Aesthetic Services
Physician-guided, non-invasive radiofrequency skin tightening designed to support firmer-looking skin, encourage collagen remodeling, and help improve the appearance of laxity over time. Results vary by patient and treatment recommendations are based on provider evaluation.
Want the bigger picture? Read our XERF Structural Skin Tightening guide for a deeper overview of treatment, recovery, and expected results.
About XERF
XERF Structural Skin Tightening is an advanced radiofrequency treatment designed to improve the appearance of skin laxity and support collagen remodeling. Using multifrequency monopolar RF technology, XERF delivers controlled energy to multiple layers of the skin to help create a firmer, smoother-looking appearance without surgery. Results vary by patient, and your provider will determine whether it is appropriate for your goals.
XERF may be a good option for patients who want a non-surgical approach to tightening and collagen support without needles or incisions. In a physician-guided setting, treatment can be personalized by area, skin condition, and aesthetic goals.
Key Benefits
XERF supports collagen-focused skin tightening with a patient-friendly treatment experience. The benefits below reflect the type of improvement XERF may help support, depending on provider evaluation and individual response.
Designed to address visible laxity and support a firmer, more refined appearance over time.
May help stimulate collagen remodeling, which is one of the body’s natural support structures for skin.
May help soften the look of looseness, texture changes, and other age-related skin changes.
Designed for areas that may benefit from more support, improved contour, and a smoother appearance.
A non-invasive treatment approach that does not require injections.
Most patients can return to normal activities right after treatment, based on provider guidance.
Integrated comfort features are designed to help make sessions easier to tolerate.
Settings can be adjusted to your treatment area, skin type, and treatment goals.
Technology
Unlike traditional RF treatments, XERF delivers energy to superficial, mid, and deeper skin layers. This multi-layer approach may help stimulate collagen remodeling and support gradual improvement in overall skin structure and firmness over time.
XERF is designed to reach multiple skin depths rather than treating only one level. That broader delivery pattern may help support collagen remodeling and structural improvement in areas affected by laxity.
The client-provided infographic shown here helps illustrate how XERF supports energy delivery across superficial, mid, and deeper layers during treatment and why the response can continue to develop gradually afterward.
Patient Selection
A provider evaluation helps determine whether XERF may be appropriate for your skin concerns, medical history, and treatment goals.
Adults who want a non-surgical option for improving the look of skin laxity.
Patients who would like physician-guided treatment planning for the face or neck.
People who understand that results vary and that collagen changes develop gradually.
Patients who want a treatment that may fit into a broader skin rejuvenation plan.
What to Expect
The treatment experience is designed to be straightforward and comfortable, with each visit guided by provider recommendations.
Your visit begins with a provider evaluation to discuss your concerns, review your goals, and confirm whether XERF is appropriate for you.
The skin in the treatment area is assessed so your provider can tailor energy settings and treatment approach to your needs.
A handpiece is moved across the treatment area to deliver multi-layer radiofrequency energy in a controlled, physician-guided manner.
Most patients can leave the office shortly after treatment and may notice temporary warmth or redness that typically settles quickly.
Your provider may recommend a follow-up visit or a series of treatments based on your skin goals and response.
Timeline
XERF results usually develop gradually. Some patients notice early changes, while the most meaningful improvement may come from ongoing collagen remodeling over time.
Some patients notice a warm, slightly tightened feel soon after treatment, although results vary by patient.
Over the following weeks, the energy delivered during treatment may support ongoing collagen remodeling beneath the surface.
Skin quality may continue to improve gradually as the treatment series and collagen response progress.
Your provider may recommend maintenance treatments or complementary skincare to help preserve results.
Before Treatment
These preparation steps are intended to support comfort, treatment planning, and skin safety. Your provider may adjust instructions based on your individual needs.
Stay well hydrated for 48–72 hours before treatment.
Avoid sun exposure, tanning beds, and self-tanners for 2–4 weeks before treatment.
Wear broad-spectrum SPF 30+ daily before treatment.
Stop retinoids, tretinoin, glycolic acid, salicylic acid, and other exfoliating products 5–7 days before treatment unless otherwise directed by your provider.
Avoid chemical peels, waxing, and microdermabrasion on the treatment area for 1–2 weeks before treatment.
Inform your provider about pacemakers, implanted medical devices, or metal implants.
Tell your provider if you have a history of cold sores since preventive medication may be recommended.
Shave treatment areas with hair 1–2 days before treatment when instructed.
Arrive with clean skin free of makeup, lotions, oils, deodorants, or creams on treatment day.
Most patients experience a deep warming sensation during treatment that is designed to feel comfortable and similar to a warm stone massage rather than painful.
After Treatment
Aftercare recommendations may help support recovery and protect your skin while it responds to treatment. For a more detailed step-by-step outline, review our Aftercare recommendations guide.
Mild redness and swelling may occur for 1–3 days.
Do not apply ice packs or cooling devices unless instructed by your provider.
Use a gentle non-occlusive moisturizer to keep skin hydrated.
Continue moisturizing daily.
Avoid activities that significantly increase body temperature if they worsen redness.
Avoid alcohol-based cosmetic products for approximately one week.
Protect treated skin from direct sun exposure.
Wear broad-spectrum SPF 50+ throughout your treatment series.
Contact Lenox Medical Clinic if symptoms become severe or you have concerns.
Why Lenox
Our approach is centered on physician evaluation, individualized treatment planning, and patient education so your care feels clear and coordinated.
Physician-guided evaluation and treatment planning
A patient-centered approach that prioritizes comfort and education
Clear before-and-after guidance and realistic expectations
Aesthetic care that can be coordinated with broader skin goals
Some patients choose to schedule a HydraFacial after completing XERF treatments as part of an overall skin rejuvenation plan. Your provider can recommend the most appropriate timing based on your treatment goals.
Treatment Areas
XERF can be tailored to areas where patients want more visible firmness, smoother contours, and collagen support.
Face
Personalized treatment planning is based on your goals, skin laxity, and provider assessment.
Jawline
Personalized treatment planning is based on your goals, skin laxity, and provider assessment.
Neck
Personalized treatment planning is based on your goals, skin laxity, and provider assessment.
Cheeks
Personalized treatment planning is based on your goals, skin laxity, and provider assessment.
Lower Face
Personalized treatment planning is based on your goals, skin laxity, and provider assessment.
Under Chin
Personalized treatment planning is based on your goals, skin laxity, and provider assessment.
Before & After
Client-approved before and after imagery from Cynosure marketing materials.
Patient Result 1
Patient Result 2
Patient Result 3
Results vary by patient.
A few quick answers to common questions about treatment comfort, downtime, results, and what to expect from XERF.
Schedule Consultation
Schedule your consultation today and discover a personalized treatment plan designed around your aesthetic goals.
Why Patients Choose XERF
No needles, no numbing, and no downtime.
Designed to support collagen remodeling and smoother-looking skin.
Personalized physician-guided treatment planning at Lenox Medical Clinic.