XERF Skin Tightening

Stay well hydrated in the 24–48 hours before your appointment. Follow any fluid restrictions given by your healthcare professional.

Avoid alcohol and limit caffeine for 24 hours before treatment.

Pause retinoids, retinol, and exfoliating acids (AHAs, BHAs) on the treatment area for 5–7 days.

Avoid sun exposure, tanning beds, and self-tanner for at least 2–4 weeks before treatment. If you're sunburned, we'll need to reschedule.

Avoid chemical peels, microdermabrasion, and waxing in the treatment area for 1–2 weeks before your appointment.

Wait at least 4 weeks after neurotoxin or filler injections in the treatment area before your XERF session. Tell your Provider about any filler, threads, biostimulators, facial implants, or previous procedures in the area.

Arrive with clean skin, free of makeup, lotion, sunscreen, perfume, deodorant, and oils in the treatment area. Remove jewelry before treatment.

If the treatment area has hair, shave it about 1–2 days before your appointment, following your Provider’s instructions.

Tell your Provider about any metal implants, permanent fillers, facial implants, medical conditions, medications, allergies, recent procedures, history of cold sores, or isotretinoin (Accutane) use in the past 12 months. XERF is not performed during pregnancy or while breastfeeding.

Reschedule if you have an active cold sore, infection, rash, sunburn, illness, or open skin in the treatment area.

Your Provider will confirm your treatment plan and make sure the treatment area is clean, healthy, and intact.

A return pad is placed on the body and ultrasound gel is applied to the treatment area before radiofrequency energy is delivered.

Your Provider selects and adjusts treatment settings based on your skin, treatment area, tissue characteristics, and feedback throughout the session.

XERF uses integrated cooling to support comfort during treatment.

You may feel warmth during treatment. Your Provider will monitor your comfort and skin response throughout the session.

There is little to no social downtime after XERF, but temporary warmth, mild redness, and swelling can occur. Follow your Provider’s instructions and these general guidelines:

Use only Provider-approved products. A gentle, non-occlusive moisturizer may be applied to soothe the treated area. Moisturize daily.

Cleanse gently with a mild cleanser and lukewarm water, then pat dry.

Wait until any redness settles, usually within a few hours, before applying makeup.

Skip ice packs and cooling tools on the area for 24 hours unless your Provider recommends them.

Avoid extra heat such as saunas, hot tubs, steam rooms, and hot yoga for 24–48 hours.

Avoid strenuous exercise and alcohol for 24 hours.

Pause retinoids, acids, and other actives for 2–3 days.

Avoid facial massage, gua sha, and at-home devices like microcurrent for 48 hours.

Apply broad-spectrum SPF 50 or higher every day throughout the treatment series. Avoid sun exposure and use shade, a hat, or other protective clothing when outdoors.

Avoid cosmetics containing alcohol for at least 1 week after treatment.

Reintroduce retinoids, acids, and vitamin C after 2–3 days, as tolerated.

Avoid other energy-based or resurfacing treatments on the area (lasers, RF microneedling, chemical peels, microneedling) for 2 weeks unless your Provider has planned them as part of your treatment.

Hold neurotoxin and filler in the area for 2 weeks unless your Provider says otherwise.

Stay hydrated and keep your routine gentle and moisturizing.

Contact your treating Studio promptly if you develop blisters, increasing or severe pain, unusual skin-color changes, significant or worsening swelling, persistent numbness, or signs of infection. Contact your Provider with any questions or concerns.