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London Real Skin Clinic
  233 HIGH HOLBORN, LONDON WC1V 7DN

Exion by BTL

Smoother, firmer, more lifted skin with minimal downtime

Discover Exion — BTL’s next-generation skin rejuvenation platform combining advanced radiofrequency, targeted ultrasound and precision microneedling.

Designed to boost your skin’s own collagen and elastin, Exion helps to tighten, refine and lift with little to no downtime. It’s a comfortable, customisable treatment suitable for face, neck and body.

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Dermatology-led aesthetics clinic
Pay monthly with flexible finance options
Care Quality Commission regulated
Long lasting, natural looking results

Why patients love Exion

✅ Visible skin tightening — softens laxity on the lower face, jawline, neck and body.
✅ Smoother texture — reduces look of enlarged pores, crepey skin and uneven tone.
✅ Fine lines & wrinkles — softens crow’s feet, smile lines and necklace lines.
✅ Jawline definition — helps contour along the jowls and under-chin area.
✅ Neck & décolletage — improves crêpiness and tech-neck lines.
✅ Body confidence — firms laxity on arms, abdomen, knees and above the knees.
✅ Minimal downtime — some mild redness for a few hours; return to normal same day.
✅ All-year treatment — suitable for all skin types with tailored settings.
✅ Comfort-first — intelligent energy delivery prioritises efficacy with patient comfort.
✅ Works with your routine — can be combined with skincare and other in-clinic treatments for enhanced results.

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Exion at a glance

  • Areas: Face, eyes, jawline, neck, décolletage, abdomen, arms, thighs, knees
  • Treatment time: 20–60 minutes depending on area
  • Downtime: Usually none to mild redness for several hours
  • Comfort: Well-tolerated; topical anaesthetic offered for microneedling sessions
  • Course: Typically 3–4 sessions, spaced ~3–4 weeks apart (individual plans vary)
  • Results: Gradual; improvements begin within weeks and build over 3–6 months
  • Maintenance: Optional single sessions every 6–12 months to maintain results
  • Concerns: Laxity, fine lines, enlarged pores, uneven texture, crepey skin, early jowling

What Exion can treat

  • Lower-face laxity and early jowling
  • Softening and lift for the jawline and under-chin area
  • Fine lines around the eyes and mouth
  • Neck lines and crêpiness on the neck and chest
  • Enlarged pores and uneven skin texture
  • Body laxity on arms, abdomen, thighs and knees
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Isabell Sattler profile picture
Isabell Sattler
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Loretta and Dr. Inna were extremely kind and helpful today - great consultation beyond what I initially made the appointment for. Thank you!
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Christopher Finney
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Both Kate and Kylie have been very helpful, knowledgeable and understanding. I would certainly recommend. 10/10!!
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Colin C profile picture
Colin C
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Dr Inna was excellent and Loretta was very helpful
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Светлана Коршикова profile picture
Светлана Коршикова
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Dr. Inna is absolutely amazing! I recently had an RF Microneedling treatment with her, and the experience was fantastic from start to finish. She explained everything clearly, made me feel completely comfortable, and the results are already visible — my skin looks tighter, smoother, and glowing. Highly professional, caring, and knowledgeable — I wouldn’t trust anyone else with my skin!
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randa hajjar
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Thank you Loreta for your kindness and help
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christina stock
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Tanya is lovely and did an excellent facial - a double delight. My skin is glowing.
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Charlotte Camp profile picture
Charlotte Camp
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I have been receiving a course of BBL laser for rosacea at this clinic, as well as a hydrafacial and laser hair removal. Every visit I receive such a warm welcome from Loretta and the team. My treatments have all been by Ellen, who is truly out there doing the lord’s work beautifying the skin of the people of London— but everyone here is so friendly and goes out of their way to provide good service. I’d fully recommend London Real Skin to anyone seeking aesthetic treatments (oh, and the rosacea has improved massively thanks to the BBL!)!
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Jasmeet Klair
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Had such a fantastic experience with the team at London Real Skin right from the moment of booking! Loretta was amazing, super attentive and made sure I got the right appointment for my needs. She was also incredibly welcoming when I arrived and made me feel so comfortable straight away. Kelly was absolutely brilliant so skilled at what she does and really took the time to explain everything clearly. She made sure I was comfortable throughout and checked in often to ensure I wasn’t in any pain. Her calm, friendly energy made the whole experience feel effortless. I left feeling well looked after and confident about my treatment. Highly recommend the whole team — professional, kind, and genuinely lovely people who clearly care about their clients!
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How Exion works

Exion is a versatile platform with two complementary modalities. Your clinician will select, sequence or combine them to match your skin and goals:

1) Exion RF Microneedling

Ultrafine, gold-plated needles deliver controlled radiofrequency (RF) heat into the dermis. This targeted energy remodels existing collagen while stimulating new collagen and elastin formation. Depth, heat and pulse duration are precisely adjusted to your skin and the area being treated — enabling meaningful tightening and texture refinement with minimal surface disruption.

2) Exion RF + Targeted Ultrasound (needle-free)

On delicate areas or when a no-needle approach is preferred, Exion uses monopolar RF with focused ultrasound to warm deeper tissues non-invasively. This supports collagen remodelling and helps skin feel denser, bouncier and more lifted — ideal for face, neck and body when downtime must be minimal.

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Who is a good candidate?

Exion is suitable for adults seeking noticeable tightening and texture improvement without surgery. It works on all skin types. It’s ideal if you:

  • Want firmer, smoother skin with little downtime
  • Prefer gradual, natural-looking results
  • Are beginning to notice laxity, fine lines or crepey skin
  • Want to maintain results after other treatments (e.g., injectables)

Your clinician will assess your skin, medical history and treatment goals to confirm suitability and tailor a plan.

Your Exion treatment journey

  1. Consultation & skin assessment — we discuss your concerns, assess skin quality and create a personalised plan.
  2. Preparation — for RF microneedling we can apply topical anaesthetic for comfort.
  3. Treatment — precise energy delivery tailored to each area. Sessions usually take 20–60 minutes.
  4. Aftercare — expect mild warmth or redness for a few hours. Most makeup and normal activity can resume the next day.
  5. Results — improvements build session-to-session as new collagen and elastin remodel the skin over the following months.

Results & downtime

  • Immediately after: Skin may look a little pink and feel warm or tight for several hours.
  • Short term (1–4 weeks): Texture begins to feel smoother and pores look refined.
  • Medium term (6–12 weeks): Progressive tightening and softening of fine lines.
  • Ongoing: Collagen remodelling continues for up to 6 months; maintenance sessions help prolong results.

Safety & professionalism at London Real Skin

  • Treatments are performed by experienced clinicians with medical-grade protocols.
  • Treatment settings are customised to your skin type to minimise downtime and support safe outcomes.
  • We’ll advise you on pre- and post-treatment skincare to optimise results.

Pairing Exion with other treatments

For comprehensive rejuvenation, Exion can be combined with:

  • Medical facials & peels for glow and clarity
  • Injectables (e.g., anti-wrinkle or dermal fillers) for lines and volume where appropriate
  • Targeted skincare (retinoids, peptides, SPF) to maintain collagen gains

Your clinician will guide the timing to ensure synergy and comfort.

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Pre- & Post-treatment tips

Before:

  • Avoid active skincare (strong acids/retinoids) for 3–5 days.
  • Arrive with clean skin; skip heavy makeup on treatment day.
  • Keep recent sun exposure to a minimum and use SPF 30+.

After:

  • Expect mild warmth/redness; soothe with a bland moisturiser.
  • Use high-factor SPF daily and avoid heat/sunbeds for 48–72 hours.
  • Pause strong actives for 3–5 days or as advised.

Ready to feel firmer, smoother, more lifted skin?

Book a consultation with London Real Skin to see how Exion can be tailored to your goals. We’ll create a precise, benefits-driven plan to help your skin look and feel its confident best.

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Exion FAQ

Is Exion painful?

Most patients find Exion very tolerable. You may feel warmth and a prickling sensation with RF microneedling. We can apply topical anaesthetic to keep you comfortable.

How many sessions will I need?

A typical plan includes 3–4 sessions, spaced around 3–4 weeks apart. Your plan may vary based on your skin and goals.

When will I see results?

Some people notice early improvements within weeks. The most meaningful changes develop gradually over 2–6 months as new collagen matures.

Is there downtime?

Downtime is minimal. Expect temporary redness and a feeling of warmth. You can usually return to normal activities the same day; most people resume makeup the next day.

Is Exion safe for all skin tones?

Yes — Exion is suitable for all skin types when delivered with appropriate settings by trained clinicians.

How long do results last?

Results are long-lasting but not permanent, as skin continues to age naturally. Many patients choose a maintenance session every 6–12 months.

Can I have Exion if Ihad injectable treatment

Yes, Exion can complement injectables. We’ll plan the order and timing to suit your individual treatment roadmap.

Any reasons I might not be suitable?

Contraindications can include pregnancy, active skin infections, certain implanted electronic devices and recent sunburn. We’ll review your medical history during consultation.

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