
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.
HOW XERF WORKS
XERF delivers two distinct radiofrequency frequencies — 6.78 MHz and 2 MHz — to precisely target different depths of tissue in a single treatment:
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Shallow layers — smooths texture and fine lines
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Middle layers — firms and tightens loose skin
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Deep layers — strengthens the structural tissue that supports a lifted, defined facial contour
As the RF energy heats these layers, it stimulates the skin's natural collagen and elastin production, gradually rebuilding firmness from the inside out. Built-in cooling technology keeps the skin's surface comfortable throughout, so most patients don't need any numbing cream.
The device also uses real-time impedance feedback to read each patient's unique skin profile, adjusting energy delivery automatically. With multiple depth and intensity settings available, every XERF treatment is fully customized to the individual.

WHAT XERF TREATS
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Sagging or lax skin on the face and neck
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Softening jawline and jowls
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Fine lines and wrinkles
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Loss of skin firmness and elasticity
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Overall skin laxity related to aging
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.
WHY CHOOSE XERF AT BTS CLINIC?
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FDA-cleared technology developed by Cynosure Lutronic
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No needles, no numbing, no downtime — fits easily into any schedule
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Customized to your skin using real-time feedback technology
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Multi-depth treatment in a single session for comprehensive results
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Performed by our experienced, licensed providers in a comfortable, welcoming setting
FREQUENTLY ASKED QUESTIONS
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Is XERF painful?
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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.
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How is XERF different from other RF treatments?
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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.
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How many sessions will I need?
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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.
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Is there any downtime?
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No. You can resume normal activities immediately after treatment.
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Am I a good candidate for XERF?
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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.
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