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XERF · Non-Surgical Skin Tightening

XERF Non-Surgical Skin Tightening in London

XERF is a structural skin tightening treatment for the face, neck, jawline and body – designed to lift, firm and refine the skin from within, without needles, numbing or surgery. Using dual-frequency monopolar radiofrequency, it reaches beneath the surface to encourage your skin’s own collagen, with every treatment tailored to your skin, anatomy and goals. At The Axis Clinic in London, our expertise in skin tightening treatments means XERF is planned around what your skin actually needs, not applied as a one-size-fits-all fix.

XERF uses two radiofrequency wavelengths at once to reach the skin’s shallow, middle and deep layers in a controlled way, stimulating collagen where it actually forms. The result is gradual, genuine tightening – not just surface warming – in a comfortable session with no anaesthetic and, for most patients, no downtime.

Price
Confirmed at consultation
Downtime
None
Frequency
2 sessions
Discomfort
Minimal — no numbing required
Procedure time
30–60 mins
What XERF Treats

Suited to early and moderate skin laxity on the face, neck and body

Jawline & Jowls

Softens early jowling and restores definition along a softening jawline.

Neck & Décolletage

Tightens crepey, lax skin on the neck and chest without surgery.

Under the Chin

Firms loose skin beneath the chin. Where fullness is also present, a separate fat-targeting treatment may be suggested.

Cheeks & Mid-Face

Supports areas where the face has started to soften or descend.

Body Skin Laxity

Improves crepiness on the abdomen, arms and thighs, where suitable.

Jawline & Jowls

Softens early jowling and restores definition along a softening jawline.

Neck & Décolletage

Tightens crepey, lax skin on the neck and chest without surgery.

Under the Chin

Firms loose skin beneath the chin (where fullness is also present, your clinician may suggest a separate fat-targeting treatment).

Cheeks & Mid-Face

Supports areas where the face has started to soften or descend.

Body Skin Laxity

Improves crepiness on the abdomen, arms and thighs, where suitable.

What Is XERF?

The world’s first multifrequency monopolar RF system

XERF is a non-invasive radiofrequency treatment developed by Cynosure Lutronic, which describes it as the world’s first multifrequency monopolar RF system. It is not a laser and it involves no needles and no incisions.

XERF delivers two frequencies — 6.78 MHz and 2 MHz — in a single shot, so controlled heat reaches multiple tissue depths at once rather than a single fixed depth. Three depth settings then target treatment precisely: shallow for the dermis, middle for the superficial adipose layer, and deep for the structural tissue beneath, where laxity actually sits. Integrated cryogen cooling protects the skin’s surface throughout.

Treatment is tailored to your skin in real time. Three depth settings and ten intensity levels are calibrated through built-in impedance feedback, which reads your skin’s response as the treatment happens and adjusts energy delivery accordingly.

Because XERF remodels collagen rather than removing anything, results look natural and build progressively: an initial tightening effect straight after treatment as existing collagen contracts, with fuller improvement developing over the following three to six months as new collagen forms.

The Technology, in Three Parts
01

Multifrequency Depth Targeting

6.78 MHz and 2 MHz delivered simultaneously, across three depth settings reaching shallow, middle and deep tissue.

02

Wave Fit™ Pulse Delivery

Balances energy output with cooling for consistent, even heating across the treatment area.

03

No Numbing Required

Integrated Cryogen Delivery monitors skin temperature and cools the surface throughout, so no anaesthetic or numbing cream is needed.

Real People, Real Results

Before & after gallery

Before XERF treatment
After XERF treatment
Before After
Before XERF treatment
After XERF treatment
Before After
Frequently Asked Questions

XERF, answered

XERF is a multifrequency monopolar radiofrequency treatment that tightens skin and stimulates collagen at several depths, without needles or numbing cream, and with no downtime for most patients.

XERF combines two frequencies (6.78 MHz and 2 MHz) in every shot, heating multiple tissue depths at once, and offers three depth settings — from the dermis down to the deeper structural layers — plus real-time impedance feedback that adjusts energy to your skin as it is treated.

No. XERF is a radiofrequency treatment. It heats tissue at controlled depths to tighten skin and stimulate collagen, rather than using light energy.

XERF is a skin tightening treatment, not a fat-removal treatment. Its energy is calibrated to tighten skin and stimulate collagen, not to reduce fat. Tightening the skin can still improve the appearance of the submental (under-chin) area, but it does not remove fat itself. Where reducing fullness is a goal, your clinician may consider separate fat-targeting options, such as Morpheus8 or Quantum RF, if they are suitable for you.

No anaesthetic or numbing cream is needed. Integrated cooling keeps the surface comfortable, and most patients describe the sensation as warm and comfortable throughout.

A full-face treatment takes around 45 minutes, with no numbing time needed beforehand. The treatment time will depend on the size of the area treated.

This is a no-downtime treatment for most patients, who return to normal activities the same day. Mild warmth or redness can occur and usually settles quickly. Your clinician will give you personalised aftercare advice.

Many patients notice an initial tightening effect immediately, sometimes called the “Cinderella effect”. Full results build gradually over the following three to six months as new collagen forms.

At The Axis Clinic we usually recommend two sessions spaced about six weeks apart for optimal results, although some patients are advised to have only one. Periodic maintenance sessions can help sustain results. Your clinician will confirm the right plan for your skin at consultation.

Pricing depends on the area treated — jawline, full face, or face and neck — and on whether XERF is part of a combined plan. Book a consultation and we will confirm pricing for your plan.

Morpheus8 combines radiofrequency with microneedling, working through the skin’s surface; XERF delivers radiofrequency with no needles at all. Where a patient wants both fat remodelling and structural tightening, a clinician may recommend combining the two.

Ultherapy and Sofwave use focused ultrasound rather than radiofrequency; Thermage also uses monopolar radiofrequency. XERF’s distinguishing features are its dual frequencies and multiple, adjustable depth settings in one device, with no needles and no numbing. There is no single “best” technology for everyone — the right choice depends on your skin and goals, which is why every plan starts with a consultation.

That depends on what your skin needs:

  • For pigmentation and textural irregularities, we often combine XERF with light and laser treatments such as BBL Hero (broadband light), LaseMD Ultra, a picosecond Pico laser or CO2 laser, chosen according to your skin type and needs.
  • For volume loss, we combine XERF with regenerative biostimulators such as Radiesse, Juvéderm, Juvelook or Sculptra.
  • For unwanted fat, your clinician may suggest combining XERF with Morpheus8 or Quantum RF, which can reduce localised fat in suitable patients while XERF tightens the skin.

Combinations are planned and sequenced individually — not every pairing happens on the same day — and your clinician will advise on the right order and spacing for you.

Arrive with clean skin, free of make-up and lotion where possible, and pause active retinoids or exfoliants in the days before treatment. Afterwards, keep skin hydrated and use daily SPF. You can apply make-up immediately after the treatment and resume your normal activities. Your clinician will confirm specifics for your plan.

Trust Our Experts

Doctor-led, every time

At The Axis Clinic, every XERF treatment is doctor-led. We’re a team of doctors, nurses and experienced aesthetic practitioners, bringing a detailed understanding of facial and body anatomy to every treatment plan. Our philosophy is natural-looking results that respect the integrity of your skin, delivered from our clinic in North London.

Combination Treatments — The K-LUXE Protocol & AxisStax™

Skin laxity is rarely one problem

So XERF is often part of a layered, bespoke plan.

Signature Protocol

The K-LUXE Protocol

XERF + LaseMD Ultra. XERF tightens structurally from within, while LaseMD Ultra resurfaces and refines texture for a smoother, brighter look.

Where needed, we layer in biostimulators — Juvelook, hyperdilute Radiesse or PRP — to nourish, restore volume or regenerate.

Juvelook — nourishes from within
Hyperdilute Radiesse — restores volume
PRP — regenerates with your own plasma

Our popular AxisStax combinations

XERF + Quantum RF / Morpheus8

Can reduce localised fat (such as under the chin) in suitable patients while XERF tightens the skin — for fullness combined with laxity.

XERF + Radiesse / Juvéderm / Sculptra

Restores volume alongside tightening.

XERF + LaseMD Ultra / CO2 Laser

Refines texture and fine lines while XERF tightens beneath.

XERF + BBL Hero

Calms pigmentation and redness while tightening structural support.

Contact Us

Speak to our team

Speak to our team about whether XERF, alone or as part of a combined plan, is right for you.

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The Axis Clinic
32 Broadway Parade, Crouch End, London N8 9DB
020 8350 3421 · info@axisclinic.co.uk

Dr. Carlos Escobar performing Radiesse dermal filler treatment at The Axis Clinic

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