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BTL's most advanced skin tightening platform. AI-powered radiofrequency that goes deeper, works smarter, and delivers tighter skin without a single needle.
Exion by BTL is the newest generation of non-invasive skin tightening technology. It combines monopolar radiofrequency with targeted ultrasound and an AI-powered energy delivery system to tighten skin, reduce wrinkles, and stimulate deep collagen and elastin production — all without needles, incisions, or downtime.
Unlike older RF devices that deliver energy uniformly, Exion's intelligent algorithm adjusts energy output in real time based on your skin's impedance. This means more precise heating at the exact tissue depth needed for optimal collagen remodeling — safer, smarter, and more effective than anything before it.
Results build progressively over 3–6 months as your body produces new collagen and elastin. Most patients complete 4 sessions, spaced 1–2 weeks apart, for transformative tightening of the face, neck, and jawline.
At Prime Vitality, Dr. Shiv Goel supervises every Exion treatment with customized protocols tailored to your unique skin structure. His triple board-certification in Internal Medicine, Functional Medicine, and Aesthetic Medicine ensures your treatment is guided by deep medical expertise.
Exion's intelligent RF energy precisely targets the areas where you need tightening most — from brow to chin and beyond.
Comprehensive facial skin tightening and firming. Restore lost volume structure and achieve a visibly lifted, more youthful appearance across the entire face.
Define and lift the lower face. Exion's deep RF energy targets sagging jowls and softened jawlines to restore a crisp, sculpted profile without surgery.
Smooth horizontal lines and tighten the upper face. Exion lifts the brow area for a more open, refreshed, and alert look — no Botox needed.
Address “tech neck,” horizontal neck lines, and crepey skin laxity. Exion restores smooth, firm texture to one of the first areas to show aging.
Gentle, precise firming around the delicate periorbital region. Reduce fine lines, crepiness, and hollowing under the eyes for a well-rested appearance.
Tighten and reduce fullness beneath the chin. Exion's monopolar RF penetrates deep to firm the submental area and sharpen the chin-to-neck angle.
Exion is only as effective as the provider behind it. Here's why Prime Vitality delivers results others can't match.
Prime Vitality is one of the few clinics in San Antonio offering Exion. You're getting access to next-gen technology most practices don't have yet.
Dr. Goel personally supervises every Exion treatment with customized energy protocols — not a technician following a one-size-fits-all template.
Internal Medicine. Functional Medicine. Aesthetic Medicine. Dr. Goel's rare triple certification means your treatment addresses both beauty and underlying health.
America's Best Doctor 2025, Texas Top Physician 2023–2024, WebMD Top Doc 2025. Featured on KENS5 and Great Day SA. 500+ five-star Google reviews.
See the progressive skin tightening achieved with Exion treatments supervised by Dr. Goel at Prime Vitality Care.
Full face tightening — 4 sessions
Jawline & jowls — 4 sessions
Neck tightening — 4 sessions
Results may vary. Individual results depend on multiple factors including skin type, age, and treatment adherence. Images shown are for illustrative purposes.
See More Results →From consultation to results, every step is designed for comfort, safety, and exceptional skin tightening outcomes.
Dr. Goel evaluates your skin laxity, discusses your goals, and designs a customized Exion treatment protocol. He determines the optimal energy settings and treatment map for your face and neck.
Exion's built-in cooling system keeps you comfortable throughout. The handpiece delivers AI-guided RF and ultrasound energy across the treatment area. Sessions take 30–45 minutes with zero needles.
No downtime. No redness. No recovery period. Walk out of our clinic and return immediately to your daily routine — work, gym, dinner, whatever your day holds.
Collagen and elastin remodel over 3–6 months. You'll notice tighter, firmer skin with each passing week. Four sessions (1–2 weeks apart) deliver the full transformative result.
Real reviews from real patients — verified across Google, Yelp, Zocdoc, and RealSelf.
“Dr. Goel is the best. I been to many dermatologist and non have given me the results that I have gotten at Prime Vitality. I 100% recommend this place to anyone that is looking for great results with any skin treatment.”
“Dr. Goel is amazing! He really takes his time to understand your concerns and provides the best treatment plan. The results have been incredible. Highly recommended!”
“This place is wonderful! The staff is super friendly and Dr. Goel really knows his stuff. I got the HydraFacial and my skin has never looked better. Already booked my next appointment!”
“Great experience! Very professional and knowledgeable. Dr. Goel explained everything thoroughly and I felt very comfortable. Results exceeded my expectations.”
“Had an amazing experience with Dr. Goel. He was very thorough in explaining the procedure and what to expect. The staff was incredibly welcoming. Results have been fantastic!”
“I’ve been going to Prime Vitality for several months and each visit gets better! Dr. Goel and his team are amazing. They’re attentive, professional, and really care about results. Highly recommend!”
Premium physician-supervised Exion treatments at San Antonio's most trusted aesthetic practice. All treatments include consultation, customized protocols, and follow-up.
Per treatment
Save $500 — Full treatment series
Comprehensive face & neck treatment
Save $600 — Complete transformation
Join our membership program for exclusive pricing on Exion and all aesthetic treatments at Prime Vitality.
Everything you need to know about Exion face tightening at Prime Vitality Care in San Antonio.
Most patients describe Exion as a comfortable warming sensation. The built-in cooling system continuously protects the skin surface while RF energy heats deeper tissue layers. There are no needles involved, making it one of the most comfortable skin tightening treatments available. Most patients rate discomfort at a 1–2 out of 10.
The recommended protocol is 4 sessions, spaced 1–2 weeks apart. This allows for cumulative collagen stimulation with each treatment building on the last. During your consultation, Dr. Goel will assess your skin laxity and may adjust the number of sessions based on your specific goals and degree of tightening desired.
No downtime at all. Exion is completely non-invasive — no needles, no incisions, no wounds. You may experience mild warmth or slight pinkness in the treatment area for 30–60 minutes after your session, but you can return to all normal activities, apply makeup, and go about your day immediately.
Both are RF-based tightening treatments, but they work differently. Morpheus8 uses microneedles to deliver RF energy beneath the skin — it's minimally invasive with 2–4 days of downtime. Exion is completely non-invasive (no needles) and has zero downtime. Exion uses AI to optimize energy delivery and combines monopolar RF with targeted ultrasound. Morpheus8 is better for deep scarring and aggressive remodeling, while Exion is ideal for patients who want effective tightening with zero recovery time. Dr. Goel can help you choose the right option for your goals.
Some patients notice an immediate “tightening” effect after their first session, though the major results build over time. Collagen and elastin remodeling begins within weeks and continues for 3–6 months after your final session. Most patients see noticeable improvement by 6–8 weeks, with optimal results at the 3–6 month mark.
Exion is ideal for adults experiencing mild to moderate skin laxity, fine lines, jowling, or early signs of aging in the face and neck. It works on all skin types and tones. The best candidates are those looking for non-invasive tightening without surgery or downtime. It's also excellent for patients who want to maintain results from previous surgical or injectable procedures.
Absolutely. Exion pairs beautifully with neurotoxins (Botox/Dysport) for dynamic wrinkles, dermal fillers for volume restoration, and Emface for muscle toning. It also complements Morpheus8 for patients who want both non-invasive and deeper invasive remodeling. Dr. Goel often creates multi-treatment plans that leverage Exion's zero-downtime advantage between other procedures.
Exion is BTL's newest and most advanced platform, and it hasn't been widely adopted yet in the San Antonio market. Prime Vitality's commitment to offering the latest evidence-based technologies — combined with Dr. Goel's established relationship with BTL and his reputation as a leader in aesthetic medicine — means our patients get access to cutting-edge treatments before they become mainstream. When you choose Prime Vitality, you're getting tomorrow's technology today.
Maximize your Exion results with these synergistic treatments, all physician-supervised at Prime Vitality Care.
Deep RF microneedling for aggressive collagen remodeling, acne scars, and skin laxity. Pair with Exion for comprehensive tightening.
Learn More
Minimally invasive RF contouring for significant skin laxity. An ideal next step when non-invasive options alone aren't enough.
Learn More
Surface-level radiofrequency for fine lines and overall skin tone improvement. A lighter complement to Exion's deep tightening.
Learn More
Non-invasive facial muscle toning and lifting. Combine with Exion to address both skin laxity and underlying muscle structure.
Learn MoreField notes from Dr. Goel on hormones, metabolism, and longevity. Written by the physician. Never ghostwritten.
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