Structural Skin Tightening Without Surgery, Needles, or Numbing
As collagen production slows with age, skin gradually loses firmness, elasticity, and definition. Many patients first notice early jowls, a softer jawline, loose skin on the neck, or a general loss of facial support. Sun exposure, genetics, weight changes, and significant weight loss, including weight loss with GLP-1 medications, can speed up that process.
At Dr. Shadi Concierge MedSpa in Anaheim Hills, we offer XERF Structural Skin Tightening, the next evolution of radiofrequency (RF) skin tightening. XERF is the first and only monopolar RF technology that delivers multiple frequencies in a single shot, allowing us to heat every layer of the skin, from the surface down to the deep supportive tissue, while keeping you comfortable. There is no surgery, no needles, no numbing cream, and no downtime.
If you have been searching for an XERF treatment near me in Orange County, our physician-led practice serves patients from Anaheim Hills, Yorba Linda, Villa Park, Orange, and the surrounding Orange County communities.
What Is XERF?
XERF is a non-invasive skin tightening system from Cynosure Lutronic. It uses two radiofrequency frequencies, 6.78MHz and 2MHz, delivered together in one pulse. The higher frequency works in the more superficial layers, while the lower frequency travels deeper. Together, they follow the skin’s natural fibro-septal network, the fibrous bands that connect and support your skin, to reach the deep subcutaneous layer and the fascia (SMAS) while holding the tissue at an effective temperature.
That controlled heat tightens existing collagen and signals your body to build new collagen and elastin. Over time, these fibers become thicker, stronger, and shorter, which restores firmness from beneath the surface. This is why XERF is called structural skin tightening: it supports the framework of the skin, not just the surface.
Treatment Results
XERF Skin Tightening in Action
Before & Afters
What Makes XERF Different From Other RF Treatments?
Two Frequencies in a Single Shot
Traditional monopolar RF devices use one frequency, so a portion of the energy never reaches the deeper layers. XERF combines 6.78MHz and 2MHz in each shot, delivering energy through all layers of the skin and retaining heat longer for a more lasting tightening effect.
Three Depth Levels and Ten Energy Levels
Dr. Shadi can customize every area of your face and neck using three depth settings:
Shallow: treats the epidermis and dermis to strengthen collagen and refine skin quality.
Middle: treats the subcutaneous fascia to improve loose tissue in the lower face, jowls, and under the chin.
Deep: treats the deeper structural layers to restore firmness through collagen and elastin strengthening.
With ten energy levels on top of these depths, your treatment is tailored to your anatomy, skin thickness, and goals.
Wave Fit Pulse Technology for a Never-Numb Treatment
Many RF treatments release energy in five or six intense pulses, which causes a rapid spike in temperature and a painful experience. XERF’s patented Wave Fit pulse spreads energy across 12 gentle pulses, and each pulse is paired with a burst of cooling gas. The temperature rises steadily during a heat phase, then holds at a therapeutic level during a hold phase. The result is effective heat beneath the surface with a comfortable, Never-Numb treatment experience.
Advanced Integrated Cooling
XERF’s Advanced Integrated Cryogen Delivery (ICD) cooling protects the surface of the skin throughout treatment. Because no numbing cream is needed, there is no pre-treatment wait, so your appointment is shorter and easier to fit into your day.
A Larger, Smarter Treatment Tip
The XERF EFFECTOR 60 tip delivers up to 150% more energy than a conventional monopolar RF tip with the same number of shots. Its Spider Tip design spreads energy evenly across the treatment area, avoiding the hot edges that can occur with other devices, while real-time temperature monitoring keeps every pass safe and controlled.
What Can XERF Improve?
XERF is designed for mild to moderate skin laxity of the face and neck. Common concerns we treat include:
- Sagging skin on the face and neck
- Early jowls
- Loose skin along the jawline
- Loose skin under the chin (submental area)
- Neck laxity
- Loss of facial definition
- Crepey skin texture
- Overall loss of firmness
Benefits of XERF Skin Tightening
- Firmer, tighter-looking skin on the face and neck
- Improved jawline and under-chin definition
- Collagen and elastin that keep building for months
- Natural-looking results that preserve your expressions
- No needles, no numbing cream, and no downtime
- Comfortable Never-Numb treatment experience
- Safe for all skin tones and appropriate year-round
XERF After Weight Loss and GLP-1 Medications
Significant weight loss, whether from lifestyle changes, bariatric surgery, or GLP-1 medications such as semaglutide or tirzepatide, can reduce the collagen support that keeps the face looking firm. XERF stimulates new collagen and elastin at multiple depths, making it an excellent non-surgical option for improving mild to moderate laxity after weight loss.
During your consultation, Dr. Shadi will evaluate your skin and determine whether XERF is the right treatment for your goals.
What to Expect During Your XERF Treatment
A typical XERF session takes about 45 minutes, depending on the area treated. Because no numbing is required, we can begin right away. Most patients describe the treatment as a comfortable, steady warmth, thanks to the Wave Fit pulse and built-in cooling.
Afterward, you may notice mild redness or warmth that usually fades within a few hours. Most patients return to work and normal activities immediately.
When Will I See Results?
Many patients notice a visible improvement right after treatment. Collagen building then continues over time, with skin firmness and definition progressing at one month, three months, and six months after treatment. Dr. Shadi will recommend a personalized plan, which may include more than one session, based on your skin and goals.
Who Is a Good Candidate for XERF?
XERF may be a good fit if you would like to:
- Address early signs of facial aging
- Improve mild to moderate skin laxity on the face or neck
- Sharpen your jawline or tighten under the chin
- Restore firmness after significant weight loss
- Stimulate long-term collagen production
- Avoid surgery, needles, and downtime
The best way to know if XERF is right for you is a consultation with Dr. Shadi.
Frequently Asked Questions
Does XERF hurt?
Most patients find XERF very comfortable. The Wave Fit pulse spreads energy across 12 gentle pulses with cooling built into each one, so the treatment feels like steady warmth. No numbing cream or anesthesia is needed.
How is XERF different from other RF skin tightening?
XERF is the first and only monopolar RF technology to deliver two frequencies, 6.78MHz and 2MHz, in a single shot. This allows energy to reach all layers of the skin, including the deep supportive tissue, while three depth levels and ten energy levels let us personalize every treatment.
Is XERF safe for all skin types?
Yes. Radiofrequency energy does not target pigment, so XERF is appropriate for all skin tones and can be performed year-round.
How many XERF treatments will I need?
It depends on your skin quality, degree of laxity, and goals. Many patients see noticeable improvement after one or two sessions. Dr. Shadi will recommend a personalized plan during your consultation.
How long do XERF results last?
The new collagen your body builds is real, and results continue to develop for up to six months after treatment. Because natural aging continues, maintenance treatments can help preserve your results.
Is there downtime after XERF?
Little to none. Mild redness or slight swelling may occur and typically resolves within hours to a day. Most patients resume normal activities right away and can apply makeup once redness fades.
Can XERF help after weight loss or GLP-1 medications?
Yes. XERF stimulates new collagen and elastin to improve mild to moderate laxity after significant weight loss, including weight loss associated with GLP-1 medications.
Can XERF replace a facelift?
XERF is designed for mild to moderate laxity and offers a non-surgical alternative for patients who are not ready for surgery. It does not create the same degree of lift as a surgical facelift. Dr. Shadi will recommend the option that best matches your goals.
Can XERF be combined with other treatments?
Yes. XERF pairs well with treatments that improve texture, pigmentation, and facial volume. Dr. Shadi may recommend combining XERF with other services for more complete facial rejuvenation.
Where can I get XERF in Orange County?
Dr. Shadi Concierge MedSpa offers XERF in Anaheim Hills at 5769 E Santa Ana Canyon Rd, Suite K, Anaheim, CA 92807, serving patients throughout Orange County, including Yorba Linda, Villa Park, and Orange.
Why Choose Dr. Shadi Concierge MedSpa for XERF in Orange County?
Dr. Shadi Concierge MedSpa is a physician-led practice founded by Dr. Shadi Kranitz. Her approach centers on authenticity, balance, and never overcorrecting. Rather than a one-size-fits-all protocol, Dr. Shadi evaluates your skin quality, anatomy, and goals, then customizes the XERF depth and energy settings for each area treated. Whether you want preventative collagen support, improvement of early laxity, or firmer skin after weight loss, our focus is natural-looking results that never look overtreated.
Schedule A Consultation
If you want firmer skin, a more defined jawline, or a tighter neck without surgery, needles, or downtime, XERF may be the right treatment for you. Call or text (714) 600-2262 or book online to schedule your consultation with Dr. Shadi.
Skin tightening refers to tightening effects that occur via soft tissue coagulation. Individual results vary.
Why Choose Dr. Shadi Concierge MedSpa for XERF in Orange County?
Dr. Shadi Concierge MedSpa is a physician-led practice founded by Dr. Shadi Kranitz. Her approach centers on authenticity, balance, and never overcorrecting. Rather than a one-size-fits-all protocol, Dr. Shadi evaluates your skin quality, anatomy, and goals, then customizes the XERF depth and energy settings for each area treated. Whether you want preventative collagen support, improvement of early laxity, or firmer skin after weight loss, our focus is natural-looking results that never look overtreated.
Schedule A Consultation
If you want firmer skin, a more defined jawline, or a tighter neck without surgery, needles, or downtime, XERF may be the right treatment for you. Call or text (714) 600-2262 or book online to schedule your consultation with Dr. Shadi.
Skin tightening refers to tightening effects that occur via soft tissue coagulation. Individual results vary.