XERF Skin Tightening

Lift from beneath the surface.

XERF is a non-invasive radiofrequency treatment that reaches the shallow, middle, and deep layers of skin, where collagen remodeling begins, to tighten, firm, and contour without needles, numbing, or downtime.

Format45 to 60 minutes
Cadence1 session, or a 2-pack series
InvestmentFrom $1,500
Pay over time with Cherry.Monthly payment plans available. See payment plans →
Offered at

Not currently offered at Austin or Boulder. Our care team can coordinate a visit at the nearest clinic.

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Overview

Energy that reaches where collagen rebuilds.

XERF is a non-invasive radiofrequency treatment that works with your body's own regenerative processes, restoring structural support from within, for results that build gradually and look entirely natural. Unlike conventional radiofrequency, XERF delivers energy into the shallow, middle, and deep layers of the skin, right where collagen remodeling begins.

  • ✓Little to no downtime
  • ✓No needles or numbing required
  • ✓Immediate results that continue to build over 3 to 6 months
  • ✓Stimulates your body's natural collagen production
  • ✓Tightens and firms loose, sagging skin
A patient consulting with her provider at Alive and Well
Who it's for

Designed for specific patterns, not everyone.

01

Early to moderate laxity at the jawline, neck, and brow, often in the 30s, 40s, and 50s

02

Patients wanting tightening without surgery

03

Maintenance after surgical or biostimulator treatment

What's included

The full scope of care.

XERF session: $2,500

One session treats the face and neck, with energy delivered across the shallow, mid, and deep dermal layers.

2-pack series: $4,500

Most patients build on results with a second session as collagen continues to remodel.

Personalized consultation

Included with every session. Your provider confirms laxity grade and designs the protocol before you're ever on the table.

No needles, no numbing

A comfortable 45 to 60 minute session with little to no downtime.

Is XERF right for you?

A non-invasive path, before more happens.

XERF is best suited for patients noticing early-to-moderate skin laxity (often in their 30s, 40s, and 50s) who want a non-invasive path to firmer skin before more aggressive procedures feel necessary. It also works well as maintenance after surgical or biostimulator treatment.

A provider and patient at Alive and Well
Enhance your results

XERF pairs well with the rest of the plan.

A Fotona MicroPeel refines the skin's surface between sessions. Hydration support on the day of your appointment helps skin respond to collagen-stimulating treatments. Medical-grade skincare protects new collagen between visits, and for patients with greater volume loss, biostimulators like Radiesse can complement XERF by restoring structural support alongside it.

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Clinical detail

We read every value against functional optimal ranges and your own history, then explain what each one means for the plan.

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The technology

01

Dermal temperature

The therapeutic threshold that determines collagen response.

02

Laxity grade

Advanced laxity responds better to surgical referral, and we will say so.

03

Treatment passes

Number and overlap set to the region.

Getting started

What to expect during your session.

Three steps, from consult to the lasting change that follows.

01

Consultation

Your provider reviews your skin concerns, laxity level, and goals to confirm XERF is the right fit and design a protocol tailored to you.

02

The XERF treatment

Energy is delivered across the treatment area (typically the face and neck) over a comfortable 45 to 60 minute session. You'll feel gentle warmth throughout.

03

Post-treatment

No recovery time needed. Expect immediate tightening that continues to build over the next 3 to 6 months, with guidance from your provider to maintain results.

Results

See the difference.

Lower face and jawline before and after 2 XERF treatmentsBeforeAfter
After 2 treatments
Before and after 1 XERF treatmentBeforeAfter
After 1 treatment
Before and after 1 XERF treatmentBeforeAfter
After 1 treatment
Before and after 1 XERF treatmentBeforeAfter
After 1 treatment
Before and after 1 XERF treatmentBeforeAfter
After 1 treatment

Individual results vary.

Questions

Before you book.

How does XERF work?

XERF delivers controlled radiofrequency energy into the skin's deeper layers, activating your body's natural repair response. As new collagen and elastin form over the following weeks, skin becomes progressively firmer and more lifted.

Is it painful?

Most patients find XERF comfortable throughout: a gentle warmth as the energy is delivered, with no pain, no needles, and no numbing cream required.

How long does a session take?

45 to 60 minutes, depending on the treatment area and your protocol.

When will I see results?

Many patients notice immediate improvement in firmness after the first session, with the real change building over 3 to 6 months as collagen production increases.

How many sessions do I need?

It depends on your degree of laxity and goals. Many patients start with a session or two, then transition to periodic maintenance to preserve results. Your provider will confirm during your consultation.

Is there downtime?

Very little. Most patients resume normal activities right away, with only mild, short-lived warmth or redness in the treated area.

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