Questions about Exilis!

Dear Dr I, I have been interested in your comments regarding Excillis for skin tightening on the body. I have been looking in to Exillis in Melbourne Australua, and I noticed that it is marketed as a fat reduction and skin tightening procedure. Is this right? Whilst fat reduction would be desirable in some parts if the body, on others like the face or eyes it would seem to be the opposite if what you want. Very few people would like to lose volume in the face! This I'd how the Exillis has been described: "This FDA approved device uses a combination of radiofrequency and ultrasound to heat up unwanted areas of fat under the skin and literally melt them away, It does so by increasing the metabolic rate of the fat cells , these fatty deposits are then mobilised and washed away by the lymphatic system. It has a second function of skin tightening, which is also a very important component of body contouring as where there is excess fat, there is also excess skin accompanying it." The clinic that states this recommends 3-4 sessions. So if I want skin tightening (which I do), should I only have Excillis done on pats if my body that I'd also like to reduce fat? Thank you Dr I.

I agree with you that the company has had some trouble explaining this technology well.   However, they have done a good job of engineering it.  Basically the two functions – fat reduction and skin tightening – are separate and can be used together or separately.  

The small “head” which is used, for example, on the face, neck, backs of the hands and sometimes other areas, does NOT have a fat “melting/killing” (lipolysis) function to it.   Because of course you’re right, most of the time, we want to keep the fat in our faces, necks, hands, etc.

The large “head” is very cleverly designed and can be used with just a skin tightening setting or with fat “melting” settings or both.  These settings can be customized by depth so for thicker fat one uses a different setting than more superficial fat.   Some skin tightening occurs even with these “fat” settings.  Also, there is a built in temperature monitor in the handle to control the temp to a therapeutic level without burning you the patient. 

I agree with the initial estimate of 3-4 sessions, but some people will need more and this is the part of the research from the company I really think could use some work.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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