XERF Skin Tightening in NYC
FDA-cleared structural skin tightening — firms lax skin, softens facial lines and wrinkles, and supports a more lifted, refined appearance. No surgery. No needles. No significant downtime.
XERF is a non-invasive, dual-frequency monopolar radiofrequency treatment that works beneath the surface to stimulate collagen and elastin production. Over time, skin appears tighter, smoother, and more lifted — with results that look natural because they come from your skin's own renewal process.
XERF is designed for comfort, with built-in cooling technology and real-time temperature monitoring that keep the experience controlled and tolerable throughout.
XERF at Journelle Skin, NYC
XERF is offered at Journelle Skin as a non-surgical option for patients who want firmer, tighter-looking skin without the recovery of more invasive procedures. It is well-suited for improving facial lines and wrinkles, enhancing brow support, refining the jawline, and addressing mild to moderate laxity in the face and neck.
At Journelle Skin, XERF treatment is tailored to each patient's anatomy and goals. Skin quality, degree of laxity, and the areas you want to address all inform how treatment is planned and delivered.
Please note: XERF is ideal for patients seeking non-surgical tightening and collagen support. A consultation is required to assess candidacy — outcomes depend on skin quality, laxity, and which areas you want to refine.
How XERF Works
XERF uses monopolar radiofrequency energy to deliver controlled heat into the deeper, collagen-rich layers of the skin. This thermal stimulation causes existing collagen to contract and triggers the gradual production of new collagen and elastin over the weeks and months that follow.
What sets XERF apart from earlier RF technologies is its dual-frequency design. By combining two frequencies — 6.78 MHz and 2 MHz — in a single session, XERF can deliver energy across multiple depths of facial tissue simultaneously. The higher frequency addresses the more superficial layers, while the lower frequency penetrates deeper for more structural lift.
Treatment depth can be adjusted depending on the area — forehead, mid-face, jawline, neck — allowing for a tailored approach that accounts for the anatomy of each zone. Results develop over time as new collagen matures, with most patients noticing continued improvement for up to three months after treatment.
What XERF Can Help Improve
XERF is most commonly used for patients experiencing early to moderate signs of skin laxity who want to address them without surgery. It is especially well-suited for:
Facial Lines & Wrinkles
XERF softens fine lines and deeper creases by stimulating collagen remodeling in the skin layers where these changes originate.
Skin Laxity
Patients with mild to moderate looseness in the face, jaw, or neck see meaningful improvement in firmness and tone after treatment.
Jawline Definition
XERF is effective along the jawline and jowl area, helping to restore definition that has softened over time.
Brow Support
Treatment of the forehead and brow area can improve brow positioning and reduce the heaviness that develops with age.
Neck & Décolletage
XERF can treat laxity and crepiness in the neck and upper chest, areas that are often overlooked in facial rejuvenation.
Preventative Tightening
Younger patients use XERF proactively to slow the early signs of aging and support collagen levels before significant laxity develops.
Who Is a Good Candidate for XERF?
XERF is best suited for adults in good general health who are beginning to notice skin laxity, softening of the jawline, or loss of firmness in the face and neck — and who want to address these changes without surgery or extended downtime.
It is particularly effective for patients with mild to moderate laxity. Those with more significant sagging may find that surgical options produce more dramatic results, and a consultation can help determine the most appropriate path.
XERF is safe for all skin tones, as radiofrequency energy does not target melanin the way many lasers do. It is also a strong option for patients who want a comfortable, predictable treatment experience — the built-in cooling system and real-time monitoring mean the procedure is well-tolerated without numbing cream or anesthesia.
Ideal candidates:
Adults with mild to moderate skin laxity in the face or neck who want non-surgical tightening and firming.
Patients who are not ready for surgery but want more than topical skincare can provide.
Younger patients looking to support collagen levels and slow early signs of aging.
Patients of all skin tones — XERF is safe and effective regardless of Fitzpatrick type.
Treatment Details
Downtime
Minimal. Mild redness or warmth is possible immediately after treatment and typically resolves within a few hours. Most patients return to their normal routine the same day.
Results Timing
Some patients notice an immediate improvement in skin tightness. More significant results develop over 4–12 weeks as new collagen matures, with continued improvement for up to three months.
Procedure Type
Non-invasive, FDA-cleared dual-frequency monopolar radiofrequency skin tightening. No needles, no surgery, no anesthesia required.
Sessions
Treatment plans vary. Some patients achieve their goals in a single session; others benefit from a series spaced several weeks apart. Maintenance treatments are typically recommended once or twice a year.
Results Duration
Results typically last 12 to 18 months, depending on the individual and the areas treated. A maintenance plan can help extend and preserve outcomes over time.
Treatment Time
Most full-face XERF sessions are completed in under an hour. Targeted treatments for smaller areas may take less time.
XERF vs. Thermage: What's the Difference?
Both XERF and Thermage are monopolar radiofrequency treatments used for non-surgical skin tightening, and both are offered by qualified providers in NYC. The primary distinction is in how they deliver energy.
Thermage uses a single radiofrequency frequency (6.78 MHz), which targets collagen stimulation effectively in the more superficial to mid layers of the skin. XERF combines two frequencies — 6.78 MHz and 2 MHz — in a single session, allowing it to address multiple tissue depths simultaneously. XERF also uses a larger treatment tip (6 cm² vs. 4 cm²) and delivers more energy per session.
In practical terms, XERF may offer a more efficient treatment time and broader depth coverage, while Thermage has a long clinical track record. The right choice depends on your individual anatomy, skin condition, and goals. A thorough consultation helps determine which approach is most appropriate.
Frequently Asked Questions
What is XERF skin tightening?
XERF is an FDA-cleared, non-invasive monopolar radiofrequency treatment that delivers controlled heat into the deeper layers of the skin to stimulate collagen and elastin production. It is the first multifrequency monopolar RF system, combining two frequencies — 6.78 MHz and 2 MHz — to treat multiple tissue depths in a single session. The result is firmer, tighter, more lifted-looking skin without surgery or significant downtime.
How is XERF different from Thermage?
Both treatments use monopolar radiofrequency energy, but XERF's dual-frequency design allows it to target multiple skin depths simultaneously — something single-frequency devices like Thermage cannot do in one pass. XERF also features a larger treatment tip and delivers more energy per session. Your provider can help determine which is better suited for your specific concerns.
What areas can XERF treat?
XERF is most commonly used on the face and neck, including the forehead, brows, mid-face, jawline, and décolletage. It is effective for mild to moderate skin laxity, fine lines and wrinkles, early jowling, and loss of definition along the jawline and neck.
How long do XERF results last?
Results from XERF typically last 12 to 18 months, depending on the individual and the areas treated. Many patients choose to maintain their results with annual or semi-annual follow-up sessions.
Is there downtime after XERF?
XERF requires minimal to no downtime. Some patients experience mild redness or warmth immediately after treatment, which typically resolves within a few hours. Most patients return to their normal routine the same day. Makeup can typically be worn the same day.
How many XERF sessions will I need?
Treatment plans are individualized. Some patients achieve satisfying results in a single session, while others benefit from a series of treatments spaced several weeks apart. Your provider at Journelle Skin will discuss a plan that fits your goals and skin condition during your consultation.
Does XERF require numbing or anesthesia?
No. XERF's built-in cooling system and Wave Fit Pulse technology manage heat delivery and comfort throughout the procedure. Most patients describe the sensation as warm pulses or brief flashes of heat. Numbing cream or anesthesia is not required.
Who is a good candidate for XERF in NYC?
XERF is best suited for adults with mild to moderate skin laxity who want to improve firmness and tone without surgery. It is also a strong preventative option for younger patients beginning to notice early signs of aging. XERF is safe for all skin tones. A consultation is required to confirm candidacy and discuss your specific goals.
Schedule a XERF Consultation in NYC
If you're looking for a non-invasive way to tighten and firm your skin, schedule a consultation at Journelle Skin to see if XERF is the right treatment for you.
Book NowNoHo NYC Dermatology Office
14 E 4th Street Suite #406, New York, NY 10012
Tel / Fax: 212.918.5011