DISCOVER THE NEWEST & MOST ADVANCED NON-INVASIVE SKIN LIFTING & TIGHTENING TECHNOLOGY

No Numbing | No Downtime | Pain-free

XERF is the newest generation of non-invasive skin tightening technology, delivering controlled radiofrequency (RF) energy across multiple skin layers to trigger natural collagen regeneration. Designed for patients seeking visibly firmer, tighter, and smoother skin — without needles, pain, or downtime — XERF represents a breakthrough in modern facial lifting and collagen care.  

At TTMSPA, we focus on restoring the skin’s structure and strength from within. XERF fits seamlessly into our skin health and collagen maintenance philosophy, building long-term skin resilience and lift naturally. 

What are the benefits of XERF?

  • Improves facial and neck laxity

  • Lifts and defines brows, cheeks and jawline

  • Restores the natural contours of the face 

  • Softens facial lines and wrinkles, reducing the appearance of jowls and marionettes 

  • Refines skin texture and elasticity

  • Strengthens collagen and elastin fibers for long-term firmness

  • Safe for all skin types 

  • Immediate results, followed by gradual and long-term improvements 

  • No needles, no pain, and no downtime.

How does XERF work?

True skin transformation doesn’t happen at just one level. XERF works across multiple depths of the skin — shallow, middle, and deep — to stimulate new collagen and elastin where real structural change begins. 

It uses multifrequency monopolar RF, combining 6.78 MHz and 2 MHz energy to reach every key layer of the skin that matters, including the SMAS, the foundational support layer beneath the skin and fat that anchors facial structure. 

By delivering controlled heat into these layers, XERF immediately tightens existing collagen fibers and stimulates fibroblasts to produce fresh collagen and elastin over time — resulting in an instant subtle lift followed by progressive firming and smoothing over the next few months after treatment.


Comfortable, safe, yet highly effective

What makes XERF truly exceptional is its ability to achieve deep, structural lifting while maintaining complete comfort.

  • XERF’s Wave Fit™ Pulse System automatically adjusts energy delivery in real time based on your skin’s impedance, ensuring consistent and even heating without discomfort. This smart feedback mechanism makes each pulse efficient, controlled, and personalized to your skin’s response.

  • Throughout the treatment, XERF’s Integrated Cooling System protects the skin surface during every pulse. By maintaining safe surface temperatures, it allows the deeper layers to reach the optimal collagen-stimulating range while keeping the experience comfortable and pain-free.

  • Together, these innovations set XERF apart from traditional lifting treatments. You still achieve deep collagen stimulation and visible lift, but without the pain, numbing, or downtime that traditional skin-tightening devices often require.

THE SCIENCE BEHIND IT


Over 90% of the dermis is made of collagen. With age, collagen breaks down, and the skin’s supporting network weakens. XERF works by strengthening this structure through thermal remodeling. 

Clinical imaging shows increased collagen density and elastin production after XERF treatments, leading to firmer, more elastic, and more resilient skin over time.

The treatment process & what to expect

Before your treatment

  • Stay hydrated for at least 48 hours before your session. Well hydrated tissue conducts RF energy more efficiently.  

  • Avoid sun exposure and pause actives or irritating skincare products for 5-7 days prior.

  • Arrive at the clinic with clean, makeup-free skin.

During treatment

  • Grounding pad placement: A grounding pad is placed on the back. This acts as the return electrode, completing the RF circuit and allowing energy to flow safely and evenly through the skin

  • Energy delivery: The XERF handpiece delivers precise thermal energy in either a stamping or sliding motion, depending on the area being treated. Its Wave Fit™ Pulse System dynamically adjusts energy during each pulse, while Integrated Cryogen Delivery (ICD) cooling sprays protect the skin and maintain comfort. Skin temperature is continuously monitored, and the system automatically pauses energy delivery if heat exceeds safe levels (above ~43 °C).

  • Duration: A full face and neck session typically takes 45–60 minutes.

Immediately after: 

  • Skin may appear slightly pink or warm for up to a few hours; a normal response that fades quickly. 

  • There’s no downtime, so patients can return immediately to work, or social plans.

  • Patients are recommended to avoid strenuous activities and saunas for at least 24 hours. 

Frequently Asked Questions

  • Most patients describe the sensation as a gentle, comfortable warmth. Due to its Wave Fit™ Pulse System and Integrated Cryogen Delivery (ICD) cooling, XERF maintains surface comfort while achieving the optimal collagen-stimulating temperature range.

  • XERF gently heats the skin, causing collagen fibers to contract right away for an immediate tightening effect. 

    The bigger benefit happens gradually over time; heat triggers fresh collagen and elastin production, rebuilding the skin’s foundation. Expect firmer, smoother, more lifted skin over the next 3–6 months. With yearly maintenance, these results can be long-lasting.

  • The number of XERF treatments depends on the patient’s degree of laxity and goals. Patients typically benefit most from a series of two sessions, spaced 4-6 weeks apart. 

    General guideline:

    • For prevention or early collagen banking: One XERF session is often enough to stimulate new collagen and maintain firmness. It’s ideal for younger skin or patients already consistent with collagen-stimulating treatments.

    • For visible tightening and stronger results: We recommend a series of two XERF sessions, spaced about 4–6 weeks apart. This approach allows the second treatment to build on the first, enhancing collagen remodeling, strengthening skin elasticity, and creating longer-lasting lift and structure.

    • For long-term maintenance: To keep collagen levels strong and slow natural collagen loss, we suggest one XERF session per year as part of your collagen care plan.

  • XERF isn’t just corrective, it’s one of the best tools for collagen preservation. Even before visible sagging, regular XERF sessions help keep the skin’s foundation strong, preventing loss of elasticity and contour as you age.

  • No, XERF does not destroy facial fat. Fat breakdown only occurs when tissue is heated above approximately 45°C for a sustained period, which XERF’s controlled energy and safety sensors specifically avoid.

    XERF’s technology is engineered to stay well below that fat-destroying threshold, maintaining a dermal temperature of approximately 38-43°C – the ideal range for safe collagen stimulation and remodeling.

    Throughout the treatment, the system continuously monitors temperature and tissue impedance, automatically adjusting energy in real time to ensure even, precise, and safe delivery.

    In other words: XERF strengthens your collagen network without compromising the youthful fullness that keeps your face natural and lifted.

  • Absolutely. XERF pairs beautifully with other collagen-boosting or skin-refining treatments.

    • RF Microneedling for texture, pores, and scars.

    • Glass Skin Booster for hydration and luminosity.

    • Sculptra to maximize the lifting 

    • Botox or filler to enhance contour and balance facial structure.

    Our team will customize a sequence to ensure each treatment complements the other, maximizing results safely.

  • Yes. XERF uses real-time impedance monitoring and integrated cooling to deliver controlled heat safely to all skin types and tones including sensitive or melanin-rich skin. There’s no risk of pigmentation or surface damage when performed correctly.

  • XERF is ideal for anyone noticing mild to moderate skin laxity, such as softening along the jawline, mild drooping around the cheeks, or decreased firmness.

    It’s also perfect for patients in their 20s and 30s who want to bank collagen early and prevent future sagging.