Your collagen banking moment has arrived
Meet XERF™—a new era in non-invasive skin tightening for those who want a firmer, smoother, more defined look, with a plan tailored to them.
The world’s first multifrequency monopolar RF treatment, XERF combines 2 MHz and 6.78 MHz radiofrequency with Wave Fit™ pulse technology and integrated cryogen cooling. Three treatment depths, ten intensity levels, and real-time skin feedback let your provider personalize the experience to your features and goals.
No needles. Numbing is available, but most people don’t need it. No planned downtime. Many people return to their normal routine right away. During treatment, many describe a warming sensation; comfort varies by person.
XERF is designed to support collagen remodeling and a firmer-looking appearance. As collagen production is stimulated, results can continue to improve over the weeks and months that follow.
Make XERF part of your next-generation skin plan.
Book your private XERF consultationThe XERF system uses advanced multifrequency monopolar RF energy to tighten skin from the inside out. Unlike traditional treatments, a XERF treatment penetrates the shallow, middle, and deep layers of the skin—stimulating collagen production where it matters most. Its Wave Fit™ pulse technology adjusts to your skin’s thickness for maximum effectiveness, while Integrated Cryogen Delivery (ICD) ensures a consistently comfortable treatment by cooling the skin with each pulse. The result? A comfortable, safe and effective procedure that delivers visibly tighter skin with no needles, no planned downtime, and numbing only if you want it.
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XERF results
Drag the handle to compare before and after. These are Cynosure’s published XERF results, not photos of Zaretsky Aesthetics patients. Individual results vary.



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.
XERF is commonly used to address:
It can be used on various areas depending on individual needs.
XERF delivers radiofrequency energy deep into the skin, gently heating the tissue to stimulate collagen remodeling. This process helps tighten existing collagen fibers and encourages new collagen production over time.
Numbing is available if you would like it, though most people don’t need it. XERF feels like an intense hot stone massage, with a cooling sensation between pulses — some areas feel more intense than others. Your provider talks you through what to expect before you start and adjusts the settings as you go.
Treatment times vary depending on the area being treated, but most sessions take between 30 and 60 minutes.
You can usually return to your normal activities right away. Some people have mild warmth, redness or swelling afterwards, which typically settles within 24 hours.
Most clients notice immediate tightening after their treatment. More visible results typically appear around 30 days post-treatment, with continued improvement as collagen builds. Skin tightening and texture enhancements can continue to develop for up to 6 months after treatment.
Most clients are recommended a series of 2 treatments, spaced 4 – 6 weeks apart, for optimal results. After completing the initial series, many clients choose to do a maintenance treatment every 6 – 12 months to maintain collagen stimulation and long-term skin tightening results.
XERF is ideal for individuals looking for non-surgical skin tightening and rejuvenation with minimal downtime. A consultation is the best way to determine if XERF is right for you.
No. XERF by Cynosure Lutronic does not ruin or destroy fat or dermal filler. The treatment does not reach a high enough temperature, nor maintain heat long enough, to cause damage to fat cells or break down filler. XERF is designed specifically for controlled collagen stimulation and skin tightening, not fat reduction or filler degradation, making it safe for patients with existing filler when performed properly.
Prices for XERF, by area and as packages.
SEE XERF PRICINGSend us a question and we will come back to you. No appointment needed to ask.