XERF, The World's First Multifrequency Monopolar RF for Immediate Lift
Pain-Free Skin Tightening with Zero Downtime at FACE Medspa
Experience the next generation of non-invasive skin lifting at FACE Medspa. XERF is the world’s first multifrequency monopolar radiofrequency treatment, combining dual-frequency technology with our exclusive Never-Numb™ experience to deliver immediate lift, structural tightening, and progressive collagen remodeling. No needles. No numbing. No downtime. Just visible contouring after your first session, accumulated lift after two sessions, and peak results within 3 months.
Finally: Structural Lift Without the Pain, Needles, or Downtime
“For years, patients seeking real skin tightening have faced an impossible choice: endure some discomfort with Ultherapy, commit to multiple sessions of RF microneedling that don’t deliver structural results, or they have had Emface which can get the muscle and be pain-free, but doesn’t give an immediate effect. At FACE Medspa, we’ve added XERF, the world’s first multifrequency monopolar radiofrequency system, because it finally solves this dilemma. Using dual frequencies (6.78 MHz and 2 MHz) in a single pass, XERF heats multiple skin depths simultaneously, delivering immediate lift through collagen contraction plus progressive tightening over 3 months. But here’s what makes our approach different: we don’t treat your skin in isolation. We strategically layer XERF with your existing collagen-building and/or muscle tightening treatments, foundational anti-aging optimization through naturopathic physician, Dr. Doug Cutler, and complementary lifestyle approaches for a comprehensive approach to facial longevity. The result? Award-winning results from award-winning experts, not just another device in another medspa.”
– FACE Medspa Leadership Team
What is XERF?
The World’s First Multifrequency Monopolar RF Treatment






XERF (short for eXperience Exponential RF) is a next-generation, non-invasive monopolar radiofrequency skin tightening and lifting treatment that is the world’s first dual and multi-frequency monopolar RF system, combining 6.78 MHz for shallower and mid-dermal layers with 2 MHz for deeper dermal and subdermal/ SMAS-adjacent tissues.
XERF delivers controlled heat to stimulate collagen and promote tissue remodeling, providing an immediate lift through collagen fiber contraction, along with progressive tightening as new collagen and elastin form. The treatment is pain-free (our exclusive Never-Numb™ experience), with no needles, no numbing, and no downtime.
FDA-Cleared & Clinically Validated:
FDA-cleared for non-invasive skin tightening
Safe for all skin types and tones (Fitzpatrick I-VI)
Suitable for face, neck, and body applications
World's first multifrequency monopolar RF technology
Pain-free Never-Numb™ experience
The result? Immediate visible contouring plus progressive structural lifting, without the discomfort of competing treatments. These advancements have been clinically proven to thicken the epidermis 2x and strengthen the collagen fibers by 3.5x in a 30-day period. The 3.5x additional strength of collagen fibers translates to 3.7 cc of natural collagen midface in a 30-day timeframe.
Understanding Skin Laxity: Why Traditional Treatments Fall Short
What Causes Skin Laxity? As we age, collagen and elastin production decline by approximately 1% per year starting in our mid-20s. Combined with hormonal changes, sun damage, aging and lifestyle factors, this leads to sagging skin, lost facial definition, and the gradual descent of facial features.
The Root Causes Most Providers Miss:
01
Multi-Depth Collagen Loss
Aging affects multiple skin layers simultaneously, but most RF treatments only target one depth or the superficial skin which can give some skin tightening but not true lifting. True lifting requires comprehensive multi-layer collagen remodeling, exactly what XERF’s dual-frequency technology provides.
Best complementary solution: XERF + Injectable Biostimulation
02
Hormonal Decline
Declining estrogen accelerates collagen loss (up to 30% in the first five years of menopause). Without addressing the hormonal root cause, even the best topical treatments can’t keep up with the rate of decline.
Best complimentary solution: XERF + Hormone Optimization with Dr. Cutler
03
Foundational Structural Changes
Sagging isn’t just about skin, it involves the underlying support structures. Treatments that only address surface texture miss the deeper architecture that creates true facial lift.
Best solution: XERF for structural tightening + Emface for muscle support
04
Cumulative Sun & Lifestyle Damage
Years of UV exposure, stress, and inflammation degrade collagen faster than your body can rebuild it. Reversing this requires both stimulating new collagen AND protecting existing structure.
Best complementary solution: Laser Skin rejuvenation + Naturopathic Medicine
Concerns XERF Addresses
Are You Noticing:
- Loose or sagging skin on the face, neck, or body
- Drooping brow or hooded eye appearance
- Fine lines and wrinkles that creams can't address
- Loss of facial contour and structural support
- Discomfort or downtime concerns with other tightening treatments
- Need for maintenance between more aggressive procedures
- Loss of jawline definition and early jowling
- Neck laxity or "turkey neck" concerns
- Decreased skin elasticity and firmness
- Crepey texture developing on neck or décolletage
- Frustration with results from surface-level treatments
- Desire for prevention to slow visible aging
If you’re nodding yes to multiple concerns, XERF can help.
How XERF Works:
Revolutionary Dual-Frequency Technology
Multi-Depth Heating in a Single Pass
XERF delivers two frequencies simultaneously through one device, allowing comprehensive collagen stimulation across multiple skin depths without needles, numbing, or downtime:
Frequency 1: 6.78 MHz (Shallower & Mid-Dermal)
Higher frequency targets the upper dermal layers where fine lines, surface texture, and initial laxity develop.
- Smooths fine lines and surface wrinkles
- Improves overall skin texture
- Tightens superficial dermis
- Enhances skin quality and tone
Frequency 2: 2 MHz (Deeper Dermal & SMAS-Adjacent)
Lower frequencies penetrate deeper into the dermis and subdermal tissues, reaching layers that are traditionally only accessible through more invasive treatments.
- Targets foundational support structures
- Stimulates deeper collagen remodeling
- Creates structural lift in jawline and neck
- Tightens deeper tissue for lasting results
Spider Pattern™ Tip Technology
The large, flat applicator delivers uniform energy without hotspots, ensuring consistent treatment across every millimeter.
- Even energy distribution
- No "hot spots" or uneven heating
- Comprehensive coverage in fewer passes
- Comfortable warming sensation
Wave Fit™ Pulse Technology
Fractionated multipulse delivery with real-time impedance monitoring adjusts energy based on your skin’s unique resistance.
- Personalized energy delivery
- Adapts to your specific skin properties
- Maximizes efficacy while ensuring safety
- AI-guided precision throughout treatment
Advanced Integrated Cryogen Delivery (ICD)
Our exclusive cooling technology keeps skin comfortable throughout treatment, the foundation of the Never-Numb™ experience.
- Continuous surface cooling
- Eliminates need for numbing cream
- Creates warm massage sensation
- Protects skin while heating deeper layers
Your skin experiences simultaneous heating at multiple depths, triggering immediate collagen contraction (visible lift) and progressive collagen remodeling (continued tightening over 3 months). It’s the most comprehensive non-invasive structural lift available, delivered comfortably in a two session protocol.
These advancements have clinically proven to thicken the epidermis 2x and strengthen the collagen fibers by 3.5x in a 30-day period, translating to 3.7 cc of natural collagen midface in a 30-day timeframe.
Key Benefits: & Clinical Results
Immediate & Progressive Benefits:
- Immediate contouring and lifting: Visible collagen fiber contraction creates instant tightening after first session
- Progressive improvement over 3 months: New collagen and elastin formation peaks at 3-month mark with continued benefits up to 6 months
- Comprehensive structural tightening: Multi-depth heating addresses surface and foundational layers
- Natural-looking results: Gradual, believable improvement without over-tightened appearance
- Long-lasting results: Outcomes sustain approximately 12 months with proper maintenance
Aesthetic Transformations:
- Reduced laxity across face, neck, and body
- Improved jawline definition and sharper facial contours
- Lifted brows opening eye area appearance
- Smoother neck with reduced crepey texture
- Enhanced elasticity for more youthful appearance
Treatment Experience Benefits:
- Pain-free Never-Numb™ experience: No numbing cream or topical anesthetic required
- Zero downtime: Resume all activities immediately after treatment
- Comfortable sensation: Most describe as a warm massage
- No needles or invasive techniques: Completely surface-applied technology
- Quick sessions: 30-60 minutes depending on areas treated
- All skin types welcome: afe and effective for Fitzpatrick I-VI
Clinical Performance Data:
- GAIS Score: Average 2.75/4 at final assessment (40% statistically significant improvement from baseline)
- Investigator Accuracy: Independent investigators correctly identified post-treatment images in 80% of cases
- Patient Satisfaction: 100% of patients scored satisfaction ≥7/10 (average 7.84/10)
- Histological Evidence: Increased collagen bundle thickness confirmed at multiple depths
- Visible Improvements: Often noted immediately with stronger tightening at 2-3 months
Expected Results & Timeline
Immediate Post-Treatment (Same Day):
- Visible contouring from collagen fiber contraction
- Initial tightening sensation
- Possible mild warmth or temporary redness
- Patients may see an immediate lift in jawline and brow
Weeks 1-4:
- Continued tightening as new collagen begins forming
- Improved skin texture and quality
- Subtle ongoing improvements in firmness
- Enhanced skin tone and luminosity
Weeks 4-12 (Building Results):
- Significant collagen remodeling underway
- Noticeable lifting and contouring becomes more apparent
- Friends and family begin noticing refreshed appearance
- Jawline definition improves, brows lift, neck smooths
3 Months (Peak Results):
- Clinically proven to thicken the epidermis 2x and strengthen the collagen fibers by 3.5x in a 30-day period, translating to 3.7 cc of natural collagen midface in a 30-day timeframe.
- Maximum structural improvement visible
- Full lifting and tightening effect achieved
- Natural-looking rejuvenation without "done" appearance
- Most dramatic before/after comparison
6 Months & Beyond:
- Continued benefits as remodeling completes
- Results stabilize and remain visible
- Some patients see continued subtle improvements
- Beginning to consider maintenance planning
Long-Term Results:
- Results typically last approximately 12 months
- Maintenance sessions recommended every 12 months
- Combined with other FACE treatments, results compound for facial longevity
- Aging continues, but you remain visibly "ahead"
XERF vs. Other Skin Tightening Treatments
Understanding How XERF Compares to Your Options
Why XERF is Different
1
How XERF Compares to RF Microneedling (Morpheus8, Sylfirm X)
RF microneedling creates fractional micro-injuries plus RF heat for excellent improvement in texture, scars, pores, and some tightening. It requires numbing and has little to no downtime.
XERF is fully non-invasive RF with bulk/ volumetric heating across multiple depths simultaneously. It excels at broader structural tightening and lifting with zero downtime and superior comfort. Many patients combine them: microneedling for texture refinement plus XERF for overall firmness and structural maintenance.
2
How XERF Compares to Exion (Non-Needle Monopolar Application)
Exion combines RF with targeted ultrasound and is excellent for mild skin laxity, typically used in more targeted areas. Its standout feature is boosting natural hyaluronic acid production by 224%, which plumps and hydrates skin alongside collagen and elastin gains. It generally requires a minimum of 4 weekly sessions.
XERF is better suited for moderate aging and laxity with deeper, multi-layer treatment. It’s used all over the face, neck, and body for more comprehensive structural tightening, providing noticeable immediate contouring and long term results, typically with just 2 sessions.
3
How XERF Compares to Ultherapy
Ultherapy uses micro-focused ultrasound to target multiple layers, including the SMAS (muscle and skin), creating precise thermal coagulation points for lifting. It’s typically performed in one session (with numbing for comfort), with lifting that builds gradually, resulting in a 24-30% structural lift in one session. Both XERF and Ultherapy deliver results that last approximately one year with maintenance.
XERF focuses on skin tightening through bulk RF heating across multiple depths (not directly targeting muscle) and typically involves 2 sessions. It offers immediate visible contouring in many cases (unlike Ultherapy building over time), and is often praised for being comfortable (no numbing needed), and efficient at achieving structural firmness.
4
How XERF Compares to Emface
Emface combines RF for skin tightening with HIFES electromagnetic muscle stimulation. Clinical studies show it can reduce wrinkles by up to 37%, provide a lifting effect, boost muscle tone by approximately 30%, and improve mid-facial volume without injectables. It’s pain-free and downtime-free, typically requiring four weekly sessions.
XERF is more focused on deep skin tightening and structural lifting (not muscle toning or volume enhancement via muscle stimulation). It typically requires 2 sessions and delivers broader, multi-depth collagen remodeling for firmness and contour. The choice depends on whether your primary goal is skin tightening (XERF) or combined muscle tone plus volume (Emface), and many patients benefit from a combined protocol of both,
FACE Medspa's Integrated XERF Approach, Why Choose FACE for XERF
The device alone isn’t one size fits all, so comprehensive and individualized care are critical for an optimal result, as the skin doesn’t age one dimensionally. What separates FACE Medspa is our philosophy that addresses all the factors affecting your skin’s laxity and longevity.
We Don’t Treat XERF as a Standalone Device:
- Strategically combine XERF with your existing collagen treatments
- Layer with Exion (for HA boost), Morpheus8/Sylfirm X (for texture), and Emface (for muscle tone)
- Address the full skin aging picture, not just one symptom
- Partner with naturopathic physician Dr. Doug Cutler for a 360 inside out aging approach
- Create personalized protocols that are unmatched
We Address Root Causes, Not Just Surface Symptoms:
- Root Cause Reset Consultation with naturopathic physician Dr. Doug Cutler (to discover internal factors that degrade collagen and elastin faster)
- Hormone optimization through Dr. Cutler partnership (declining estrogen accelerates collagen loss)
- Comprehensive consultations (identifying ALL contributors to skin laxity, quality, and appearance)
- BioIntelligent Testing (for hormonal factors affecting skin health)
- Holistic approach to facial longevity (not isolated treatments)
We Prioritize Patient Experience Over Volume:
- Longer consultations to truly understand your goals
- Medical-grade oversight with experienced award-winning providers
- Luxurious, unhurried treatment environment
- Personalized follow-up and aftercare planning
- Patient-centered recommendations (not sales-driven)
We Have Deep Expertise with Advanced RF Technology:
- 20 years extensive experience with RF technologies
- Award-winning Skin Management Experts
- Understanding of how XERF synergizes with each treatment
- Mastery of comparative protocols for optimal patient outcomes
Our Award-Winning Skin Management Expertise:
- Highly trained on XERF protocols and customization
- Deep experience across multiple RF and energy-based technologies
- Recognized excellence in non-surgical facial rejuvenation
- Continuous education in latest aesthetic technologies
- Proven track record of consistent, natural-looking results
Your XERF Treatment Experience
Session Duration: 30-60 minutes (depending on areas treated)
Treatment Series: 2 sessions
Frequency: Spaced 4-6 weeks apart
Sensation: Comfortable warmth (like a warm massage)
Downtime: Zero, resume all activities immediately
1
Before Treatment:
During your consultation with one of our award-winning skin management experts, we’ll assess your skin laxity, discuss your goals, review whether XERF alone or combined with other treatments will deliver your best results, and create your customized protocol. Photos are taken for comparison.
2
During Treatment:
You’ll recline comfortably while the Spider Pattern™ tip glides across your skin, delivering dual-frequency RF energy with Advanced Integrated Cryogen Delivery (ICD) cooling. The sensation is warm and comfortable, no numbing required. Real-time impedance monitoring adjusts energy throughout to optimize your results.
The Never-Numb™ Experience: Unlike Ultherapy or RF microneedling, XERF requires no topical anesthetic. The integrated cooling technology keeps your skin comfortable while heating deeper tissues, creating a pain-free experience throughout.
3
After Treatment
Walk out and return to your day. No restrictions. No recovery period. Just progressive relief building with each session.
Ideal Candidates for XERF
Mild-to-Moderate Skin Laxity:
- Early signs of jowling or jawline softening
- Beginning neck laxity or crepey texture
- Brow descent or hooded eye appearance
- Loss of facial definition
- Want intervention before more aggressive options
Patients Avoiding Discomfort:
- Wishing for alternative to Ultherapy's discomfort
- Hate the recovery from RF microneedling
- Prefer comfortable, relaxing treatments
- Want effective results without enduring discomfort
Time-Conscious Professionals:
- Cannot afford downtime from work or social obligations
- Need treatments that fit busy schedules
- Want immediate return to all activities
- Value efficient 2-session protocols vs. extended series
Maintenance & Prevention Seekers:
- Want to slow visible aging
- Maintain results from previous treatments
- Prevent more advanced laxity from developing
- Invest in long-term facial longevity
Multi-Treatment Integrators:
- Already invested in Exion, Morpheus8, Sylfirm X
- Want to enhance results from existing protocols
- Seeking comprehensive treatment combinations
- Value FACE's expertise in layered approaches
All Skin Types Welcome:
- Safe for Fitzpatrick I-VI skin tones
- Suitable for various ethnicities
- Effective on diverse skin types and conditions
- No restrictions based on skin tone
Amplifying XERF Results: Combination Treatments
XERF + Naturopathic Medicine
Address the root cause of accelerated collagen loss while delivering structural lift through XERF. Dr. Cutler’s BioIntelligent Testing™ identifies factors affecting your health and skin, allowing comprehensive optimization that surface treatments alone cannot achieve.
XERF + Exion (Non-Needle Monopolar)
Combine XERF’s deep multi-depth structural tightening with Exion’s hyaluronic acid plumping for comprehensive skin transformation, addressing both firmness and hydration simultaneously for maximum impact.
XERF + RF Microneedling (Morpheus8/Sylfirm X)
Layer XERF’s surface-level structural tightening with the texture refinement of RF microneedling. XERF lifts and firms while microneedling addresses scars, pores, and surface quality, comprehensive facial transformation in coordinated protocols.
XERF + Emface
Address both skin AND muscle for complete facial rejuvenation. XERF tightens skin and creates structural lift while Emface tones underlying muscles and enhances mid-facial volume, the ultimate non-surgical lift combination.
XERF + Injectable Biostimulation
Combine XERF’s surface and mid-depth collagen stimulation with deeper biostimulator treatments for comprehensive volume restoration and structural support across all facial layers.
What Our Clients Say
“After years of microneedling at other practices, I tried XERF at FACE and was blown away. I saw lifting after my first session, no needles, no numbing, and no downtime. My jawline looks more defined than it has in years—and the team’s expertise in combining it with my Emface treatments made all the difference.”
Miriam G., Age 47, Birmingham
“I was scared off by friends’ Ultherapy experiences—everyone said it was painful. XERF at FACE gave me real lifting results, but felt like a warm massage. Two sessions and I’m thrilled with how my neck and jowls look. This is the treatment I’ll be coming back for.”
Sicely W., Age 52, Bloomfield Hills
“What sold me on FACE wasn’t just that they had XERF—it’s that they knew exactly how to layer it with my existing treatments. Their expertise across multiple RF technologies meant I got a custom plan that competitors couldn’t offer. The results speak for themselves.”
Heidi A., Age 44, Troy
“I’ve been getting various skin treatments for years and FACE’s approach is different. They addressed why my skin was losing elasticity through Dr. Cutler’s testing AND treated it with XERF. The combination has given me the best results I’ve ever had.”
Stephanie., Age 49, West Bloomfield
Why Choose FACE Medspa for XERF
Award-Winning Expertise:
- Highly trained on XERF protocols and dual-frequency optimization
- Award-winning skin management experts on staff
- Recognized excellence in non-surgical facial rejuvenation
- Continuous education in cutting-edge aesthetic technologies
Integrated Multi-Modality Approach:
- Extensive experience with Exion, Morpheus8, and Sylfirm X
- Strategic layering with complementary treatments
- Dr. Cutler partnership for hormonal root-cause optimization
- Comprehensive protocols competitors cannot match
Luxurious, Personalized Experience:
- Longer consultations focused on your specific goals
- Medical-grade oversight throughout treatment
- Relaxing, unhurried treatment environment
- Patient-centered (never sales-driven) recommendations
Proven Track Record:
- Real before/afters from our XERF patients
- Emphasis on natural-looking outcomes
- Consistent results across diverse patient populations
- Ongoing follow-up care and maintenance planning
Serving Oakland County's XERF Sufferers
FACE Medspa proudly offers FDA-Cleared XERF treatment to patients throughout:
- Birmingham
- Bloomfield Hills
- Troy
- Bingham Farms
- West Bloomfield
- Royal Oak
- And all Oakland County communities
Experience the Pain-Free, Multifrequency Lift Difference
Stop choosing between effective results and comfortable treatments. With XERF at FACE Medspa, you can have both, plus the integrated expertise that ensures your results exceed what any standalone device can deliver. Schedule your complimentary consultation today and discover why patients choose FACE for the world’s most advanced multifrequency monopolar RF.