
EMSella chair — pelvic floor treatment in Maidenhead
The EMSella chair uses high-intensity focused electromagnetic (HIFEM) technology to strengthen the pelvic floor non-invasively. You remain fully clothed throughout while seated on the EMSella chair, which delivers approximately 11,000 supramaximal pelvic floor contractions per session. At Berkshire Aesthetics in Maidenhead, suitability is assessed clinically and treatment is delivered within our doctor-led, CQC-registered clinic.
Book ConsultationClinically reviewed by
Dr Selena Langdon — Medical Director, MBBS
Last reviewed:
Information is general and not a substitute for a medical consultation. Suitability is confirmed during assessment.
Why we start with a consultation
Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.
During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.
All bookings are subject to our Booking Conditions.
Doctor-led approach
- Treatment suitability is assessed by a doctor during a clinical consultation
- Prescribing responsibility sits with Dr Selena Langdon (GMC 6159259)
- No same-day injectable treatments for new patients
- Read our full Consultation & Safety Standards
Clinical overview
EMSella delivers focused electromagnetic energy to the pelvic floor, producing thousands of supramaximal contractions per session — far more than voluntary exercises alone can achieve. These contractions improve neuromuscular control and strengthen the pelvic floor muscles. We use EMSella selectively for patients whose main concern is stress, urge or mixed urinary incontinence, or general pelvic floor weakness — including post-partum and post-menopausal presentations. It is not a substitute for medical investigation of incontinence where underlying pathology needs to be excluded. Suitability is confirmed during consultation, where we assess your symptoms, medical history and whether EMSella (or an alternative) is the safest and most appropriate option.
Key Benefits
- Non-invasive pelvic floor strengthening — remain fully clothed throughout
- Approximately 11,000 supramaximal contractions per session
- No downtime — resume normal activities immediately
- Can improve stress, urge and mixed urinary incontinence symptoms
- Often complements guided pelvic floor exercises for broader benefit
Suitable For
- Stress urinary incontinence (leakage on cough, sneeze or exercise)
- Urge or mixed urinary incontinence
- Post-partum or post-menopausal pelvic floor weakness
- General pelvic floor conditioning
- Those seeking a non-invasive approach with no downtime
Not Suitable For
- Implanted electronic devices (e.g., pacemaker or defibrillator)
- Metal implants in the treatment area
- Pregnancy
- Active infections, bleeding disorders, or other conditions identified during consultation
- Anyone who has not had underlying pathology excluded where clinically indicated
Final suitability is confirmed during a medical consultation and assessment.
When we don't recommend it
- If you have an implanted pacemaker or defibrillator — electromagnetic energy is contraindicated with these devices.
- If there are metal implants in the pelvic area — we cannot safely deliver treatment in these cases.
- If symptoms suggest an underlying condition that needs medical investigation first — we will refer appropriately before considering EMSella.
- If expectations are for a complete cure — outcomes vary and we set realistic expectations based on your baseline function.
- During pregnancy — treatment is not performed during pregnancy.
What Happens During Treatment
- 1Clinical consultation and suitability assessment, including symptom history and medical background
- 2Discussion of expected outcomes, limitations, and whether EMSella is the most appropriate option
- 3You sit fully clothed on the EMSella chair — treatment lasts approximately 28 minutes
- 4Intensity is adjusted to your comfort and tolerance during the session
- 5Post-session review and scheduling of subsequent sessions as part of your course
Downtime & Aftercare
- No downtime — resume normal activities immediately after treatment
- Stay hydrated after each session
- Avoid scheduling intense core workouts immediately after early sessions if you feel fatigued
- Where appropriate, we may recommend guided pelvic floor exercises between sessions
- If you notice unexpected symptoms, contact the clinic for advice
Results Timeline
- A typical course involves 6 sessions over approximately 3 weeks (about 28 minutes each).
- Some patients report improvements within the first few sessions; peak changes are commonly noticed after completing the course.
- Results vary by baseline function, adherence to the protocol and co-existing conditions.
How Long Results May Last
- •Duration of benefit varies between individuals.
- •Many patients choose occasional maintenance sessions to sustain improvements.
- •Maintenance scheduling is discussed at review based on your response.
Individual results vary. View our results and photography standards
Risks & Side Effects
Common, Usually Temporary
- •Strong but tolerable muscle contractions during treatment (intensity is adjustable)
- •Temporary muscle fatigue in the pelvic area after early sessions
- •Mild discomfort that typically settles quickly
Rare but Serious
- •Unexpected pain or discomfort that does not settle (requires clinical review)
- •Any worsening of symptoms following treatment (contact the clinic)
- •Adverse effects are uncommon but any concerns should be raised promptly
When to Contact Us Urgently
- •Worsening incontinence symptoms after treatment
- •Unexpected pain or discomfort that does not resolve
- •Any symptoms that concern you or are different from what was discussed
Frequently Asked Questions
Quick Facts
Treatment Time
Approx. 28 minutes per session
Downtime
None — resume normal activities immediately
Results Visible
Gradual improvement; peak changes after completing course
Sessions
Typically 6 sessions over ~3 weeks
Why Berkshire Aesthetics
- Doctor-led clinic — all treatments clinically overseen by Dr Selena Langdon (MBBS)
- CQC registered — view our registration
- Consultation-first approach — we assess suitability before recommending treatment
- Clear complaints process — we take patient feedback seriously
This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.
- CQC registered clinic — regulated and inspected
- Doctor-led clinical oversight by Dr Selena Langdon (GMC 6159259)
- Complaints process and patient rights
Page last reviewed: 2026-02-10
Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: 2026-02-10
Alternatives You May Want to Consider
Every patient is different. These treatments address similar concerns and may be more suitable depending on your goals and medical history.

Emsculpt Neo
Build muscle and reduce fat simultaneously with HIFEM and RF technology.
- Muscle building
- Fat reduction
- Non-invasive

CoolSculpting
FDA-cleared fat freezing technology for stubborn fat reduction.
- Fat reduction
- No surgery
- Permanent results

Core to Floor
Combined BTL programme using EMSculpt Neo for core strengthening and EMSella for pelvic floor rehabilitation.
- Core strengthening
- Pelvic floor rehab
- Non-invasive
Further Reading & Clinical References
The following external resources provide independent clinical and regulatory information.
- Urinary incontinence— NHS
Ready to Start Your Journey?
Book a consultation with our expert team today.