fat reduction and tone up your muscles, schedule a consultation with our LCP certified doctors at Ava Clinic.







Updated: Nov 19, 2025




One of the many questions I often get from young doctors venturing into aesthetics is :


Should I get a Picolaser?


Pico laser treatments has been the latest craze in recent times brought on by aggressivemarketing strategies by commercialised beauty and skincare providers. However, it is sometimes deceptive and irresponsible in nature.


Pico technology is in fact an interesting technology. Being able to limit the pulse duration of the laser into one trillionth of a second, the engineers behind this technology is indeed brilliant.


The baseline understanding of how pico works is that when the exposure of the laser pulse is limited to such a small fraction of a second (in the picosecond range), high peak energy is able to be delivered into the skin and be absorbed by the target particles (eg. melanin) without creating much injury to surrounding structures. The light energy converts to acoustic energy which creates a vibrational force within the melanin to shatter it into smaller particles, to be removed by our immune cells.


Looking into its mechanism of action, we can understand that Pico is indeed an amazing technology. However, it should be used with a thorough understanding of its action. Not all skin pigmentations can benefit from Pico treatments.


Image: Freckles


Epidermal pigments such as ephelids (freckles) and lentigenes (sunspots) can get great clearance quickly from Pico treatments. However, there are other lasers such as Q-Switched Nd:Yag lasers that can deliver effective results for these conditions too. Q-Switched lasers has a slightly longer pulse duration (in the nanosecond range) which delivers more energy to break the pigments.


Image: Melasma


Deeper pigmentations such as melasma is another major skin condition that affects many Asian skin types. One who's having such a condition shall seek proper treatments from qualified and certified medical aesthetic practitioners or dermatologists and not be duped into signing up for commercialised Pico treatments with the expectations that Pico itself will clear their melasma.


More often than not, melasma is heavily affected by many other factors such as skin structure integrity, hormonal disruptions, sleep disturbances, stress hormones and prior usage of hormonal contraceptive methods. In my practice, I look into all these factors, then stabilise and optimize them to get the best results for my patients. Pico lasers may be used as one of the treatment modalities, but usually not as a first-line treatment. Commercialised pico facials by unqualified beauticians is definately not the answer to treat melasma.


For skin rejuvenation and skin tightening, Pico can deliver enough energy to create Laser Induced Optical Breakdown, LIOB (not pulse induced). This is great to create multiple micro-cavitations in the skin dermis to promote skin regeneration. This is best enhanced with injectable regenerative treatments such as PRP, PDRN/PN, exosome or stem cell factors that should only be performed by licensed aesthetic doctors. There are also other types of lasers that gives fantastic and highly satisfactory results for skin rejuvenation and tightening, some with slightly more downtime such as Fractional CO2 lasers and some with zero pain such as Diode lasers (I shall write about it soon).


So, is Pico really the best type of lasers in the market? Yes, it may be for some treatments (such as epidermal pigments and tattoo removal) but not necessarily the first-line treatment for other types of skin conditions, pigmentations or rejuvenation.


To make sure you get the best out of a Pico laser treatment, do consult a certified and licensed aesthetic doctor to treat the core and root cause of your skin conditions.


To schedule a consultation with our certified doctors at Ava Clinic, kindly call

011-3965 0385.


Ava Clinic








Updated: Nov 19, 2025




It has been a good 2 years that Profhilo has penetrated into our Malaysian shores. Being a relatively new player in the aesthetic industry, profhilo has created many interest amongst both aesthetic practitioners and their clients looking to enhancing their appearance. The NAHYCO technology that the manufacturer boasts is indeed an amazing breakthrough as it combines high and low molecular weight hyaluronic acid (HA) without any other chemical links, making it a 100% pure HA product with a total concentration of 64mg (wow!) in a syringe (an average filler only has ~20-25mg/ml).



What does HA do?


Hyaluronic Acid is a molecule that's readily available in our skin dermis. It has the ability to draw up to 1000x its molecular weight of water to enhance skin hydration. Higher molecular weight HA locks water in the skin while low molecular weight HA promotes an optimal environment for skin collagen regeneration and repair.


Although we have it in our skin naturally, many factors leads to the loss of HA. One of the major causes are UV rays. With all the goodness of endogenous Vit D production from UV light exposure, UV rays also lead to an increase in the activity of matrix metalloproteinases and hyaluronidase enzymes that naturally breaks down our hyaluronic acid and dermal collagen structures leading to photo-aging of the skin.



I am already using HA in my skincare and masks! I don't need injections...


Yes, while HA is found in many skincare products, in order for HA to be able to penetrate through the skin barrier layers, they need to be in nano-particles. The small or low molecular weight HA is able to enhance skin regeneration and repair. However, being such small molecules, it is readily absorbed and also removed from our skin by our hyaluronidase enzymes, making it ineffective for the benefit of skin hydration. Injectables are thus, superior to deliver high molecular weight HA into the skin to really give your skin the hydration it needs. Profhilo does great in this category. Besides, with its highly researched Bio Aesthetic Points for the face, you'll only need 5 injection points per side of the face to get both hydration and collagen stimulation for a hydro facelift.



Now that we've established the benefits of getting a Profhilo treatment, here are 5 reasons you should not get Profhilo.


  1. You are having an active skin infection at the planned treatment area.

  2. You have had a severe allergic reaction to previous hyaluronic acid based fillers or skin booster injections.

  3. You are currently pregnant.

  4. You are currently breastfeeding.

  5. Your skin is too laxed that you would better benefit from a surgical face-lift.

If the above reasons does not apply to you, then there's no reason you should not consider getting a Profhilo treatment.


To schedule a consultation with our certified doctors at Ava Clinic, kindly call 011-3965 0385.


Ava Clinic

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