My firmness, pores and skin tone all improved
It was my first EXION treatment, and I noticed improvement across my skin: firmness, pores, texture and tone. Of the lifting treatments I've tried, this is the one I've been happiest with!
EXION is a BTL skin-remodeling treatment that combines microfractional RF delivered into the dermis through fine needles with monopolar RF. AI adjusts energy delivery. Treatment takes 20–30 minutes after numbing cream or sedation.

I often recommend it to patients who want to improve firmness, texture and pores together.
Dr. Soyoun Koo BTL Korea Advisory BoardCollagen remodeling develops over time
Numbing cream or sedation; warmth and tingling
Wash your face the same day; flaking for a few days
Your own collagen
renewing your skin
over time

EXION is a microfractional RF platform from BTL in the UK. Microfractional and monopolar RF deliver even heat deep into the dermis, encouraging the skin to produce its own collagen. Dong-An Joongsim Clinic was the first clinic in Korea to introduce EXION.
AI reads skin impedance in real time and automatically adjusts pulse duration, output and delivery speed. Even energy delivery without excessive irritation helps improve skin density, firmness and texture together.

Softens wrinkles and fine lines. Fine needles deliver RF directly into the dermis, stimulating collagen and elastin to replenish the skin from within.

Skin tightens immediately and becomes firmer over time as monopolar RF spreads even heat through the deeper dermis.

Improves hollow, sagging cheek contours. Extended mode lengthens the pulse to deliver heat deeper beneath the cheeks and tighten the tissue.

Reduces fullness beneath the chin for a more defined jawline. Deeper heat in extended mode reaches the submental fat layer to reduce volume.

Smooths rough texture. The skin renews itself around the tiny treatment points created by the needles, evening out the surface.

Softens enlarged pores and acne scars. New collagen in the dermis fills depressed areas from within.
Results depend on how treatment is planned and performed. We take time with every patient. A doctor handles your consultation and performs your treatment personally.
In 2024, a BTL representative visited Dong-An Joongsim Clinic and designated us a Korea Research Advisory Clinic. Our three doctors were introduced to EXION at BTL's EMFACE second-anniversary symposium on February 28, 2026. We became Korea's first clinic to introduce the device in early 2026.
We also offer EMFACE, EMSCULPT NEO and EMSELLA. This lets your doctor choose between EXION and other BTL devices according to your skin concerns.
Your doctor plans energy delivery by layer: microfractional RF for scars and pores, and monopolar RF with extended mode for firmness, lower cheek fullness and under-chin volume.
My firmness, pores and skin tone all improved
It was my first EXION treatment, and I noticed improvement across my skin: firmness, pores, texture and tone. Of the lifting treatments I've tried, this is the one I've been happiest with!
My skin felt smoother right away
The first thing I noticed after EXION was my skin texture. It felt much smoother immediately and softer too. My skin looked lifted overall, and my fine lines were gone.
The texture improvement exceeded my expectations
I visited after watching a video about EXION. As well as improved firmness, the change in texture was better than I'd expected. My skin feels soft and smooth!
I noticed firmer, smoother skin right away
After EXION, I noticed a change in firmness and texture right away. My skin feels better overall too. They said it was a new device I wouldn't find at other clinics!

How does EXION replenish the skin? It works in four stages, from measuring impedance to renewing collagen.

AI detects skin impedance in real time during treatment.
Fine needles deliver RF directly into the dermis to stimulate collagen and elastin production.
Monopolar RF spreads heat evenly over a broad area for immediate tightening.
New collagen forms within the skin, increasing its density.
AI adjusts energy, but your doctor decides where and how deeply to deliver it. Standard treatment targets the dermis. For sagging cheeks or fullness beneath the chin, an experienced doctor can select those areas for deeper heat delivery in extended mode.
Longer pulses deliver heat to a maximum depth of 8 mm to reduce under-chin volume.
Layer thicknesses are simplified for illustration. Actual depths vary with the treatment area and skin thickness.
CheeksUnder the chinCompare skin tightening treatments side by side. The right choice varies from person to person, so your doctor will help you decide at your consultation.
| Treatment | Results | Duration | Comfort | Recovery |
|---|---|---|---|---|
| EXION | Visible right away | Lasts around 6 months | Needle-like prickling | 1–3 days of redness or roughness |
| XERF | Visible right away | Lasts around 6 months | Tolerable stinging | Minimal swelling |
| Thermage | Gradual improvement | Lasts around 10 months | Brief bursts of heat | Redness and swelling for a few hours |
| Sofwave | Gradual improvement | Lasts around 6 months | Heat and tingling | Redness for a few hours |
| Ultherapy | Gradual improvement | Lasts around 12 months | A deep ache near the bone | Swelling and soreness for 1–2 days |
Reduction in acne scars
3 months after 3 sessions
BTL EXION Fractional RF: clinical results from Clark-Loeser, Halaas et al. ↗From actors preparing for filming to patients planning a wedding or presentation, many people visit us ahead of an important date. Your doctor plans the timing and combination of treatments around your facial features and schedule.

If your event is tomorrow
This treatment needs some recovery time, so we plan it well ahead of your event. If the date is very close, your doctor may recommend a combination of treatments with no downtime instead.
If your event is a month away
We work backward from your event date to plan a course of treatment around EXION. Our broad range of devices lets us choose a combination that suits your face.
Your doctor handles both your consultation and treatment. A patient coordinator can help with pricing.
Your doctor assesses your concerns about firmness and texture.
We check skin thickness, pores and scars.
Your doctor helps you choose between numbing cream and sedation.
Your doctor sets the depth and energy for each area.
Treatment takes 20–30 minutes with AI-controlled energy delivery.
Aftercare helps calm redness and heat.
Conference lectures and seminars with doctors from around the world.
EXION improves firmness and texture, while HILO WAVE adds hydration and volume within the skin. Patient reviews describe receiving both treatments together.
Explore HILO WAVE →Adds an extracellular matrix booster to EXION's collagen remodeling. Some patient reviews recommend the two together.
Explore Re2O →Our doctors explain skin concerns relevant to skin firmness and texture in clear, practical terms.

To reduce the appearance of enlarged pores, first identify the cause: excess oil, loss of firmness or the size of the hair follicles.
The doctors at Dong-An Joongsim Clinic
Skin tightening devices work at different depths. The choice should reflect the layer where sagging begins.
The doctors at Dong-An Joongsim Clinic
ONDA and EMFACE take two different approaches to lifting. The column explains how ONDA's 2.45 GHz microwaves deliver more energy to fat than to skin.
Dr. Chang-Hwan ChoResults depend on how treatment is planned and performed. Check whether a doctor handles consultation and treatment, whether genuine equipment and consumables are used, and whether treatments can be combined to suit your face. We take time with every patient, with a doctor leading your consultation and performing treatment personally.
Needle insertion depth and heat penetration depth are different. In extended mode, a 4 mm needle insertion can deliver heat as deep as 8 mm. This is a maximum, not a fixed depth used everywhere. Your doctor assesses skin thickness and the area before choosing needle depth and whether to use extended mode.
Treatment is performed after numbing cream or sedation. In the manufacturer's research, 82% of patients reported feeling comfortable during treatment.
Around 20–30 minutes for the full face, depending on the area. Additional time is needed for numbing or sedation.
The manufacturer recommends 1–2 sessions per year. Your doctor determines the actual number according to your skin's condition.
You can wash your face and apply makeup the same day. Redness and a rough feeling may last 1–3 days, with flaking settling within a few days.

| Manufacturer | BTL IndustriesUK |
|---|---|
| Energy | Microfractional RF + monopolar RF |
| AI control | Automatic adjustment of pulse duration, RF output and delivery speed |
| Extended mode | Heat delivery to a maximum depth of 8 mm |
| Certifications | FDA · CE |
We take time with every patient. Your doctor leads the consultation and performs the treatment, with a plan based on your facial features.