XERF is a non-surgical radiofrequency treatment that reaches three layers of the skin to tighten skin, reduce sagging of the face and neck, and improve the look of lines and wrinkles. Available in Houston and Bellaire, TX.
6.78 MHz and 2 MHz combined for deeper treatment
Shallow, middle and deep layers treated
XERF is described by its maker, Cynosure Lutronic, as the world’s first multifrequency monopolar radiofrequency treatment that penetrates three layers, a 3-in-1 treatment. It is used for skin tightening, reduction of facial and neck sagging, and improvement in the appearance of facial lines and wrinkles.
XERF delivers energy at multiple depths to tighten skin from within. Shallow, middle and deep layers each respond differently.
Energy reaches the epidermis and dermis, where XERF stimulates collagen for immediate skin tightening.
Energy continues into the subcutaneous layer and fascia, tightening collagen fibers so they become thicker and the skin feels firmer.
Energy reaches the deepest layer, down to the SMAS, the supportive tissue beneath the skin. Skin cells become more active and collagen production increases.
Works with 2 MHz for deeper treatment while maintaining optimal levels of heat
Reaches deeper than traditional single-frequency monopolar RF
Epidermis and dermis
Subcutaneous layer and fascia
Deep layer
XERF delivers real thermal energy to living tissue. Getting depth, intensity and pattern right for your skin calls for medical judgment, not just a settings dial. At this practice, Dr. Latif performs every session herself.
From consultation through the final pass of the device, with no hand-offs to staff.
Dr. Latif is double-board-certified in Internal Medicine and Obesity Medicine and reviews your skin, health history and goals first.
Depth and intensity are adjusted throughout your session based on how your skin responds.
The person who assesses you is the person who customizes and performs your treatment.
Comparison from the manufacturer’s patient consultation guide.
| Face/neck lift | Microneedling | XERF | |
|---|---|---|---|
| What it does | Surgical procedure that removes excess skin and tightens tissue | Stimulates collagen for mild skin tightening | Stimulates collagen production deep within the skin for tightening |
| Approach | Invasive | Minimally invasive | Non-surgical |
| Anesthesia / numbing | Anesthesia | Numbing | None |
| Procedure time | 3 hours | Under 1 hour | Under 1 hour |
| Downtime | 1–2 weeks (swelling, bruising) | 2–7 days (swelling, redness) | Minimal (redness) |
Histology images from Cynosure Lutronic’s R&D center (Masson’s trichrome staining) show more intense collagen staining after XERF, which indicates increased collagen density. The technology is supported by published studies.
Choose the area you want treated. Dr. Latif will confirm the right plan for your skin and goals at your consultation.
Treatment of the upper face and forehead area.
Treatment of the lower face and the neck.
Dr. Pernia Latif, MD, personally performs every XERF treatment at this practice. Your session is never delegated to a technician, aesthetician or medical assistant.
Most patients find XERF comfortable. Some feel a warm sensation, but it is generally well tolerated with mild discomfort. No numbing cream or needles are used.
No. You can return to normal activities immediately. You might have mild redness, which usually subsides quickly.
Typically, two initial sessions are recommended, depending on your goals and the area treated. Dr. Latif will build a plan for you during your consultation.
Some tightening may be visible immediately, with more noticeable improvement developing over the next 3 to 6 months.
Usually 30 to 60 minutes, depending on the size of the area.
Ideal candidates have mild to moderate skin sagging and are generally in good health. Most medical conditions do not prevent treatment, but please discuss your health history with Dr. Latif.
Yes. According to the manufacturer, XERF is suitable for all skin tones and is designed to work effectively regardless of skin color.
XERF is a non-invasive procedure backed by scientific research, with minimal risks or side effects according to the manufacturer. Dr. Latif will review whether it is right for you during your consultation.
During your consultation, Dr. Latif will discuss whether XERF, alone or alongside other services such as microneedling or PRFM, fits your goals.
Dr. Latif will assess your skin and health history and tell you whether XERF is the right fit.
6300 W Loop S, Suite #300, Bellaire, TX 77401 · pernialatifmd.org/appointment
The XERF RF system is intended for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis. All instances of the term “skin tightening” are used to describe tightening effects that occur via soft tissue coagulation. Individual results may vary. XERF is a trademark of Lutronic Corporation.
Before and after photos are courtesy of the providers credited in each image. Educational content on this page is based on materials from Cynosure Lutronic. Consult a qualified healthcare professional to determine whether treatment is right for you.
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