Absolutely not. A TENS unit is only able to contract the upper portion of the muscle, not the entire body of the muscle. On areas with significant fatty thickness, the TENS may not be effective at all. The EMSCULPT uses HIFEM technology which uses strong magnetic pulses to contract the ENTIRE muscle maximally over the treatment time. At the same time, it is causing fat cells in the treated area to undergo a cell change that reduces fat by 19%. The maximal muscle contraction causes a 16% increase in muscle volume that is noticeable long after completion of the treatment.