If your skin feels less firm or you’ve noticed a loss of definition in your face or body, you may be considering Exilis Ultra 360. This non-surgical treatment combines radiofrequency and ultrasound technology to improve the appearance of skin laxity and support body contouring.
Although it may offer firmer-looking skin with minimal downtime, the results are generally more subtle than surgery. Understanding the benefits, disadvantages, costs and potential risks can help you decide whether the treatment is right for you.
What Is Exilis Ultra 360 and How Does It Work?
Exilis Ultra 360 is a non-invasive treatment that combines radiofrequency energy and ultrasound to heat the tissues beneath your skin. This controlled heating aims to support collagen remodelling, which may gradually improve your skin’s firmness and elasticity.
During treatment, your practitioner moves an applicator over the area you want to treat while monitoring the temperature and your comfort. You may feel a warming sensation, and you can use the treatment on selected facial and body areas depending on your concerns.
Evidence Note
A 2017 study published in the Journal of Cosmetic Dermatology evaluated combined radiofrequency and ultrasound treatment in 34 participants with facial skin laxity or body-contouring concerns. Participants received four weekly sessions, and blinded assessors evaluated photographs taken before treatment and at the three-month follow-up.
The findings were encouraging, but the study was small, had no untreated comparison group and followed participants for only three months. One author also disclosed consultancy and speaking work for BTL Industries, the device manufacturer. These limitations mean the results cannot establish how much improvement every patient will experience or how long the benefits will last.
What Are the Main Advantages of Exilis Ultra 360?
One of the main advantages of Exilis Ultra 360 is that you can improve your skin’s firmness without surgery, incisions or stitches. You can also target selected areas of your face and body, with gradual results that may help your skin look smoother and firmer while maintaining your natural appearance.
Sessions are generally relatively short, so you can usually return to your daily activities soon afterwards. However, your results will vary, and you should not expect the same level of change as you would from surgery.
Can Exilis Ultra 360 Tighten Skin Without Surgery?
Exilis Ultra 360 may help you improve mild skin laxity without surgery. If you’ve noticed looser skin around your jawline, neck or abdomen, radiofrequency heating may encourage collagen remodelling and gradually give your skin a firmer, smoother appearance.
However, the treatment doesn’t remove excess skin, so you may see limited improvement if you have significant loose skin after weight loss or pregnancy. It’s generally better suited to you if you’re looking for subtle tightening rather than a dramatic lift.
Can Exilis Ultra 360 Improve Fine Lines and Skin Firmness?
Exilis Ultra 360 may help you improve the appearance of fine lines and mild skin laxity. By encouraging collagen remodelling beneath your skin, the treatment aims to improve firmness gradually rather than produce immediate results.
You may notice smoother-looking skin, but deeper wrinkles and age-related volume loss are less likely to respond. If you’re concerned about hollow cheeks or temples, skin tightening alone may not address your needs.
UK Guidance Note
In the UK, cosmetic treatment claims should be supported by appropriate clinical evidence. The Advertising Standards Authority expects providers to substantiate claims about skin tightening, body contouring and other measurable benefits rather than rely solely on promotional descriptions or patient testimonials.
Exilis Ultra 360 is a non-surgical aesthetic treatment, but that does not mean it is free from risks or suitable for everyone. Before booking, ask your practitioner about their training, the evidence supporting the results you want and the safety precautions used during treatment.
Can Exilis Ultra 360 Improve Facial and Neck Contours?
Exilis Ultra 360 may help you improve mild facial and neck laxity without surgery. If you’ve noticed early jowling, a less defined jawline or loose skin beneath your chin, treatment may encourage tissue tightening and give your lower face a firmer appearance.
However, you may see only modest results, as skin laxity, underlying fat and muscle changes can all affect your contours. Your practitioner should assess your face and neck to determine whether treatment suits your concerns, rather than presenting it as a replacement for a surgical facelift.
Can Exilis Ultra 360 Help With Body Contouring and Cellulite?
Exilis Ultra 360 may help you improve mild skin laxity and body contours in areas such as your abdomen, upper arms and thighs. You may notice improvements in skin smoothness, but evidence specifically supporting Exilis Ultra 360 for cellulite reduction remains limited, and results are not predictable.
However, you shouldn’t expect significant fat reduction or weight loss. If you want to remove substantial amounts of fat, Exilis Ultra 360 may not be the most suitable option for your goals.
Research Insight
A 2021 study published in the Journal of Cosmetic Dermatology reviewed outcomes in 64 patients who underwent four weekly sessions of combined radiofrequency and ultrasound treatment. Researchers reported measurable reductions in body circumference one month after the final session, with an average patient satisfaction score of 4.48 out of 5.
However, the study was retrospective, had no untreated comparison group and provided limited long-term follow-up. These findings support the possibility of modest contour changes but do not establish significant weight loss, predictable fat reduction or long-lasting results for every patient.
Is Exilis Ultra 360 Comfortable With Minimal Downtime?
Exilis Ultra 360 generally involves less recovery than surgery because you don’t need incisions or surgical wound care. During treatment, you’ll feel controlled warmth as your practitioner moves the applicator across your skin.
You may experience temporary redness, warmth or mild sensitivity afterwards, but you can usually return to your daily activities soon after your appointment. Comfort and recovery vary, so follow your practitioner’s aftercare advice.
What Are the Main Disadvantages of Exilis Ultra 360?
The main disadvantage of Exilis Ultra 360 is that you may achieve only modest results compared with surgery. If you want a dramatic lift or significant removal of loose skin, the treatment may not meet your expectations.
You may also need several sessions, increasing your overall cost, and your results can vary. Although it’s non-surgical, you should also consider possible risks such as burns, pigmentation changes and temporary skin sensitivity.
The cost of Exilis Ultra 360 depends on the area treated, the number of sessions and your individual treatment plan. Before booking, ask for a complete quotation covering the recommended course, consultation fees and any maintenance treatments. This can help you understand the total cost rather than focusing only on the price of one session.
How Many Exilis Ultra 360 Sessions Might You Need?
You may need several Exilis Ultra 360 sessions depending on your skin, treatment area and goals. Your practitioner should recommend a schedule based on your individual response.
1. Treatment area: Different areas may require different numbers of sessions.
2. Skin condition: The degree of laxity can affect your treatment plan.
3. Gradual results: Improvements may develop over several weeks as collagen remodels.
4. Progress reviews: Your practitioner should assess your response before recommending further sessions.
Ask how many treatments are likely to be needed and how your results will be monitored before starting.
How Long Do Exilis Ultra 360 Results Last?
Your Exilis Ultra 360 results may develop gradually over several weeks or months, but how long they last varies. Although some clinics advertise results lasting up to two years, this isn’t guaranteed, and long-term evidence remains limited.
Your age, weight changes, sun exposure and natural skin ageing can all affect how long you maintain the improvement. You may consider maintenance sessions if your skin gradually loses firmness, but your practitioner should explain the likely long-term results before you commit.
What Side Effects and Risks Should You Know About?
You may experience temporary redness, warmth, tenderness, swelling or dryness after Exilis Ultra 360. These effects usually settle relatively quickly, although your recovery can vary depending on the treatment area and your skin.
More serious risks include burns, blistering and changes in skin pigmentation, particularly if treatment isn’t performed correctly. Contact your practitioner if you develop severe pain, persistent swelling or unexpected skin changes after your session.
Who Is Most Likely to Benefit From Exilis Ultra 360?
Exilis Ultra 360 may suit you if you have mild to moderate skin laxity and want a non-surgical way to improve firmness. You may be a suitable candidate if you’re looking for subtle changes around your jawline, upper arms or other treated areas rather than a dramatic transformation.
Your expectations, overall health and willingness to attend multiple sessions also matter. During your consultation, your practitioner should assess whether the treatment can address your concerns safely and realistically.
What Can Exilis Ultra 360 Realistically Improve?
| Your Main Concern | What Treatment May Offer | Important Limitation |
| Mild facial skin laxity | Modest improvement in firmness | Cannot replicate a surgical facelift |
| Fine lines | Possible improvement in skin appearance | Deep wrinkles may respond poorly |
| Early neck or jawline laxity | Subtle contour improvement | Significant sagging may remain |
| Mild body skin laxity | Possible improvement in firmness and contour | Cannot remove large amounts of loose skin |
| Localised body fullness | Some studies report modest circumference changes | Not a weight-loss treatment |
| Cellulite | Benefit remains insufficiently established | Avoid promising cellulite reduction without robust evidence |
| Significant loose skin after weight loss | Limited improvement may be possible | Surgical assessment may be more appropriate |
Who Should Avoid or Postpone Exilis Ultra 360 Treatment?
According to the manufacturer’s published instructions, Exilis Ultra 360 should not be performed during pregnancy or IVF treatment, or in people with implanted pacemakers, defibrillators or metal implants. Other listed contraindications include active infections or inflammation, certain skin conditions, impaired healing, and isotretinoin use within the previous 12 months.
Certain cardiovascular conditions, cancer, active collagen disorders, impaired immunity, altered skin sensation and recent cosmetic procedures may also make treatment unsuitable. Tell your practitioner if you’re breastfeeding or have any relevant medical condition. They should review your history against the current manufacturer instructions before deciding whether treatment can proceed safely.
What Happens During an Exilis Ultra 360 Appointment?
Your appointment begins with an assessment of your treatment area and medical history. Your practitioner may also take photographs to track your progress before and after treatment.
Your skin is cleansed before the applicator is moved across the area to deliver controlled heat. You’ll feel a warming sensation, but tell your practitioner if it becomes uncomfortable or painful. After your session, they’ll check your skin and explain any aftercare you need.
Clinical Tip
During Exilis Ultra 360 treatment, you should expect a warming sensation, but you should not feel that you must tolerate uncomfortable or burning heat. Tell your practitioner immediately if the applicator feels excessively hot or painful so they can adjust or stop treatment.
Before your appointment, disclose any implanted devices, medicines, recent cosmetic procedures or changes in your health. An accurate medical history helps your practitioner assess whether the treatment is appropriate and identify precautions specific to the area being treated.
What Is Recovery and Aftercare Like Following Exilis Ultra 360?
Your recovery after Exilis Ultra 360 is usually straightforward, with temporary redness, warmth, tenderness or dryness in the treated area. These effects generally settle without an extended recovery period.
Avoid irritating skincare products while your skin is sensitive, protect treated areas from sun exposure and follow your practitioner’s advice about exercise and heat exposure. Contact the clinic if you develop persistent pain, blistering or unexpected skin changes.
Is Exilis Ultra 360 Worth It Compared With Other Treatments?
Whether Exilis Ultra 360 is worth it depends on your concerns and the results you want. You may prefer it if you’re looking for modest skin tightening without surgery, but other treatments may be more suitable for significant lifting, fat reduction or facial volume loss.
Before committing, compare the expected results, risks and full treatment costs. Your practitioner should explain whether Exilis Ultra 360 is likely to meet your expectations or whether another approach would suit you better.
Myth vs Fact: Common Misconceptions About Exilis Ultra 360
| Myth | Fact |
| Exilis Ultra 360 provides the same results as surgery. | It may improve mild laxity but cannot remove substantial excess skin or replace surgical lifting. |
| One session guarantees visible tightening. | Several sessions may be recommended, and results vary. |
| Exilis Ultra 360 is a weight-loss treatment. | It is not a substitute for weight management, and reported contour changes should not be confused with overall weight loss. |
| Non-surgical treatment is completely risk-free. | Burns, blisters and other skin reactions remain possible. |
| Results always last two years. | Long-term results vary, and evidence does not establish a guaranteed duration. |
| Everyone with loose skin is a suitable candidate. | Medical conditions, implanted devices, skin problems and the degree of laxity can affect suitability. |
| You must book maintenance sessions every year. | Maintenance may be discussed, but there is no universally proven schedule suitable for everyone. |
Key Takeaways
1. Exilis Ultra 360 combines radiofrequency and ultrasound energy for non-surgical aesthetic treatment.
2. It may improve mild skin laxity and produce modest changes in skin appearance or body contours.
3. Results vary, and the treatment cannot replace surgery for significant loose skin.
4. Several sessions may be needed, increasing the overall treatment cost.
5. Research supports some short-term improvements, but long-term outcomes remain uncertain.
6. Temporary redness, tenderness and warmth may occur, while burns and blistering are possible complications.
7. Certain medical conditions, implants and pregnancy can make treatment unsuitable.
8. A professional consultation is important for assessing realistic benefits, limitations and safety.
Frequently Asked Questions
1. What are the main benefits of Exilis Ultra 360?
Exilis Ultra 360 can help improve mild skin laxity, firmness and the appearance of fine lines without surgery or incisions. It also involves relatively short sessions and usually allows you to return to daily activities soon afterwards.
2. Can Exilis Ultra 360 tighten loose skin without surgery?
Yes, it may help improve mild to moderate skin laxity by encouraging collagen remodelling beneath your skin. However, it doesn’t remove excess skin, so results may be limited if you have significant looseness after weight loss or pregnancy.
3. Can Exilis Ultra 360 improve your jawline and neck contours?
Exilis Ultra 360 may help improve early jowling, a less defined jawline and mild loose skin beneath your chin. However, the results are generally modest and won’t provide the same level of lifting as a surgical facelift.
4. Can Exilis Ultra 360 reduce cellulite and body fat?
The treatment may improve skin smoothness and mild laxity around areas such as your abdomen, upper arms and thighs, although its benefits for cellulite remain uncertain. However, you shouldn’t expect significant fat reduction or weight loss.
5. What are the disadvantages of Exilis Ultra 360?
You may achieve only subtle results compared with surgery, and several sessions may be needed to reach your desired improvement. The overall cost can increase with additional appointments, and results vary between individuals.
6. How many Exilis Ultra 360 sessions might you need?
You may need several sessions depending on your treatment area, skin condition and desired results. Some clinical studies have assessed four sessions spaced approximately one week apart, although your practitioner may recommend a different schedule.
7. How long do Exilis Ultra 360 results last?
Your results may develop over several weeks or months, but their duration varies. Although some clinics advertise results lasting up to two years, this isn’t guaranteed and long-term evidence remains limited.
8. What side effects can Exilis Ultra 360 cause?
You may experience temporary redness, warmth, tenderness, swelling or dryness after treatment. More serious risks include burns, blistering and pigmentation changes, particularly if the procedure isn’t performed correctly.
9. Who should avoid Exilis Ultra 360 treatment?
Exilis Ultra 360 should not be performed during pregnancy or IVF treatment, or if you have a pacemaker, implanted defibrillator or metal implants, according to the manufacturer’s published instructions. Active infections, certain skin conditions, recent isotretinoin use and other medical conditions may also make treatment unsuitable. Tell your practitioner about your health and medicines so they can assess your eligibility.
10. Is Exilis Ultra 360 worth it compared with other treatments?
It may be worth considering if you want modest skin tightening without surgery or significant downtime. However, other treatments may be more suitable if you want substantial lifting, fat reduction or improvement in facial volume loss, so discuss your expectations and options during a consultation.
Final Thoughts: Exilis Ultra 360 Pros and Cons
Exilis Ultra 360 may help improve mild skin laxity, firmness and body contours without surgery or significant downtime. However, results are generally subtle, several sessions may be needed, and the treatment may not be suitable if you’re looking for dramatic lifting or substantial fat reduction.
If you’re considering Exilis Ultra 360 in London, the team at the London Medical & Aesthetic Clinic can discuss your concerns, explain the results you can expect and help you decide if the treatment is right for you.
References:
1. Chilukuri, S., Denjean, D. and Fouque, L. (2017) ‘Treating multiple body parts for skin laxity and fat deposits using a novel focused radiofrequency device with an ultrasound component: Safety and efficacy study’, Journal of Cosmetic Dermatology, 16(4), pp. 476–479. Available at: https://pubmed.ncbi.nlm.nih.gov/29125214/
2. Hügül, H., Oba, M.Ç. and Kutlubay, Z. (2021) ‘Efficacy of focused radiofrequency with ultrasound in body contouring: A study of 64 patients’, Journal of Cosmetic Dermatology, 20(8), pp. 2507–2511. Available at: https://pubmed.ncbi.nlm.nih.gov/33340220/
3. Kumar, N., Suh, D.H., Lee, S.J. and Ryu, H.J. (2025) ‘Radiofrequency-based treatments for facial rejuvenation: A systematic review of efficacy, safety, and patient-centered outcomes’, Aesthetic Surgery Journal Open Forum, 7, article ojaf159. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12715571/
4. Sadick, N. (2019) ‘Treatment for cellulite’, International Journal of Women’s Dermatology, 5(1), pp. 68–72. Available at: https://www.sciencedirect.com/science/article/pii/S2352647518300418
5. Sinagridi, I. and Andreou, E. (2026) ‘High-Intensity Focused Ultrasound and Radiofrequency in Non-Invasive Skin Rejuvenation: Mechanisms, Clinical Evidence, and Combined Therapeutic Approaches’, Applied Biosciences, 5(3), article 72. Available at: https://www.mdpi.com/2813-0464/5/3/72
