Exilis Ultra is an outstanding treatment for skin tightening that combines two of the best technologies available for this purpose: radiofrequency (as found in Thermage) and ultrasound (as featured in Ultherapy). That means you get the best of both worlds! Those two forms of energy heat up the collagen in the skin causing it to contract leading to skin tightening in the treated area. They also stimulate collagen production which will lead to further tightening visible within 4-6 months so you get an immediate and long-term benefit. The most common areas I treat are the eyelids, lower face (for the jowls), neck, and abdomen but any body part can be treated, including private areas.Thermage was the very first radiofrequency treatment offered for skin tightening over ten years ago so there is a long history and quite a bit of experience with the device. Results have been a mixed bag and inconsistent with pain being one of the most frequent patient complaints. I have spoken to many colleagues, friends and patients over the years and have received mixed reviews. Although results can never be guaranteed with any treatment, it is very important to me to have a high level of confidence that a treatment will deliver the goods before I offer it to my patients. However, that was the case with Exilis Ultra. Feedback and results have been excellent and consistent and it is one of the most popular cosmetic treatments that we offer.Another big advantage of Exilis Ultra over Thermage for tightening is the ability to measure temperature increases in the skin objectively instead of through patient feedback. This built in feature is very important because it allows us to achieve the optimal levels of heat to maximize effectiveness and minimize side effects. There is another fail-safe that automatically adjusts energy levels based on the area being treated to prevent over heating. The treatment feels like a hot stone massage and is usually performed every other week for a total of four treatments. There is zero downtime and you can return to your regular activities immediately. There are no short term side effects other than the sensation of heat and there are no long term side effects other than tightening of the skin! No aftercare is necessary though I do recommend a combination of skin care products to further boost and support collagen production. There results aren't permanent; we are simply turning back the clock but the clock will keep ticking. After your series of four, I recommend maintenance treatments once or twice a year depending on your age, genetics, starting point, and lifestyle considerations. With all the amazing treatment options at our disposal, there has never been a better time in history to grow old gracefully!