XERF
XERF is a non-invasive, multifrequency monopolar radiofrequency treatment designed to support collagen remodeling and create smoother, firmer-looking skin—without needles, numbing, or required downtime.
What is XERF and what makes it different?
What does a XERF treatment feel like?
When will I see results and how many sessions will I need?
Is there downtime, and who is a candidate?
What Is XERF Structural Skin Tightening?
XERF is a non-surgical radiofrequency treatment designed for people who want firmer, smoother-looking skin without injections, incisions, or laser resurfacing. Radiofrequency energy creates controlled heat within targeted tissue. That controlled thermal response is intended to support collagen remodeling—the gradual process through which existing collagen contracts and the skin builds and reorganizes structural support over time.
XERF is described by its manufacturer, Cynosure Lutronic, as the first multifrequency monopolar RF system. It combines 6.78 MHz and 2 MHz frequencies and offers three depth settings with ten intensity levels. This gives the provider flexibility to personalize treatment rather than applying one standard setting to every patient.
Concerns XERF May Address
- Mild to moderate skin laxity
- Softening around the jawline or lower face
- Crepey or less resilient-looking skin
- Loss of firmness associated with aging
- Patients seeking gradual, natural-looking improvement without needles
XERF is not a surgical facelift and should not be presented as a replacement for surgery. The goal is a meaningful but non-surgical improvement appropriate to the patient’s starting point.
How XERF Works
XERF sends monopolar radiofrequency energy into selected tissue depths. The system combines two frequencies so the provider can address shallow, middle, and deeper layers according to the treatment plan. Controlled heating causes changes within collagen-rich tissue and initiates a remodeling response that continues after the appointment.
The device uses Wave Fit™ pulse technology, Accurate Impedance Feedback, and Advanced Integrated Cryogen Delivery. In plain language, it evaluates how the patient’s tissue responds, adjusts energy delivery, and cools the surface to support a more controlled and comfortable treatment experience.
XERF vs. RF Microneedling
Both treatments use radiofrequency energy, but they deliver it differently. RF microneedling inserts needle-like electrodes into the skin before delivering energy. XERF is completely non-invasive and delivers energy through the skin without puncturing it. The preferred option depends on the concern, desired depth, tolerance for downtime, medical history, and the provider’s assessment.
Common Treatment Areas
Treatment is often discussed for the face, cheeks, jawline, under-chin area, and neck. Other areas may be appropriate depending on the device’s intended use and the provider’s evaluation. SkinHealth will confirm the proposed area and explain realistic expectations before treatment.
What to Expect Before, During, and After Treatment
Before Your Appointment
Your SkinHealth provider will evaluate your skin, degree of laxity, medical history, previous procedures, medications, implanted devices, and goals. Photos may be taken to document your starting point. This is also the time to discuss whether XERF, another treatment, or a combination plan is most appropriate.
During Treatment
No needles are used. The handpiece is moved across the planned area while controlled RF energy is delivered. Patients generally feel warmth that builds in a measured way. Treatment time varies with the size and number of areas addressed.
After Treatment
Patients can generally return to normal activities without a formal recovery period. Temporary warmth, redness, swelling, or tenderness may occur. Follow the aftercare instructions provided for your skin, including sun protection and any guidance about heat, exercise, or skincare products.
Results Timeline
Some people notice an early tightening effect, but the more important process is gradual collagen remodeling. Improvement may continue over weeks and months. The number of recommended sessions and maintenance schedule depend on the starting condition of the skin and the desired outcome. Results are not permanent because natural aging continues.
Who May Be a Good Candidate?
XERF may be considered for adults with mild to moderate laxity who want gradual improvement without needles or surgical downtime. Pregnancy, active infection or irritation, certain medical conditions, implanted electronic or metal devices, recent procedures, medications, and other factors may affect candidacy.
Choose Your XERF Consultation or Treatment
Why Choose SkinHealth?
SkinHealth pairs XERF with individualized assessment, conservative planning, realistic expectations, and ongoing skincare guidance at 6931 S Red Road, Coral Gables.
Individual results and recommendations vary. This information is educational.