XERF
Concierge-Style Primary Care, Wellness & Longevity Clinic in El Dorado Hills, CA
XERF Structural Skin Tightening
If your skin has started to feel a little less firm — a softer jawline, looser skin along the neck, or that subtle loss of definition that seems to happen almost overnight — you’re not imagining it. Collagen and elastin naturally slow down as we age, and the structural support that once kept your skin lifted and tight gradually diminishes.
At The MD Aesthetics in El Dorado Hills, we offer XERF — one of the most advanced non-invasive skin tightening treatments available today. No surgery. No numbing cream. No recovery time. Just real, gradual results that look like you, only refreshed.
What Is XERF?
XERF is the world’s first multifrequency monopolar radiofrequency (RF) skin tightening treatment, developed by Cynosure Lutronic. Unlike older RF devices that treat only a single layer of skin, XERF uses two distinct frequencies — 6.78 MHz and 2 MHz — to reach the shallow, middle, and deep layers of skin in one session.
That matters because real lifting and firming happen at every level, including the deep structural tissue layer (called the SMAS) that plays a big role in how defined your face and neck look. By delivering controlled heat throughout all these layers, XERF triggers your body’s natural collagen-building process — gradually firming and tightening skin from the inside out.
Think of it as a workout for your skin’s structural foundation.
What Areas Can XERF Treat?
XERF is most commonly used on the face and neck but is highly versatile. It can address:
- Jawline and jowls
- Cheeks and mid-face
- Brow and forehead area
- Neck and décolletage
- Arms, abdomen, and thighs
Whether you’re noticing early sagging or want to maintain results after other treatments, XERF fits beautifully into your overall aesthetic plan.
Why Our Patients Love It
No needles, no downtime. XERF is entirely non-invasive. The handpiece glides over your skin while built-in cryogen cooling keeps the surface comfortable throughout. Most people walk out with only mild redness that fades within a few hours.
It works at every depth. Older RF treatments target just one skin layer. XERF reaches three — which means more comprehensive tightening and better long-term results.
Gradual, natural-looking improvement. Because XERF stimulates collagen over time, results continue to develop in the weeks after your treatment. Skin gets firmer, smoother, and more lifted — without looking “done.”
Fully personalized. Every treatment at The MD Aesthetics is tailored to your unique skin profile. Our board-certified team adjusts energy depth and delivery based on your specific anatomy and goals.
What to Expect at Your Appointment?
A typical XERF session takes about 45–60 minutes depending on the area treated. Your provider will map out the treatment zones and glide the device gently across the skin. You may feel a mild warmth — but most patients find it quite comfortable.
There’s no required downtime, making it an easy fit for a weekday appointment. Many patients benefit from a series of sessions spaced a few weeks apart for optimal collagen stimulation, and your provider will recommend the right plan during your consultation.
Frequently Asked Questions
Is XERF painful?
Most patients describe it as a warm, comfortable sensation. The built-in cooling system protects the skin surface throughout the treatment, so numbing cream is rarely needed.
How soon will I see results?
Some patients notice improvement after a single session. Because XERF works by stimulating collagen production, the full effect continues to develop over several weeks to months.
How many treatments will I need?
It depends on your skin’s condition and goals. Some patients are happy with one treatment; others benefit from a series of two to four sessions. We’ll map this out with you during your consultation.
Is XERF safe?
Yes. XERF is FDA-cleared and backed by years of clinical use. At The MD Aesthetics, all treatments are overseen by our physician-led team to ensure your safety and the best possible outcome.
Who is a good candidate for XERF?
XERF works well for adults experiencing mild to moderate skin laxity who want to tighten and lift without surgery. It’s also a great option for those looking to maintain and enhance results from other treatments.
Can XERF be combined with other treatments?
Absolutely. XERF pairs well with injectables, microneedling, and other skin rejuvenation services. Your provider can recommend a combined approach tailored to your goals.
Ready to Try XERF?
Call The MD Aesthetics at 916-294-7428 or schedule your consultation online. We’re located at 4355 Town Center Blvd, Suite 210, El Dorado Hills, CA 95762 — and we’d love to help you feel at home in your skin again.