No matter how diligently you take care of your face and body, the inevitable march of time and gravity can cause skin that was once smooth and toned to begin to loosen and sag. In the past, your only recourse was a surgical procedure to lift and smooth excess skin, but the continuous advances in nonsurgical treatments have brought about a wide range of options to address the skin on nearly every part of your body.

At Senza Aesthetic Medicine, we offer nonsurgical skin tightening and body contouring treatments using the technology of the BTL Exilis Ultra. The BTL Exilis Ultra utilizes a combination of ultrasound and radiofrequency (RF) energies, resulting in a revolutionary procedure that stimulates collagen production in both the epidermal and dermal layers. Patients will see an overall improvement in the tone and texture of the skin and, depending on the areas treated, may experience fat and cellulite reduction as well.

Skin Tightening With Radiofrequency and Ultrasound Energies

Never before have we seen these two technologies combined into one skin rejuvenation treatment that tightens, smooths and improves the skin. Radiofrequency and ultrasound are both non-ablative treatments that target the layers beneath the epidermis to rebuild from the dermis and muscle all the way to the surface.

Radiofrequency in itself is not a new technology – RF treatments have long been an essential part of surgical procedures, improving muscle tightening and promoting the healing properties of the skin after surgery. As it turns out, this heat energy is also a powerful tool for reducing minor signs of aging, such as fine to moderate wrinkles. RF energy gently heats the dermis, which signals the body to remodel collagen and elastin fibers, firming the skin and improving existing signs of aging over time.

Because of the time it takes the RF heat energy to reach the deeper layers of the skin, patients often require multiple treatments before seeing results. Adding high frequency ultrasound to the radiofrequency treatment helps to distribute this monopolar energy more quickly through each layer of the skin. This makes it so there is less chance of heat damage in the tissue and allows results to be visible much sooner.


  • Eyes
  • Lower Face
  • Chin Strap
  • Neck
  • Décolleté on women
  • Upper chest on men
  • Abdomen
  • Upper arms/tricep region
  • Flanks
  • Inner Thighs
  • Outer Thighs

Contact us today to schedule a consultation.

Skin Tightening FAQ's

What Can Be Treated With BTL Exilis Ultra?

Besides improving your body contour by tightening areas in the abdomen, thighs and buttocks, these treatments can also address any symptoms of aging in areas that are often difficult to treat. Crepey or loose skin on the hands, neck, knees and feet can be improved with this device.

Who Should Consider Skin Tightening Treatments?

The BTL Exilis Ultra skin tightening treatments are for anyone who is considering a nonsurgical cosmetic body procedure. Patients young and old, male or female should consider skin tightening treatments at Senza.

How Many Treatments Will I Need With BTL Exilis Ultra?

After an in-depth consultation with Dr. Rasi, he will devise a personalized plan for you that includes treatment frequency, length of sessions and any other information that is pertinent to your procedure.

Body contouring requires four to six sessions to see results, while skin tightening treatments only need two to four sessions. The areas needing treatment with the BTL Exilis Ultra will dictate the length of the treatment sessions (usually 45 to 60 minutes per section).

When Can I See Results From These Skin Tightening Treatments?

Because of the improvement in heat energy absorption, tighter and more contoured skin is revealed at about six months following the end of the recommended series of treatments.

Is This Treatment Safe, and Are There Any Side Effects?

Skin tightening, body contouring, and fat and cellulite reduction treatments with the BTL Exilis Ultra are completely safe for nearly anyone, though people with pacemakers and women who are pregnant or breastfeeding should not undergo treatment.

No surface skin is harmed during the application of these energies, and in fact, energy is only emitted by the handpieces when the tool is in contact with the skin. Controlled cooling technology ensures that the device stays at the optimal therapeutic temperature throughout the procedure. No residual energy leaves the skin, so patients are not required to cover their eyes for protection from stray light emissions.

The BTL Exilis Ultra can treat anyone with any skin type and is relatively painless. While side effects are extremely rare, they can include temporary redness and inflammation.

How Popular Is Nonsurgical Skin Tightening?

According to the American Society for Aesthetic Plastic Surgery, over 188,500 people underwent nonsurgical skin tightening procedures in 2020.