Confidence Without the Commitment
At The Rose Clinic, every treatment is guided by the same artistry and precision that has defined Dr. Kevin Rose's 25 years in plastic surgery. That same commitment to natural, beautiful results carries into The Rose Spa, where the newest advancements in non-surgical skin tightening are offered with the same level of care patients have come to expect. Reach out to book a consultation and start your XERF journey.
What Is XERF Structural Skin Tightening?
XERF is a non-surgical treatment that uses radiofrequency energy to firm and tighten skin without cutting, needles, or numbing cream. It works by gently warming the deeper layers of tissue, encouraging your skin to rebuild collagen, the protein responsible for that smooth, supported look skin has when it's younger.
What sets XERF apart is its ability to deliver two different radiofrequency frequencies at once, reaching the shallow, middle, and deep layers of skin in a single pass. A built-in cooling system keeps the surface comfortable throughout, so most patients find the treatment far more relaxing than they expect.
Before & After XERF Structural Skin Tightening




Benefits of XERF
- Tightens loose or sagging skin on the face, neck, jawline, and body
- Stimulates natural collagen production for results that build over time
- Requires no needles, incisions, or topical numbing
- Comfortable treatment with little to no discomfort
- No downtime, so you can resume normal activities right away
- Safe for all skin tones and types
Am I a Good Candidate for XERF?
XERF tends to work best for patients with mild to moderate skin laxity who aren't quite ready for surgery, or who simply want to maintain results they already love. It's a strong option if you've noticed your skin starting to soften along the jawline, neck, or midsection but aren't looking for an invasive procedure. A consultation at The Rose Clinic is the best way to find out whether XERF, or a complementary treatment, fits your goals.
Why Choose The Rose Clinic for XERF?
The Rose Spa operates within the same practice as Dr. Rose's surgical center, giving patients access to one of the newest advancements in non-surgical skin tightening. Treatment plans are never one-size-fits-all. Each session is tailored to your skin and your goals, whether you're trying XERF for the first time or pairing it with another service.
Your Consultation
During your consultation, a member of the clinical team will talk with you about your skin goals and take a close look at the areas you'd like to treat. From there, they'll walk you through what XERF can realistically achieve and whether it should stand alone or pair with another treatment for a fuller result. Questions are always welcome, and there's no pressure to decide on the spot.
What Does XERF Cost?
Pricing for XERF is based on the size and number of areas treated, along with the number of sessions your skin needs to reach your goals. Smaller areas like the jawline or under-chin typically cost less than larger combinations such as the full face and neck. The clinical team will provide a personalized quote once your treatment plan is set during your consultation.
What to Expect During XERF Treatment
Getting Started
There's no need to numb the skin beforehand. As long as you've followed the clinical team's guidance on sun exposure and skincare in the days leading up to your visit, you can arrive and start your session right away. Once you're settled in, the treatment area is cleansed and the device is positioned over the skin to begin.
During the Session
The handheld device delivers radiofrequency energy while a cooling system keeps the surface comfortable. Most patients feel warmth that builds gradually, similar to a hot stone massage, rather than anything sharp or uncomfortable.
Wrapping Up
A typical session runs about an hour, though this varies depending on the size and number of areas treated. Once finished, there's no bandaging or special aftercare required.
XERF Recovery
One of the biggest draws of XERF is that there's really nothing to recover from. Skin may look slightly flushed immediately afterward, similar to a light workout, but this typically fades within a few hours. Most patients return to work, exercise, or social plans the same day.
XERF Results
Many patients notice a tighter, more lifted feeling in their skin right after treatment. The more noticeable changes tend to unfold gradually over the following weeks as collagen continues to rebuild, giving skin a firmer, smoother appearance that can continue improving for a few months after the session.
Treatments That Pair Well With XERF
- BodyTite: Uses radiofrequency-assisted liposuction to contour the body while tightening loose skin in the same session.
- FaceTite: A minimally invasive option for patients who want more dramatic tightening of the face and neck.
- Morpheus8: Combines microneedling with radiofrequency to address texture and deeper laxity together.
- AccuTite: A precise, smaller-scale radiofrequency treatment ideal for delicate areas like under the chin or around the eyes.
XERF FAQs
Is XERF the same as a facelift?
No. XERF is a non-surgical treatment that tightens skin using radiofrequency energy, while a facelift is a surgical procedure that physically repositions tissue. XERF works well for milder laxity or as a way to maintain results after surgery.
Will my insurance cover any part of XERF?
No. XERF is a cosmetic treatment, so it isn't covered by insurance. The clinical team can discuss payment plan options during your consultation.
How many sessions will I need?
This depends on your skin and your goals. Some patients see the improvement they want after one session, while others choose a short series for more noticeable results.
Can men get XERF treatments too?
Yes. XERF works the same way regardless of gender and is commonly used by men looking to tighten skin along the jawline, neck, or midsection without surgery.
How long do results last?
Results vary by patient, but many enjoy improvement for several months to a year or more, especially with proper skincare and occasional maintenance sessions.
Will I need to change my skincare routine after treatment?
Not dramatically, but adding daily sunscreen and staying consistent with your existing routine helps support the collagen-building process. The clinical team will give you personalized guidance based on the areas you had treated.
Who performs XERF treatments at The Rose Clinic?
XERF is administered by a trained member of the clinical team within The Rose Spa, each certified in the specific technology and technique the treatment requires.
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