
Fat Reduction and Skin Tightening with Radiofrequency and Ultrasound
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Today, patients are increasingly seeking a perfect appearance: firm, wrinkle-free skin, no unwanted fat deposits, and thighs free of cellulite have become the ideal. One of the most significant developments in aesthetic dermatology is the trend towards non-invasive treatment methods.
The desire to optimise body and face without downtime or risks is at the heart of this approach. In our practice, we use BTL EXILIS ELITE™ – a device that targets the skin precisely using radiofrequency and ultrasound, tightening the face, neck, and décolletage, or gently dissolving fat deposits.
The device also demonstrates impressive results against cellulite. In BTL EXILIS ELITE™ cellulite treatments, the X-Wave™ system is used in combination to support the elimination of fat cells through shockwave therapy.
If you would like to get rid of unwanted fat deposits, you are in the very best hands with Dr. Karl Schuhmann in Düsseldorf.
At a glance
- Treatment duration: 15 to 60 minutes, depending on fat reduction and/or skin tightening
- Recommended sessions: 4-6 sessions (body contouring), 2-4 sessions (sagging skin)
- Interval between sessions: usually 10 to 14 days
- Downtime: none - immediate return to daily life (lunch-break treatment)
- Methods: radiofrequency and ultrasound (BTL EXILIS ELITE), plus X-Wave shockwave therapy for cellulite
- Suitable for: fat reduction on abdomen, hips, thighs, upper arms, male breast as well as skin tightening and cellulite
- Effect: first visible improvements after the second treatment
Radiofrequenz und Ultraschall gegen Fettdepots, Falten und Cellulite

Who is a suitable candidate for radiofrequency treatment?
In principle, all areas of the body can be treated, regardless of the patient's gender or age. Radiofrequency-ultrasound treatment gives both women and men the opportunity to melt away stubborn pockets of fat on the abdomen, hips, or thighs – reducing the circumference of these areas by several centimetres.
Excellent results are also achieved in reducing gynaecomastia (male breast enlargement) or sagging upper arms ( "bingo wings" ). Those affected by cellulite can also benefit from this innovative radiofrequency-ultrasound treatment – all without surgery, painful side effects, or weeks of downtime.
If you wish to rejuvenate and refresh the skin on your face, neck, or décolletage without undergoing surgery, the radiofrequency-ultrasound method offers a gentle, cost-effective, and virtually pain-free alternative. The treatment can also effectively tighten the skin of the décolletage and face, while reducing the appearance of wrinkles.


What should I be aware of before the radiofrequency-ultrasound treatment?
A Bikini Figure on Your Lunch Break
Depending on whether fat reduction, skin tightening, or a combination of both is desired, treatment duration varies between 15 and 60 minutes. After the treatment, you can return to work or your daily routine immediately – making a lunchtime appointment perfectly realistic.
The recommended number of treatments for body contouring is between 4 and 6 sessions, with intervals of typically 10 to 14 days between each session. Patients report visible improvements as early as after the second treatment session. The recommended number of treatments for lax skin is between 2 and 4 sessions.
Depending on skin condition, an extended course of treatment may be necessary. Initial improvements in skin texture and elasticity can appear after as few as two sessions.
What should I bear in mind after the radiofrequency treatment?
After a treatment, it is particularly important to ensure adequate fluid intake. This promotes the elimination of the fat cells that were broken down through the application of heat. In addition, the results of radiofrequency treatment can be enhanced by a low-fat diet and light physical activity.
Skin Tightening and Fat Reduction without Surgery using Radiofrequency-Ultrasound Therapy
During the treatment – which can also be carried out as a so-called "lunch-break treatment" – the handpiece is guided over the treatment area in circular movements. The targeted warming of the tissue gradually initiates the breakdown of fat cells and the remodelling of collagen fibres.
Patients may sleep, read, or relax during the treatment. The warming of the skin surface is comparable to a hot stone massage. Immediately after the session, patients can return to their normal daily routine, although strenuous exercise and visits to the sauna should be avoided directly after treatment.
Any mild redness of the skin immediately after treatment typically subsides within a few minutes. The skin surface, surrounding tissue, and nerves are not harmed.
Fat Reduction and Skin Tightening with Radiofrequency and Ultrasound – Treatment Overview
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BTL EXILIS ELITE™ – Real-Time Temperature Monitoring and Advanced Cooling
To make the treatment as comfortable as possible for the patient, real-time temperature monitoring ensures optimum control and precise tissue heating at all times. The cooling levels allow varying depths of tissue penetration.
BTL EXILIS ELITE™ – Fat Reduction, Skin Tightening and Body Contouring without Surgery
For many people, getting rid of stubborn fat deposits is a difficult and often emotionally challenging undertaking. Treatment with radiofrequency and ultrasound waves offers a gentle, pain-free alternative for reducing problem areas on the body. The BTL Exilis Elite system is particularly well suited for fat reduction on the legs, abdomen, and upper arms, as well as for effective cellulite treatment. This innovative, non-invasive method can achieve visible fat reduction and skin tightening.
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## Similar Treatments
- HIFU Ultrasound Therapy
- Breast Lift
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