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How the XERF Structural Skin Tightening Treatment Works

How the XERF Structural Skin Tightening Treatment Works

2026-10-30

The XERF system offers the world's first multi-frequency monopolar radiofrequency (RF) treatment. By combining 6.78 MHz and 2 MHz frequencies, XERF not only delivers energy to deeper tissue layers but also precisely targets the areas where it is needed most, resulting in smoother, firmer skin.

The XERF system utilizes Wave Fit™ pulse technology and Advanced Integrated Cryogen Delivery cooling technology. This combination allows for precise control of energy delivery while maintaining epidermal temperature, ensuring a comfortable treatment experience that requires no anesthesia (Never-Numb™). Compared to similar treatments that require anesthesia, XERF sessions are shorter, potentially increasing the number of patients that can be treated daily.


Dual-frequency monopolar RF (2 MHz + 6.78 MHz): simultaneous output of both frequencies from a single applicator.

- 2 MHz: Longer wavelength for deeper penetration, reaching the fat layer and the superficial SMAS fascia; enables deep lifting, tightening of supporting ligaments, and remodeling of fat distribution.
- 6.78 MHz: Shorter wavelength targeting the superficial and mid-dermis; improves fine lines, pores, and skin texture while stimulating superficial collagen.

A single pulse delivers simultaneous heating across deep and superficial layers, covering superficial, intermediate, and deep tissue in one pass—distinguishing it from traditional single-frequency RF, which is limited to heating at a single depth.


Therapeutic Indications:
Sagging skin on the face and neck; improvement of an indistinct jawline and jowls
Mild to moderate wrinkles and fine lines, including periorbital lines and neck lines
Mild brow lifting
Improvement of enlarged pores, rough skin texture, and reduced skin elasticity
Facial contour refinement, tightening of fat-supporting ligaments, and mitigation of soft tissue migration
Skin brightening and improvement of rough skin texture