
XERF™ is a noninvasive radiofrequency treatment that heats tissue at multiple depths to support collagen remodeling and create a smoother, tighter appearance. With no needles, numbing, or planned downtime, it expands the nonsurgical cosmetic options available to people in Palm Springs and Palm Desert who want firmer-looking skin without surgery.
Based in Rancho Mirage, CA, Lombardo Cosmetic Surgery pairs advanced aesthetic technology with an experienced surgeon’s eye. Dr. Maria Lombardo is a board-certified general surgeon, a diplomate of the American Board of Cosmetic Surgery, and a fellowship-trained cosmetic surgeon. Her background in studio art also shapes the careful visual judgment she brings to cosmetic care.
How Does XERF Work?
XERF is the first multifrequency monopolar RF system to combine 6.78 MHz and 2 MHz frequencies. This lets the device deliver energy to shallow, middle, and deeper tissue layers. Controlled heating prompts collagen remodeling, which can improve skin smoothness and firmness without incisions.
The system has three depth settings and ten intensity levels. Accurate Impedance Feedback reads how your skin responds in real time, helping your provider adjust energy delivery during the session.
What Does an XERF Treatment Feel Like?
XERF’s Wave Fit™ pulse technology and Advanced Integrated Cryogen Delivery cooling help manage energy while keeping the skin’s surface comfortable.
The treatment doesn’t require needles or topical numbing, and you can generally return to your usual routine afterward because there’s no planned downtime.
Your experience and treatment settings will depend on your skin, the area being treated, and the degree of change you’d like to see. We’ll review those details with you before getting started.
What Results Can XERF Create?
XERF is intended to produce a smoother, tighter look through RF-induced soft tissue coagulation and collagen remodeling. Results aren’t identical for everyone, and your treatment plan may involve more than one session.
During your consultation, we can discuss what XERF can realistically do for your skin and how the treatment fits your goals.
Why Choose Lombardo Cosmetic Surgery for XERF in Rancho Mirage?
Dr. Lombardo has practiced medicine in the Palm Springs area since 2008 and opened Lombardo Cosmetic Surgery in 2009. Her training includes a general surgery residency and a cosmetic surgery fellowship covering surgical and nonsurgical treatments.
That clinical foundation matters when you’re considering an energy-based treatment. XERF adds real-time impedance feedback, multiple depths, adjustable intensity, and surface cooling to the care available at our Rancho Mirage practice.
Dr. Lombardo’s expertise in cosmetic care allows her to determine where XERF fits among your options and recommend the treatment best matched to your skin and goals.
Frequently Asked Questions
See If XERF Fits Your Goals
Curious what structural skin tightening could do for you? Call Lombardo Cosmetic Surgery at (760) 610-8990 or schedule a consultation with Dr. Maria Lombardo in Rancho Mirage, CA, serving Palm Springs and Palm Desert.
Call (760) 610-8990 for information on any of our services.
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