Exion

Needle-free skin renewal in Wailea

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MeetExion

Hyaluronic acid is what gives skin its spring: the cushion under the cheekbone, the smoothness at the corner of the eye, the way light sits on a well-rested face. Your skin makes it on its own, and makes less of it every decade.

Exion is a needle-free treatment designed to prompt your skin to make more of its own. It is one of the quietest appointments on our menu: warm, unhurried, and over in less time than lunch.

How ExionWorks

Two energies, one applicator

Exion, made by BTL, delivers monopolar radiofrequency and targeted ultrasound at the same moment. Radiofrequency warms the dermis evenly to a controlled temperature. Ultrasound adds gentle mechanical stimulation to the fibroblasts, the cells that produce hyaluronic acid, collagen and elastin.

Why the pairing matters

In BTL’s published research, radiofrequency alone did not meaningfully raise hyaluronic acid in treated tissue. Delivered together with targeted ultrasound, it did, by as much as 224% in the manufacturer’s studies. Nothing is injected, and the skin’s surface is not broken.

Figures are from manufacturer-supported studies. Individual results vary.

What ItAddresses

  • Skin that looks dry, thin or crepey, however much moisturizer it gets
  • Fine lines around the eyes, mouth and forehead
  • Mild to moderate laxity along the jawline, lower face and neck
  • Texture and tone that have lost their evenness
  • Delicate areas that are hard to treat with other devices: the eye area, lips, neck, décolletage and hands

Exion improves the quality of the skin you have. It does not replace volume the way a filler does, and it will not lift the way surgery does. If one of those is what you are after, we will tell you at your Consult.

Why ClientsChoose It

  • No needles. We don’t offer injectables. Exion is how we approach hydration and firmness from within the skin.
  • No downtime. Most clients leave slightly flushed and go straight back to their day.
  • Comfortable. A steady warmth, often compared to a hot stone massage.
  • All skin tones. Radiofrequency and ultrasound do not target pigment.
  • Year-round on Maui. Unlike many laser treatments, Exion does not ask you to stay out of the sun beforehand. Daily SPF is still the best thing you can do for your results.

YourSeries

Your Consult

Fifteen minutes with Dr. G or one of our nurses. We look at your skin, talk through what you would like to change, and map a plan.

Your Session

You recline, a conductive gel is applied, and the applicator moves over the skin in slow passes. Roughly 10 to 30 minutes, depending on the area. No numbing.

Afterward

Mild pinkness and warmth typically fade within a few hours. Skip saunas and hot tubs for a day, drink water, and wear SPF 30 or higher.

Am I a candidate?

Exion suits most adults who are noticing early to moderate changes in skin hydration, texture or firmness and prefer a gradual, natural-looking result. It may not be appropriate if you are pregnant, have a pacemaker or other implanted electronic device, have metal implants in the treatment area, or have an active skin infection or irritation where we would be treating. Your provider reviews your health history at your Consult and will tell you directly if another treatment is a better fit.

ExionPricing

Area Examples Single session Series of four
Small Lips, eyes or décolletage $250 $850
Medium Forehead, lower face, neck, hands or upper arms $450 $1,500
Large Full face, or two medium areas $900 $3,000
Full face and neck $1,200 $3,840

Pricing is by treatment area, and a series of four is recommended. Your provider confirms the right areas and plan at your Consult. Financing is available.

Before &After

Results from Exion treatment, photographed by the treating providers. Timing and credit are shown on each image.

Before and after Exion: face, one month after the last treatment. Courtesy of Diane Duncan, M.D.
Before and after Exion: eye area, three months after the last treatment. Courtesy of Diane Duncan, M.D.
Before and after Exion: eye area, three months after the last treatment. Courtesy of BTL Aesthetics.
Before and after Exion: eye area in profile, three months after the last treatment. Courtesy of Dr. Natalie Fournier.
Before and after Exion Face: lips, three months after the last treatment. Courtesy of Anna Stevens, NP.
Before and after Exion: lower face, six months after the last treatment. Courtesy of Yael Halaas, M.D.
Before and after Exion: neck, after the last treatment. Courtesy of Suneel Chilukuri, M.D.

Photos supplied by BTL and courtesy of the providers named on each image; not Awazul clients. Individual results vary.

What PairsWell

  • EMFACE. EMFACE works on facial muscle tone and lift; Exion works on the skin over it. Together they address structure and surface.
  • Laser Genesis. For redness, tone and overall glow alongside Exion’s hydration and firmness.
  • The Glassifier. A needle-free peptide treatment for surface radiance.
  • Secret RF microneedling. When scarring or deeper texture needs more than a no-downtime treatment can offer.
  • Individualized prescription skincare. Curated by your provider, so what you do at home supports what we do in the treatment room.
Before and after EMFACE and Exion Face treatment, one month after the last treatment

Before, and one month after the last treatment with EMFACE and Exion Face. Photos courtesy of Vivian Bucay, MD. Individual results vary.

WhyAwazul

Awazul Wellness is a physician-led practice in Wailea, in its eleventh year on Maui. Every treatment plan is overseen by Dr. G, who is double board-certified, and delivered by a team that treats faces every day. We choose devices for what they can demonstrably do, and we are candid about what each one can’t.

ExionFAQs

Does Exion hurt?

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No. Most clients describe a steady, comfortable warmth, similar to a hot stone massage. No numbing is needed.

How many Exion sessions will I need?

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The standard protocol is four sessions spaced one to two weeks apart. Your provider will recommend a maintenance schedule based on how your skin responds. Individual results vary.

When will I see results?

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Many clients notice fresher, more hydrated-looking skin early in the series. Firmness and texture continue to improve over the weeks and months after the final session, as new collagen, elastin and hyaluronic acid form.

Is there any downtime?

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No. Mild pinkness and warmth typically fade within a few hours, and you can return to normal activities right away.

Is Exion the same as filler?

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No. Fillers place hyaluronic acid gel beneath the skin to add volume. Exion uses radiofrequency and targeted ultrasound to encourage your skin to produce more of its own hyaluronic acid, collagen and elastin. It improves skin quality rather than adding volume, and nothing is injected.

Is Exion safe for all skin tones?

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Yes. Radiofrequency and ultrasound energy do not target pigment, so Exion is suitable across skin tones. Your provider reviews your health history at your Consult to confirm it is appropriate for you.

Which areas can be treated?

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At Awazul we treat the full face, eye area, lips, neck, décolletage, hands and upper arms.

Can Exion be combined with other treatments?

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Often, yes. Exion is commonly paired with EMFACE for muscle tone and lift, or with Laser Genesis for redness and tone. Your provider will plan the order and spacing.

The information on this page is for education and is not medical advice. Treatments are not appropriate for everyone; candidacy is determined by provider evaluation. Individual results vary.

View Our Gallery

The Awazul goal is to enhance our patient’s well-being and positive self-image. We have a highly trained, experienced team that is passionate about aesthetics and providing positive outcomes for our clients. We offer leading-edge treatments for world-class results. We invite you to view our gallery of the noninvasive treatments we offer here at Awazul. Talking story is free. Call us at (808) 891-2485 to exchange insight and to determine if Awazul can help you meet your goals.

RelatedServices

Secret RF Microneedling

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EMFACE

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Laser Genesis

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Customer Reviews

Individual results vary.

Source, for your records: Google review of Awazul Wellness by Nicole Elgin, April 17, 2025.