TORONTO BTL EXILIS
TORONTO BTL EXILIS ULTRA
•Focused RF – any penetration depth by controlled cooling
•Head to Toe treatments
•The only RF + US unit
•Total treatment safety with EFC (Energy Flow Control)
•FDA cleared
•Clinically proven efficacy and safety
•Monopolar RF (Deepest penetration up to 4 cm)
•NO expensive disposables
FOCUSED RADIOFREQUENCY
•Delivers volumetric heating to target tissue
•RF excites molecules (3 million times per second) to create desirable heating effects
•Body applicator uses ideal combination of heat and cooling to non-invasively deliver RF energy to specific depths in tissue
•RF is color blind and affects ALL skin types and sun tanned skin
FOCUSED RF LAYERING
WHAT MAKES
TORONTO BTL EXILIS ULTRA
INTELLIGENT?
EFC – ENERGY FLOW CONTROL
TORONTO BTL EXILIS: density of RF energy under control
•Continually measures and adjusts RF power to skin contact to prevent overheating of tissue
•Maintains stable heat, eliminates possible skin burns
OTHER SYSTEMS – density not controlled
SYNCHRONIZED ENERGY EMISSION (SEE)
RF AND ULTRASOUND SIMULTANEOUS EMISSION
High Frequency Ultrasound
The only FDA cleared simultaneous combination of radiofrequency and ultrasound
• Mechanical energy component of the treatment
• Absolute safety compared to cavitation systems
• Increased level of patient comfort
• Enhanced heat transmission
INFORMATION FOR PATIENT
• Facial area 4 treatments 1-2 weeks apart
• Body areas 4 treatments 1-2 weeks apart
• Please be well hydrated 2 days before, and stay hydrated for 4 days after treatments
• During treatment you will feel an intense heat sensation
• Redness and some local swelling may appear and will resolve soon after treatment
• You may see effects of the treatment after your first visit, but you will not see full results until after 4 treatments (or 2 double-time treatments)
• For skin laxity you may see full results up to 3 months after your final treatment (collagen remodeling takes 90 days to complete cycle)
Click here to know more: Information before TORONTO BTL EXILIS ULTRA treatment
SUPPLIES NEEDED
•Ultrasound gel for small applicator treatment
•Mineral/baby oil for large applicator treatment
•Ground pad
•Ground Pad cable
•Tongue depressors (Spatulas)
•Towels for patient positioning (optional)
•Skin marking pen or marker (optional)
•Alcohol and paper towels for cleaning
•Clinical forms (patient consent, treatment record, etc.)
PREPARING TO TREAT YOUR PATIENT
•Complete a detailed medical history to determine suitability of the patient for treatment
•Review the complete list of contraindications in the Operator’s Manual
•Obtain a signed consent form and signed Pre and Post treatment instructions
•Take pictures and measurements as per your office protocol
•Have patient remove all jewelry and personal electronics
•Remove clothing from the treatment area. Skin should be free from hair.
•Mark areas to be treated with skin pen in standing position
•Position patient comfortably on treatment bed
•Examine patient and determine area(s) to be treated
•Apply BTL ground pad (refer to Ground Pad Guide); skin must be clean, dry and grounding pad must fully adhere to skin
•Apply appropriate topical (oil or gel)
•No anesthetic
TORONTO BTL EXILIS ULTRA BODY TREATMENT
•Apply BTL ground pad opposite to the treatment area (buttocks is optimal)
•Make sure skin is clean and dry
•Apply mineral oil
•Set the parameters and apply treatment according to BTL instruction materials
•Get patient to therapeutic temp (40-43°C+) ideally within 1 – 1.5 minutes
•Use BIG, SLOW circular motions
•Maintain good skin contact during treatment
•Use sufficient downward pressure
LARGE APPLICATOR TREATMENT SETTINGS
See TORONTO BTL Exilis Ultra Clinical Guide for details
TORONTO BTL EXILIS ULTRA FACIAL TREATMENT
•Apply ultrasonic gel
•Apply BTL grounding pad (upper right back)
•Get patient to therapeutic temp (40-43°C+) ideally within 1 – 1.5 minutes
•Visible erythema and edema is a sign of good therapeutic temperature
•Use SLOW sweeping linear motions
•Maintain power and speed so that patient feels intense heat throughout the entire treatment
SMALL APPLICATOR TREATMENT SETTINGS
See BTL Exilis Ultra Clinical Guide for details
PROCEDURE TIPS & TECHNIQUES
Check out the Exilis Treatment Video Library for Full Set of Tips and Techniques!
Accessible on BTL Support Page or to be provided to you by your BTL contact person
TREATMENT TECHNIQUE FOR LARGE APPLICATOR
Basic Instructions
•Never stop moving the applicator during the active therapy (energy emission)
•Use adequate downward pressure to ensure full contact. Maintain good skin contact during the whole treatment
•Try to reach therapeutic temperature (40-43°C) within 1–1.5 minutes
•You can use both hands while treating as this gives you better control and prevents fatigue
•Patient should feel intense heat, but not pain. Instruct the patient to say stop if any pain is felt
•Patient feedback is the first and skin temperature is the second indicator to determine the appropriate power settings
TECHNIQUE FOR LARGE APPLICATOR
Common Mistakes
•Poor applicator contact, applicator tip not kept perpendicular to the treated area
•The motion is too fast
•Movement of the applicator stopped or applicator lifted while the energy is still on
•Too small circular motion used – tissue not allowed to cool down enough
•Only one circular motion.
•Moving the applicator over the bones
•Using one ground pad more than once
TREATMENT TECHNIQUE FOR SMALL APPLICATOR
Basic Instructions
•You can use a mouth guard or folded gaze to protect teeth against heat if teeth sensitivity is expected and if the area in close proximity to the mouth is to be treated
•Apply generous amount of gel to ensure proper contact
•Always increase the treatment time by 1 min if you have to add more gel. For face treatments, # of sessions can be reduced from 4 to 2 if double injury protocol is used. In this protocol standard Tx times are doubled by treating all zones on one treated side first and performing second pass over all zones on the same side again
•Keep the applicator tip at all times perpendicular to the treatment area
•Always keep the applicator in motion when the energy is ON
TREATMENT TECHNIQUE FOR SMALL APPLICATOR
Common Mistakes
•Poor applicator contact
•Too little gel used
•The motion is too fast
•Applicator tip not kept perpendicular to the treated area
•Movement of the applicator stopped or applicator lifted while the energy is on
•Treating over the globe of the eye or bones
•Small circular motion is used – tissue not allowed to cool down enough
•Using one ground pad more than once
POSSIBLE ADVERSE EVENTS NOT LIMITED TO
•Erythema – usually disappears within 24 hours
•Intense heat sensation during or following treatment – usually resolves within a few minutes
•Dry skin – may occur within the first 12 hours post treatment – usually resolves within 48 hours
Click here to know more: TORONTO BTL EXILIS ULTRA: KEY POINTS TO REMEMBER
