XERF Skin Tightening

What Is XERF?

XERF is a structural skin tightening treatment developed by Cynosure Lutronic. It is the world's first multifrequency monopolar radiofrequency system, meaning it delivers energy at two different frequencies simultaneously, reaching the shallow, middle, and deep layers of your skin in a single session. Most RF treatments only reach one depth. XERF reaches all of them.

The result is a treatment that does not just warm the surface. It reaches the SMAS layer, the foundational tissue beneath the skin that is responsible for lifting and tightening the face. Clinical studies have confirmed collagen remodeling at multiple tissue depths, with histological evidence of increased collagen bundle thickness and an observable upward pull in the fascia.

In plain terms: it works at the level where aging actually happens.

How Does XERF Work?

Radiofrequency energy and collagen biology

Collagen is the structural protein that keeps skin firm and resilient. Starting in your mid-twenties, your body produces less of it each year. By the time visible laxity appears, you have already lost a significant portion of your dermal support. XERF addresses this directly. The controlled radiofrequency energy heats the deeper tissue layers to a precise temperature, triggering your body's natural healing response. Existing collagen fibers contract immediately, producing subtle tightening you may notice right away. Over the following months, fibroblasts, the cells responsible for building new collagen, become activated and begin producing fresh structural protein.

What makes XERF different from other RF treatments

Most radiofrequency devices deliver energy at a single frequency and a single depth. XERF uses both 6.78 MHz and 2 MHz frequencies together, allowing it to target multiple tissue layers in one pass. It also uses Wave Fit pulse technology and Advanced Integrated Cryogen Delivery cooling to maintain surface temperature throughout the session, which is why no numbing cream is required. The device reads your skin in real time using Accurate Impedance Feedback, adjusting energy delivery to match your unique tissue profile. Three depth settings and ten intensity levels mean every treatment is genuinely personalized.

What Can XERF Treat?

XERF is one of the most versatile non-surgical tightening treatments available. It addresses both facial and body concerns, making it a strong option for patients who want comprehensive results without multiple devices or procedures.

If you are not ready for a facelift or neck lift, XERF is the most clinically supported non-surgical alternative currently available. It will not replicate the results of surgery for patients with significant laxity, and we will always tell you that honestly at your consultation. But for the right patient, it delivers visible, lasting improvement that builds over time.

What to Expect: Before, During, and After

The treatment experience

Patients consistently describe XERF as feeling like a hot stone massage. The handpiece moves across your skin in slow, deliberate passes, delivering warmth deep into the tissue. There is no discomfort that requires numbing, no injections, and no recovery period. Sessions typically take 60 to 90 minutes depending on the area being treated. You can return to your normal day immediately.

Your results timeline

Some patients notice subtle tightening within a few days of their first session as existing collagen contracts. The most significant results develop gradually over 3 to 6 months as new collagen builds. This is intentional. Real structural change takes time. The results you see at month six are not the same as what you see at week two, and that is a good thing. The improvement is progressive, natural-looking, and yours.

How many sessions do you need?

Most patients achieve their best results with 2 to 3 treatments spaced 4 to 6 weeks apart. After your initial series, a single annual maintenance session is typically enough to preserve your results. We build your treatment plan at your consultation based on your specific concerns, skin quality, and goals.

Am I a Good Candidate for XERF?

XERF is designed for patients with mild to moderate skin laxity who want real improvement without surgery. You are likely a strong candidate if you have noticed softening along the jawline, looseness in the neck, or a general loss of firmness in the face or body, and you are not ready for or interested in a surgical procedure.

XERF is not the right choice for patients with significant sagging who would benefit more from a surgical lift. We will always give you an honest assessment. If XERF is not the best tool for your goals, we will tell you, and we will help you understand what is.

Patients who are pregnant, have active skin infections in the treatment area, have metal implants in the area to be treated (dental implants are not a concern), or have certain implanted electronic devices may not be candidates. Your full health history is reviewed at your consultation before any treatment is recommended.

Why Hazel + Honey for XERF in Wichita

XERF is available exclusively at Hazel + Honey in Wichita. We are one of the only providers in the region offering this technology, and we treat it with the same clinical rigor we bring to every service. Your treatment is not a cookie-cutter protocol. It is designed around your skin, your concerns, and your goals.

Shelby Sanders, RN, has over a decade of experience in aesthetic medicine and is a GAIN by Galderma national trainer. Every XERF treatment at Hazel + Honey is performed with the same attention to detail and personalized approach that defines everything we do.

Spots are limited. If you have been thinking about XERF, a consultation is the right first step. It is a real conversation, not a sales pitch. We will look at your skin, talk through your options, and tell you exactly what to expect. Visit our website at www.hazelandhoneymedspa.com to book your appointment today.