XERF Skin Tightening

Consultations offered at our two convenient locations in Phoenix and Scottsdale

XERF™ by Cynosure® Lutronic® is a Korean skin-tightening technology that rejuvenates via radiofrequency (RF) energy. XERF uses multiple wavelength frequencies to tighten and smooth the superficial, middle, and deeper layers of the skin—effectively addressing skin concerns from the inside out. (1)

Phoenix Skin Medical, Surgical & Cosmetic Dermatology is one of Arizona’s leading practices.

If you are ready to schedule a consultation and learn more about XERF, please contact us online or call the office most convenient for you:

About XERF Skin Tightening

The XERF system is an innovative treatment that can effectively tighten the skin and stimulate the production of new collagen. This FDA-approved device is the world’s first multifrequency monopolar RF treatment, which means it emits two different frequencies. (2) It can deliver energy into different layers of the skin and can penetrate down as far as the superficial musculoaponeurotic system (SMAS). This is the fibrous network of tissue that covers facial muscles and provides structural support. (3) This means that XERF can address both superficial and deeper facial tissues, allowing you to significantly rejuvenate your appearance without the need for surgical incisions, anesthesia, scarring, or lengthier recovery times.

This treatment originates from South Korea, one of the countries most renowned for its aesthetic treatments, technologies, and product innovations. XERF is manufactured and developed by Cynosure® Lutronic®, a global leader in aesthetics that boasts a wide portfolio of body contouring, hair removal, and skin revitalization treatments.

Benefits

XERF provides several benefits, including:

  • Tighter Skin: The primary benefit of XERF is its ability to tighten the skin and reduce the appearance of wrinkles, creases, and fine lines to restore a more defined and youthful-looking appearance overall.
  • Neocollagenesis: XERF can stimulate the production of new collagen, leading to improvements in the thickness, appearance, and elasticity of the skin. (4)
  • Non-Invasive Techniques: This system uses radiofrequency energy to tighten the skin, avoiding the need for anesthesia, incisions, needles, or a lengthy downtime.
  • Deeper Treatment: XERF emits multiple wavelengths to treat each level of skin and tissue and can penetrate as far down as the SMAS layer.
  • Personalized Approaches: We customize each treatment plan according to each patient’s skin type and personal goals, as there is no singular approach to skin rejuvenation.
  • Safe for All Skin Types: Our team of medical professionals can perform XERF on all skin tones and types, even patients with melasma.
  • No Downtime: Unlike many other laser treatments and procedures, XERF offers an immediate return to each of your daily activities.

Candidates

It may be time to consider XERF if you have found yourself frustrated with loose skin, thinning skin, or visible signs of aging across various regions of your face, and if you want to avoid the need for needles or surgical intervention.

For the best results, you should be in good general health without any underlying medical concerns or skin conditions that may affect treatment or recovery. It is also important that you maintain realistic expectations regarding your outcomes. Our team of licensed medical experts will assess your candidacy during your consultation.

Personal Consultation

During the personal consultation, you will meet with a member of our licensed medical team to learn more about XERF and its benefits. They will ask several questions to learn more about your medical history, personal goals, and desired results. They will also perform a physical examination to assess your skin’s health and quality. Our team will then use these details to create a customized solution for you.

To schedule this consultation and receive your personalized treatment plan, please contact us online. Alternatively, you may reach us by calling:

Preparation

If you decide to proceed with treatment, our team of licensed medical experts will provide you with a detailed set of preparation instructions. Preparing for XERF skin tightening is fairly straightforward:

  • Avoid taking any medications or supplements that contain blood-thinning properties.
  • Stop the use of retinoids or any harsh/irritating products before your treatment.
  • Refrain from tanning and unprotected sun exposure.
  • Stay hydrated.
  • Arrive at your appointment with clean skin.

Procedure

Our licensed medical team will perform your XERF treatment in our office, with each treatment session lasting between 30 and 60 minutes. The treatment does not require anesthesia.

Your skin specialist will then pass the XERF handpiece over the targeted treatment area. The device will emit two different wavelengths of energy to address superficial and underlying layers of facial tissue, with the energy penetrating as deep as the SMAS layer.

The XERF system features Wave Fit™ pulse technology to control RF energy delivery, and Advanced Integrated Cryogen Delivery cooling technology to control the skin’s temperature. The Never-Numb™ design means patients do not require additional numbing agents, as the treatment is comfortable. Treatment feels more like a hot stone massage than a painful procedure. The XERF system will adapt its intensity and depth settings according to your skin’s needs using Accurate Impedance Feedback, authentically personalizing each experience. (2)

Recovery

Unlike traditional laser treatments or skin-tightening procedures, XERF requires zero downtime, which means you may return to your routine as soon as your appointment is over. Some warmth or redness may be present in the treated areas afterwards, but these effects will subside on their own shortly.

You should still follow certain guidelines after your treatment to ensure your skin heals properly. These typically include avoiding unprotected sun exposure, refraining from wearing makeup (the day of), and avoiding the use of retinoids/harsh skin care products. Our team of licensed professionals will provide further information in person.

XERF Skin Tightening Results

You will notice an immediate improvement in the appearance of your skin, but final outcomes will refine as collagen levels continue to rise. When they do, your skin will look and feel smoother and tighter, as this treatment can improve mild laxity and soften visible signs of aging.

The results of XERF are considered long-lasting and peak at approximately 12 to 18 months. For the best results, we advise undergoing two treatments, spaced four to six weeks apart. To preserve the effects of the treatment, we recommend an effective skincare regimen and wearing the proper sun protection at all times.

Where Can I Use XERF?

FACE

Cheeks, jawline, jowls

NECK

Neck and Under-Chin, décolleté (Chest)

EYES

Upper and lower eyelids

BODY (Coming soon)

Upper arms, abdomen (especially after weight loss or pregnancy), thighs. knees

Cost of XERF in Phoenix, Arizona

Our team will discuss costs with you after establishing your treatment plan. Packages start at $3,000 for two treatment sessions per area and $2,000 for a single treatment session per area. Our aestheticians can explain the different areas and combinations and put together a package that works best for you.

A $75 non-refundable fee is required to schedule an appointment or consultation and can be applied towards treatment. Less than 24-hour notice for cancellation and/or no show will result in a forfeiture of the $75. When shopping prices, always keep in mind that Phoenix Skin is a physician-led practice and our aestheticians do not have a tip line (almost every clinic in the greater Phoenix area has a tip line, so assume you will add 20% more to any prices you are quoted). At Phoenix Skin, we believe in straightforward pricing. Our aestheticians are fully compensated, so you never have to tip. We focus on delivering the best care, with no hidden costs or expectations.

For further information about our pricing, please schedule a consultation online or call the office closest to you:

FAQ

What is XERF?

XERF is a new Korean skin-tightening treatment that can tighten loose skin to restore a more youthful-looking appearance. It emits multifrequency RF energy to contract the skin and stimulate new collagen in the treatment area to improve the quality of the skin as well.

Is XERF safe for all skin types?

Yes, XERF can safely be performed on all skin types and tones. The treatment is exceptionally gentle, so it is even great for patients with sensitive skin.

Will my XERF treatment hurt?

XERF is equipped with self-adapting technology and cryogenic cooling to maintain each individual’s comfort throughout each treatment session. It does not require numbing agents because of its temperature and safety regulations.

How many treatment sessions will I need?

We typically recommend undergoing two different treatment sessions spaced approximately four to six weeks apart. However, every case is unique, so you may need to attend a personal consultation for your customized plan.

How long will it take to perform my XERF treatment?

Each treatment session will last approximately 30 to 60 minutes, depending on the size of the treatment area and the concerns being addressed.

How will I know if I am a candidate for XERF?

Attending a personal consultation is the best way to determine your candidacy for XERF. During this meeting, our team of medical experts can evaluate your medical history, personal concerns, and skin health to determine whether XERF or another treatment will be the most suitable for you.

References

  1. Dual-Frequency Non-invasive Monopolar Radiofrequency for Periorbital Tightening: Introduction of Novel Small Treatment Tips. Nih.gov. Published 2024. Accessed June 8, 2026. https://pmc.ncbi.nlm.nih.gov/articles/PMC12788910/#sec3
  2. XERF – Structural Skin Tightening – Cynosure Lutronic. Cynosure Lutronic. Published September 29, 2025. https://www.cynosure.com/xerf/
  3. Whitney ZB, Jain M, Zito PM. Anatomy, Skin, Superficial Musculoaponeurotic System (SMAS) Fascia. PubMed. Published 2020. https://www.ncbi.nlm.nih.gov/books/NBK519014/
  4. Hong J, Ryu HG, Park C, et al. Efficacy of dual‐frequency noninvasive monopolar radiofrequency in skin tightening: Histological evidence. Skin Research and Technology. 2024;30(6). doi:https://doi.org/10.1111/srt.13821