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Treatments
Treatments

Exilis Elite

Exilis Elite features a dynamic monopolar RF delivery system with embedded Energy Flow Control (EFC) technology to uniformly heat tissue at therapeutic skin levels. It also offers built-in temperature sensors in an attempt to reduce the energy to levels that will effect therapeutic heating without causing pain. The Exilis uses the same technology as Thermage, a powerful monopolar Radiofrequency device. Exilis also includes ultra sound technology to maximize treatments.
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Exilis Elite Radiofrequency Treatment Videos

Exilis Elite at a glance

  • Best Results
    Best Results

    4 - 8

  • Anaesthetic
    Anaesthetic

    None

  • Duration
    Duration of Results

    Monthly / Bi-monthly

  • Procedure Time
    Procedure Time

    20 - 30 mins per area

  • Treatment Recovery
    Treatment Recovery

    1 - 2 days

  • Skin Specialist
    Skin Specialist

    Therapist

  • Risk Compliance
    Risks & Complications

    Low

  • Back to Work
    Back To Work

    Same day

frequently asked
questions

At which Skin Renewal clinics is the Exilis Elite treatments available?

The Exilis Elite treatment is available in Johannesburg at the Bedfordview branch, as well as in KZN at the Ballito and Durban branches.

What other popular treatments can Exilis Elite be compared to?

The three go to procedures are Thermage, Ulthera and Exilis Elite. The Exilis Elite is newer, more affordable and most promising of the three and early data suggests it may be slightly more effective. Exilis is the most comfortable to have done. Ulthera tends to be the most painful and Thermage is the most expensive of all 3 treatments for a similar result.

What is Exilis Elite for skin tightening?

Exilis is the only monopolar RF (Radiofrequency) system to incorporate ultrasonic energy in one hand piece. Exilis causes both shrinking of loose tissue immediately, as well as long term collagen production that lifts and tightens loose skin over time. It is very useful in many areas such as jowls, neck, brows and especially the abdomen.

What is Exilis Elite for fat reduction?

The mechanical effect of ultrasound helps create separation of the fat cells clusters, allowing more efficient RF thermal delivery to adipose tissue. Exilis is the only monopolar RF (Radiofrequency) system to incorporate ultrasonic energy in one hand piece.

Dynamic Monopolar Delivery (Exilis Elite):

At Skin & Body Renewal we have the Exilis Elite which uses a monopolar RF that is delivered dynamically in a continuous pulse with constant rotation and movement of the handpiece over a specified area of laxity or fatty adiposity. The problem area can be targeted in a few minutes to reach an optimal temperature. This optimal temperature is then kept for approximately 6 to 8 minutes period of time to maximize results. The surface temperature measurements are continuously monitored due to Energy Flow Control (EFC) technology which uniformly heats tissue at therapeutic skin levels. This ensures that adverse side effects such as burns are eliminated. In addition a measurement tool is built into the Elite handpiece. Dynamic devices such as Exilis are quicker to reach optimal temperature (a few minutes) unlike stamped devices such as Thermage which can take hours.

​What areas can be treated with Exilis Elite?

Here are some of the most common Exilis Elite treatment areas:

On the face, neck & chest:

  • Treating the skin of the forehead can lift the eyebrows and enhance the appearance of the eyes, making them look more open, less tired, and more alert.
  • Treating the eye area can help improve eye bags and tighten the skin around the eye area, including the top, bottom lid and the crow's feet.
  • Jowl Lifting: The cheeks, jowls and the area under the chin can also be treated to tighten and re-texturise skin.
  • The neck area can benefit from the treatment as a common area to lose definition over time.
  • Treatments can be done on the décolleté

 

On the Body:

  • Abdomen
  • Love handles
  • Muffin top
  • Inner & Outer thighs
  • Buttocks & “banana roll” (the fat roll that commonly develops just below the buttocks)
  • Back fat & bra bulges
  • Batwings
  • Moobs

In women, Exilis Elite can also be used for vaginal rejuvenation & tightening.

How does Radiofrequency work to dissolve fat and tighten skin?

The medical use of RF is based on an oscillating electrical current that forces collisions between charged molecules and ions, which are then transformed into heat. Water is the main target for this process. As a result, RF heating occurs irrespective of skin type and is dependent on heating of water.

What clinical effects does RF have in the skin?

RF-generated tissue heating has different biological and clinical effects, depending on the depth of tissue targeted, the frequency used, and the specific cooling of the dermis and epidermis.

The depth of penetration of RF energy is inversely proportional to the frequency. Consequently, lower frequencies of RF, such as Exilis, are able to penetrate more deeply (up to 2.5 cm) and heat large volumes of subcutaneous adipose tissue, the dreaded resistant fat.

What happens when radiofrequency is applied to the skin?

  1. RF- mediated thermal stimulation of the matrix in the skin results in an immediate change in the helical structure of collagen causing a tightening effect.
  2. RF thermal stimulation results in a microinflammatory stimulation of fibroblasts, which produces new collagen (neocollagenesis) and new elastin (neoelastogenesis), as well as other substances to enhance dermal structure.
  3. RF thermal stimulation of adipose tissue results in a thermal-mediated stimulation of adipocyte metabolism resulting in release of fat from cells, ie fat reduction.
  4. RF thermal stimulation also causes apoptosis of fat cells ie permanent fat cell destruction.
Does the Exilis have FDA approval?

The FDA approved the Exilis in 2013. While the primary focus of all of this devices is body contouring and fat reduction, the Exilis also has a skin-tightening component appropriate for the face, neck and body.

What awards has the Exilis won?

The FDA approved the Exilis in 2013. While the primary focus of all of this devices is body contouring and fat reduction, the Exilis also has a skin-tightening component appropriate for the face, neck and body. Exilis is a WINNER of three INTERNATIONAL AWARDS in 2013 for skin-tightening.

1. My Face My Body award for best skin tightening device November 2013. Thousands of NewBeauty Magazine readers and the industry's leading beauty experts.

2. Exilis won the award for Best Skin Tightening Product at The Aesthetic Show in Las Vegas in 2012.

3. IESG award in 2014 for best skincare equipment.

New Beauty editorial team cast their votes in the 2013 New Beauty Awards. In the category of “The Best Skin Tightener” Exilis Elite ranked higher than any other product.


What makes the Exilis treatment such a comfortable and safe experience?

The Exilis has a Revolutionary built in cooling tip and heat sensor monitor which ensures that the optimal heat is delivered as painlessly as possible and as safely as possible. This ensures that the treatment switches off immediately should it be inadvertently lifted during the treatment session. This usually happens when treating uneven and curved surfaces such as the jawline area. The Cooling tip confuses the brain to not recognize pain signals as the epidermis is continually cooled.

No pain medication or anesthesia is needed during the session.

Neck and jowl fat can be treated at the same time as the skin tightening procedure. The fat reducing head is used on the double chin area for fat reduction as well as skin tightening.

For men who have stubborn fat, this treatment aims to do one or both of two things, namely; destroy fat cells or shrink them significantly. It’s important to note that these treatments work best when focussed on stubborn fatty deposits that just will not budge with diet and exercise.

How many treatments does one need?

What we are currently recommending is one treatment every two to four weeks with a minimum of four to six treatments, and then we’re waiting approximately three months and, if need be, we do a follow-up treatment. A further 2 to 4 treatments can be done and then a maintenance treatment every 6 months.

How does Exilis Elite create new Collagen Naturally?

Exilis relies on the body’s own regenerative process to stimulate the natural renewal of existing collagen and creation of new collagen. This results in an actual lift of skin overtime – and just “better-fitting” skin.

Many people notice an immediate effect following the treatment, but the ultimate lifting and toning takes place over 2-3 months, as tired collagen is renewed and replaced with new, stronger collagen. And, as collagen-building process continues, further improvements can even appear up to 6 months following a procedure!

What reviews of The Exilis Elite are there from experts overseas?

"It can be eloquently summed up that in my practice with 45 devices the only device that we required a duplicate to meet demand has been Exilis. Most of our patients (90%) have been thrilled with the results. Not getting this device in your practice would be the worst mistake anyone could make. What more can I say?" Dr. Robert Weiss. Associate Professor of Dermatology, Johns Hopkins University School of Medicine Hunt Valley.

"Treatment is extremely affordable for most patients, given the results. Overall, my patients and staff alike are excited about the device's technology and the results." Dr. Patricia Wexler, Associate Clinical Professor of Dermatology, Mount Sinai School of Medicine New York City, NY.

"My patients are very happy with the consistent, reproducible results. Fortunately, they are not keeping this a secret and have been sending me new patients, or adding more areas of treatment for themselves." Jeanine B. Downie, MD.

"The Exilis device has been an impresive tool in collagen recontouring in my opinion. I have noted positive changes in the patients I have treated. My patients have tolerated their procedures well and are pleased with the results." Neal B Schultz, MD

"Exilis delivers visible results, with no downtime and no side effects, in a truly predictable fashion. The advanced Peltier Cooling allows for much deeper penetration, without damaging the epidermis. In my opinion, BTL invested in a very wonderful and simple application of cooling. By manipulating the cooling system, you can predictably sculpt the body." Marek Kacki, MD, Visage MedArt, Nashville, TN.

"Our practice focuses primarily on non-surgical therapies and we have found Exilis Elite to be safe for skin of all colors, effective and easy-to-use." David McDaniel, MD, F.A.A.D. Director McDaniel Institute of Anti-Aging Research, Virginia Beach, VA.

"All things considered: cost, efficacy, patient satisfaction, reliability of hardware, Exilis has surpassed my expectations. The vast majority of our patients are happy with their results and will likely do a second and sometimes third area." Marc J. Salzman, MD, FACS, Luisville.

"I am convinced of the safety of the procedure and the reliability of the device after working with it for several months and several hundred treatment sessions. The clinical support and training we received was excellent and personalized and we are thrilled with our decision to offer this treatment option to our patients." John B. Turk, MD, Facial Plastic Surgeon, New York City, NY.

"I have never had any technology in my office that has been as popular. For me, this is RF redefined." Mary Lupo, MD, Dermatologist, New Orleans, LA.

"Most important, the patients are happy with the results and are booking other areas of treatment. They love that there is no downtime and they can return to work, home, or exercise immediately after each procedure." Lori G. Polacek, MD, Plastic and Reconstructive Surgery.

"My experience with skin tightening dates back to the use of IPL with long wave filters and YAG lasers. Since then, we have used a variety of devices to help improve skin elasticity. In the last three or four years, the Exilis and Exilis Elite have been the most popular skin tightening procedures in my practice, with the greatest patient satisfaction." Amir Moradi, MD, Facial Plastic and Reconstructive Surgeon, San Diego, CA.

Frequently asked questions

At which Skin Renewal clinics is the Exilis Elite treatments available?

The Exilis Elite treatment is available in Johannesburg at the Bedfordview branch, as well as in KZN at the Ballito and Durban branches.

What other popular treatments can Exilis Elite be compared to?

The three go to procedures are Thermage, Ulthera and Exilis Elite. The Exilis Elite is newer, more affordable and most promising of the three and early data suggests it may be slightly more effective. Exilis is the most comfortable to have done. Ulthera tends to be the most painful and Thermage is the most expensive of all 3 treatments for a similar result.

What is Exilis Elite for skin tightening?

Exilis is the only monopolar RF (Radiofrequency) system to incorporate ultrasonic energy in one hand piece. Exilis causes both shrinking of loose tissue immediately, as well as long term collagen production that lifts and tightens loose skin over time. It is very useful in many areas such as jowls, neck, brows and especially the abdomen.

What is Exilis Elite for fat reduction?

The mechanical effect of ultrasound helps create separation of the fat cells clusters, allowing more efficient RF thermal delivery to adipose tissue. Exilis is the only monopolar RF (Radiofrequency) system to incorporate ultrasonic energy in one hand piece.

Dynamic Monopolar Delivery (Exilis Elite):

At Skin & Body Renewal we have the Exilis Elite which uses a monopolar RF that is delivered dynamically in a continuous pulse with constant rotation and movement of the handpiece over a specified area of laxity or fatty adiposity. The problem area can be targeted in a few minutes to reach an optimal temperature. This optimal temperature is then kept for approximately 6 to 8 minutes period of time to maximize results. The surface temperature measurements are continuously monitored due to Energy Flow Control (EFC) technology which uniformly heats tissue at therapeutic skin levels. This ensures that adverse side effects such as burns are eliminated. In addition a measurement tool is built into the Elite handpiece. Dynamic devices such as Exilis are quicker to reach optimal temperature (a few minutes) unlike stamped devices such as Thermage which can take hours.

​What areas can be treated with Exilis Elite?

Here are some of the most common Exilis Elite treatment areas:

On the face, neck & chest:

  • Treating the skin of the forehead can lift the eyebrows and enhance the appearance of the eyes, making them look more open, less tired, and more alert.
  • Treating the eye area can help improve eye bags and tighten the skin around the eye area, including the top, bottom lid and the crow's feet.
  • Jowl Lifting: The cheeks, jowls and the area under the chin can also be treated to tighten and re-texturise skin.
  • The neck area can benefit from the treatment as a common area to lose definition over time.
  • Treatments can be done on the décolleté

 

On the Body:

  • Abdomen
  • Love handles
  • Muffin top
  • Inner & Outer thighs
  • Buttocks & “banana roll” (the fat roll that commonly develops just below the buttocks)
  • Back fat & bra bulges
  • Batwings
  • Moobs

In women, Exilis Elite can also be used for vaginal rejuvenation & tightening.

How does Radiofrequency work to dissolve fat and tighten skin?

The medical use of RF is based on an oscillating electrical current that forces collisions between charged molecules and ions, which are then transformed into heat. Water is the main target for this process. As a result, RF heating occurs irrespective of skin type and is dependent on heating of water.

What clinical effects does RF have in the skin?

RF-generated tissue heating has different biological and clinical effects, depending on the depth of tissue targeted, the frequency used, and the specific cooling of the dermis and epidermis.

The depth of penetration of RF energy is inversely proportional to the frequency. Consequently, lower frequencies of RF, such as Exilis, are able to penetrate more deeply (up to 2.5 cm) and heat large volumes of subcutaneous adipose tissue, the dreaded resistant fat.

What happens when radiofrequency is applied to the skin?

  1. RF- mediated thermal stimulation of the matrix in the skin results in an immediate change in the helical structure of collagen causing a tightening effect.
  2. RF thermal stimulation results in a microinflammatory stimulation of fibroblasts, which produces new collagen (neocollagenesis) and new elastin (neoelastogenesis), as well as other substances to enhance dermal structure.
  3. RF thermal stimulation of adipose tissue results in a thermal-mediated stimulation of adipocyte metabolism resulting in release of fat from cells, ie fat reduction.
  4. RF thermal stimulation also causes apoptosis of fat cells ie permanent fat cell destruction.
Does the Exilis have FDA approval?

The FDA approved the Exilis in 2013. While the primary focus of all of this devices is body contouring and fat reduction, the Exilis also has a skin-tightening component appropriate for the face, neck and body.

What awards has the Exilis won?

The FDA approved the Exilis in 2013. While the primary focus of all of this devices is body contouring and fat reduction, the Exilis also has a skin-tightening component appropriate for the face, neck and body. Exilis is a WINNER of three INTERNATIONAL AWARDS in 2013 for skin-tightening.

1. My Face My Body award for best skin tightening device November 2013. Thousands of NewBeauty Magazine readers and the industry's leading beauty experts.

2. Exilis won the award for Best Skin Tightening Product at The Aesthetic Show in Las Vegas in 2012.

3. IESG award in 2014 for best skincare equipment.

New Beauty editorial team cast their votes in the 2013 New Beauty Awards. In the category of “The Best Skin Tightener” Exilis Elite ranked higher than any other product.


What makes the Exilis treatment such a comfortable and safe experience?

The Exilis has a Revolutionary built in cooling tip and heat sensor monitor which ensures that the optimal heat is delivered as painlessly as possible and as safely as possible. This ensures that the treatment switches off immediately should it be inadvertently lifted during the treatment session. This usually happens when treating uneven and curved surfaces such as the jawline area. The Cooling tip confuses the brain to not recognize pain signals as the epidermis is continually cooled.

No pain medication or anesthesia is needed during the session.

Neck and jowl fat can be treated at the same time as the skin tightening procedure. The fat reducing head is used on the double chin area for fat reduction as well as skin tightening.

For men who have stubborn fat, this treatment aims to do one or both of two things, namely; destroy fat cells or shrink them significantly. It’s important to note that these treatments work best when focussed on stubborn fatty deposits that just will not budge with diet and exercise.

How many treatments does one need?

What we are currently recommending is one treatment every two to four weeks with a minimum of four to six treatments, and then we’re waiting approximately three months and, if need be, we do a follow-up treatment. A further 2 to 4 treatments can be done and then a maintenance treatment every 6 months.

How does Exilis Elite create new Collagen Naturally?

Exilis relies on the body’s own regenerative process to stimulate the natural renewal of existing collagen and creation of new collagen. This results in an actual lift of skin overtime – and just “better-fitting” skin.

Many people notice an immediate effect following the treatment, but the ultimate lifting and toning takes place over 2-3 months, as tired collagen is renewed and replaced with new, stronger collagen. And, as collagen-building process continues, further improvements can even appear up to 6 months following a procedure!

What reviews of The Exilis Elite are there from experts overseas?

"It can be eloquently summed up that in my practice with 45 devices the only device that we required a duplicate to meet demand has been Exilis. Most of our patients (90%) have been thrilled with the results. Not getting this device in your practice would be the worst mistake anyone could make. What more can I say?" Dr. Robert Weiss. Associate Professor of Dermatology, Johns Hopkins University School of Medicine Hunt Valley.

"Treatment is extremely affordable for most patients, given the results. Overall, my patients and staff alike are excited about the device's technology and the results." Dr. Patricia Wexler, Associate Clinical Professor of Dermatology, Mount Sinai School of Medicine New York City, NY.

"My patients are very happy with the consistent, reproducible results. Fortunately, they are not keeping this a secret and have been sending me new patients, or adding more areas of treatment for themselves." Jeanine B. Downie, MD.

"The Exilis device has been an impresive tool in collagen recontouring in my opinion. I have noted positive changes in the patients I have treated. My patients have tolerated their procedures well and are pleased with the results." Neal B Schultz, MD

"Exilis delivers visible results, with no downtime and no side effects, in a truly predictable fashion. The advanced Peltier Cooling allows for much deeper penetration, without damaging the epidermis. In my opinion, BTL invested in a very wonderful and simple application of cooling. By manipulating the cooling system, you can predictably sculpt the body." Marek Kacki, MD, Visage MedArt, Nashville, TN.

"Our practice focuses primarily on non-surgical therapies and we have found Exilis Elite to be safe for skin of all colors, effective and easy-to-use." David McDaniel, MD, F.A.A.D. Director McDaniel Institute of Anti-Aging Research, Virginia Beach, VA.

"All things considered: cost, efficacy, patient satisfaction, reliability of hardware, Exilis has surpassed my expectations. The vast majority of our patients are happy with their results and will likely do a second and sometimes third area." Marc J. Salzman, MD, FACS, Luisville.

"I am convinced of the safety of the procedure and the reliability of the device after working with it for several months and several hundred treatment sessions. The clinical support and training we received was excellent and personalized and we are thrilled with our decision to offer this treatment option to our patients." John B. Turk, MD, Facial Plastic Surgeon, New York City, NY.

"I have never had any technology in my office that has been as popular. For me, this is RF redefined." Mary Lupo, MD, Dermatologist, New Orleans, LA.

"Most important, the patients are happy with the results and are booking other areas of treatment. They love that there is no downtime and they can return to work, home, or exercise immediately after each procedure." Lori G. Polacek, MD, Plastic and Reconstructive Surgery.

"My experience with skin tightening dates back to the use of IPL with long wave filters and YAG lasers. Since then, we have used a variety of devices to help improve skin elasticity. In the last three or four years, the Exilis and Exilis Elite have been the most popular skin tightening procedures in my practice, with the greatest patient satisfaction." Amir Moradi, MD, Facial Plastic and Reconstructive Surgeon, San Diego, CA.

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What a GameChanger! The past three months I’ve been on a journey rediscovering myself and Dr Pierce & Team Waterfall has been by my side since day one. I honestly felt and still feel like I am the only client Team Waterfall has purely in the manner they personalise every single experience I encounter with them. I want to sincerely thank Dr Pierce for his compassion and his beautiful heart he has for people, a true servant and that is why I could manage to shed 17kgs. The journey was just as personal to him as it is to me. Chantel, thank you for being so patient with all my questions when I started the program as well as Kelly for always being ready to assist me at any given time. Thank you Team Waterfall for bringing out the youth in me.

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Loved my treatment that were done by Roxy. She is amazing really good at what she does and always gives the best advice in choosing products Venue is well designed and convenient.

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The doctors, therapists and staff at skin renewal are honestly the best. They always make me feel so comfortable and give the best advise and treatments.

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I have been coming to Skin Renewal in Parkhurst for a few years. The therapist has been my skincare consultant and has been absolutely phenomenal. She is a prefectionist who always puts her clients needs first and takes the time to make you feel comfortable and explaings everything to ensure that you don't have any anxiety. She is very knowledgeable and advises the best treatment for you. She listens to your needs and ahs a sparkling/charming personality. You will not go wrong with her!

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I was so apprehensive to engage in any tightening and for other procedures. I was highly fortunate to have been recommended to a therapist at Parkhurst who is extremely professional and brilliant at what she does, empathetic and deeply impressive. I feel blessed to embark on my journey "back" to youth with her!

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My favourite beautician is at Parkhurst. She is superbly professional, but also warm, empathetic and engaging. Not to mention very good at her job! (That goes without saying!)

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The energy of the branch is so positive, it rubs off on clients and staff alike. There is such a positive vibe and it's clear that clients are returning because of that. It looks like a place where people want to come and work. Thank you!

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The therapist at Parkhurst is an amazing therapist which also provides a wonderful service and is very professional.

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I have suffered with a dreaded double chin for most of my adult life. A few extra pounds later, this had worsened since loose skin had also set in. Dr Marilyn suggested that I do a few skin tightening and fat reduction treatments with Exilis before placing a few threads into the area. 2 months after my Exilis procedure, I had 10 threads inserted into my double chin area. The procedure took all of 5 minutes and I have left with mild bruising on my neck afterwards. Thank you Dr Marilyn for a great procedure and great advice.

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