What Is XERF™ Skin Tightening, and What Areas Can It Treat?

Woman looking in the mirror after XERF skin tightening in Rancho Mirage

XERF™ skin tightening is a noninvasive radiofrequency treatment that heats tissue at multiple depths to support collagen remodeling and a firmer, smoother appearance.

At Lombardo Cosmetic Surgery, XERF skin tightening is available for the face and neck, including areas where the jawline has softened or jowls are becoming more noticeable. The practice is led by Maria Lombardo, DO, FACOS, and has been part of the Rancho Mirage community since 2009.

How Does XERF Skin Tightening Work?

XERF is a monopolar radiofrequency system that combines 6.78 MHz and 2 MHz frequencies. This allows energy to reach shallow, middle, and deeper tissue layers. The system includes three depth settings and 10 intensity levels, along with real-time impedance feedback that helps guide energy delivery as your skin responds.

Controlled heat causes soft tissue coagulation and supports collagen remodeling. The goal is a tighter, smoother appearance without removing skin or making surgical incisions.

What Areas Can XERF Treat?

At Lombardo Cosmetic Surgery, we use XERF for facial and neck skin laxity. Areas that may be treated include:

  • The face
  • The jawline
  • Jowls
  • The neck

These areas often lose firmness gradually as collagen changes with age. Because XERF has adjustable depth and intensity settings, your provider can adjust treatment for the skin and region you want to address. Your medical history, skin condition, and degree of laxity also matter when deciding if XERF fits what you want to change.

What Can You Expect During a XERF Session?

XERF doesn’t require needles or topical numbing. Wave Fit™ pulse technology and integrated cryogen cooling help manage surface heat. A session usually takes about 30 minutes, though timing varies by the specific area being worked on.

You can generally return to your routine right away. Some people notice tightening soon after their appointment, while additional changes may develop over the following weeks as collagen remodeling continues. The number of sessions varies, so your plan might include more than one visit.

See If XERF Fits Your Skin Goals

If you’re interested in firmer-looking facial or neck skin without surgery, Dr. Maria Lombardo can discuss XERF with you at Lombardo Cosmetic Surgery in Rancho Mirage, CA, and help you decide if it’s a good fit. Contact us online or call 760-610-8990 to arrange a consultation.

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LOCATED IN RANCHO MIRAGE, CA

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