Martin Coady – first surgeon in the UK to offer skin tightening and fat reduction using the Exilis Elite, which combines radiofrequency, ultrasound and skin cooling to combat signs of aging in the face and body, as well as body fat.

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Patients often seek skin tightening treatments to address not only age-related changes, but also environmental factors that play an important role in long-term skin damage. At the same time, more than one layer of the skin falls under such an effect, this phenomenon affects several layers, which is why it is not possible to eliminate the problem using a single device or methodology.

While surgery is the gold standard for a facelift, for many patients it is simply not an option. Some people absolutely do not want to go under the knife, many patients are too young for such operations, and some require additional correction procedures. In such cases, ultrasound and radio frequencies – effective alternative to surgery.

Problems related to skin tightening

The main problem: the restoration of the mechanical properties of soft tissues, and more specifically, elastin and collagen, which have been damaged by environmental factors.

This problem affects multiple layers of the skin, so daily use of medicated cosmetics and skin resurfacing will help clear up a significant amount of photodamage.

Today, there are many non-invasive techniques, but none of them provides permanent skin tightening, fat reduction, is completely non-invasive and is accompanied by minimal discomfort and no complications.

It is also worth noting that fat reduction is critical to reshaping and shrinking the skin without changing volume. The challenge is to solve the problem of white fat cells. Several modern non-surgical procedures aim at this:

  • cavitation with ultrasound;
  • injectable lipolysis;
  • crolipolysis;
  • radio frequency heating.

To eliminate a fat cell, it is necessary either to destroy it by mechanical action, or to cause it to die, and then lyse. To achieve programmed death of fat cells (apoptosis), it is necessary to expose it to a temperature of about 44/45o for 6-10 minutes. Such parameters provide apoptosis of approximately 60% of fat cells.

New Collagen Stimulation and RF Energy

Heat Damage – insufficient for necrosis, but sufficient for denaturation and micro-inflammatory changes that stimulate the production of new collagen by fibroblasts – one of the ways to start the production of the missing collagen.

After two or three sessions of radiofrequency therapy, collagen renewal occurs over a period of three months. It is important that clients understand that they will not be able to see a permanent result, it will appear gradually over the above period of time.

RF energy generates an oscillating electrical current that heats tissue through the movement of molecules, particularly water. RF energy is converted into heat by resistance. Because fat is fairly electrically resistant, it takes longer to heat up than other tissues.

 Effective treatment of fatty layers is possible while cooling the skin. However, despite the cooling, RF technology is quite risky. In case of carelessness, the electric charge passing through the handle of the device into the skin can cause burns, especially if the handle is accidentally or intentionally torn from the skin. As a result, the patient may receive a slight burn.

 It is important to remember that before procedures using both radio frequencies and ultrasound, it is necessary to ensure sufficient fluid content in the patient's body.

 The Benefits of Combining RF and Ultrasound in Elixis

 When combining radio frequencies and ultrasound at certain frequencies, energy delivery is possible by thermal and mechanical means, which provides an effect on cell membranes and fibrous tissue septa, and hence deeper thermal penetration of radio frequencies.

 Microvibrations increase the permeability of fat cells and promote the release of fatty acids and triglycerides.

 ExilisElite device, which combines radio frequencies, ultrasounds and skin cooling. It is equipped with handles for facial skin tightening, fat reduction/body contouring. RF current and power are dynamic and monopolar. The ultrasonic energy used is characterized by a fairly high frequency and very low power, which ensures microvibration without heating and tissue destruction.

Also, studies have shown that it promotes vasodilation and hyperemia. Thus, it is easier for fat cells to enter the bloodstream and any fluid around them, which ensures a better release of waste products.

 Other benefits of combining RF and ultrasound include:

  •  defibrotization (rupture of collagen bonds in the fiber septa that separate the fat lobules, due to which they "weaken");
  • neovascularization (formation of new blood vessels), which promotes the metabolism of white fat cells;

 Elixis readings:

  •  moderate localized fat deposits;
  • elimination of shallow wrinkles or flabbiness of the skin;
  • maintaining the results of other procedures, including surgery;
  • maintain skin elasticity.

 Main contraindications:

  •  pacemakers;
  • pregnancy;
  • implants;
  • lack of fluid in the body.

 Output

 If the patient believes that his skin shows signs of aging, but there is no indication for a facelift, this procedure can provide a rejuvenating effect. Eilis can also be used to perform effective body contouring in patients who are contraindicated for liposuction or abdominoplasty (provided there is a moderate amount of fat).  Complications after the procedure are close to zero.

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