Exilis - Safe for the Cheeks?

Question

From my understanding, Exilis does both fat reduction and skin tightening. I'm only interested in the skin tightening aspect of Exilis. In fact, isn't fat reduction on the cheeks/face something negative? Who wants fat atrophy on their face...possibly looking even older. I've seen pictures of Exilis being used on the face, but not quite convinced fat reduction on the cheeks is a good thing. Thanks.

Steve Laverson, MD, FACS · Answer

You are correct for having concern regarding fat reduction on the face. Fat reduction can cause unwanted wrinkles  thus the reason that the skin tightening (infrared) modality is the one used on the face when undergoing Exilis treatments. When treated properly with the correct hand-piece, you will not see any fat loss but rather tighter skin and decreased fine lines. 

	Visit the link below to find out more about Exilis.

Gregory Mesna, MD, FACS · Answer

Hello. I very much appreciate your question as well as your reason for worry. Exilis is a very useful and effective non-surgical option for skin tightening and is used primarily for this purpose in our practice. You are correct, it is promoted and can achieve some reduction or smoothing of unwanted fullness also, however the treatment delivers energy differently for reduction of fat, vs skin tightening. To simply answer your question, it is an excellent treatment choice for improving the laxity on the face, and neck.  This treatment is quick and very well tolerated but must be provided in a series of 5-6 weekly treatments to achieve optimal results. Most patients will start to see very nice improvements following the 3rd treatment (average) and when the patient would benefit from some reduction of fullness under the chin in addition to tightening the jowls, neck, and lower face, we can easily incorporate the different energy to be delivered to that specific area. 

	Exilis is progressive and really well received. Our experience has been very positive and for years it's been difficult to find a competent non-surgical option for patients who don't wish for surgery or are not yet candidates. My recommendation is to visit with a physician office or two who offer Exilis and learn more about it and if it's a good fit for your concerns. You may be very pleasantly surprised by Exilis.

	Best of luck to you.

Cavendish Clinic - Fitzrovia · Answer

Hello - you are absolutely right! And thats why Exilis Elite doesn't have a hand-piece or settings for fat reduction on your cheeks or face. The only time this level of heat can be applied, is for larger body areas. Please rest assured, the treatment you have on your face will only be for lifting and stimulating collagen and elastin.  I can also confirm that Exilis Elite is a trusted treatment, which we have used to treat many hundreds of patients over several years. Best wishes, Lisa

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello and thank you for your question!! The Exilis machine has 2 different hand pieces. One is for the body that can be set for fat melting and skin tightening and the other is for the face and can only be used for skin tightening. You are absolutely correct that we don't want to melt facial fat, just tighten the skin.

Robert Strimling, MD · Answer

Yes, Exilis can be used in a skin tightening only mode and should not cause fat loss.  

	However, there still may be an uncommon risk of fat loss even with the skin tightening only mode.  We have not seen undesirable facial fat loss or have I heard of it when using proper treatment parameters.

	Exilis on the face can improve wrinkles also.  We often use infrared skin tighteing with SkinTyte for the face. 

	SkinTyte and Exilis may complement each other and we often recommend alternating between the two.

Exilis - Safe for the Cheeks?

Answers (5)