XERF Skin Tightening in Burnaby | Non- Surgical Face Lift
- Jul 30
- 9 min read
Updated: Jul 30
Not everyone experiencing facial aging is ready for surgery, needles, or a long recovery period. Many patients simply want to look firmer, more refreshed, and more defined—without dramatically changing their appearance.
That is why XERF has quickly become one of the most talked-about treatments in non-surgical facial rejuvenation.
XERF is an advanced radiofrequency treatment designed to tighten loose skin, improve facial contours, and stimulate natural collagen production. It offers a comfortable, non-invasive option for patients concerned about early jowling, reduced jawline definition, wrinkles, neck laxity, and gradual loss of firmness.
At Prestige Laser & Skin Clinic in Burnaby, we use XERF as part of a personalized treatment approach. Rather than applying the same protocol to every patient, we assess facial structure, skin quality, degree of laxity, and individual goals before recommending a treatment plan.

What Is XERF Skin Tightening?
XERF is a non-surgical skin-tightening treatment that uses advanced monopolar radiofrequency energy.
During treatment, controlled energy is delivered beneath the skin to heat the deeper layers of tissue while protecting the skin’s surface. This therapeutic heat encourages existing collagen fibres to contract and activates the body’s natural collagen-remodelling process.
The treatment is designed to create both immediate and progressive improvement.
Some patients notice that the skin feels firmer shortly after their appointment. More visible changes gradually develop as the body produces and reorganizes collagen over the following weeks and months.
The objective is not to make the face look overfilled, frozen, or artificially altered. XERF is intended to improve firmness and definition while maintaining natural facial movement and expression.
Why Does Skin Begin to Sag?
Collagen and elastin are essential proteins that help keep the skin firm, flexible, and supported with XERF skin tightening treatment.
As we age, collagen production gradually decreases. Sun exposure, genetics, lifestyle, hormonal changes, weight fluctuations, and environmental stress can also affect the strength and quality of the skin.
Over time, these changes may contribute to:
Reduced facial firmness
Fine lines and wrinkles
Early jowling
A softer or less-defined jawline
Loose skin under the chin
Neck laxity
Crepey-looking skin
Changes in facial contour
Creams and serums can support hydration and overall skin health, but they cannot always reach the deeper structural layers involved in skin laxity.
XERF is designed to deliver energy into these deeper layers, where collagen stimulation and skin tightening can have a more noticeable effect.
How Does XERF Work?
XERF delivers carefully controlled radio frequency energy into targeted areas of the face or neck.
The heat generated during treatment stimulates fibroblasts, the cells responsible for producing collagen and elastin. It also encourages existing collagen fibres to contract and reorganize.
This process can help:
Stimulate new collagen production
Remodel existing collagen
Improve skin elasticity
Skin tightening
Support facial contours
Improve the appearance of fine lines
Create a firmer, more refreshed look
Because collagen production takes time, XERF results continue to develop after the appointment rather than appearing all at once.
What Areas Can XERF Treat?
XERF can be customized to address several common areas of concern.
Face
Facial treatment may help improve:
Mild to moderate skin laxity
Fine lines and wrinkles
Early sagging
Loss of firmness
Reduced facial definition
Tired or ageing-looking skin
Jawline
The jawline is one of the most commonly requested treatment areas.
XERF may help tighten loose tissue around the lower face and create a more defined transition between the face and neck.
For patients noticing early jowls or a softening jawline, treatment can support a firmer and more sculpted appearance.
Under the Chin
Loose tissue beneath the chin can make the lower face appear heavier or less defined.
XERF can be used to tighten this area and improve the appearance of the jawline and submental region. It is important to understand that XERF primarily addresses skin laxity and tissue firmness. Patients with significant fat beneath the chin may require a different or combined treatment approach.
Neck
The neck is often one of the first areas to show visible signs of ageing.
XERF may help improve:
Loose neck skin
Crepey texture
Mild horizontal neck lines
Reduced elasticity
Early neck laxity
Treating the face and neck together can create a more balanced and cohesive result.
What Makes XERF Different?
There are many skin-tightening technologies available, but they do not all work in the same way.
XERF offers several advantages for patients looking for a comfortable, non-invasive treatment.
No Needles
Unlike RF microneedling, XERF does not puncture the skin.
This makes it a suitable option for patients who want collagen stimulation and tightening without needles, numbing cream, or visible pinpoint marks after treatment.
No Surgery
XERF does not require incisions, anesthesia, or surgical recovery.
Although it cannot reproduce the results of a surgical facelift, it may be an effective option for mild to moderate skin laxity or for patients who are not ready to consider surgery.
Minimal Downtime
Most patients can return to their regular activities shortly after treatment.
Temporary warmth or mild redness may occur, but significant downtime is not generally expected.
Comfortable Energy Delivery
XERF is designed to deliver therapeutic heat while maintaining patient comfort.
Most patients describe the treatment as a warm sensation. Treatment settings can be adjusted according to the area, skin response, and individual comfort level.
Natural-Looking Improvement
XERF does not rely on adding volume to the face.
Instead, it stimulates the body’s own collagen-remodelling process. Results develop gradually, helping the skin look firmer and more refreshed without creating an overtreated appearance.
Who Is a Good Candidate for XERF?
XERF may be appropriate for adults who are noticing mild to moderate signs of facial or neck laxity.
You may be a suitable candidate if you are concerned about:
Early jowling
Loose skin along the lower face
Reduced jawline definition
Mild neck laxity
Fine lines and wrinkles
Loss of elasticity
Gradual facial ageing
Preventative collagen maintenance
Patients in their 30s may choose XERF proactively to support collagen and maintain firmness. Patients in their 40s, 50s, and 60s may use it to address more visible changes in skin laxity and facial definition.
Age alone does not determine candidacy. Skin quality, facial anatomy, medical history, previous treatments, and expectations must also be considered.
A consultation is necessary to determine whether XERF is the most appropriate option.
What Happens During a XERF Treatment?
Your appointment begins with a consultation and assessment.
We evaluate the areas of concern, degree of laxity, facial structure, skin quality, treatment history, and desired outcome. Photos may also be taken to document progress.
During treatment:
The skin is thoroughly cleansed.
The treatment areas are identified.
Settings are customized for your skin and concerns.
Radiofrequency energy is delivered across the selected areas.
Tissue temperature and skin response are carefully monitored.
Patients typically feel controlled warmth as the applicator moves across the skin.
Treatment time varies depending on the area and number of energy pulses used. An appointment may take approximately 30 to 90 minutes.
No incisions or injections are involved, and numbing is generally not required.
How Many XERF Treatments Will I Need?
Many patients begin noticing improvement after one treatment. However, two sessions are commonly recommended for more comprehensive collagen stimulation and progressive tightening.
Some patients may benefit from a third session depending on:
Age
Skin quality
Degree of laxity
Treatment area
Previous procedures
Desired level of improvement
Individual response to treatment
Sessions are generally spaced several weeks apart to allow the skin time to respond and begin the collagen-remodelling process.
Following the initial series, maintenance treatments may be recommended to support continued collagen production and preserve results.
When Will Results Appear?
XERF results develop in stages.
Shortly After Treatment
Some patients notice an initial feeling of firmness or subtle tightening. This may occur as existing collagen fibres respond to the controlled heat.
Over the Following Weeks
The body begins producing and reorganizing collagen. Improvements in skin firmness, elasticity, and facial definition may gradually become more noticeable.
Over Three to Six Months
Collagen remodelling continues for several months after treatment. This is when many patients observe their most significant improvement.
Results are progressive rather than instant, which helps the outcome appear natural.
How Long Do XERF Results Last?
The longevity of results varies from patient to patient.
Factors that may influence how long results last include:
Age
Skin quality
Sun exposure
Smoking
Weight fluctuations
Hormonal changes
Skincare routine
Lifestyle
Natural ageing
Many patients enjoy visible improvement for a year or longer. However, the ageing process continues, so periodic maintenance may be recommended.
Consistent sunscreen use, medical-grade skincare, good hydration, and healthy lifestyle habits can help support and maintain the results.
Does XERF Have Downtime?
XERF is considered a minimal-downtime treatment.
Most patients can return to work, social activities, and their normal schedule immediately after the appointment.
The skin may temporarily appear slightly pink or feel warm, but these effects generally resolve quickly.
Because the surface of the skin is not intentionally removed or punctured, there is usually no peeling, scabbing, or extended recovery period.
Your provider will give you specific aftercare instructions based on your treatment.
Can XERF Be Combined With Other Treatments?
Yes. XERF focuses primarily on skin tightening, collagen stimulation, and structural support. Other technologies may be added to address concerns such as pigmentation, redness, acne scars, enlarged pores, or uneven texture.
A combined treatment plan may provide more comprehensive rejuvenation.
XERF and LaseMD Ultra
LaseMD Ultra is a fractional laser treatment that targets the skin’s surface and upper layers.
It may be recommended for:
Sun damage
Pigmentation
Melasma
Uneven texture
Fine lines
Enlarged pores
Overall skin quality
XERF tightens and supports deeper tissue, while Ultra can improve tone and texture. Together, they address different layers of the skin.
XERF and Laser Genesis
Laser Genesis may help improve:
Redness
Enlarged pores
Uneven texture
Mild fine lines
Overall radiance
It can be incorporated into a maintenance plan for patients who want continued collagen support with little to no downtime.
XERF and Medical-Grade Skincare
Professional skincare products can help protect the skin, improve hydration, support the skin barrier, and maintain treatment results.
A customized home-care routine may include antioxidants, retinoids, corrective serums, moisturizers, and broad-spectrum sunscreen, depending on your skin type and concerns.
XERF Compared With RF Microneedling
XERF and RF microneedling both use radiofrequency energy, but they deliver it differently.
RF microneedling uses small needles to place energy at selected depths beneath the skin. It may be recommended when concerns include acne scarring, deeper texture irregularities, enlarged pores, or more intensive skin remodelling.
XERF delivers monopolar RF energy without needles. It is often selected when the primary goals are tightening, lifting, facial contouring, and collagen stimulation with minimal downtime.
Neither treatment is automatically better. The best option depends on the concern being treated, the patient’s skin, tolerance for downtime, and desired results.
Frequently Asked Questions
Is XERF painful?
Most patients describe XERF as comfortable and report feeling warmth during the treatment. Sensitivity varies, and treatment settings are customized to maintain comfort while delivering effective energy.
Does XERF require numbing?
Numbing cream is generally not required because the treatment does not use needles or intentionally damage the surface of the skin.
Can I wear makeup after XERF?
Most patients can return to their normal skincare and makeup routine shortly after treatment unless advised otherwise by their provider.
Is XERF suitable for every skin type?
Radiofrequency is not dependent on targeting pigment in the same way as certain laser or light treatments. XERF may therefore be suitable for a wide range of skin tones. However, every patient must still be medically and professionally assessed before treatment.
Will one treatment be enough?
Some improvement may be visible after one appointment, but two sessions are often recommended. A third session may be suggested depending on skin laxity and treatment goals.
Can XERF replace a facelift?
No non-surgical technology can duplicate the amount of lifting achieved through surgery.
XERF is best suited to patients with mild to moderate laxity who want gradual tightening, preventative collagen support, or a non-surgical alternative with minimal downtime.
Can XERF reduce facial fat?
XERF is primarily a skin-tightening and collagen-stimulating treatment. It should not be presented as a replacement for dedicated fat-reduction procedures.
Your provider will determine whether your concern is caused by loose skin, excess fat, muscle position, volume loss, or a combination of factors.
Why Are More Patients Choosing XERF?
Modern patients are becoming more selective about aesthetic treatments.
They are looking for procedures that fit into busy schedules, produce gradual improvement, and preserve their natural features.
XERF appeals to patients because it offers:
Non-surgical treatment
No needles
Minimal downtime
Comfortable energy delivery
Customized treatment settings
Progressive collagen stimulation
Natural-looking results
Treatment options for the face, jawline, chin, and neck
Rather than creating a temporary change, XERF works with the body’s natural regenerative processes to improve firmness and skin support over time.
Is XERF Worth It?
XERF may be worth considering when the primary concern is mild to moderate skin laxity and the goal is to achieve gradual improvement without surgery or significant downtime.
The quality of the assessment, the treatment protocol, the amount of energy delivered, and the experience of the provider all matter.
Patients should also have realistic expectations. XERF can improve firmness, elasticity, and contour, but results vary and no non-invasive treatment can completely stop the ageing process.
A personalized consultation is the best way to understand what the treatment may realistically achieve for your skin.
Experience XERF in Burnaby
Facial ageing is complex. Loose skin, volume changes, pigmentation, texture, muscle movement, and changes beneath the skin can all affect how the face looks over time.
That is why an effective rejuvenation plan should never be based on a single concern or a one-size-fits-all protocol.
At Prestige Laser & Skin Clinic in Burnaby, every XERF treatment begins with a comprehensive consultation. We assess your facial anatomy, skin quality, treatment history, concerns, and expectations before recommending an individualized plan.
XERF may be an excellent option for patients who want to:
Firm loose skin
Improve jawline definition
Address early jowling
Tighten the neck
Stimulate collagen
Maintain a refreshed appearance
Avoid needles, surgery, and significant downtime
The goal is not to make you look different.
The goal is to help your skin look firmer, healthier, and naturally refreshed.
Contact Prestige Laser & Skin Clinic to schedule a complimentary consultation and determine whether XERF is the right treatment for your skin and aesthetic goals.
604-553-3433

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