Would I be a good candidate for Exilis treatment on my abdomen? Will it really work? (photo)

We have stopped using Exilis in our office because we didn't feel it produced satisfactory results for many of our patients. Instead, I would likely recommend some tumescent liposuction for you, combined with our skin tightening treatment ThermiTight. This treatment delivers the radiofrequency energy deep into the dermal structure via tiny probes, which produces a more dramatic effect. The treatments could be performed in the same session, using local anesthesia. Recovery is usually just a few days. I encourage you to find an experienced, board-certified physician for this procedure who has the expertise necessary to produce the best possible results for you.

based on your photos RF treatments will do very little for you and you need liposuction with skin removal. if you will not do that then RF treatments plus morpheus to hold you over. trsculpt ID and FLEX can also be added.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You likely need weight loss and a tummy tuck . based on your decription,  but I suggest posting photos. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert. IF you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc).  Best, Dr. Emer

You likely need weight loss and a tummy tuck . based on your decription,  but I suggest posting photos. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert.  If you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc).  Sometimes noninvasive options like vanquish and coolsculpting can be done to also help contour, and reduce fat, and tighten skin.  Best, Dr. Emer.

Sometimes the full scar needs to be revised and this just entails surgically removing and restitching the scar.  Sometimes the scar plus skin . needs to be removed and that is a revision tummy tuck.  I suggest posting photos and seeing an expert in revision procedures that combine liposuction/fat removal, skin tightening, body shaping/definition, fat grafting and cellulite improvement.   Best, Dr. Emer.

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Looking at your photo, you might want to consider BTL Vanquish ME with follow up treatment with Cellutone (acoustic therapy device from BTL). This way you would eliminate some of the subcutaneous fat over a larger area after which Exilis Ultra could kill more fat and tighten your skin. We use all of these devices in our practice. At Georgia Coast Surgical, we have experience in trying to guide you toward the treatment which we think will give you the best result. We also use cryolipolysis (Coolsculpting) and counsel patients regarding surgical and non-surgical weight loss