What is XERF?

Gray logo with large text reading “XERF” and smaller text below stating “STRUCTURAL SKIN TIGHTENING,” highlighting the advanced XERF skin tightening technology, all set against a light gray background.

What Is XERF? Non-Invasive Skin Tightening in Chandler, AZ

If you’ve been researching skin tightening treatments, you may have come across XERF.

XERF is a non-invasive monopolar dual frequency radiofrequency treatment designed to support collagen remodeling and improve the appearance of skin laxity, firmness, and definition—without needles or significant downtime.

Unlike RF microneedling, XERF delivers radiofrequency energy through the surface of the skin without penetrating it with needles. The treatment can target tissue at different depths, making it an option for patients concerned about changes in skin firmness, facial definition, and contour.

At Lani Laser in Chandler, AZ, we offer XERF RF Treatment as part of our approach to non-surgical skin rejuvenation. Here’s what you should know about how XERF works, what it can treat, and what to expect from treatment.

How Does XERF Work?

XERF is a monopolar radiofrequency treatment developed by Cynosure/Lutronic. The system uses radiofrequency energy at two frequencies to target tissue at different depths.

One frequency is designed to focus on more superficial tissue, while the other can reach deeper tissue layers. The goal is to create controlled heating that supports collagen remodeling and gradual improvements in skin firmness.

Unlike treatments that use needles to deliver radiofrequency energy beneath the skin’s surface, XERF delivers energy externally.

The system also uses impedance monitoring to help guide energy delivery throughout treatment. Your provider can adjust treatment settings based on the area being treated and your individual needs.

A built-in cooling system helps protect and cool the surface of the skin while radiofrequency energy is delivered.

A woman’s face with colored zones marked for treatment areas; a pop-up highlights “Deep (6.78 MHz + 2 MHz),” recommended for denser tissue, like the lower face.
A woman’s side profile with colored face and neck sections labeled for skincare treatment; a popup highlights “Middle (6.78 MHz)” as ideal for cheeks and neck.
Profile of a woman’s face with colored zones showing treatment areas; a pop-up highlights the yellow forehead section, labeled “Shallow (6.78 MHz): Ideal for areas with thinner tissue, like the forehead.”.

What Makes XERF Different From Other Skin Tightening Treatments?

One of the biggest differences between XERF and some other radiofrequency treatments is its ability to deliver energy at multiple tissue depths without using needles.

This makes XERF a good option for patients who are interested in skin tightening but would prefer a non-invasive treatment.

XERF is generally more focused on concerns involving skin laxity, firmness, and definition, rather than primarily treating surface-level texture concerns.

For example, if you’re primarily concerned about:

  • Loss of jawline definition
  • Loose skin around the neck
  • Mild to moderate skin laxity
  • Changes in facial contour
  • General loss of skin firmness

XERF may be worth considering.

If your primary concerns involve acne scars, enlarged pores, fine lines, or skin texture, Genius RF Microneedling may be a better fit—or part of a combination treatment plan.

Microscopic image of a tissue section showing layered structures, with a dark upper region and several red-outlined circular features within. The lower area has parallel, lighter bands.

BEFORE XERF — Light blue staining highlights the collagen distribution in the dermis, hypodermis, fascia, & SMAS layers.

Microscopic image of a skin cross-section, stained to show layers. The upper layer is blue with red, circular structures, and the lower layer is pale with branching patterns.

AFTER XERF — Significantly more intense blue staining indicates increased collagen density, or structural changes caused by the treatment.

What Does XERF Treat?

XERF may be used to address visible signs of skin laxity and loss of firmness.

Depending on your individual treatment plan, areas of concern may include:

Face

Patients may consider XERF for concerns such as:

  • Loss of facial firmness
  • Reduced jawline definition
  • Mild skin laxity
  • Changes in facial contour
  • Fine lines associated with changes in skin quality

Jawline and Neck

The jawline and neck are common areas of concern for patients experiencing changes in skin firmness and definition.

XERF may be used as part of a non-invasive treatment plan to address the appearance of loose skin and reduced definition in these areas.

Body

XERF may also be appropriate for certain areas of the body where skin laxity is a concern.

During your consultation, we’ll evaluate the area you’d like to treat and determine whether XERF RF Treatment is an appropriate option for your goals.

Before & After XERF

Side-by-side photos of a woman before and after skin treatment. The left image shows visible redness and enlarged pores; the right image shows clearer, smoother skin with an even tone.
OUR CLIENT - before & after 2 XERF - post 10 months
Before and after profile views of a woman’s jawline and neck showing reduced fullness following XERF skin tightening.
OUR CLIENT: Before & After: 1 XERF neck
Side-by-side profile photos of an older woman showing facial skin before (left) and after (right) a treatment, highlighting reduced wrinkles and smoother skin in the after image.
OUR CLIENT:
Before & After: XERF 1 tx

What Does a XERF Treatment Feel Like?

One of the most common questions we hear is: Does XERF hurt?

Most patients describe the treatment as a warming sensation. The experience can vary depending on the treatment area, the settings being used, and your individual sensitivity.

Because XERF does not use needles, topical numbing cream is typically not required.

The device includes cooling to help keep the surface of the skin comfortable during treatment.

Your provider will monitor your comfort throughout the session and can adjust the treatment as needed.

How Long Does a XERF Appointment Take?

Treatment time depends on the area or areas being addressed.

Many XERF appointments take approximately 60 to 90 minutes, although your consultation and treatment plan may vary.

One advantage of XERF is that there is generally very little preparation required. Because topical numbing cream is typically not necessary, there is no need to arrive early for numbing.

Is There Downtime After XERF?

XERF requires little to no downtime for most patients.

You may experience temporary redness or warmth following treatment, but many patients are able to return to their normal activities immediately afterward.

Your provider will give you specific aftercare recommendations based on your treatment.

Before & After XERF

Side-by-side comparison of an older woman’s face before and after treatment, showing reduced wrinkles, smoother skin, and more even tone in the “after” image.
OUR CLIENT - before & after 2 XERF
Side-by-side profile photos of an older woman with short blonde hair, showing changes in skin texture and tone, wearing different earrings and clothing in each image.
OUR CLIENT - before & after 2 XERF, 1 mosaic 3D
Before and after comparison of a woman’s face showing a reduction in under-eye puffiness.
OUR EMPLOYEE:
2 XERF and 1 mosaic - 11 months post

When Will You See XERF Results?

Some patients notice subtle changes after treatment, but the most significant improvements generally develop gradually.

Radiofrequency treatments work by creating controlled heating that supports collagen remodeling. Because this process takes time, improvements in skin firmness and appearance can continue to develop over the following weeks and months.

Your individual timeline will depend on factors such as:

  • Your skin condition
  • The treatment area
  • Your treatment plan
  • Your body’s collagen response
  • Your individual goals

During your consultation, we’ll talk about what you can realistically expect and when you may begin to notice changes.

Why Choose XERF?

Medical device labeled “XERF” with a screen and handle, promoting multifrequency, monopolar RF technology for structural skin tightening. Text highlights it as the world’s first of its kind by Cynosure and Lutronic.

Can be combined with other treatments for total rejuvenation

Dual frequency technology = deeper, longer-lasting results

Comfort-focused design = less pain than older RF devices

Non-invasive alternative to surgery

How Many XERF Treatments Will I Need?

2 XERF treatments are recommended but it depends on your individual goals and the condition of your skin.

Some patients may benefit from a series of treatments, while others may have a different treatment schedule based on the areas being addressed.

During your consultation at Electrolysis and Laser by Lani, we’ll create a personalized treatment plan and discuss whether future maintenance treatments may be appropriate.

How Long Do XERF Results Last?

The longevity of XERF results can vary from person to person.

Factors such as age, skin condition, lifestyle, sun exposure, and your body’s natural aging process can all affect how long improvements last.

Because collagen remodeling is gradual, results can continue to develop after treatment. Maintenance treatments may also be recommended as part of a long-term skin rejuvenation plan.

Before & After XERF

Side-by-side comparison of a person’s abdomen before (left) and after (right) a cosmetic procedure, showing reduced skin laxity and smoother skin texture in the after image.
Before & After: Body XERF
Side-by-side photos of a woman’s lower face and neck, showing a noticeable reduction in neck sagging and loose skin in the bottom image compared to the top image.
OUR CLIENT:
Before & After: XERF 1 neck
A side-by-side comparison of a person’s upper arm before and after a treatment, showing less sagging skin and a smoother appearance in the after image.
Before & After: Body XERF

Is XERF Safe?

XERF is a non-invasive radiofrequency treatment designed with built-in treatment monitoring and cooling technology.

As with any aesthetic treatment, whether XERF is appropriate for you depends on your skin, medical history, treatment goals, and other individual factors.

During your consultation, we’ll review your concerns and help determine whether XERF or another treatment is the right option for you.

XERF has been featured in professional publications including Dermascope, and has FDA clearance. You can read about all of the details on Cynosure Lutronic XERF product page.

Can XERF Be Combined With Other Treatments?

Yes. Depending on your goals, XERF may be combined with other aesthetic treatments as part of a customized treatment plan.

For example, some patients combine XERF with Genius RF Microneedling.

The two treatments address different concerns:

  • XERF can focus on skin laxity, firmness, and definition.
  • RF microneedling can focus more heavily on texture, acne scars, pores, and fine lines.

For patients experiencing both skin laxity and texture concerns, combining treatments may provide a more comprehensive approach.

Other treatments may also be recommended depending on your goals.

The timing and combination of treatments should always be customized based on your skin and treatment plan.

Why Choose Lani Laser for XERF in Chandler, AZ?

Lani Laser has been providing advanced aesthetic treatments to clients in Chandler and the East Valley for more than 37 years.

Our team has received training on the XERF skin tighening system and can help you determine whether it is an appropriate treatment for your individual concerns.

What matters most to us is helping you choose the treatment that makes sense for your goals.

That may be XERF on its own. Or it may be a combination of treatments designed to address multiple concerns, such as, Genius RF Microneedling, LaseMD Ultra and Mosaic 3D.

During your consultation, we’ll evaluate your skin, talk about what you’re hoping to improve, and walk you through your options.

We proudly serve clients throughout Chandler and the East Valley, including Gilbert, Mesa, Tempe, Scottsdale, and Ahwatukee.

Before & After XERF

Side-by-side close-up of an older woman before and after a treatment; left side shows puffiness and wrinkles, right side shows smoother skin and less puffiness.
OUR CLIENT:
Before and After: 3 XERF
2 XERF
OUR CLIENT:
Before & After: 2 XERF

Frequently Asked Questions

XERF is a non-invasive radiofrequency treatment designed to support collagen remodeling and improve the appearance of skin firmness, laxity, and definition.

Unlike RF microneedling, XERF delivers energy through the surface of the skin without using needles.

F as a warming sensation.

The treatment includes cooling technology to help keep the surface of the skin comfortable, and topical numbing cream is typically not required.

Individual comfort levels can vary.

XERF requires little to no downtime for most patients.

Some temporary redness or warmth may occur, but many people return to their regular activities after treatment.

The number of treatments depends on your skin, treatment goals, and the areas being addressed.

Your provider can recommend a personalized treatment plan during your consultation.

Some patients may notice subtle changes after treatment, while additional improvements develop gradually as collagen remodeling occurs.

Your individual results and timeline will vary.

Yes. Some patients combine XERF and RF microneedling to address both skin laxity and texture concerns.

Your provider can recommend an appropriate treatment plan and schedule based on your individual goals.

XERF may be used on areas where skin laxity, loss of firmness, or reduced definition are concerns.

Common areas of interest include the face, jawline, neck, and certain areas of the body.

A colorful, abstract clay mask by AZ features exaggerated facial features, textured hair, droopy eyes, a protruding nose, a red tongue sticking out, and a large beaded earring. The unique creation by Lani Laser Chandler is set against a striking black background.

Schedule a XERF Consultation in Chandler, AZ

If you’re interested in learning whether XERF is right for you, the best next step is a personalized consultation.

At Lani Laser, we’ll evaluate your skin, discuss your goals, and help you understand whether XERF RF Treatment or another treatment is the best fit.

We serve clients throughout Chandler, Gilbert, Mesa, Tempe, Scottsdale, Ahwatukee, and the surrounding East Valley.

Schedule your consultation or call us at (480) 730-6701 to learn more about XERF skin tightening at Lani Laser.

CERAMIC FACES MADE BY LANI. *Results not typical.

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White graphic with large, faint cursive text in the center, possibly reading “Lani.” At the bottom, smaller text reads: “electrolysis • laser • med spa.” The background is also white, highlighting the clean and modern aesthetic of Lani Laser Chandler, AZ.