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Skin tightening assessment before Exilis Ultra treatment at Berkshire Aesthetics

Exilis Ultra skin tightening treatment in Maidenhead

Exilis Ultra combines radiofrequency (RF) and ultrasound energy to tighten skin, stimulate collagen production and reduce stubborn fat deposits — without surgery or downtime. At Berkshire Aesthetics in Maidenhead, suitability is assessed clinically and treatment is delivered within our doctor-led, CQC-registered clinic. Suitability, expected outcomes and maintenance are confirmed during your doctor-led consultation in Maidenhead.

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Clinically reviewed by

Dr Selena LangdonMedical Director, MBBS

GMC 6159259

Last reviewed:

Information is general and not a substitute for a medical consultation. Suitability is confirmed during assessment.

Why we start with a consultation

Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.

During your consultation, your clinician will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate. Consultations are carried out by our doctors or advanced aesthetic practitioners, depending on the treatment or concern being assessed.

All bookings are subject to our Booking Conditions.

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Doctor-led approach

  • Treatment suitability is assessed by our doctors or advanced aesthetic practitioners during a clinical consultation, depending on the treatment
  • Prescribing responsibility sits with Dr Selena Langdon (GMC 6159259)
  • No same-day injectable treatments for new patients
  • Read our full Consultation & Safety Standards

Clinical overview

Exilis Ultra delivers controlled heating to the deeper layers of the skin using a combination of radiofrequency and ultrasound energy. This dual-energy approach stimulates collagen production for improved skin firmness and elasticity, while simultaneously targeting fat cells in areas of concern. The device includes real-time temperature monitoring, allowing precise energy delivery throughout treatment. This makes it suitable for both facial skin tightening (jawline, periorbital, neck) and body contouring (abdomen, thighs, arms). We use Exilis selectively for patients with mild to moderate skin laxity or localised fat deposits who want non-surgical improvement. It is not a substitute for weight loss, and patients with significant laxity may be better served by other approaches. Suitability is confirmed during consultation, where we assess your concerns, anatomy, medical history and expectations. The EFC (Energy Flow Control) technology within Exilis Ultra allows the clinician to adjust the ratio of radiofrequency to ultrasound energy in real time, tailoring each pass to the specific tissue depth and treatment objective. For facial applications such as jawline tightening or periorbital rejuvenation, the emphasis is on collagen stimulation at shallower depths, while body treatments may use deeper energy penetration to target adipose tissue alongside skin tightening. This versatility makes Exilis a practical option for patients who want to address both facial laxity and body concerns within a single treatment programme.

Treatment Areas

Face (jowls, chin)

Exilis is commonly used to tighten mild to moderate laxity along the jawline and chin. The radiofrequency energy stimulates collagen contraction and remodelling, improving definition without surgery.

Abdomen

The abdomen is a popular treatment area for both skin tightening and targeted fat reduction. Exilis can help improve skin firmness and reduce stubborn localised fat deposits that resist diet and exercise.

Arms

Loose skin and stubborn fat on the upper arms can be addressed with Exilis. The treatment helps improve skin firmness and contour in an area that is often resistant to exercise alone.

Thighs

Both inner and outer thighs can be treated with Exilis to improve skin tightness and reduce localised fat. Treatment parameters are adjusted to match the tissue depth and treatment objective in this area.

Neck

The neck is prone to early laxity and crepey skin. Exilis delivers controlled heating to stimulate collagen production and improve skin quality in this delicate area, offering a non-surgical alternative for mild to moderate neck laxity.

Key Benefits

These are the main clinical and practical reasons patients choose Exilis Ultra skin tightening treatment in Maidenhead. Your treatment plan is tailored after consultation rather than selected from a fixed package.

  • Non-invasive skin tightening and body contouring with no downtime
  • Combines radiofrequency and ultrasound for dual-action treatment
  • Stimulates collagen production for improved skin firmness and elasticity
  • Can target both face and body areas in the same treatment plan
  • Real-time temperature monitoring for safety and precision

Suitable For

Suitability depends on your goals, skin or tissue characteristics, medical history, and tolerance for downtime. These criteria are reviewed in detail during your assessment.

  • Mild to moderate skin laxity on face, neck or body
  • Stubborn localised fat deposits resistant to diet and exercise
  • Patients who want non-surgical improvement with no downtime
  • Those seeking gradual, natural-looking tightening and contouring
  • Suitable for various skin types and tones

Not Suitable For

Some patients should avoid or defer treatment for safety reasons. We screen carefully before any procedure and explain alternatives where relevant.

  • Significant skin laxity that would be better addressed with alternative approaches
  • Patients seeking significant fat reduction (Exilis is not a weight-loss treatment)
  • Active infection or inflammation in the treatment area
  • Pregnancy or breastfeeding
  • Implanted electronic devices or metal implants in the treatment area (assessed during consultation)

Final suitability is confirmed during a medical consultation and assessment.

When we don't recommend it

A consultation may identify scenarios where a different treatment route is safer or more effective for your outcome goals.

  • If laxity is too advanced — Exilis provides gradual tightening for mild to moderate concerns and we will explain realistic expectations.
  • If your primary goal is significant fat reduction — Exilis targets localised deposits but is not a substitute for weight management or treatments like CoolSculpting.
  • If there is active infection or inflammation in the treatment area — treatment should be delayed.
  • If implanted devices or metal are present in the treatment field — suitability is assessed on a case-by-case basis.
  • If another treatment or combination would deliver a safer or more effective result for your specific concerns.

What Happens During Treatment

We follow a consultation-first process with clear consent and aftercare. You can also review our full consultation standards.

  1. 1Clinical consultation and suitability assessment, including your concerns, anatomy and medical history
  2. 2Discussion of expected outcomes, realistic timelines, limitations, risks and alternatives
  3. 3A handpiece is gently moved over the targeted area, delivering controlled RF and ultrasound energy
  4. 4You will feel a warming sensation — most patients find it comfortable and relaxing
  5. 5Each session lasts approximately 30–60 minutes depending on the area treated

Downtime & Aftercare

Recovery guidance helps protect your result and reduce avoidable complications. We provide written aftercare and safety-net advice at every appointment.

  • No downtime — resume normal activities immediately after treatment
  • Slight redness or warmth in the treated area may occur and typically subsides within a few hours
  • Stay hydrated and maintain a healthy lifestyle to support results
  • Follow any specific aftercare guidance provided at your appointment
  • If you notice unexpected or persistent symptoms, contact the clinic

Results Timeline

Most treatments improve in stages rather than immediately. Timelines vary by treatment type, treatment area, and individual response.

  • Most patients require 4–6 sessions for optimal results, typically spaced 1–2 weeks apart.
  • Improvements in skin texture and firmness often become noticeable after the first few sessions.
  • Results continue to develop over several weeks as collagen production increases.

How Long Results May Last

  • Results are long-lasting, particularly when combined with a healthy lifestyle.
  • Maintenance sessions may be recommended to sustain outcomes over time.
  • Longevity varies by individual, treatment area and lifestyle factors.

Individual results vary. View our results and photography standards

Risks & Side Effects

Every medical treatment carries potential risks. We discuss these in plain language before treatment so you can make an informed decision.

Common, Usually Temporary

  • Temporary redness or warmth in the treated area (usually settles within hours)
  • Mild tenderness during or shortly after treatment
  • The warming sensation during treatment (managed throughout)

Rare but Serious

  • Prolonged redness or swelling (uncommon; contact the clinic if concerned)
  • Burns or blistering (very rare with real-time temperature monitoring)
  • Any unexpected or worsening symptoms should be assessed promptly

When to Contact Us Urgently

  • Persistent redness, swelling or discomfort that does not settle
  • Any blistering or skin changes in the treated area
  • Any symptoms that concern you or are different from what was discussed

Frequently Asked Questions

These answers cover common practical questions. If you need individual advice, please book a medical consultation.

The treatment is virtually pain-free. Most patients find the warming sensation comfortable and relaxing. The device includes temperature monitoring to ensure comfort throughout.
Most patients require 4–6 sessions for optimal results, typically spaced 1–2 weeks apart. Your treatment plan is tailored based on the area and your goals.
Exilis can treat face (jawline, around the eyes), neck, abdomen, thighs, buttocks and arms. It is versatile for both skin tightening and body contouring.
Results are long-lasting, particularly with a healthy lifestyle. Maintenance sessions may be recommended to sustain improvements over time.
Yes. Exilis is often combined with other treatments to enhance results. During your consultation, we will discuss any complementary options that may benefit your goals.
No. Exilis targets localised fat deposits and improves skin firmness, but it is not a substitute for weight loss. It works well for stubborn areas that are resistant to diet and exercise.
We provide transparent pricing at consultation, tailored to your treatment plan. Cost depends on the areas treated and the number of sessions recommended by your doctor.
Your first visit is a doctor-led consultation. We assess your skin and concerns, discuss what Exilis can realistically achieve, review any risks and agree a tailored treatment plan.
Yes. There is no downtime. You can return to work, exercise and all normal activities immediately after each session. Slight redness typically fades within a few hours.
All treatments are delivered under doctor-led clinical oversight. The device includes real-time temperature monitoring for precise energy delivery. Suitability and contraindications are assessed at consultation.
Yes. Exilis Ultra is suitable for various skin types and tones. The radiofrequency and ultrasound energy is not dependent on skin colour, making it a versatile option. Suitability is confirmed at consultation.
Both treatments stimulate collagen production, but they work differently. Exilis Ultra is a non-invasive surface treatment using radiofrequency and ultrasound — there are no needles and no downtime. Morpheus8 is a microneedling radiofrequency device that delivers energy through tiny needles into the deeper dermis, producing more intensive remodelling but with several days of visible recovery. Your clinician will recommend the most appropriate option based on the degree of laxity, your skin quality and your tolerance for downtime.
Exilis is generally described as comfortable and relaxing. Most patients feel a gentle warming sensation during treatment. The device’s real-time temperature monitoring ensures the skin stays within a safe and comfortable range throughout the session. No anaesthetic is required.
Most patients require 4–6 sessions for both face and body areas, typically spaced 1–2 weeks apart. Facial treatments may show noticeable improvement slightly earlier due to the thinner tissue. Body contouring areas may require the full course before optimal results are seen. Your treatment plan is tailored during your consultation based on the area and your goals.

Quick Facts

Treatment Time

30–60 minutes per session

Downtime

None — resume normal activities immediately

Results Visible

Gradual improvement over several sessions

Sessions

Typically 4–6 sessions, 1–2 weeks apart

Guide Price

From £135 – £550

Per session; face or body

Final price confirmed at consultation

Delivered by

Dr Selena Langdon — Medical Director

MBBS, CoolSculpting Complications Expert, Aesthetic Doctor of the Year, JCCP Ambassador

Why Berkshire Aesthetics

  • Doctor-led clinic — all treatments clinically overseen by Dr Selena Langdon (MBBS)
  • CQC registered — view our registration
  • Consultation-first approach — we assess suitability before recommending treatment
  • Clear complaints process — we take patient feedback seriously

This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.

Clinical governance

Page last reviewed: 2026-02-10

Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: 2026-02-10

Doctor-Led
CQC Registered
Award-Recognised
Est. 2016

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