“Exilis” is Latin for “thin or slender” And this new technology lives up to its namesake. Exilis, the latest FDA approved technology for noninvasive body contouring—specifically fat reduction and/or skin tightening anywhere on the body—is safe, predictable and reliable. Developed in Prague, it is an amalgamation of the best features of Thermage(r) with those of the Alma Accent® technology. It employs a monopolar radio frequency technology to directly heat, in a highly controlled fashion, to depths of nearly two inches, permanently destroying adiposites (fat cells.) When directed more superficially it has the ability to simultaneously tighten skin by encouraging collagen remodeling. Exilis can be used on any part of the body and on any skin type of any color.
Those seeking facial and neck rejuvenation will find Exilis to be effective in reducing facial wrinkles, tightening loose jowls, and treating “turkey necks.” Three sessions spaced one to two weeks apart are recommended for full facial rejuvenation to be realized.
Exilis treatments also help patients successfully drop inches from common problem areas such as the belly, arms, thighs, hips and the buttocks. Cellulite also improves due to the tightening of elastic fibers beneath the skin. Exilis is an excellent adjunct after lipoplasty in individuals with poor skin quality, helping to induce skin shrinkage and thereby optimize final contour.
Each target area is addressed with precision achieving circumferential reduction without a surgical incision. Three to six sessions are required two weeks apart for the best results. While multiple sessions are part of the Exilis protocol, each session is usually less than 30 minutes per area and has been described as feeling like a warm shower or hot stone massage. With a price tag similar to injectables, Exilis is not only quick, comfortable and effective but affordable for many patients seeking fat reduction and/or skin tightening without surgery.
- Parts of body Exilis treats: face, neck, eyes, mouth, arms, back, tummy, hips, inner and outer thighs, knees, and buttocks
- Time: 30 minutes per area.
- Anesthetic: none
- Downtime: none
- # of sessions: for face and neck 2-3; body 3-6
- Complications/risks: none
- Results: immediate with continued fat reduction and/or tightening realized after each session. Collagen remodeling continues months passed last session.
1:1 with Dr. Kornstein
- My patients rely on me to vet the latest non-surgical trends and technologies making sure anything brought into the practice is both safe and effective. Exilis is the newest incarnation of radio frequency technology that is an amalgamation of the best parts of Thermage (unipolar) and Alma Accent (bipolar)that when married leads to a highly predictable treatment for fat reduction and skin tightening of the face and body with few if any side effects. Scientifically speaking, Exilis’ monopolar character provides for deeper and more precise penetration of energy..
The most important thing is not disappointing my patients.. When we introduced Exilis we were one of the only offices to have the new higher energy, continuous feedback monitoring facial handpieces. This technology delivers better results with less treatments and a higher margin of safety.
The protocol varies by site and is based upon achieving a certain therapeutic temperature to remodel collagen and/or permanently destroy fat cells. The final result of fat cell reduction is seen within a week; skin tightening is also immediate but the full effects take at least three months.
Many of my patients have benefited from Ulthera®—another skin tightening technology. So is offering Exilis redundant? The answer is “no.” Ulthera® is fabulous at skin tightening and full thickness rejuvenation of the skin. However, the focused ultrasound mechanism requires disposable technology that makes Ulthera® more costly when treating body areas and at this time is limited to 4.5mm depth of penetration. This is a subjective drawback although my Ulthera® body patients have been extremely happy with their results. Exilis peaked my interest because of the absence of disposables which makes it more affordable and within the reach of a broader cross section of my patients. Initially I thought the compliance with multiple sessions required by Exilis would pose act as a deterrent, but that has not been the case as progress is seen after each treatment. Additionally the blending of Ultherapy® and Exilis has been very exciting when it comes to providing additional contour. Layering the two technologies—especially in thin skin areas of the face and neck has led to results not achievable by either technology alone and in many cases these results are simply dramatic. My latest challenge is finding the right blend to deliver the very best in non operative therapy.
What are the differences between Coolsculpting® and Exilis? Coolsculpting® works best on flat areas and in regions where a roll of skin and fat can be placed between the cooling plates, whereas Exilis can be used on any body surface part or area. Like Ulthera®, Coolsculpting® is complete in one session where Exilis requires numerous visits. However, fat loss is rapid with Exilis—noticeable within a week of each successive treatment versus 3-4 months with Coolsculpting(r) where skin slowly contracts to accommodate fat loss. This can be an advantage or a disadvantage depending on the clinical scenario. With Exilis, collagen tightening is generally acknowledged with each treatment although 3 full months are required for completion of collagen remodeling. This is not possible with Coolsculpting.®
To date, Exilis has exceeded patient expectations time after time and in very challenging cases combinations of Ultherapy® and Exilis have delivered remarkable results. Patients requiring a tummy tuck, inner thigh lift and/or liposuction have been treated with Exilis as a prelude to surgical intervention and in many cases one or two surgical procedures were rendered unnecessary or were reduced in scope.
“I decided that having a great surgeon was worth every bit of that 2,500 mile trip……..” When I was choosing a surgeon for my facial surgery, I was living in Santa Fe, New Mexico, but on the advice of a close friend who’d done lots and lots of research, I looked at a few surgeons in Manhattan. Dr. — was one, and he sounded great, but the more I learned about what Dr. Kornstein did the more interested I became. So I called to speak with him and was soon convinced he was the surgeon for me. Only that meant being 2,500 miles away from home. I decided that having a great surgeon was worth every bit of that 2,500 mile trip. I found a friend who stayed with me the day before my surgery and for six days after, which was not only comforting but fun. The actual surgery was so much easier than I’d expected. Really, it felt more like a vacation. Six plus months later and I am very happy I chose Dr. Kornstein.
Andy really “gets” the relationship between a healthy body and mind and how that influences how we feel about ourselves. His conservative, holistic approach make me confident in recommending his practice.” I have spent the last 20 years in the fitness industry. 13 years ago I decided to take my private coaching expertise and make the leap to owning my own studio in Westport called Evolution Sports & Fitness. It’s a bit different both in the membership demographic and the way in which we train. We cater to those who are in pretty good shape already, but seeking to take their fitness to the next level—tennis players, cyclists, runners and other athletes. Our philosophy is to provide a mixed modality type of training using the member’s own body movement. Classes are very specific and one on one personal training is our specialty. This is a private studio and no one works on their own. This approach seems to appeal to a wide variety of serious fitness buffs. Members join simply through word of mouth which is the best endorsement. If I had to categorize the majority of my members I would say they are past 40, health conscious and want the body they had before having children. They recognize the value of feeling good and looking good and want their appearance to reflect their vitality. One of the biggest misconceptions is the role diet plays within the goal of “getting fit.” Understand you can never out train a bad diet. Nutrition is key. Another mistaken notion is that exercise can tighten loose skin. We can develop a program to minimize body fat, but there is a limit to what someone can reasonably expect exercise to correct. When does a person know they have done all they can do prior to consulting on body sculpting? If something is sagging, or needs to be lifted or flattened maybe the gym is not the total answer. Some lean folks think they are pinching fat when it is really loose skin. It’s important to have the right expectations so frustration doesn’t become part of your routine. I have personally gone to Dr. Kornstein for Ultherapy® skin tightening and was very happy with the results. I share a very symbiotic relationship with cosmetic surgeon, Dr. Andrew Kornstein in Fairfield. We mirror each other’s outlook on health and wellness. Andy really “gets” the relationship between a healthy body and mind and how that influences how we feel about ourselves. His conservative, holistic approach make me confident in recommending his practice. If a member approaches me about a tummy tuck, liposuction, breast enhancement or some non-invasive tightening procedures, I advise getting in the best shape first. My regimen includes a nutritional profile for the first 30 days featuring no inflammatory foods and sweets; monitored light exercise increasing to intense workouts over a period of 6 months to a year. Andy has always understood the role fitness and nutrition plays in experiencing a positive outcome from a surgical procedure or non-invasive treatment. Conversely, these aesthetic procedures often enhance someone’s efforts in the gym. There is a distinct interplay between our practices.