Consultation
Your doctor begins by mapping your face: assessing skin thickness, the degree of laxity, and the areas that concern you most, before designing a personalised treatment plan with a specific depth setting for each zone.
XERF has three depth modes: shallow (upper dermis, suitable for finer areas such as the forehead), middle (dermis to superficial fat, commonly used for the cheeks and neck), and deep (the fat layer and SMAS, typically used for the jowls and lower face).
Be prepared to discuss your medical history, including any implanted electronic devices, previous energy-based treatments, and any skincare actives you are currently using.
During Treatment
During XERF treatment, the handpiece is moved across treatment zones, with each pulse lasting a second or two. Depending on the number of areas treated, the session typically takes between 15 and 45 minutes.
XERF helps keep the treatment comfortable through cooling: it features an integrated cryogen cooling system that delivers multiple cooling bursts before, during, and after each energy pulse. Many patients can forgo topical numbing cream altogether.
Most patients describe the sensation as a firm, warm pulse followed immediately by a noticeable cooling burst.
After Treatment
You may experience mild redness and warmth in the treated areas, similar to a post-exercise flush. This usually settles within a couple of hours. Most patients can return to work, wear makeup, and continue with their usual activities the same day.
You may notice subtle skin tightening immediately, but full results take two to three months.
For the first 24 hours, avoid saunas, hot showers, strenuous exercise, and alcohol. Daily SPF 50 is recommended.
