XERF

Next-gen radiofrequency for firmer skin and a more defined jawline—comfortable treatments, no downtime.

What it is: Non-invasive RF skin tightening (XERF) using dual-wavelength, monopolar radiofrequency to target multiple superficial and deep layers down to the SMAS for structural tightening.

No needles, no numbing, no downtime

Best for: Jawline and cheek laxity, early jowls, fine lines, mild to moderate looseness.
Downtime: None for most people; brief pinkness may fade within minutes.
Plan: 2 initial treatments (4–6 weeks apart), then annual maintenance.

What is RF Skin Tightening?

RF skin tightening delivers controlled dual-wavelength, monopolar radiofrequency into the skin’s supportive layers — including deeper structures down to the SMAS. Gentle, even heating stimulates collagen so skin can look firmer and more lifted over time, with no needles, no numbing, and no downtime. At Bella Vida MedSpa, we perform RF tightening with XERF, designed for comfortable treatments with intelligent cooling and precise energy delivery.

Benefits at a glance

Firmer, more defined look along the jawline, jowls, and cheeks
Softens the appearance of fine lines and early laxity
Comfortable sessions; no downtime—back to routine right away
Gradual, natural-looking results as collagen rebuilds
Pairs well with RF microneedling or injectables for comprehensive rejuvenation

Am I a candidate?

You may be a good candidate if you’re noticing mild to moderate laxity (softening along the jawline or cheeks) and want a non-surgical option.

We’ll review:

Medical history and devices (e.g., pacemaker/implants/metal in the treatment area)
Pregnancy/breastfeeding status
Skin goals (laxity vs. texture vs. volume loss)
Recent procedures or active skin conditions

If another option would better match your goals (e.g., RF microneedling for texture + tightening or laser resurfacing for pigment), we’ll explain pros/cons and help you choose.

What to expect — Before / During / After

Before

Arrive hydrated with clean skin.
Avoid heavy actives (strong acids/retinoids) for 24–48 hours unless advised otherwise.
Remove metal jewelry in the treatment area.

During

Appointment time: ~30–45 minutes for the lower face/jawline.
Sensation: deep, even warmth with active cooling; numbing not required.
Most clients relax comfortably throughout.

After

No downtime; mild pinkness may fade within minutes to hours.
Resume routine skincare the same day unless your provider advises otherwise.
Stay consistent with SPF 30+.

Series
Most plans include 3–4 sessions spaced 3–6 weeks apart, with results building over the following months.

Results timeline

Weeks 1–4: Early firmness as tissue response begins.
Weeks 4–12: Many notice a subtle lift to the brow and cheek, softening of the nasolabial fold, more jawline definition, tightening under the chin, and smoothing of neck lines or laxity related to fibrous septa tightening.
Ongoing: Improvements continue with your recommended annual maintenance session.

Doctor’s note (example)

“When laxity is the main concern and you want zero downtime, RF tightening with XERF is a strong place to start. We tailor energy delivery and pass count to your tissue response so treatments stay comfortable and effective.”
Rick Herold, MD, Board-Certified Physician & Founder

Credibility links (optional, under the quote):

About Dr. Herold → clinic-and-staff • About LaseMD Ultra → LaseMDUltra

Before & After

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Patient Voices

Short, real excerpts work best. Attribute plainly; link to your Google reviews.

“My jawline looks more defined after a few sessions—super easy appointments.” — Daniela P., 02/2025
“Comfortable treatment, no downtime. Friends noticed a subtle lift.” — Megan L., 08/2024
“Great option for early jowls—I saw steady improvement over 2–3 months.” — Ryan C., 06/2025

Note: Reviews reflect individual experiences; results vary.

RF Skin Tightening vs. Other Options

Treatment	Best for	Downtime	Sensation	Notes
RF Skin Tightening (XERF)	Laxity along jawline/cheeks, subtle lift	None	Deep, even warmth	Non-invasive RF with cooling
RF Microneedling (Potenza)	Laxity + texture/pores	Low–Mod	Numbing + heat	Collagen at multiple depths
Laser Skin Resurfacing (e.g., PicoSure Pro)	Pigment, acne marks, texture	Low–Mod	Warm “snaps	Device-dependent settings

FAQs

How many treatments will I need?

Two initial treatments spaced 4–6 weeks apart, then one annual maintenance session.

What’s the downtime?

Most people have no downtime. Mild pinkness can fade within minutes to hours. Keep daily SPF 30+.

When will I see results?

Improvements build gradually over 4–12+ weeks as collagen remodels, with continued gains after the second treatment.

Can I combine it with other treatments?

Yes. For added tightening and texture benefits, pair with RF microneedling. For pigment and tone, add the Ultra laser facial. We will sequence treatments so they complement each other.

Are there any contraindications?

We will review implanted devices (for example, pacemakers or metal in the area), pregnancy or breastfeeding, recent procedures, and active skin conditions before treatment.