Non-Surgical Skin Tightening with XERF
The next step in the evolution of skincare is here. It’s Structural Skin Tightening—A treatment that delivers all the skin tightening, collagen-boosting power of radiofrequency, with no numbing, needles, or downtime. Just visible results, backed by science and designed for comfort. Unlike conventional RF treatments, the XERF™ treatment delivers energy deeper into the skin—reaching the shallow, middle, and deep layers—where real change begins.
Results Without Sacrifice
- No numbing, no needles, and no downtime.
- True skin transformation at every level, delivering energy exactly where you need it most.
- Fully customizable treatments that adapt to each patient’s unique skin profile.
How XERF Structural Skin Tightening Works
A Treatment As Unique As You Are
No two individuals are alike, and their skin treatments shouldn’t be either. The XERF system adapts to each patient’s unique skin profile using Accurate Impedance Feedback for real-time analysis of the skin. With three depth settings and ten intensity levels, a XERF treatment is a truly personalized experience tailored for each individual patient.

Treatment Experience & Results
XERF treatments are comfortable and well tolerated. Most patients feel a warm sensation during treatment. No numbing is required, and there is no downtime.
Some patients notice early improvement after the first treatment, but results develop gradually as collagen builds. A series of treatments is recommended for optimal results, followed by maintenance sessions as needed.
Recovery & Results Timeline
Immediate Post-Treatment
Mild redness, warmth, or slight swelling possible. Effects typically resolve within a few hours. No peeling or crusting. No significant downtime needed.
Early Results
Some immediate skin tightening visible. Collagen fibers begin contracting. Minimal disruption to daily life.
Progressive Improvement
New collagen production continues. Dermal remodeling process unfolds. Results become increasingly visible. Skin appears tighter, smoother, and more youthful.
Immediate Post-Treatment
Mild redness, warmth, or slight swelling possible. Effects typically resolve within a few hours. No peeling or crusting. No significant downtime needed.
Early Results
Some immediate skin tightening visible. Collagen fibers begin contracting. Minimal disruption to daily life.
Progressive Improvement
New collagen production continues. Dermal remodeling process unfolds. Results become increasingly visible. Skin appears tighter, smoother, and more youthful.
What happens during an XERF consultation with Dr. Vardanyan?
Your XERF journey begins with a private, one-on-one consultation with Dr. Vardanyan. During this visit, she reviews your medical history, current medications and supplements, existing conditions, allergies, and your specific skin concerns and goals. You’ll also learn how XERF works, what results are realistic for you, potential risks or side effects, treatment timing, recovery expectations, and available cost or payment options.
How does XERF work and what results can I expect?
Before treatment, your skin is thoroughly cleansed. A topical anesthetic may be applied for added comfort, though many patients don’t need it. During the procedure, Dr. Vardanyan carefully adjusts the XERF settings and moves the handpiece over targeted areas. An integrated cooling system keeps the skin comfortable while deeper tissues receive therapeutic heating. Most patients describe the sensation as warm and tolerable.
What is the XERF treatment process like?
Before treatment, your skin is thoroughly cleansed. A topical anesthetic may be applied for added comfort, though many patients don’t need it. During the procedure, Dr. Vardanyan carefully adjusts the XERF settings and moves the handpiece over targeted areas. An integrated cooling system keeps the skin comfortable while deeper tissues receive therapeutic heating. Most patients describe the sensation as warm and tolerable.
How long does an XERF treatment take?
XERF treatments typically take 30 to 60 minutes, depending on the size and number of areas being treated. This makes it an easy option to fit into a busy schedule.
Is there downtime after XERF treatment?
No downtime is required. You can return to normal activities immediately after your session and resume your daily routine the same day, making XERF a convenient option for patients who want results without recovery time.
Is XERF painful?
Most patients find XERF very tolerable, with many describing the sensation as warm with mild tingling. The integrated cooling system helps minimize discomfort, and a topical anesthetic can be applied if needed for enhanced comfort.
How many XERF treatments will I need?
Most patients achieve optimal results with three to five treatment sessions spaced two to four weeks apart. will create a personalized treatment plan based on your specific concerns and aesthetic goals.
Can XERF be combined with other treatments?
Yes. XERF can be safely combined with other treatments such as BOTOX, dermal fillers, microneedling, or laser procedures to support comprehensive facial rejuvenation.
Are there any side effects from XERF?
Side effects are minimal and temporary. Some patients may experience mild redness, warmth, or slight swelling immediately after treatment, which typically resolves within a few hours.
How long do XERF results last?
Results can last one to two years with proper skincare, sun protection, and a healthy lifestyle. Periodic maintenance treatments may help extend and preserve your results.