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.
XERF skin tightening is a next-gen, non-invasive radiofrequency (RF) treatment that tightens skin from the inside out – no needles, no numbing, and no downtime.
It uses multifrequency monopolar RF to deliver energy at shallow, middle, and deep layers (including the SMAS), triggering collagen remodeling for a subtle immediate lift with continued firming over the following weeks. Comfortable cooling is built in, and settings are personalized to your skin so results look noticable, but still natural.
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:
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.
Before
During
After
Series
Two initial treatments spaced 4–6 weeks apart, then one maintenance session every 6-12 months.
Staying well-hydrated is one of the simplest ways to enhance your XERF results.
XERF works by targeting the water naturally present in your body. For best results, we recommend drinking 2–3 liters of water daily for at least three days before your session. Patients who are well-hydrated experience noticeably smoother energy delivery, fewer hot spots, and optimal tightening. Think of hydration as part of the treatment – a small step that makes a big difference in comfort and outcome.
“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
I drove nearly two hours to get full face and neck Xerf skin tightening treatment done by Dr. Herold. The entire staff is friendly and welcoming- not fake like many med spas. The appointment took about two hours and Dr. Herold explained everything along the way making me feel very comfortable. It felt like I was talking to an old friend.
Read moreBella vida is an amazing med spa. The staff is very kind professional and welcoming. Dr. Herold is an extremely knowledgeable person to have in this type of field! I got the XERF lasering treatment for skin tightening and I could see the results immediately! Especially my jaw line and Marionettes! It has been about a week and I have been getting compliments on my skin so much!
Read moreThis is the place to go! Dr. Herold and his entire staff are so welcoming and friendly! They really make an effort to make you feel relaxed and comfortable, they take their time to ask questions and evaluate to make sure they provide exactly what you are looking for. They are very upfront and honest about each product and procedure they offer while also keeping you in mind by not trying to upsell you on! Definitely my medspa going forward!
Read more| 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 |
XERF uses controlled fractional RF to tighten laxity, smooth crepey skin, and define the jawline with strong collagen stimulation and typically less discomfort or downtime.
Thermage heats broadly with less precision.
Sofwave gives mild tightening.
Ultherapy reaches deep layers but is often uncomfortable.
Evanesse offers RF tightening with fewer customization options.
Most patients who inquire about these treatments choose XERF once we match their goals, skin history and comfort needs. We’ll always explain the “why” behind the best-fit option for you.
Two initial treatments spaced 4–6 weeks apart, then one annual maintenance session.
Most people have no downtime. Mild pinkness can fade within minutes to hours. Keep daily SPF 30+.
Improvements build gradually over 4–12+ weeks as collagen remodels, with continued gains after the second treatment.
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.
We will review implanted devices (for example, pacemakers or metal in the area), pregnancy or breastfeeding, recent procedures, and active skin conditions before treatment.
