It reduces the measurement rather than removing fat, and Exilis is not a weight-loss treatment. The evidence is a 64-person series with a combined radiofrequency and ultrasound device, in which abdominal circumference was significantly lower a month after the fourth weekly session. There is no sham-controlled Exilis trial, and no Exilis clearance in the US is worded for circumference. Whether the fat beneath is reduced in people has not been measured; a three-pig study linked to the maker saw fat-cell death, and we quote it as animal data. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Exilis London, 130 Harley Street, London, W1G 7JU, after a free consultation.
What it is and is not
Exilis is not a weight-loss treatment, and it does not remove fat the way surgery does. In our practice it suits someone close to the shape they want with a stubborn area at the waist, who wants a measurable change over a course of comfortable sessions with no downtime, and who keeps their weight steady. The maker's UK page gives the intended purpose of its Ultra 360 model as the reduction of fat cells; the Exilis clearances in the US name neither fat nor circumference, so we use the measured word from the studies.
The course on the abdomen
Usually four weekly sessions of about 30 minutes, as the published series ran them, and in our practice the area is measured at the consultation and again at the review one to three months after the last session. In the 64-person series the abdomen was the commonest area, 40 of the 64, and the authors advise telling patients to expect "moderate degrees of improvement". The abdomen page sets out the area in full, and the full guide covers the rest. The price is in writing at a free consultation, with a price match on any comparable written quote.

