Head to head

Exilis Ultra 360 vs FlexSure (2026)

Compare purchase costs, running costs and the evidence behind each device.

Read the comparison overview

Purchase cost: Catalog new-price ranges: Exilis Ultra 360, $60k–$90k; FlexSure, $40k–$70k. Check the source notes and request current quotes.
Practice fit: Both are listed under body contouring. Check each model’s US regulatory status and labeled indications for your intended use.

Device A

Body Contouring

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Device B

Body Contouring

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Price comparison

Price comparison: BTL Aesthetics Exilis Ultra 360 vs Cynosure FlexSure
Attribute	BTL Aesthetics Exilis Ultra 360	Cynosure FlexSure
New price range	$60k–$90kSource not documented	$40k–$70kSource not documented
Used asking range	$20k–$45kSource not documented	Not published
Payback calculator	View ROI calculator	View ROI calculator
Next step

New price range

BTL Aesthetics Exilis Ultra 360: $60k–$90kSource not documented
Cynosure FlexSure: $40k–$70kSource not documented

Used asking range

BTL Aesthetics Exilis Ultra 360: $20k–$45kSource not documented
Cynosure FlexSure: Not published

Payback calculator

BTL Aesthetics Exilis Ultra 360: View ROI calculator
Cynosure FlexSure: View ROI calculator

Next step

BTL Aesthetics Exilis Ultra 360

Cynosure FlexSure

Consumable economics

Consumable economics: BTL Aesthetics Exilis Ultra 360 vs Cynosure FlexSure
Attribute	BTL Aesthetics Exilis Ultra 360	Cynosure FlexSure
Consumable cost / lock-in	Supply pricing is not documented with a dated source yet. Request an itemized supply quote.	—
Service cost	Not published	Not published

Consumable cost / lock-in

BTL Aesthetics Exilis Ultra 360: Supply pricing is not documented with a dated source yet. Request an itemized supply quote.
Cynosure FlexSure: —

Service cost

BTL Aesthetics Exilis Ultra 360: Not published
Cynosure FlexSure: Not published

FDA clearance

FDA clearance: BTL Aesthetics Exilis Ultra 360 vs Cynosure FlexSure
Attribute	BTL Aesthetics Exilis Ultra 360	Cynosure FlexSure
FDA status & indication	FDA ClearedK092191, K143040, K163176 Read FDA indication wording “The EXILIS device is indicated for the primary treatment of dermatologic and general surgical procedures for non-invasive treatment of wrinkles and rhytids. EXILIS is a state-of-the-art device to apply therapy by a non-invasive method of high-frequency field.”	FDA ClearedK200241 Read FDA indication wording “The TempSure™ System has the following indications for use: The 10mm, 15mm, and 20mm Smart Handpieces are indicated for non-ablative treatment of mild to moderate facial wrinkles and rhytids. The 18mm, 25mm, 30mm, 60mm Smart Handpieces and FlexSure™ applicators provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The massage device is intended to provide a temporary reduction in the appearance of cellulite. The following surgical modes are applicable to the generator: Coagulation/Hemostasis: General surgical procedures including urologic, thoracic, plastic, reconstructive, and gynecological procedures where electrosurgical coagulation of tissue is performed. Cutting: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, cosmetic repairs, development of skin flaps, skin tags and blepharoplasty. Blended Cutting and Coagulation: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin tags, papilloma keloids, keratosis, verrucae, basal cell carcinoma, nevi, fistulas, epithelioma, cosmetic repairs, cysts, abscesses, and development of skin flaps. Fulguration: basal cell carcinoma, papilloma, cyst destruction, tumors, verrucae, hemostasis. Bipolar: pinpoint precise coagulation, pinpoint hemostasis in any field (wet or dry), snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment and turbinate shrinkage.”

FDA status & indication

BTL Aesthetics Exilis Ultra 360: FDA ClearedK092191, K143040, K163176
Read FDA indication wording
“The EXILIS device is indicated for the primary treatment of dermatologic and general surgical procedures for non-invasive treatment of wrinkles and rhytids. EXILIS is a state-of-the-art device to apply therapy by a non-invasive method of high-frequency field.”
Cynosure FlexSure: FDA ClearedK200241
Read FDA indication wording
“The TempSure™ System has the following indications for use: The 10mm, 15mm, and 20mm Smart Handpieces are indicated for non-ablative treatment of mild to moderate facial wrinkles and rhytids. The 18mm, 25mm, 30mm, 60mm Smart Handpieces and FlexSure™ applicators provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The massage device is intended to provide a temporary reduction in the appearance of cellulite. The following surgical modes are applicable to the generator: Coagulation/Hemostasis: General surgical procedures including urologic, thoracic, plastic, reconstructive, and gynecological procedures where electrosurgical coagulation of tissue is performed. Cutting: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin incisions, biopsy, cysts, abscesses, tumors, cosmetic repairs, development of skin flaps, skin tags and blepharoplasty. Blended Cutting and Coagulation: snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment, turbinate shrinkage, skin tags, papilloma keloids, keratosis, verrucae, basal cell carcinoma, nevi, fistulas, epithelioma, cosmetic repairs, cysts, abscesses, and development of skin flaps. Fulguration: basal cell carcinoma, papilloma, cyst destruction, tumors, verrucae, hemostasis. Bipolar: pinpoint precise coagulation, pinpoint hemostasis in any field (wet or dry), snoring, submucosal palatal shrinkage, traditional uvulopalatoplasty (RAUP), myringotomy with effective hemorrhage control, epistaxis treatment and turbinate shrinkage.”

Which chains run each

Which chains run each: BTL Aesthetics Exilis Ultra 360 vs Cynosure FlexSure
Attribute	BTL Aesthetics Exilis Ultra 360	Cynosure FlexSure
Chain adoption	0 recorded pairings	0 recorded pairings
Chains using it	—	—
Approved reviews	0	0

Chain adoption

BTL Aesthetics Exilis Ultra 360: 0 recorded pairings
Cynosure FlexSure: 0 recorded pairings

Chains using it

BTL Aesthetics Exilis Ultra 360: —
Cynosure FlexSure: —

Approved reviews

BTL Aesthetics Exilis Ultra 360: 0
Cynosure FlexSure: 0

Specs and platform

Specs and platform: BTL Aesthetics Exilis Ultra 360 vs Cynosure FlexSure
Attribute	BTL Aesthetics Exilis Ultra 360	Cynosure FlexSure
Manufacturer	BTL Aesthetics	Cynosure
Built by (OEM)	BTL Industries	Cynosure LLC
Category	Body Contouring	Body Contouring
Technology	RF + ultrasound, 360 applicators (HIFU / Ultrasound)	Wrap-around hands-free RF applicators
Launch year	2016	2021
Status	Current	Current
Manufacturer source record	No linked source on file.	No linked source on file.

Manufacturer

BTL Aesthetics Exilis Ultra 360: BTL Aesthetics
Cynosure FlexSure: Cynosure

Built by (OEM)

BTL Aesthetics Exilis Ultra 360: BTL Industries
Cynosure FlexSure: Cynosure LLC

Current alternatives

Current catalog models in related categories. Confirm availability and configuration with the supplier.

BTL Aesthetics Exion

RF body contouring

New: $150k–$200k

Venus Legacy

RF body contouring

New: $60k–$90k

Venus Versa

RF body contouring

New: $70k–$110k

Cutera truSculpt iD

RF body contouring

New: —

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