XERF™ Structural Skin Tightening

XERF targets every layer of the skin simultaneously, from the surface down to the structural foundation beneath, with no surgery, no needles, and no downtime.

A New Standard for Skin Renewal at SOMA

At The Standard of Modern Aesthetics (SOMA), non-surgical care is approached with the same clinical rigor applied to every other aspect of the practice. Under the medical direction of Leif Rogers, MD, FACS, an Ivy League-trained, board-certified plastic surgeon, SOMA's clinical team brings the same standards of precision and personalization to non-surgical care as to surgical procedures. Schedule a consultation with SOMA to explore whether XERF is the right next step for your goals.

What Is XERF Structural Skin Tightening?

XERF is an FDA-cleared, non-invasive skin tightening treatment built on the world's first multifrequency monopolar radiofrequency (RF) technology. While conventional RF devices target a single depth, XERF combines two frequencies simultaneously, 6.78 MHz and 2 MHz, to treat the superficial, middle, and deep layers of skin in one session.

At the deepest level, XERF reaches the SMAS (Superficial Musculoaponeurotic System), the tissue layer beneath the skin that anchors facial contour and lift. Heating this layer alongside the surrounding dermis triggers the skin's repair response, prompting new collagen and elastin to form over the weeks that follow. Built-in ICD cooling keeps the surface comfortable throughout, and Wave Fit™ pulse technology adjusts energy delivery to each patient's skin thickness, so no numbing agents are needed.

Benefits of XERF Structural Skin Tightening

Lifts and firms skin without surgery, needles, or injectable agents
Targets multiple dermal depths, including the SMAS, in a single session
Stimulates collagen and elastin production for results that develop and build over time
Fully customizable with three depth settings and ten intensity levels
Comfortable throughout, with built-in ICD cooling and no numbing required
Suitable for all skin types with no downtime

Am I a Good Candidate for XERF?

XERF is most appropriate for adults experiencing mild to moderate skin laxity who want meaningful improvement without surgical intervention. Common concerns that tend to respond well include softening along the jawline and jowls, looseness in the neck and lower face, subtle descent around the brows, and fine lines across the cheeks and forehead. The system is compatible with all skin types and tones, and real-time skin analysis at the start of each session means treatment is calibrated to the individual, not a standard preset.

Why Choose SOMA for XERF?

SOMA spans surgical, non-surgical, and longevity services under one clinical roof, enabling XERF to be evaluated in the full context of each patient's goals, anatomy, and overall treatment trajectory. The clinical team focuses on where the treatment will create the most impact and how it fits within a broader, longer-term plan.

Your Consultation

Your SOMA consultation begins with a hands-on evaluation of your skin and the degree of laxity present, giving the clinical team a clear baseline for what XERF can realistically achieve. From there, the conversation turns to your goals and how XERF fits within the broader picture of your care, whether as a standalone treatment or alongside others already in progress.

How Much Does XERF Cost?

Pricing for XERF at SOMA varies based on the areas being treated and the number of sessions that best align with your goals. Specific cost details are reviewed transparently during the consultation, once a complete treatment plan has been developed. SOMA also offers financing options for patients interested in exploring flexible payment arrangements.

What to Expect During XERF Treatment

Skin Analysis and Setup

Skin is cleansed and prepared before the session begins. The XERF system then analyzes the skin using Accurate Impedance Feedback, reading the tissue's specific properties to set the right depth and intensity for that patient.

Energy Delivery

The clinical provider moves the XERF handpiece across the treatment area in a controlled, systematic pattern. Dual-frequency RF energy penetrates from the superficial layer through the mid-dermis and, in targeted areas, into the deeper structural tissue. Wave Fit pulse technology adjusts continuously to account for variations in skin thickness, while integrated ICD cooling keeps the surface comfortable throughout.

Post-Treatment

Once the session is complete, patients can return to normal activity immediately. The skin may appear slightly flushed, which typically resolves within a few hours. No bandaging or specialized aftercare protocol is required.

XERF Recovery

Redness and any sensation of warmth typically clear within a few hours of treatment. Most patients are comfortable wearing makeup the following day and experience no disruption to their normal routine in the days that follow. There is no healing phase to manage.

XERF Results

Some patients notice a subtle tightening effect after their first session. The more significant improvement emerges over the weeks that follow, as newly stimulated collagen and elastin progressively remodel the tissue. Results may last 12 to 18 months. Periodic maintenance sessions can sustain and build upon initial improvement as the skin continues to age.

Complementary Treatments at SOMA

Morpheus8: RF microneedling that targets skin texture, tone, and subdermal laxity.
FaceTite: A minimally invasive RF contouring procedure for patients who want more significant tightening of the face and neck than non-invasive options provide.
Juvéderm: A family of hyaluronic acid dermal fillers used to restore volume and refine facial contour alongside structural tightening treatments.
BOTOX: A neuromodulator that relaxes dynamic expression lines and complements structural skin tightening for a more complete facial refresh.
Facelift: The surgical standard for patients with more advanced facial laxity seeking comprehensive, long-lasting repositioning of skin and underlying tissue.
Halo: A hybrid fractional laser that improves skin tone, texture, and surface quality, often layered with tightening treatments for more complete facial renewal.

XERF Structural Skin Tightening FAQs

How does XERF differ from skin tightening devices like Thermage or Ultherapy?

Ultherapy relies on focused ultrasound rather than radiofrequency. Thermage uses a single-frequency monopolar RF system. XERF is the first device to combine two RF frequencies simultaneously, 6.78 MHz and 2 MHz, allowing it to address multiple dermal depths in a single pass. It also incorporates real-time impedance analysis and Wave Fit pulse technology, which personalizes energy delivery to each patient's tissue characteristics throughout the session.

What areas of the face and body can XERF treat?

XERF is built for both facial and body applications. The face is the most common focus, but areas of mild to moderate laxity elsewhere on the body can also respond well. Specialized handpiece tips in various sizes allow the provider to adapt treatment to different contours and tissue thicknesses across treatment areas.

How many XERF sessions will I need, and how far apart?

Most patients begin with two sessions spaced approximately one month apart. The specific recommendation will depend on the degree of laxity present and the goals established at consultation. Periodic maintenance treatments, typically once or twice per year, help sustain results as the skin continues to age naturally.

Can XERF be combined with injectables or other SOMA treatments?

Yes. XERF pairs well with neuromodulators like BOTOX and dermal fillers like JUVÉDERM, which address concerns that structural tightening alone does not fully resolve, such as volume loss or dynamic expression lines. SOMA's clinical team takes an integrated view of treatment planning, and a layered approach often produces the most balanced, long-lasting outcome.

Is there anything I should do to prepare before my XERF session?

Your SOMA provider will share specific guidance at consultation based on your skin profile. In general, patients are advised to arrive with clean skin, avoid significant sun exposure in the days prior, and come in without active irritation or sunburn.

How does XERF compare to a facelift for patients considering both?

XERF and a surgical facelift address different degrees of laxity. For patients with mild to moderate skin looseness, XERF can produce meaningful improvement without the commitment of surgery or a recovery period. Those with more advanced laxity or deeper structural change may ultimately benefit more from surgical repositioning. Because SOMA offers both, patients can have an honest, side-by-side conversation about what each path can realistically deliver.

How do I maintain my XERF results over time?

Periodic maintenance sessions, generally once or twice per year, help preserve and build upon the collagen improvements from initial treatment. A consistent skincare routine and daily sun protection also contribute meaningfully to sustaining skin quality between sessions.

Invest in Structure That Lasts

At SOMA, XERF is positioned within a broader plan shaped by each patient's anatomy, priorities, and long-term goals. Schedule your consultation to find out whether XERF is the right fit and to build a personalized plan focused on results that hold.