XERF
XERF Radio Frequency Skin Tightening in San Antonio, Texas

WHAT IS XERF?
XERF is a Structural Skin Tightening treatment that delivers all the skin-tightening, collagen-boosting power of radio frequency energy, with no needles or downtime.
XERF uses multifrequency monopolar RF to deliver energy at shallow, middle, and deep layers (including the SMAS), triggering collagen remodeling for a subtle immediate lift with continued firming over the following weeks.
BENEFITS OF XERF
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Firmer, more defined look along the jawline, jowls and cheeks
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Softens the appearance of fine lines and laxity
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Increased collagen and elastin production
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Gradual, natural looking results that improve as collagen rebuilds
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Comfortable treatments; no downtime
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Pairs well with other bio-stimulators like Radiesse
WHAT TO EXPECT
BEFORE YOUR TREATMENT
To ensure optimal results and minimize sensitivity, we recommend:
• Avoiding excessive sun exposure or tanning for 5–7 days prior to treatment
• Avoiding retinoids, exfoliating products, or active skincare ingredients for 3–5 days prior
• Arriving with clean skin free of makeup, lotions, or sunscreen
• Informing your provider of any recent treatments or skin sensitivities
DURING THE TREATMENT
During a XERF treatment, a handheld device delivers radiofrequency energy to the targeted area of the skin. Patients typically describe the sensation as a deep warming or heating feeling beneath the skin. The treatment is designed to maintain a therapeutic temperature that stimulates collagen while remaining comfortable and safe. Most patients tolerate the procedure well, and treatments typically take 30–60 minutes depending on the areas being treated.
RECOMMENDED TREATMENT PLAN
For optimal results, we typically recommend a series of two treatments spaced approximately 4–6 weeks apart.
Radiofrequency treatments work by stimulating collagen remodeling, which occurs gradually over time. Spacing treatments several weeks apart allows the body to begin producing new collagen before the second treatment further enhances the process. This staged stimulation helps maximize skin tightening, improve structural support, and produce more noticeable and longer-lasting results.
Most patients begin to see improvements within several weeks, with continued skin tightening and rejuvenation developing over the following months as collagen continues to rebuild.
BEFORE AND AFTER
FREQUENTLY ASKED QUESTIONS
NOT SURE IF YOU'RE A GOOD CANDIDATE?
The best way to determine if XERF is right for you is through a complimentary consultation with one of our experienced Physician Assistants.
During your visit, we’ll evaluate your skin, discuss your concerns and goals, and create a personalized treatment plan designed to achieve the best possible results.
Every patient’s skin is different, and our team is here to guide you toward the treatments that will work best for you.















