Alma PrimeX – body contouring
Alma PrimeX is a body contouring treatment that combines ultrasound and radiofrequency: it reduces localised fat deposits, tightens sagging skin and softens the appearance of cellulite.
Prices for Alma PrimeX treatments
The price depends on the size of the region and whether one probe (ultrasound or radiofrequency) or both are used. One probe is often sufficient when the goal is skin tightening or cellulite reduction, and when there is more pronounced fatty tissue along with sagging skin, the doctor may recommend a combination of both probes.
| Treatment | Small region (300 cm²) | Large region (600 cm²) |
|---|---|---|
| Ultrasound or radiofrequency (1 probe) | 9.000 RSD | 14.500 RSD |
| Ultrasound and radiofrequency (both probes) | 17.500 RSD | £30.000 |
Prices are in dinars. When two regions are treated in the same session or week, the second region is 50% more favourable.
Alma PrimeX – in short
| What it treats | Localised fat deposits on the stomach, waist, hips and thighs, sagging skin and cellulite |
|---|---|
| Method | Ultrasound and radiofrequency (RF), one or both probes depending on the condition of the tissue |
| Duration of treatment | Treating one area with one probe takes around 10 to 20 minutes; the whole visit usually takes around 60 minutes, depending on the number of probes and areas |
| Time between treatments | Most commonly 7 to 14 days |
| Number of treatments | Tailored to each patient |
| Result | The full effect develops over several weeks after the last treatment |
| Recovery | No downtime; temporary redness, sensitivity or a sensation of warmth for a few hours |
| Duration of results | With a stable weight, the results are largely maintained |
What is Alma PrimeX?
Alma PrimeX combines two technologies that act on different tissue layers and therefore produce visible changes in body contour and skin quality. Ultrasound waves target the fatty tissue and lead to a reduction in fat deposits, as demonstrated by a pilot study conducted on this device (the source is cited at the bottom of the page). At the same time, radiofrequency energy heats the deeper layers of the skin, activates existing collagen and elastin, and stimulates the production of new collagen. As a result, the skin becomes firmer and more elastic, and the treated area is tighter and better shaped.
Alma PrimeX
How does Alma PrimeX work?
Alma PrimeX operates with two probes that can be used individually or in combination. The ultrasound probe acts on subcutaneous fatty tissue, while the RF probe heats deeper skin layers and stimulates collagen production. Patients feel warmth during the treatment, and no recovery time is needed afterwards.
Who is the Alma PrimeX treatment for?
Alma PrimeX treatment is designed for people who want to improve their body contours and reduce localised fat deposits that are often difficult to eliminate through diet or physical activity alone.
The treatment is most often recommended for people who want to:
• reduce localised fat deposits on the stomach, waist, hips or thighs
• improve body contours and shape specific areas
• tighten sagging body skin
• reduce the appearance of cellulite
• improve skin firmness and quality
Alma PrimeX is most commonly used to treat the stomach, waist, hips and thighs, but it can also be applied to other areas of the body where there is excess fatty tissue or sagging skin.
Alma PrimeX radiofrequency (RF) skin tightening
Radiofrequency technology on the Alma PrimeX platform is used when we want to improve skin firmness, elasticity, and quality. RF energy heats the deeper layers of the skin and subcutaneous tissue, thereby stimulating the production of collagen and elastin – the proteins responsible for skin firmness and elasticity.
Due to this effect, RF is most commonly used when the main problem is sagging skin, reduced tissue firmness or cellulite. The treatment helps the skin become tighter, smoother and more even, and body contours more defined.
The RF probe is often used on areas such as:
- stomach
- inner and outer thighs
- upper arms
- hips
- knees
This technology is particularly useful when the skin loses its elasticity after weight loss, pregnancy or the natural ageing process. The gradual heating of the tissue stimulates skin regeneration and contributes to its tightening.
Alma PrimeX ultrasound fat reduction
Ultrasound technology on the Alma PrimeX device is used when the main issue is localised fatty tissue. Unlike RF, which primarily acts on the skin, ultrasound targets subcutaneous fat deposits.
Ultrasound energy works on fat cells and helps break down localised fat deposits, which can reduce the circumference of the treated area and improve body contour.
This probe is most commonly used when there is more pronounced fatty tissue in areas such as:
- stomach
- hips and waist
- lower stomach
- outer thighs
- inner thighs
Because of this, ultrasound is particularly useful for people who have stubborn fatty deposits that are difficult to remove through diet or physical activity.
Combination of technologies
Alma PrimeX before and after




Alma PrimeX reduces localised fat deposits and tightens the skin with no recovery time. The photographs show the stomach, waist and buttocks before and after the treatment: the circumference is smaller and the contour is more defined.
Time between treatments
Most commonly 7 to 14 days
Duration of visit
Usually around 60 minutes
Full effect
Over several weeks after the last treatment
Have a question?
Answers to frequently asked questions
Does Alma PrimeX really “melt” fat or does it just tighten the skin?
Alma PrimeX targets both problems, but through different mechanisms. The ultrasound component targets fatty tissue and leads to a reduction in fat cell volume, while RF improves skin quality and tightness. This means that the circumference can be reduced, but the effect is not the same as surgical fat removal.
Are fat cells destroyed or do they just shrink?
Fat cells primarily decrease in volume. In some patients, there is also a permanent loss of some fat cells, but this depends on the area, the thickness of the fat layer and the body's individual response. This is not liposuction and should not be viewed as such.
Will the treatment show as weight loss on the scales?
In most cases, no. Alma PrimeX primarily affects body measurements and contour rather than overall body weight. Changes are more often noticed in clothing and the mirror than on the scales.
Is cellulite actually removed or is the skin just temporarily “smoothed out”?
In most patients, there is a visible improvement in skin structure and a reduction in the appearance of cellulite. For mild and moderate forms of cellulite, the effects can be longer-lasting, whereas with severe, fibrotic cellulite, an improvement is expected, though not complete removal.
How many Alma PrimeX treatments are needed to see results?
On average, 3 to 4 treatments are needed to see clear changes in measurements, skin tightness and the appearance of cellulite. In some patients, the first changes are visible even earlier, but the full effect develops gradually, over the course of several weeks after the final treatment.
Time between treatments
Treatments are most commonly performed at intervals of 7 to 14 days, depending on the type of treatment, the area being treated and the skin's reaction.
How permanent are the results?
Results are not permanent if fundamental factors such as diet and physical activity are completely ignored. If body weight increases significantly, fat deposits may return. With a stable weight, the results are largely maintained.
Is the treatment painful?
Most patients feel a pleasant warmth and slight pressure. In individuals with a lower pain threshold or more sensitive skin, some discomfort may occur, but the treatment is generally well tolerated and does not require recovery time.
Are there any side effects after the treatment?
The most common effects are transient redness, mild sensitivity or a feeling of warmth in the treated area, which disappear within a few hours. Mild swelling or bruising may rarely occur, especially in individuals with sensitive capillaries.
Who is not a candidate for the Alma PrimeX treatment?
The treatment is not recommended for pregnant women, people with a pacemaker, metal implants in the treatment area, active skin infections, or those with serious systemic illnesses without prior consultation with a physician.
Can Alma PrimeX replace exercise and a healthy diet?
No. Alma PrimeX is an aid to body contouring, especially for localised fat deposits and sagging skin that respond poorly to exercise. It cannot replace the fundamental principles of a healthy lifestyle.
Why do some people see results quicker than others?
Results depend on the thickness of the fat layer, skin elasticity, hormonal status, genetics and lifestyle habits. Therefore, an individual assessment and realistic expectations are always recommended before the treatment.
Can Alma PrimeX be combined with shockwave therapy?
Yes. Shockwave therapy is often combined with Alma PrimeX treatments because it has a mechanical effect on the fibrous septa in subcutaneous tissue, improves local circulation and facilitates the breakdown of fatty deposits. In practice, shockwave therapy is most commonly performed between PrimeX treatments or immediately before the radiofrequency phase, especially in cases of pronounced, stubborn cellulite.
Does the combination with Emsculpt treatment make sense?
Yes, if there is a clear rationale. Alma PrimeX targets fatty tissue and tightens the skin, while Emsculpt works on muscle mass. The combination is recommended for people who want a simultaneous reduction in measurements and better muscle definition. The treatments are not done on the same day; they are planned as part of an individual protocol.
Is lymphatic drainage mandatory after the Alma PrimeX treatment?
It is not compulsory, but it is very useful. Lymphatic drainage helps to accelerate the elimination of metabolic waste products from fat cell breakdown and can reduce the feeling of heaviness or mild tenderness after the treatment. It is especially recommended for individuals prone to swelling or slower lymphatic flow.
How is the change in volume measured?
Prior to the first treatment, the area is measured and photographed in the same position and lighting, and the measurement is repeated at the follow-up visit after the series of treatments. The change depends on the initial condition, the number of treatments, diet and physical activity, so a specific number of centimetres cannot be guaranteed in advance.
Contraindications
Alma PrimeX, as well as combinations with shockwave therapy, Emsculpt and lymphatic drainage, are not recommended during pregnancy and breastfeeding, for people with a pacemaker or other electronic implants, metal implants in the treated area, active infections or skin inflammation, malignancies, severe blood clotting disorders, epilepsy, severe cardiovascular diseases, and immediately after surgical procedures in the treated area.
Expert sources
- Urdiales-Gálvez F, Martín-Sánchez S, Maíz-Jiménez M, et al. Body Contouring Using a Combination of Pulsed Ultrasound and Unipolar Radio Frequency: A Prospective Pilot Study. Aesthetic Plastic Surgery. 2022;46:2438–2449.
Book an Alma PrimeX treatment in Belgrade
Imedic poliklinika is located at Kneza Miloša 23, 2nd floor, Belgrade. Opening hours: Monday–Sunday, 9:00–21:00.
Appointments can be booked by phone: 064 237 0707. If you contact us from abroad, we are also available via Viber and WhatsApp on the same number.
Author: Dr Ivica Jeremić
PhD in Medical Sciences (Molecular Medicine and Immunology), rheumatology subspecialist, dermatology resident.
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