BTL Exilis Ultra 360 — Face

Treatment is carried out only by a practitioner who is trained, competent and insured for the exact BTL device, applicator, treatment area and indication — not for the platform in general. Ultra Femme 360 additionally requires specific training and insurance for intimate treatment. Training certificates, insurance, device servicing, electrical safety checks, consumable traceability and cleaning records are all kept current, and we take professional advice on where any part of the service falls within a regulated activity.

Before the first client of the day we confirm the device is in service, has passed its required maintenance and carries no unresolved fault or safety notice. We inspect the handpiece, applicator, cable, return electrode and accessories for damage, and confirm the approved consumables are present, in date and correctly stored. Reusable parts are cleaned and disinfected exactly as the BTL instructions for use state — never an improvised chemical, immersion method or sterilisation cycle. The check is recorded with the device serial number, the software or protocol version where required, the operator and the date. A device or accessory that is damaged, contaminated, out of service or producing an unexpected warning is not used.

Your record holds your consultation and treatment goal; your relevant medical history, medication, allergies and previous procedures; your contraindication screening and any medical clearance; your informed consent, including separate consent for intimate examination where that applies; the agreed area, indication, plan, realistic outcome and alternatives; baseline assessment and standardised photographs where separately consented; the device and applicator used with consumable and lot details; every device parameter and treatment endpoint the instructions for use require; the duration, tissue response and what you told us; any modification, interruption or adverse response and what was done about it; and the aftercare given. Health information and photographs are stored securely under UK GDPR. Marketing use of your photographs needs separate, specific and withdrawable consent — consenting to treatment is not consenting to marketing.

Energy delivery stops immediately if you report sharp pain, burning, unexpected intense heat, dizziness, feeling unwell, loss of sensation or anything else that concerns you — and equally if your practitioner observes blanching, blistering, marked swelling, broken skin, bleeding, an unexpected tissue change, poor contact, abnormal impedance or a device warning. We then assess you, cool the area or give first aid within our training, document what happened in full, give you safety-net advice and escalate for medical assessment where that is indicated.

Adverse events are uncommon, and there is a written procedure for them rather than a judgement call on the day. We stop treatment and make the area and the device safe. We assess you and give first aid within our competence — 999 for a medical emergency, otherwise NHS 111, urgent care, your GP or an appropriate specialist according to severity. You are given written safety-net instructions and active follow-up is arranged, not left to you to chase. The event is recorded at the time, including the settings used, the applicator, the device serial number, the consumable lot, what was observed, your own account of it and every action taken. Where a malfunction or contamination is suspected, the device or accessory is quarantined and is not altered, repaired, discarded or returned until we have advice. Our insurer, our governance adviser and BTL are notified as required, and a suspected medical-device adverse incident is reported to the MHRA through the Yellow Card scheme. The treatment does not resume until a root-cause review says it is safe and authorised.