Implantable systems are nowadays being used to interface the human brain with external devices, in order to understand and potentially treat neurological disorders. The most predominant design constraints are the system’s area and power. In this paper, we implement and combine advanced compressive sampling algorithms to reduce the power requirements of wireless telemetry. Moreover, we apply variable compression, to dynamically modify the device performance, based on the actual signal need. This paper presents an area-efficient adaptive system for wireless implantable devices, which dynamically reduces the power requirements yielding compression rates from 8× to 64×, with a high reconstruction performance, as qualitatively demonstrated on a human data set. Two different versions of the encoder have been designed and tested, one with and the second without the adaptive compression, requiring an area of 230×235 μm and 200 × 190 μm, respectively, while consuming only 0.47 μW at 0.8 V. The system is powered by a 4-coil inductive link with measured power transmission efficiency of 36%, while the distance between the external and internal coils is 10 mm. Wireless data communication is established by an OOK modulated narrowband and an IR-UWB transmitter, while consuming 124.2 pJ/bit and 45.2 pJ/pulse, respectively.