Loose or sagging skin isn’t something exercise can fix. It’s the result of collagen loss, which happens gradually with age and accelerates after weight changes. Exilis uses radiofrequency energy to heat deeper layers of the skin, stimulating collagen production and tightening lax skin without breaking the surface, downtime, or making the experience feel like a medical procedure. The BTL Exilis Ultra 360 offers both skin-tightening and fat-reduction modalities, making it a uniquely versatile device for body contouring. It can address loose skin and stubborn fat in the same area in a single session.

What to Expect During Your Treatment

All Exilis treatments at Element Dermatology are performed by our trained clinical team within a board-certified dermatologist-led practice. Here's what you can expect from your appointment:

  • Your Consultation: We assess the areas you want to address and discuss whether skin tightening, fat reduction, or both is the right approach. Because Exilis offers two modalities in a single device, the treatment plan is built around your specific concerns and anatomy before anything is scheduled.
  • The Treatment: A conductive gel is applied to the treatment area and the Exilis handpiece is moved in steady circular motions across the skin. The device monitors skin temperature continuously and adjusts energy delivery to maintain the optimal therapeutic range. Most patients describe it as a consistent, deep warmth, similar to a hot stone massage. Sessions take 30 to 60 minutes depending on the area. There's no downtime and you can return to normal activities immediately.
  • Results and Follow-Up: Results develop gradually over two to three months as new collagen forms and any disrupted fat cells are processed by the body. Most patients complete a series of four to six treatments spaced weeks to months apart, then maintain with one to two sessions per year.

Exilis works by delivering controlled radiofrequency energy into the skin and underlying tissue. The energy heats the targeted layer to a precise therapeutic temperature, while the device simultaneously cools the skin's surface to protect it and maintain patient comfort. The result is a treatment that feels genuinely warm and comfortable rather than clinical or harsh.

Google Review App Placeholder

Schedule Your Exilis Appointment Today

Book Now
Two clinicians in scrubs reviewing information on a tablet at Element Dermatology

Frequently Asked Questions About Exilis

How does Exilis work?

Exilis delivers controlled radiofrequency energy into the skin and underlying tissue. The energy heats the targeted layer to a precise therapeutic temperature, triggering collagen remodeling in the skin-tightening mode or disrupting fat cells in the fat-reduction mode. The device simultaneously cools the skin surface to protect it and maintain comfort. The combination of controlled heating and cooling allows Exilis to safely and effectively reach different tissue depths without surface damage or downtime.

What does Exilis treatment feel like?

Most patients describe Exilis as feeling like a warm stone massage. The device maintains a consistent, comfortable warmth throughout the session as the handpiece is moved in steady circular motions across the treatment area. The device continuously monitors skin temperature and adjusts energy delivery to keep it in the optimal therapeutic range. There’s no pain, no needles, and no discomfort, and most patients find the treatment genuinely relaxing.

How many treatments will I need?

Most patients benefit from a series of four to six treatments spaced approximately one month apart, though it varies by patient. Results develop gradually over two to three months after completing the series as new collagen forms and any disrupted fat cells are processed by the body. One to two maintenance treatments per year help sustain and build on results over time. We’ll give you a specific recommendation during your consultation based on your treatment areas and goals.

How is Exilis different from Sofwave?

Both Exilis and Sofwave are non-invasive skin tightening treatments with no downtime, but they use different energy modalities. Exilis uses radiofrequency energy to heat tissue via electrical resistance and also offers a fat-reduction mode. Sofwave uses ultrasound energy to target a specific depth in the dermis and is mainly effective for lifting and tightening in areas such as the brow, jawline, neck, arms, abdomen, and thighs. The right choice depends on your specific concerns, goals, and anatomy, and in some cases, both treatments can be used as part of a comprehensive plan.

Related Care

Targeted Treatments