XERF Structural Skin Tightening

The next generation of radiofrequency skin tightening

XERF is an FDA-cleared, non-invasive skin tightening treatment that uses advanced dual-frequency radiofrequency (RF) energy to firm and lift skin from within — no needles, no numbing, and no downtime.

Before

After

*Courtesy of Dr. DianneQuibell

One treatment

Unlike traditional RF devices that work at a single depth, XERF is the world's first multifrequency monopolar RF system. By combining two energy frequencies in one session, it reaches the shallow, middle, and deep layers of the skin simultaneously — stimulating collagen production for smoother, tighter, more youthful-looking skin.

CALL FOR PROMOTIONAL PRICE

How XERF works

Anchor 1

XERF uses two distinct radiofrequency frequencies — 6.78 MHz and 2 MHz — to deliver energy at different depths of the tissue in a single treatment.

Superficial layers: Helps smooth skin texture and the appearance of fine lines
Middle layers: Promotes firmer, tighter-looking skin
Deeper layers: Targets deeper supporting tissues to help improve facial definition and contour

This multi-depth approach works from the superficial dermis to deeper supporting tissue to remodel the skin's structure comprehensively.

By heating targeted tissue to approximately 45–60°C, XERF stimulates collagen contraction while triggering the body’s natural production of new collagen and elastin for progressive, long-term tightening.

Because the energy is delivered beneath the skin’s surface, XERF works to remodel and tighten without damaging the outermost layer of the skin.

The "Never Numb"
experience

XERF is designed to deliver powerful radiofrequency (RF) energy with enhanced comfort—without the need for topical numbing.

Its Advanced Integrated Cryogen Delivery (ICD) cooling technology delivers precisely timed cooling pulses throughout treatment to help offset heat and maintain a comfortable, controlled experience.

Rather than functioning as a standalone fat-freezing treatment, XERF’s cryogen cooling works alongside RF energy as an integrated comfort and safety feature, helping the treatment feel warm and controlled rather than intensely hot.

XERF also uses real-time impedance feedback to assess each patient’s unique skin characteristics and automatically adjust energy delivery. With multiple depth and intensity settings, treatment parameters can be customized to each individual’s needs.

Anchor 2

What XERF treats

XERF is a non-invasive RF Monopolar treatment designed to improve skin firmness and address visible signs of skin laxity on the face and neck.

It can help improve the appearance of:

Sagging or lax skin on the face and neck
Softening jawlines and jowls
Fine lines and wrinkles
Loss of skin firmness and elasticity
Overall skin laxity associated with aging

Anchor 3

What to expect

During treatment: A handheld applicator glides across the treatment area, delivering RF energy while cooling the skin's surface. Most patients describe the sensation as a warm massage. Sessions typically take 30–45 minutes, depending on the areas treated.

After treatment: There is no downtime. You can return to work, run errands, or go about your day immediately after your session. Some patients notice mild, temporary warmth or redness that resolves quickly.

Results: Because XERF works by stimulating your body's own collagen production, results build gradually over the following weeks as new collagen forms. Many patients see visible improvement in firmness and texture within a few weeks of treatment.

Recommended sessions: For optimal results, we recommend a series of two treatments, spaced about four weeks apart. Your provider will tailor a treatment plan to your skin's specific needs during your consultation.

Anchor 4

Why choose XERF at BTX Clinic?

FDA-cleared technology developed by Cynosure Lutronic
ZERO needles, numbing and downtime
Customized to your skin using real-time feedback technology
Consultations are in-depth, 1:1 and customized to you and ONLY you
Multi-depth treatment in a single session for comprehensive results
Performed by our experienced, licensed providers in a comfortable, welcoming setting
Comprehensive hands-on provider training: Our XERF providers completed in-clinic training with Cynosure Lutronic representatives and personally experienced the treatment themselves, as well as on fellow team members, to better understand the patient experience

Frequently asked questions

Anchor 5

Is XERF painful?
- Most patients find XERF comfortable, often describing it as a warm massage. The device's cooling technology helps keep the skin comfortable throughout, so numbing is typically not needed.
How is XERF different from other RF treatments?
- Most RF devices treat skin at a single depth. XERF combines two frequencies to treat the shallow, middle, and deep layers of skin in one session — offering more comprehensive results.
How many sessions will I need?
- We typically recommend two sessions spaced about four weeks apart for optimal results. Your provider may adjust this based on your skin's condition and goals.
Is there any downtime?
- No. You can resume normal activities immediately after treatment.
Am I a good candidate for XERF?
- XERF is designed for adults noticing early to moderate signs of skin laxity, such as a softening jawline or loss of facial firmness. A complimentary consultation with our providers will help determine if XERF is right for you.