XERF

XERF is a modern non-invasive technology designed to tighten the skin, improve its quality and enhance the natural contours of the face. It uses monopolar radiofrequency energy at two frequencies – 6.78 MHz and 2 MHz – allowing treatment at different tissue depths.

Controlled heating acts on collagen structures and initiates their subsequent remodeling. The goal is not to change facial features, but to support skin firmness and its natural structure.

XERF is particularly suitable for patients with early to moderate loss of skin firmness who want to improve facial contours without surgery, needles or a long recovery period.

Suitability is not determined by age alone. Skin quality and thickness, the amount of subcutaneous fat, facial anatomy and the degree of laxity all play an important role. This is why every treatment is preceded by an individual assessment.

On the face, XERF is primarily used in areas where a gradual loss of skin firmness becomes visible – the cheeks, the lower third of the face, along the jawline and beneath the chin.

The extent and parameters of the treatment are adapted to the anatomical characteristics of each individual face. It is therefore not the same protocol for every patient.

Yes, but with a slim face, correct treatment settings are particularly important.

Subcutaneous fat is an important component of youthful facial volume. Unwanted loss of this tissue may, in some facial types, accentuate signs of aging rather than reduce them.

XERF allows us to adapt the method and depth of treatment to the patient’s anatomy. For slim faces, we therefore choose a more conservative, precisely targeted protocol focused on skin tightening while preserving the natural proportions of the face.

XERF and HIFU are two different technologies.

HIFU uses focused ultrasound energy, while XERF works with monopolar radiofrequency energy. They differ in the way heat is generated and distributed, as well as in how they affect individual tissue layers.

That is why the important question is not simply which technology is “better”. What matters is which technology is more appropriate for a particular face, skin quality and the specific concern we want to address.

During the treatment, patients primarily experience gradually increasing warmth. The parameters are adjusted according to the treatment area and the patient’s individual tolerance.

One of the advantages of XERF is that it does not use needles and does not disrupt the surface of the skin. Patient comfort is continuously monitored throughout the procedure, and the energy intensity can be adjusted accordingly.

Initial changes in skin firmness and facial contours may be visible shortly after treatment.

However, the result does not end there. The thermal stimulus initiates collagen remodeling processes that continue gradually over the following weeks and months. We therefore assess the result not only immediately after the procedure, but particularly over time.

It is a combination of an early effect and a gradually developing biological response of the skin.

For many patients, a visible effect may be achieved after the first XERF treatment. However, the number of treatments required depends on the initial condition of the skin, the degree of laxity and the individual’s tissue response.

For mild laxity, a single treatment may be sufficient, with the result continuing to develop over the following weeks and months as collagen remodeling progresses.

For moderate to more pronounced skin laxity, repeating the treatment may be appropriate to achieve a better result. The number and interval of additional treatments are determined individually according to the clinical findings and the skin’s response.

We therefore do not view XERF as a treatment course with a mandatory predetermined number of sessions, but rather as an individually tailored lifting therapy based on the needs of each individual face.

In cases of very significant excess skin, however, it is important to be clear that non-invasive technologies have their limitations and cannot replace the results of an appropriately indicated surgical facelift.

XERF does not disrupt the surface of the skin and therefore generally does not require a traditional healing period. Immediately after treatment, the skin may temporarily feel warmer or appear slightly red.

Most patients can quickly return to their normal daily activities. However, individual skin reactions may vary.

This also makes XERF an interesting option for patients who want to improve skin firmness without having to plan for an extended recovery period.

XERF results develop gradually, and their duration varies from person to person. It depends on age, skin quality, degree of laxity, lifestyle and the natural aging process.

Because gradual collagen remodeling is part of the treatment’s effect, the result may continue to develop even after the procedure itself.

XERF cannot, of course, stop the biological aging of the skin. The goal is to support its firmness and quality. Depending on the individual assessment, the treatment may be repeated in the future as part of a long-term plan for caring for the aging face.