XERF Structural Skin Tightening: A New Era in Non-Surgical Face Lifting and Skin Tightening

Good skin quality is defined by structural integrity, the density and resilience of the deep dermal layers. Aging isn’t just a surface issue of wrinkles or crepey texture. Much of the change occurs deeper, where connective tissue and fibrous support networks gradually lose their structural integrity. Collagen fibers thin, elastin weakens, fibrous septa relax, and the fascia—the supportive membrane beneath the skin—begins to slacken. Treatments that focus only on the superficial layers often fall short. XERF is a non-invasive treatment specifically engineered to rebuild this foundation. At Refine Anti-Aging Medicine & Aesthetics, we are thrilled to offer our patients access to this best-in-class, advanced skin care technology to restore firmness, lift, and definition without surgical intervention.

What is XERF?

XERF, developed in South Korea, is an FDA-cleared, first-in-class multifrequency monopolar radiofrequency device designed to lift, tighten, and refine your skin with unmatched precision. It utilizes sophisticated AI-guided precision to deliver targeted thermal energy into dermal layers, stimulating new collagen production where firming is most critical.

How does XERF work?

XERF uses dual monopolar radiofrequency frequencies of 6.78 MHz and 2 MHz to deliver controlled heat to the superficial, middle, and deeper layers of the dermis. This targeted thermal stimulation triggers the skin’s natural healing process, encouraging new collagen and elastin formation. Because XERF can reach the SMAS (deep muscle fascia layer that is addressed during a surgical facelift), it has more “Structural Lift” potential than devices that work only superficially on the dermis. As collagen remodeling occurs, the treated skin gradually appears lifted, firmer, and smoother, with enhanced texture, elasticity, and softened fine lines. The system also integrates Wave Fit™ pulse technology with Advanced Integrated Cryogen Delivery cooling to precisely regulate energy output while protecting the skin’s surface temperature.

Why We Love XERF

74% Immediate Collagen Boost: Induces a rapid increase in Type III "repair" collagen immediately following treatment.
81% Structural Remodeling: Converts initial collagen into Type I structural collagen over 3 months for long-term firmness.
103% Increase in Elastin: Significantly restores the skin's "snap back" quality and resilience.
Structural Lift: Tightens and lifts sagging skin. Improved Jawline and facial contours.
Reduced Folds: Visible reduction in the appearance of jowls and nasolabial folds.
Skin Thickening: Increased density in areas where skin has become thin or "crepey."
Safe for all skin types
Patient Experience: NO numbing, NO needles, NO pain, NO downtime.

To help you understand how far non-surgical lifting has come, here’s a comparison with legacy technologies:

Oakland Potenza RF Microneedling model smiling

How Is Xerf Different Than Thermage And Ultherapy?

XERF reaches the SMAS (muscle fascia) layer, similar to the depth targeted by Ultherapy
XERF treatments are comfortable and often compared to a warm stone massage, unlike Ultherapy and Thermage, which are commonly associated with discomfort
XERF delivers visible results right away, with continued improvement over 3–6 months, while Ultherapy and Thermage typically take several months before results become noticeable
By combining two wavelengths and treatment depths in a single session, XERF creates a synergistic effect that produces more lifting and tightening than Ultherapy and Thermage performed separately

XERF vs. Sofwave

Sofwave uses synchronized ultrasound to target the mid-dermis at a specific depth of 1.5mm. While it’s effective for superficial tightening, it typically calls for topical numbing, and results appear gradually. In contrast, XERF employs dual monopolar radiofrequencies to treat the full spectrum of the skin—surface, mid, and deep layers. This multi-depth approach allows XERF to address deeper structural scaffolding that Sofwave cannot reach, often producing visible tightening sooner via bulk heating technology.

Who Is A Good Candidate

XERF is well-suited for healthy adults in their 30s- 60s who are noticing natural collagen loss due to age, resulting in mild to moderate skin laxity of the face, jawline, neck, or body. For those seeking noticeable skin tightening without surgery, injections, downtime, or significant discomfort, XERF offers an effective solution. This treatment is safe for all skin types. During your consultation, we will assess your skin and determine whether this treatment is the right fit for your aesthetic goals.

What Areas Can XERF Treat?

Face and Neck

XERF RF is designed to enhance facial and neck contours by firming the skin and improving definition. It helps minimize the appearance of jowls, sagging, and fullness beneath the chin, resulting in a smoother jawline and a more sculpted profile.

Eyes & Brow Lifting

XERF can gently elevate the brows, soften fine lines, tighten the under-eye area, and reduce puffiness for a brighter, more youthful look. It improves skin texture while preserving natural facial movement.

Body Contouring

XERF supports improved skin tone and firmness while reducing laxity in areas such as the arms, abdomen, thighs, and décolletage, helping restore a more youthful, sculpted appearance.

Skin Tightening and Firming

Using advanced RF technology, XERF stimulates collagen and elastin production deep within the skin. This process helps tighten loose skin, improve elasticity, and enhance overall texture, delivering natural-looking, long-lasting results over time.

XERF Structural Skin Tightening

Frequently Asked Questions

How many sessions are recommended?

To see significant changes, a series of treatments is required. The standard plan typically consists of 2-4 sessions every 1-3 months, depending on your needs. This frequency keeps the collagen stimulation active for the best results.

When will I see results?

You will notice an immediate tightening effect (often called the “first peak”). Over the next 8-12 weeks, you’ll see the “second peak” as collagen remodeling progresses and the structural changes settle in. Many studies report effects lasting 12-18 months, depending on skin quality, lifestyle, and other treatments used.
Maintenance: To keep your results long-lasting, maintenance treatments are recommended once a year, depending on the area treated and your individual goals.

Is XERF safe for darker skin tones?

Yes! XERF is suitable for all skin types and skin tones, delivering both safety and effectiveness. Its advanced technology continuously monitors and adjusts energy levels in real time to ensure optimal results while reducing potential risk. This allows XERF to treat a wide range of skin concerns without causing damage to the skin’s surface.

Will XERF cause Fat or Volume loss?

NO! XERF doesn’t remove fat or volume. The goal here is structural tightening, meaning we’re reinforcing your skin’s internal scaffolding rather than removing volume. That’s an important distinction if you’re concerned about loss of fullness or over-hollowing.

Can XERF be combined with other treatments?

Yes. XERF is frequently paired with other aesthetic treatments, including neuromodulators, dermal fillers, collagen-stimulating therapies like Sculptra, Microneedling, and Laser skin resurfacing. Many patients opt to include XERF as part of a comprehensive, personalized approach—using it to improve firmness and lift while other modalities address concerns such as volume changes, skin texture, or discoloration. During your consultation, we’ll build a treatment strategy around your individual goals to support results that look natural, well-balanced, and enduring.

Is the procedure really painless?

Yes. XERF is engineered with patient comfort in mind. The treatment is commonly described as a mild warming or tingling sensation instead of discomfort. With built-in cooling and real-time monitoring technology, XERF delivers a safe, controlled, and comfortable experience without the need for numbing.

Call:	(510) 462-2662
Text:	(510) 462-2662

XERF Structural Skin Tightening in Oakland, California