XERF

XERF is an advanced, non-invasive radiofrequency treatment designed to tighten, firm, and strengthen the skin without needles, numbing, or downtime. Now available at PFRANKMD’s West Village office, XERF brings next-generation skin tightening technology to patients looking for smoother, firmer, more youthful-looking skin in New York City.

Using multifrequency monopolar radiofrequency energy, XERF targets multiple layers of the skin to support collagen remodeling, skin firmness, and visible tightening over time. Unlike treatments that only focus on surface-level texture, XERF works deeper within the skin’s structural support system to improve laxity from the inside out.

PFRANKMD is a premier aesthetic and longevity healthcare brand founded by cosmetic dermatologist Dr. Paul Jarrod Frank. Located in New York City’s Upper East Side and West Village, PFRANKMD specializes in innovative, customized treatments that bridge the gap between cosmetic dermatology and modern aesthetic medicine.

XERF is a non-invasive skin tightening treatment that uses dual-frequency monopolar radiofrequency energy to heat targeted layers beneath the skin’s surface. This controlled heating helps stimulate collagen production and improve skin firmness over time.

The treatment is designed to address mild to moderate skin laxity while maintaining a comfortable patient experience. With integrated cooling technology and customizable energy delivery, XERF offers a modern approach to non-surgical skin tightening for patients looking for firmer, smoother-looking skin without downtime.

XERF may help improve the appearance of:

• Mild to moderate skin laxity
• Loose skin along the jawline
• Early jowling
• Neck laxity
• Crepey skin texture
• Loss of elasticity
• Lower face heaviness
• Thinning or aging skin texture

The treatment is commonly used on the:

• Face
• Jawline
• Neck
• Lower face
• Areas of mild skin looseness

Patients often choose XERF because it offers:

• Non-invasive skin tightening
• No needles
• No sedation
• No downtime
• Comfortable treatment sessions
• Gradual collagen stimulation
• Immediate visible tightening effects
• Quick appointments for busy schedules
• Easy integration into pre-event treatment plans

During treatment, radiofrequency energy is delivered into targeted tissue layers while integrated cooling technology helps maintain patient comfort.

The treatment is comfortable and does not require sedation or downtime. Most patients return to normal activities immediately after their appointment.

While some patients notice an early tightening effect, collagen remodeling continues over time, with ongoing improvements developing over the following months.

XERF may be a good option for patients who:

• Are experiencing early skin laxity
• Want firmer-looking skin
• Prefer non-surgical treatments
• Are not ready for surgery
• Want minimal downtime
• Are looking for maintenance skin tightening treatments
• Want a pre-event tightening treatment option

Patients with more advanced skin laxity may still benefit from surgical procedures or combination treatment approaches. During your consultation, your provider will help determine the best treatment plan for your goals.

At PFRANKMD, patients often ask about the difference between XERF and Ultherapy when it comes to non-surgical skin tightening. While both treatments are designed to support firmer, tighter-looking skin, they work differently and are often used for different goals and timelines.

Ultherapy is generally considered the long-term heavy lifter. Using focused ultrasound energy, Ultherapy targets deeper structural layers of the skin to stimulate collagen production over time. Treatments can be more uncomfortable and often require sedation for patient comfort. Results develop gradually over several months, which is why many patients choose to do Ultherapy once yearly as part of a long-term skin tightening plan.

XERF uses advanced radiofrequency technology instead of ultrasound. The treatment is painless, quicker, and requires no downtime, making it an appealing option for patients looking for a more convenient treatment experience. XERF can also provide an immediate tightening effect that may last several days, while continued collagen remodeling develops over the following months.

Because of its ease and versatility, XERF is often a strong option before events or social occasions. At PFRANKMD, patients frequently pair XERF with other treatments such as Fraxel, AquaGold, or EMFACE as part of a customized pre-event treatment plan designed to enhance skin quality, firmness, and overall facial appearance.

Rather than viewing XERF and Ultherapy as competing treatments, we often think of them as different tools within a broader skin tightening strategy. During your consultation at our West Village office, our team can help determine which approach best aligns with your skin quality, goals, lifestyle, and timeline.

One of the unique advantages of XERF is its ability to fit into pre-event aesthetic treatment plans.

Because the treatment is painless, quick, and requires no downtime, many patients schedule XERF treatments before weddings, events, photo shoots, vacations, or important social occasions. Patients may notice an immediate tightening effect after treatment, making it an attractive option for event preparation.

At PFRANKMD, XERF is commonly combined with treatments such as:

• Fraxel laser
• AquaGold
• EMFACE
• Neuromodulators
• Skin tightening treatment plans
• Customized facial rejuvenation protocols

These combination approaches allow our providers to personalize treatment plans based on skin quality, laxity, texture, and aesthetic goals.

To learn more about XERF skin tightening at PFRANKMD West Village, schedule a consultation with our team.

Call (212) 327-2919 or click here to schedule your consultation.

Aquagold Skin Boosting

Ultherapy

Emface

Fraxel Laser Treatments

Biostimulatory Fillers