Before / After
Treatment Area
Skin tightening
2 sessions
Laser Resurfacing · radiofrequency
XERF® Structural Skin Tightening
XERF® is a radiofrequency skin-tightening treatment designed to personalize energy delivery based on the patient’s skin profile. The device uses real-time impedance feedback, multiple depth settings, and customizable intensity levels to target laxity and support a firmer, more lifted appearance.
Best for
- Skin laxity
- lower face
- jawline
- neck
- early jowling
- crepey skin
- collagen support
Device Details
Everything you need to know.
What it treats
A powerful radiofrequency solution for skin laxity
XERF® is designed to address the deeper structural changes that contribute to visible aging, including skin laxity, loss of definition, and declining collagen support. By delivering advanced radiofrequency energy into the skin and underlying tissues, XERF® stimulates collagen remodeling and tissue contraction to lift, tighten, and redefine contours while maintaining a natural appearance.
- Loss of collagen & structure
- Loose or sagging skin
- Loss of firmness or elasticity
- Fine lines and early crepiness
- Dullness and overall radiance
- For face & body
How it works
Advanced Radiofrequency Remodeling
XERF® delivers radiofrequency energy into the skin and underlying support structures, creating controlled heating that stimulates collagen remodeling and tissue tightening. This dual effect helps improve skin laxity, redefine contours, and support long-term collagen renewal.
Treatment depth and energy delivery can be customized based on the treatment area, degree of laxity, and your aesthetic goals, allowing Dr. Rose to tailor each session for natural-looking lifting and rejuvenation.
Tailored to you
Because treatment parameters can be customized to your anatomy and goals, Dr. Rose is able to create a highly personalized rejuvenation plan while maintaining natural-looking results.
What to expect
Your session & recovery
A cooling ultrasound gel is applied before treatment, and XERF®'s integrated cryogen cooling system continuously protects the skin's surface throughout the procedure, making topical numbing unnecessary for most patients. Treatment typically takes 30–60 minutes depending on the areas treated, and patients often describe the sensation as intermittent warmth. Mild redness or swelling may occur immediately afterward but generally resolves within hours. Most patients see continued improvement over the following weeks and months as collagen remodeling and tissue tightening progress.
- Session length
- 40–60 minutes
- Sessions for best results
- 2 treatments
- Spaced approx 6-8 weeks apart
Downtime
Minimal social downtime
Most patients experience little to no downtime following XERF®. Mild redness or swelling can occur but is typically short-lived and often not noticeable to others. Because the skin's surface remains intact, most patients return immediately to work, social activities, and their normal routine, making XERF® an excellent option for patients seeking meaningful rejuvenation without disrupting their lifestyle.
- Visbile recovery
- Typically none
- Return to work
- Immediately
The Xerf® effect
Collagen remodeling continues gradually for weeks and months after treatment, with improvements in skin firmness and texture becoming increasingly noticeable over time.
Best candidates
Is Xerf® right for you?
XERF® is particularly well-suited for patients noticing early to moderate skin laxity, loss of jawline definition, or age-related softening of facial contours as well as those noticing severe skin laxity who are not surgical candidates. It is an excellent option for those seeking meaningful tightening and contouring while maintaining a natural appearance and avoiding surgery.
- Mild to moderate facial or neck laxity
- Loss of firmness and skin elasticity
- Fine lines and early crepey skin
- Early jowling or jawline softening
- Realistic expectations of gradual change
- Preference for non-surgical rejuvenation
Not ideal for
XERF® may not be appropriate for patients who are pregnant, have implanted electronic medical devices such as pacemakers, or certain metal implants in the treatment area. Dr. Rose will review your medical history during your consultation to determine whether XERF® is right for you.
Results
Before & after. (Coming soon)
Before / After
Treatment Area
Sun damage & crepey skin — full face
2 sessions
Before / After
Treatment Area
Loss of structure and elasticity — full face
1 session
Before / After
Treatment Area
Sun damage & uneven tone — full face
3 sessions
Before / After
Treatment Area
Sun damage & uneven tone — full face
3 sessions
01
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05
Results vary by individual. Photographs are unretouched and shared with patient consent. A personalized consultation is required to determine candidacy.
Related Videos
Watch & learn. (Coming soon)
2:14
Demo
Xerf® Dual treatment walkthrough
2:14
Demo
How Xerf® works
1:38
Patient story
Treating sun damage on the cheeks
3:02
Aftercare
What to expect in recovery
01
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04
Is Xerf® painful?
Despite delivering powerful collagen-stimulating energy, XERF® is surprisingly comfortable for most patients. Advanced cooling technology continuously protects the skin throughout treatment, and most patients describe the sensation as brief pulses of warmth rather than pain.
How many sessions will I need?
While many patients see excellent results after just one treatment, most benefit from a series of two treatments for additional lifting and contouring. Dr. Rose will recommend a personalized treatment plan based on your anatomy, degree of laxity, and desired outcome.
What is the downtime like?
Most patients experience little to no downtime following XERF®. Mild redness or swelling can occur but is typically short-lived and often not noticeable to others. Because the skin's surface remains intact, most patients return immediately to work, social activities, and their normal routine, making XERF® an excellent option for patients seeking meaningful rejuvenation without disrupting their lifestyle.
Can Xerf® be used on areas other than the face?
Yes. In addition to the face and neck, XERF® can be used on select areas of the body affected by skin laxity or crepey skin. Common treatment areas include the neck, upper arms, abdomen, knees, and other areas where collagen loss contributes to loose or aging skin. During your consultation, Dr. Rose will determine which areas are most likely to benefit based on your concerns and treatment goals.
When will I see results?
Some patients notice an early tightening effect within days of treatment, but the most significant improvements develop gradually over the following weeks and months as collagen remodeling and tissue tightening continue.
Am I a good candidate for Xerf®?
XERF® is particularly well-suited for patients noticing early to moderate skin laxity, loss of jawline definition, or age-related softening of facial contours as well as those noticing severe skin laxity who are not surgical candidates. It is an excellent option for those seeking meaningful tightening and contouring while maintaining a natural appearance and avoiding surgery.
How should I prepare for my treatment?
XERF® requires very little preparation. Arrive with clean, product-free skin and avoid excessive sun exposure or active sunburn prior to treatment. Staying well hydrated can help support an optimal treatment experience.
How much does Xerf® cost?
Pricing depends on the treatment area, session count, and protocol prescribed for your goals. We share transparent pricing during your consultation along with package options for multi-session series. Financing options are available through our care partners.
Begin Your Skin Plan
Ask us which technology is right for you.
Book a personalized laser consultation and Dr. Rose will design a protocol around your skin, downtime, and goals.
Fashion Island · Newport Beach, CA