PROMOTION
REDEFINING THE SILHOUETTE WITH ZIMMER ZSHAPE AND ZSTIM Dr. Michael Margulies and the MIAA Centre share their integrative approach using Zimmer's innovative protocols
Excellence, a mark of quality and expertise in the use of these technologies.
First consultation: Establishing the right indication through the MIAA assessment
MICHAEL MARGULIES, MD, Saint-Germain-en-Laye, France
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ESTHETIC MEDICINE IS undergoing a major transformation—patients no longer seek only local or temporary improvements, but rather comprehensive, safe, and lasting treatments. In this context, the integration of aesthetic medicine, integrative medicine, and anti-ageing approaches provides an effective and relevant solution. It is with this vision that Dr. Michael Margulies, an aesthetic physician and recognised expert in integrative and anti-ageing medicine, has developed innovative body-contouring protocols at the Integrative and Anti-Ageing Medicine (MIAA) Centre, combining ZShape radiofrequency and ZStim muscle stimulation — two advanced devices developed by Zimmer. The MIAA Centre has also earned the status of Zimmer Centre of
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Every successful treatment begins with a proper indication. For Dr. Margulies, the first consultation forms the cornerstone of the therapeutic strategy. At the MIAA Centre, this step is based on the digitalised MIAA assessment, structured around four complementary pillars: ■ Morpho-aesthetic axis: analysis of silhouette, skin, cellulite, and skin laxity ■ Sport and health axis: evaluation of physical condition, muscle tone, and active lifestyle ■ Nutrition axis: analysis of dietary habits, body composition, and metabolism ■ Quality of life axis: exploration of stress, sleep, emotional balance, and self-image. Objective tools, such as standardised photographs, skin quality assessment, cellulite analysis, and bioimpedance measurements, complement this comprehensive evaluation. This thorough assessment enables a personalised diagnosis and engages the patient actively in their care from the start.
January/February 2026 | prime-journal.com
Technological synergy: The alliance of ZShape and ZStim to sculpt, tone, and enhance the silhouette
Based on the diagnosis, Dr. Margulies designs a customised protocol tailored to each patient’s specific needs. ■ ZShape: a next-generation multipolar radiofrequency device combined with fractional vacuum suction. It improves skin quality, stimulates neocollagenesis, and reduces the appearance of cellulite, resulting in a firming and tightening effect ■ ZStim: a targeted muscle stimulation device that enhances muscle tone and deeply reshapes the body. The combination of these two technologies creates synergistic results, acting simultaneously on the skin and muscle structure to deliver a comprehensive bodycontouring solution.
An integrative and multidisciplinary approach
The MIAA Center’s philosophy goes beyond technology. The silhouette protocols are part of a holistic care plan that may include: ■ A personalised nutritional program based on the MIAA assessment ■ Sports coaching sessions to enhance the effects of ZStim and strengthen muscle tone ■ Sophrology sessions to
improve self-image, confidence, and overall well-being. This integrative approach meets the growing demand from patients seeking non-invasive, safe, and comprehensive solutions. 'With ZShape and ZStim, we redefine the silhouette through a global approach where technology and integrative medicine work hand in hand for long-lasting patient well-being,' said Dr. Michael Margulies.
Priority areas: Addressing the needs of women over 40
Dr. Margulies’ clinical experience shows that patient concerns often focus on areas difficult to improve through diet or exercise alone, especially after 40 due to hormonal changes. The most commonly treated areas include: ■ Knee wrinkles ■ Arm laxity ■ Abdominal fat and skin folds ■ Inner thigh cellulite and sagging. By targeting these areas, Dr. Margulies has developed effective silhouette protocols that produce remarkable clinical outcomes: visible cellulite reduction, improved skin tightness, and enhanced body contour.
A 360° solution: Integrating ZLipo Cryolipolysis
To further address stubborn fat