XERF

XERF is a lifting device using dual-frequency monopolar RF. It delivers heat to induce collagen contraction and remodeling, addressing firmness and wrinkles.

Even within one face, thickness, areas needing volume preservation and areas of prominent sagging differ. XERF allows energy settings to be adjusted for these differences.

• When your skin feels looser and less firm than before
• When fine lines and skin smoothness both concern you
• When cheek and jaw sagging blurs facial contours
• When you want care suited to thickness and volume rather than one intensity across the whole face
• When considering RF firming while also discussing treatment heat and pain

Suitability depends on the cause and degree of sagging, skin thickness and hollowness. When laxity and volume loss coexist, we distinguish their causes to determine treatment direction.

What we check together before treatment

Always disclose implanted electronic devices such as pacemakers or metal implants in the area. We also check pregnancy or breastfeeding, local inflammation, infection, wounds, altered sensation, underlying conditions and medications.

Disclose the timing and sites of recent filler, threads, skin boosters, laser or RF. Skin condition and device precautions may limit treatment or change scope and timing.

6.78MHz and 2MHz — two frequencies deliver heat

XERF uses 6.78MHz and 2MHz to heat tissue, stimulating collagen and subsequent remodeling to induce improved firmness.

We distinguish thin-skinned areas from those with prominent sagging and select the settings each needs. We do not use the deepest or strongest setting everywhere.

Shallow · Middle · Deep — adjusting scope for your skin

XERF's three Depth settings adjust the spread of heat energy. Settings may vary by area according to skin thickness, facial volume, sagging and fine lines.

Thin, delicate areas receive appropriate settings, and areas with greater laxity receive scope suited to skin condition. Deeper settings are not better for every skin type.

Wave Fit Pulse and ICD cooling — controlling heat sensation and energy delivery

Wave Fit Pulse varies pulses according to delivered energy, adjusting delivery during heat increase and maintenance.

ICD uses refrigerant gas to control surface heat. Variable pulses and cooling settings help avoid excessive heat buildup. Heat or pain can still occur, so we monitor skin response and comfort.

We assess skin condition and surface temperature

XERF has impedance feedback to measure skin's electrical resistance and a surface-temperature check. Clinicians consider the displayed information alongside actual skin response.

You may feel immediate tightening. As collagen remodels over weeks to months, gradual changes in firmness and contours may appear.

Onset and duration vary with skin, scope, settings and response. We follow progress rather than judging initial tightness or swelling alone. If repeat treatment is needed, firmness changes and previous response guide timing.

1. Assessment and skin check: We review sagging, fine lines, thickness, facial volume and previous treatments.
2. Treatment-area design: We set Depth, intensity and scope by area, selecting tips for skin condition.
3. Preparation and settings: We cleanse the skin, prepare the device and check skin condition and cooling. Anesthesia depends on the plan and pain sensitivity.
4. Radiofrequency treatment: The tip contacts the skin to deliver energy. Usually about 15–30 minutes, depending on area and shot count.
5. Skin response check: We assess redness, heat and other reactions and explain aftercare.

• Daily activities are often possible after treatment. Redness, swelling, heat and tenderness may occur, and recovery varies individually.
• Maintain moisturizing and sunscreen; avoid strong friction and irritating cosmetics until skin settles.
• If heat or redness remains, avoid excessive heat such as saunas or steam rooms and pause strenuous exercise.
• Adjust cleansing and makeup to skin response. If combined with another treatment, follow its precautions too.
• Tell us about important upcoming events so we can allow recovery time alongside assessing your skin.

Contact the clinic if this occurs

• If blisters, weeping or burn marks occur
• If pain, redness or swelling worsens
• If skin color changes markedly or altered sensation persists
• When unusual discomfort makes you want a recovery check

• We assess thickness, volume and prominent sagging by area rather than applying one setting across the face.
• We distinguish hollow areas from areas needing firming to set scope and energy.
• Results are considered through areas, energy, cooling and skin response, not shot count alone.
• We monitor heat and pain during treatment, adjusting settings and technique.
• If another lifting or volume treatment better suits your skin, we explain those options.