Exilis Non-Surgical Fat Reduction and Skin Tightening Therapy

Today’s patients are more concerned about treating the early signs of aging and unwanted fat than ever before. Women and men alike are looking for faster, less invasive procedures with little if any downtime that can reduce their wrinkles and improve their figure. While many devices have been touted over the years, most have failed to produce satisfactory results for many patients. But a new technology is now available that offers the  latest advancement in nonsurgical, pain free therapy for the reduction of targeted fatty deposits, skin tightening, and sun damaged and/or wrinkles skin anywhere on the face and body.

Exilis is an FDA approved device that offers a non-surgical solution using radio frequency (RF) energy for fat reduction and tissue tightening anywhere on the body. The procedure uses safe radio waves to heat your skin and targeted fat cells. This thermal energy speeds up the metabolic activity of the fat cells causing them to shrink. At the same time it stimulates and strengthens the collagen network which improves skin texture.

Exilis is one of the first systems that produces actual circumferential reduction. By combining RF energy with cooling, all areas of the body where stubborn fatty deposits persist or tighter, firmer skin is desired can be treated. While Exilis is heating the tissues, patients remain relaxed and comfortable. Having no pain alone is a real advancement in non-surgical device treatments.

The most frequent areas treated with Exilis Therapy in men are the love handles, chest, abdomen, face, jowls, and neck. In women they include the face, jowls, neck, decolletage, arms, bra fat, thighs, hips, breasts, buttocks, stomach, and knees. Exilis requires a series of treatments, usually four, to get the best results. The results from Exilis Therapy are gradual and may take from two to four  months to see the maximal effects of the treatments.

During the procedure the Exilis computer-controlled delivery device is guided over the treatment area. One feels a deep heating sensation as the Exilis RF energy is delivered to the deeper layers of the skin. The therapy causes the collagen support tissues to remodel and tighten. The applicator provides cooling to the skin’s surface as the energy is delivered, keeping one comfortable during the treatment. Many patients report the treatment similar to a ‘hot stone massage’. Exilis therapy is performed in the office and takes from 15-30 minutes depending upon the size of the treated area.

The highlights of this new Exilis therapy is NO downtime and NO pain, NO anesthesia, NO numbing creams and NO after care, reasonably quick treatment sessions, progressive results that last, able to treat all areas of the face and body and is scientifically proven and FDA-approved.

Exilis offers a revolutionary non-invasive form of treatment for the reduction of wrinkles and for the reshaping of unwanted fat deposits. Exilis also provides a method of after surgery smoothing and skin tightening from invasive liposuction procedures. Exilis treatments can postpone or eliminate the need for invasive surgery particularly for patients with mild to moderate fat deposits and who may not want liposuction surgery. As the only provider of Exilis therapy in Indianapolis and the state of Indiana, I am very excited to offer my patients a real alternative to fat reduction and skin tightening surgery.

Dr. Barry Eppley

Indianapolis, Indiana


Should I Have Liposuction Of My Inner Thighs If I Have Stretchmarks?

Q: Dr. Eppley, I am 29 years old and have always had heavy legs. For whatever reason, I got stretchmarks on my inner thighs during my teen years and they have never gone away. I want to get liposuction and was wondering if my stretchmarks would affect the result in any way. Will it not look as good afterwards if the skin is stretched out to begin with. If so, is there an alternative to liposuction that would be better? Thanks!

A: You have brought up a very good question, particularly when one is contemplating liposuction of the inner thighs. The inner thighs is a common area for patient dissatisfaction after liposuction. This is because the skin of the inner thighs does not have as much elasticity as other body areas so it is prone to not adapt well (shrink down) after fat reduction. This can lead to an inner thigh with irregularities and more loose skin after liposuction. This is why liposuction of the inner thighs must always be done more conservatively than in many other body areas and patient should expect modest improvements only. This would be particularly true when it it recognized before surgery that the skin is of questionable elasticity. Having stretch marks put you into the questionable skin quality category. One must think carefully about liposuction in this area under these circumstances and, without examining you, I can not tell you whether you would be wise to have liposuction or not. There are some emerging non-surgical technologies that are good alternative choices. Radiofrequency devices, like Exilis, can be very beneficial for skin tightening and some fat reduction. Whether you should have this alone or done after your liposuction surgery is a good question that can only be answered by an examination.

Dr. Barry Eppley

Indianapolis, Indiana

What Can Be Done With Skin Sagging After Inner Thigh Liposuction?

Q:  Dear Dr. Eppley, I had liposuction six months on my stomach, saddle bags, flanks and inner thighs. The doctor told me he removed 4 liters of fat. I am very happy with the results with the exception of my inner thighs. I now have some saggy skin and irregularities of the inner thighs. Is this common afterwards? Can some form of non-surgical skin tightening be done to make it better?

A: Liposuction can be tremendously effective for many body areas and the inner thighs are no exception. But inner thigh skin does not usually have much ability to contract so only conservative fat removal should be done in this area and patient expectations should be tempered as to how much size reduction can be done. If too much fat is suctioned out, the inner thigh skin can be made to sag with irregularities. There are numerous non-surgical skin tightening devices that can be tried and they have all have some effect. My current favorite device is Exilis which uses monopolar radiofrequency energy to create skin tightening through a series of treatments. If this is not successful, you may need a definite inner thigh lift which will solve this concern.  

Dr. Barry Eppley

Indianapolis, Indiana