Head to head

Exion vs FlexSure (2026)

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

Read the comparison overview

Purchase cost: Catalog new-price ranges: Exion, $150k–$200k; 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 Exion vs Cynosure FlexSure
Attribute	BTL Aesthetics Exion	Cynosure FlexSure
New price range	$150k–$200kReported source: Dealer quote · Aug 12, 2026	$40k–$70kSource not documented
Used asking range	Not published	Not published
Payback calculator	View ROI calculator	View ROI calculator
Next step

New price range

BTL Aesthetics Exion: $150k–$200kReported source: Dealer quote · Aug 12, 2026
Cynosure FlexSure: $40k–$70kSource not documented

Used asking range

BTL Aesthetics Exion: Not published
Cynosure FlexSure: Not published

Payback calculator

BTL Aesthetics Exion: View ROI calculator
Cynosure FlexSure: View ROI calculator

Next step

BTL Aesthetics Exion

Cynosure FlexSure

Consumable economics

Consumable economics: BTL Aesthetics Exion vs Cynosure FlexSure
Attribute	BTL Aesthetics Exion	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 Exion: Supply pricing is not documented with a dated source yet. Request an itemized supply quote.
Cynosure FlexSure: —

Service cost

BTL Aesthetics Exion: Not published
Cynosure FlexSure: Not published

FDA clearance

FDA clearance: BTL Aesthetics Exion vs Cynosure FlexSure
Attribute	BTL Aesthetics Exion	Cynosure FlexSure
FDA status & indication	FDA ClearedK211639, K222556, K233604 Read FDA indication wording “The BTL-785W device has the following indications for use: The BTL-785W with BTL-785-1 applicator is intended to 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 BTL-785-1-4 massage device is intended to provide a temporary reduction in the appearance of cellulite. The BTL-785W with BTL-785-2 applicator is indicated to 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 BTL-785W with BTL-785-3 applicator is intended to 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 BTL-785W with BTL-785-4 applicator used with tips BTL-785-4-1, BTL-785-4-2, BTL-785-4-5 and BTL-785-4-6 is indicated for use in dermatological and general surgical procedures for electrocoagulation and hemostasis. The Applicator BTL-785-4 of BTL-785W device used with tips BTL-785-4-3, BTL-785-4-4, BTL-785-4-7 and BTL-785-4-8 is intended for dermatological procedures requiring fractional treatment of the skin. At higher energy levels greater than 62 mJ/pin, use of the BTL-785-4 applicator is limited to Skin Types IIV. The BTL-785W with BTL-785-7 hands-free applicator used with BTL-785-7-1, BTL-785-7-2, BTL-785- 7-3, BTL-785-7-4, BTL-785-7-5 and BTL-785-7-6 single-use electrodes is intended to 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.”	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 Exion: FDA ClearedK211639, K222556, K233604
Read FDA indication wording
“The BTL-785W device has the following indications for use: The BTL-785W with BTL-785-1 applicator is intended to 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 BTL-785-1-4 massage device is intended to provide a temporary reduction in the appearance of cellulite. The BTL-785W with BTL-785-2 applicator is indicated to 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 BTL-785W with BTL-785-3 applicator is intended to 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 BTL-785W with BTL-785-4 applicator used with tips BTL-785-4-1, BTL-785-4-2, BTL-785-4-5 and BTL-785-4-6 is indicated for use in dermatological and general surgical procedures for electrocoagulation and hemostasis. The Applicator BTL-785-4 of BTL-785W device used with tips BTL-785-4-3, BTL-785-4-4, BTL-785-4-7 and BTL-785-4-8 is intended for dermatological procedures requiring fractional treatment of the skin. At higher energy levels greater than 62 mJ/pin, use of the BTL-785-4 applicator is limited to Skin Types IIV. The BTL-785W with BTL-785-7 hands-free applicator used with BTL-785-7-1, BTL-785-7-2, BTL-785- 7-3, BTL-785-7-4, BTL-785-7-5 and BTL-785-7-6 single-use electrodes is intended to 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.”
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 Exion vs Cynosure FlexSure
Attribute	BTL Aesthetics Exion	Cynosure FlexSure
Chain adoption	0 recorded pairings	0 recorded pairings
Chains using it	—	—
Approved reviews	0	0

Chain adoption

BTL Aesthetics Exion: 0 recorded pairings
Cynosure FlexSure: 0 recorded pairings

Chains using it

BTL Aesthetics Exion: —
Cynosure FlexSure: —

Approved reviews

BTL Aesthetics Exion: 0
Cynosure FlexSure: 0

Specs and platform

Specs and platform: BTL Aesthetics Exion vs Cynosure FlexSure
Attribute	BTL Aesthetics Exion	Cynosure FlexSure
Manufacturer	BTL Aesthetics	Cynosure
Built by (OEM)	BTL Industries	Cynosure LLC
Category	Body Contouring	Body Contouring
Technology	Monopolar RF + targeted ultrasound (body applicator) (HIFU / Ultrasound)	Wrap-around hands-free RF applicators
Launch year	2023	2021
Status	Current	Current
Manufacturer source record	No linked source on file.	No linked source on file.

Manufacturer

BTL Aesthetics Exion: BTL Aesthetics
Cynosure FlexSure: Cynosure

Built by (OEM)

BTL Aesthetics Exion: BTL Industries
Cynosure FlexSure: Cynosure LLC

Current alternatives

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

Venus Legacy

RF body contouring

New: $60k–$90k

Venus Versa

RF body contouring

New: $70k–$110k

Cutera truSculpt iD

RF body contouring

New: —

Cynosure TempSure Firm

RF body contouring

New: $60k–$100k

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