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Smooth Wrinkles. Lift the Brow. Improve Facial & Neck Laxity.
XERF™ is a next-generation multifrequency monopolar radiofrequency treatment designed for structural skin tightening. By combining 6.78 MHz and 2 MHz RF energy, XERF delivers controlled energy across shallow, middle, and deep treatment levels to address facial lines and wrinkles, brow position, and facial and neck laxity.
At Optima Medical, XERF treatments are personalized around your skin, anatomy, and aesthetic goals. Advanced energy delivery and integrated cooling technology work together to create a warm, comfortable treatment experience while prioritizing patient comfort and natural-looking results.
With no needles, no numbing, and no downtime, XERF offers a non-surgical approach to improving skin firmness and laxity while supporting continued collagen remodeling over time.
Ready to discover what XERF can do for your skin? Book a consultation with Optima Medical to receive a personalized treatment plan based on your concerns and goals.
Not all radiofrequency treatments deliver energy in the same way. XERF uses multifrequency monopolar RF technology, combining 6.78 MHz and 2 MHz radiofrequency energy to treat at shallow, middle, and deep levels.
This allows your provider to customize energy delivery across different treatment depths based on the area being treated and your individual goals.
WHY XERF IS DIFFERENT
6.78 MHz + 2 MHz RF Energy
Three Treatment Depths
WaveFit™ Pulse
Integrated Cryogen Delivery
Together, WaveFit™ Pulse and Integrated Cryogen Delivery are designed to balance controlled RF energy delivery with surface cooling for a warm, comfortable treatment experience.
A 2026 prospective multicenter study involving 39 patients who received two XERF treatment sessions reported clinician-rated improvement in:
of patients at 30 days
of patients at 90 days
The study also reported high patient satisfaction and no persistent adverse events. Individual outcomes vary, and these study findings do not guarantee individual treatment results.
Reduce the Appearance of Fine Lines & Wrinkles
Improve Facial & Neck Laxity
Improve Jawline Definition & the Appearance of Jowls
Support Non-Invasive Brow Lifting
Improve the Appearance of Skin Firmness
Support Continued Collagen Remodeling Over Time
Needle-Free
No Numbing Required
No Downtime
Suitable for a Broad Range of Skin Tones
No Photosensitivity / Available Year-Round
Adults Concerned With Facial Lines & Wrinkles
Patients Noticing Facial or Neck Laxity
Patients Concerned With Jawline Definition or Jowling
Patients Interested in Non-Invasive Brow Lifting
Patients Seeking Non-Surgical Structural Skin Tightening
Patients Who Want a Treatment With No Downtime
Experienced Providers & Personalized Treatment Plans
Advanced Multifrequency RF Technology
Comfortable, Needle-Free Treatments
No Downtime
Natural-Looking Results Focused on Your Goals
Achieve firmer, tighter, and smoother-looking skin with next-generation XERF structural skin tightening at Optima Medical. Your treatment plan is personalized based on your skin, treatment area, and aesthetic goals.
None
None Required
4–6 Weeks
Minimum of 2 Treatments
Approximately 45–60 Minutes, Depending on Treatment Area
Designed for a Warm, Comfortable Treatment Experience
No Photosensitivity / Available Year-Round
How does XERF skin tightening work?
XERF is a next-generation multifrequency monopolar radiofrequency treatment that combines 6.78 MHz and 2 MHz RF energy. Unlike treatments that focus on a single depth, XERF delivers controlled RF energy across shallow, middle, and deep treatment levels.
The treatment supports your body's natural collagen remodeling process while addressing facial lines and wrinkles, brow position, and facial and neck laxity. Your treatment is customized based on your anatomy, skin concerns, and aesthetic goals.
Is XERF treatment painful?
XERF is designed with comfort in mind. Most patients describe the treatment as warm and comfortable.
Integrated Cryogen Delivery helps cool the skin surface, while WaveFit™ Pulse manages RF energy delivery. No needles are used, and topical numbing is not required.
How many XERF treatments will I need?
At Optima, a minimum of two XERF treatments is recommended, typically spaced 4–6 weeks apart.
The exact treatment plan may vary depending on your skin condition, treatment area, and aesthetic goals. Follow-up treatment may also be recommended based on your individual response and goals.
Is there downtime after XERF?
No. Patients can resume normal daily activities immediately after treatment.
Temporary warmth, redness, or mild swelling may occur in some patients following treatment.
When will I see XERF results?
You may notice an immediate tighter feeling after treatment. Collagen remodeling continues over the following weeks, with results becoming progressively more visible over time.
Optima's treatment guidance notes that results may become evident around one month and continue developing for up to six months following treatment. Individual results may vary.
Can XERF lift the brow?
Yes. XERF is indicated in Canada for non-invasive eyebrow lifting. RF energy can be delivered to appropriate areas of the upper face to support a more lifted appearance of the brow.
Your provider will assess your anatomy and treatment goals to determine whether brow treatment is appropriate for you. Individual results may vary.
Is XERF suitable for different skin tones?
XERF uses radiofrequency energy rather than light-based energy that targets skin pigment. Cynosure's XERF patient materials indicate that RF energy does not interact with melanin in the same way as certain laser technologies, making XERF suitable for a broad range of skin tones.
Your provider will assess your skin and medical history before treatment to determine whether XERF is appropriate for you.
Can XERF be performed year-round?
Yes. XERF is not a photosensitive treatment, so it can be performed throughout the year without the seasonal limitations associated with some light- and laser-based procedures.
Your provider will advise you on appropriate skincare and any treatment-specific instructions.
What areas can XERF treat?
In Canada, XERF is indicated for facial lines and wrinkles, eyebrow lifting, and facial and neck laxity.
Depending on your concerns and anatomy, treatment may focus on areas such as the brow, cheeks, lower face, jawline, submental area, and neck. Your provider will determine the appropriate treatment areas during your consultation.
Contact
Book your appointment today and experience the tailored care, expertise, and advanced treatments that make Optima Medical your ideal destination for achieving lasting beauty. Your journey begins here—where confidence meets care.
Whether you're noticing facial lines, changes in skin firmness, a less-defined jawline, jowls, brow changes, or facial and neck laxity, XERF offers a non-surgical approach designed around your individual concerns.
Meet with an experienced Optima Medical provider to determine whether XERF is right for you and build a personalized treatment plan around your skin and aesthetic goals.
