Exilis Ultra™ Radiofrequency Treatment

The Exilis Ultra™ is a combined radiofrequency (RF) and ultrasound device that delivers high energy in a controlled fashion to the dermal/ subcutaneous layers of the skin. Exilis Ultra™ is NOT A LASER. There is no skin peeling, pigment change or prolonged healing associated with its use. The RF energy heats the undersurface of the skin causing collagen remodeling.

Benefits of Exilis Ultra™

  • Skin Tightening: Improves skin laxity and tightens loose areas.
  • Wrinkle Reduction: Smoothens fine lines and wrinkles.
  • Body Contouring: Targets and reduces stubborn fat deposits.
  • Non-Invasive: No surgery or downtime required.
  • Comfortable: Gentle and well-tolerated by most patients.
  • Quick Treatments: Sessions typically last 30-60 minutes.
  • Versatile: Effective for various body areas, including face, neck, abdomen, thighs, and arms.
  • Progressive Results: Continues to improve over several weeks after treatment.

Common Side Effects of Exilis Ultra™

  • Redness: Temporary redness at the treatment site.
  • Swelling: Mild swelling may occur, usually subsiding quickly.
  • Warm Sensation: Patients often feel warmth during the procedure.
  • Tenderness: Slight tenderness or soreness post-treatment.
  • Temporary Numbness: Some patients experience a temporary loss of sensation in the treated area.
  • Minor Bruising: Occasionally, slight bruising can appear, resolving within a few days.

What to Expect at Your Exilis Ultra™ Appointment

When you book an Exilis Ultra™ appointment, your session begins with a consultation where your dermatology provider discusses your treatment goals and assesses the areas you wish to improve. This personalized approach ensures the procedure is tailored to your specific needs.

The Exilis Ultra™ treatment typically lasts between 30 to 60 minutes, during which you'll experience a warming sensation as the device delivers energy to your skin. This deep heating is generally comfortable and indicates the start of the collagen stimulation process. There's no downtime required, so you can immediately resume your normal activities. Post-treatment, you may notice some redness and warmth in the treated area, but these effects are temporary and should quickly subside.

Exilis Ultra™ Maintenance Recommendations

To maintain the results achieved with Exilis Ultra™ treatments, your dermatology provider will recommend several practices to ensure long-lasting benefits:
  • Regular Sessions: Depending on individual results and goals, additional sessions may be suggested to enhance and prolong the effects.
  • Hydration: Staying well-hydrated helps maintain skin elasticity and supports overall skin health.
  • Balanced Diet: Eating a healthy, balanced diet rich in vitamins and antioxidants can help keep your skin looking its best.
  • Sun Protection: Apply broad-spectrum sunscreen daily to protect the skin from UV damage and prevent premature aging.
  • Skincare Regimen: Use quality skincare products as recommended by your dermatology provider to nourish and protect your skin.
  • Avoid Extreme Temperatures: Minimize exposure to excessive heat and cold, which can affect skin tightness and elasticity.
Following these guidelines will help you enjoy the rejuvenating effects of Exilis Ultra™ for as long as possible.

Exilis Ultra™ Maintenance Schedule

  • The number of maintenance sessions for Exilis Ultra™ varies based on individual skin condition, treatment area, and desired outcomes.
  • Typically, initial results are achieved after about 4 to 6 treatment sessions, with each session spaced about 1 to 2 weeks apart.
  • For maintenance, most patients may require additional sessions every 6 months to a year to sustain optimal results.
  • Your dermatology provider will evaluate the effectiveness of the initial treatments and determine the best schedule for your maintenance sessions.
  • Regular follow-ups allow your provider to adjust treatments as needed to maintain the benefits of the therapy over time.

FAQs about Exilis Ultra™

Exilis Ultra™ uses monopolar radiofrequency and ultrasound energy to heat tissue causing tissue tightening and body contouring. Advanced Skin Cooling allows Exilis Ultra™ to target heating of tissue from 2mm to 2.5cm in depth. So, deeper tissue such as fat and collagen can be targeted at various depths. Removal of ½ inch to 2 inches in circumference of the treatment area occurs depending on treatment site and amount and depth of fat present.

RF is colorblind and can treat ALL skin types and sun tanned skin.

RF energy is used to deliver volumetric heating to tissue.  This creates rapid (2-3 million times/second) movement of molecules within tissue.  This movement creates heat.  The sophisticated cooling system protects the upper layers of skin, allowing the heat to be deposited where it is needed for the desired effect from 2 mm to 2.5 cm in depth.  The treatment tissue is monitored by a real time temperature sensor which ensures controlled and painless heat in the deeper tissue.

Skin tightening requires heating of the superficial layers of the skin whereas fat reduction and contouring often needs deeper heating.  Treatment depth is based on the amount and location of the fat. The Exilis Ultra™ is versatile and can treat patients with different needs.

Getting Started

Talk with any member of our staff to get general information.  Visit our patient education room in our office to see before. You are not required to do anything special prior to your treatment session. If you are having a body treatment please drink lots of water before, day of and 2 days after treatments to help improve lymphatic drainage. Skin should be hair free.  Men undergoing facial treatments must shave the morning of the session. You may continue all medications, supplements and vitamins during your treatment period. Wear comfortable clothing on the day of your treatment to allow easy access to treatment areas. No make-up, creams or lotions on skin; no jewelry.


What to Expect

The procedure is gentle, non-invasive, and safe. There should be minimal or no discomfort, however this varies from patient to patient and depends on the depth of the treatment.  A ground pad will be applied opposite to the treatment site. Mineral/baby oil is applied to the treatment site. Treatment time approx. 6 – 15 minutes per area (approx 5’’ x 7’’).  The fat is rapidly heated to a therapeutic temp and will be maintained for 5-10 minutes.  The settings are adjusted to keep you comfortable while maintaining the optimal treatment for results.  There is NO PAIN associated with your treatment, only a moderate to intense sensation of heat which tells you that the treatment is achieving its goal. There is NO ANESTHETIC required with EXILIS  treatments.

Redness and some local swelling may appear and will resolve soon after treatment. You may feel a deep heat sensation for up to 24 hours after the treatment.

For Skin Tightening:

You may experience transient erythema (redness) that will last from a few minutes to an hour or possibly longer.

Your skin may feel warm immediately after the treatment, but this will dissipate quickly.

If you had your lower face or chin treated, you may have some tenderness in the area for a few hours or a day after.

Treatment of the eyes may yield some swelling and patients are encouraged to sleep on two pillows for 24-48 after treatment.


For fat reduction:

You may experience transient erythema (redness) that will last from a few minutes to an hour or possibly longer.

Your skin may feel quite warm for up to a few hours after treatment as deep tissue retains heat longer.

You may feel tenderness in the treated area.

Drink lots of water before and after your treatment to help improve lymphatic drainage. Walking & light physical activity after treatment are recommended to increase lymphatic drainage and removal of fat.

Any area of your body can be treated. The most popular treatments for tightening are the neck, abdomen, arms, face and legs.  Fat reduction is commonly performed on the abdomen, thighs, knees, arms and anywhere undesirable fat is found. Exilis Ultra™ has the best result in areas that need fat reduction as well as skin tightening.

How Dermatology Specialists of Charlotte Can Help

Dermatology Specialists of Charlotte offers expert Exilis Ultra™ treatments, utilizing advanced technology that combines radiofrequency and ultrasound to tighten skin and reduce fat effectively. Our experienced team provides customized treatment plans tailored to target specific areas like the face, neck, or body, ensuring optimal results. From your initial consultation through each session and follow-up, we ensure you are comfortable and informed, with flexible scheduling to accommodate your lifestyle. Trust us to help you achieve smoother, tighter skin with this non-invasive, state-of-the-art solution.