Exilis Ultra 360 is an advanced, non-surgical treatment that uses a combination of radiofrequency (RF) and ultrasound energy to tighten skin, stimulate collagen and elastin, and contour the face and body. It is a clinically proven, medical-grade system by BTL, designed to safely remodel skin and improve firmness at every age.
BTL Exilis Ultra 360
At a glance
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Treatment time 15 - 45 minutes
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Pain None to minimal
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Results 2 - 4 weeks
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Price From £500
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Locations Liverpool, London, Manchester
What is BTL Exilis Ultra 360
Targeted Thermal Remodelling for Skin and Tissue Laxity
Progressive decline in dermal collagen and elastin begins in the mid-twenties and accelerates from the mid- to late-thirties, particularly during the perimenopausal transition. Reduced oestrogen levels diminish fibroblast activity, resulting in loss of tensile strength, thinning of the dermis, and visible skin laxity.
The BTL Exilis Ultra 360 platform utilises monopolar radiofrequency (RF) and ultrasound energy to address these changes through controlled, volumetric heating of the dermis and subcutaneous tissue. The technology is supported by peer-reviewed clinical data demonstrating significant increases in neocollagenesis, elastogenesis, and fibroblast proliferation without epidermal disruption.
This single system delivers three complementary applications:
- Exilis Face 360: non-invasive RF skin tightening and collagen remodelling for the face and neck
- Exilis Body 360: combined RF + ultrasound for body contouring and dermal tightening
- EmFemme 360: internal and external monopolar RF for vaginal canal and vulval tissue rejuvenation
How does BTL Exilis Ultra 360 work?
Facial Radiofrequency: Collagen Remodelling Without Injectables
Exilis Ultra 360 Facial applies uniform RF energy to heat the dermis to an optimal 40–43 °C, the threshold required to denature triple-helix collagen fibres while preserving epidermal integrity.
Immediate phase: thermal contraction of existing collagen fibrils results in visible, subtle tightening.
Delayed phase: sub-lethal thermal stress activates dermal fibroblasts and heat-shock proteins (HSP-47), initiating neocollagenesis and deposition of type I and III collagen with parallel stimulation of elastin and glycosaminoglycans.
Clinical Benefits
- Reduction in mild-to-moderate lower-face and cervical laxity
- Improved mandibular definition and mid-face support
- Smoother skin surface and reduced rhytides
- Enhanced dermal density and elasticity
- Adjunctive, non-injectable therapy that complements biostimulators such as Sculptra® or polynucleotides
Indications
Patients aged 30–55 presenting with early dermal laxity, perimenopausal oestrogen decline, or post-weight-loss facial softening.
Body Radiofrequency + Ultrasound: Dual-Energy Thermal Lipolysis and Tightening
For body applications, Exilis Ultra 360 combines monopolar RF with high-frequency ultrasound to achieve synergistic effects within adipose and connective tissues:
Dermal heating (RF component): induction of collagen denaturation and subsequent remodelling.
Subcutaneous heating (ultrasound component): mechanical vibration and cavitation disrupt adipocyte membranes, initiating apoptosis and gradual clearance via lymphatic pathways.
This dual-energy delivery enhances dermal thickness, reduces localised adiposity, and improves cutaneous firmness and contour.
Common Treatment Areas
Abdomen and flanks
Upper arms
Thighs and knees
Buttocks and hips
Back and bra-line folds
Clinical Outcomes
Histological studies demonstrate up to 30% increase in dermal collagen density and measurable reductions in subcutaneous adipose thickness after a standard course of treatment (4–6 sessions).
Where Are Your Clinics Located?
- London – Conveniently located in Harley Street, ideal for clients across Greater London and in the south of England.
- Manchester – Our Manchester clinic in Didsbury welcomes clients from across the North West, including Cheshire and surrounding areas.
- Liverpool – Our Crosby Clinic is a popular location for clients in Merseyside and nearby regions seeking subtle, expert results.
Before & After Gallery
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Frequently Asked Questions
Exilis Ultra 360 is versatile and can be used almost anywhere on the body:
Face & Neck: to lift and tighten lax skin
Body: to smooth, tone, and reduce stubborn areas of fat
Intimate areas: via the EmFemme 360 applicator, for internal and external vaginal rejuvenation and vulval tightening
The device gently heats the deeper layers of your skin, where collagen and elastin live. This controlled thermal energy:
Contracts existing collagen fibres for instant tightening
Stimulates fibroblasts to produce new collagen and elastin over time
The result is smoother, firmer, and more toned skin — naturally, without needles or downtime.
BTL Exilis Ultra 360 is generally very safe, with minimal side effects. Most people experience only mild, temporary redness or a warm sensation in the treated area, which usually subsides within minutes to a few hours. Some may notice slight swelling or sensitivity, but these effects are uncommon and short-lived. Because the treatment is non-invasive and does not damage the skin’s surface, there is typically no downtime, allowing clients to resume normal activities right away.
Most people begin to notice early improvements within 2–4 weeks after starting BTL Exilis Ultra 360 treatments. These initial changes come from the tightening of existing collagen fibers. The most noticeable results typically appear around 8–12 weeks, as the body produces new collagen and elastin. Improvements can continue to develop for up to 6 months after the final session, since collagen remodeling is a gradual process.
Most clients need a series of 2–4 BTL Exilis Ultra 360 treatments, spaced about 7–14 days apart, to achieve optimal results. The exact number varies depending on the area being treated, the individual’s skin condition, and their goals. Some people may benefit from an additional session, especially for larger body areas or more significant skin laxity. Maintenance sessions every 6–12 months can help prolong results.
BTL Exilis Ultra 360 is generally not painful. Most clients describe the sensation as a warm, deep-heating feeling—similar to a comfortable hot stone massage. The device continuously monitors and adjusts temperature to keep the treatment safe and comfortable. While some areas may feel warmer than others, the overall experience is typically very well tolerated with no need for anesthesia or numbing.
Exilis Ultra 360 is suitable for men and women of all skin types who want to tighten, firm, and refine their face or body without surgery.
It is especially beneficial for women in their 30s to 50s, where collagen decline or perimenopausal laxity may be starting to appear.
