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The DC JournalLaser & Skin

XERF: firming the face without the scalpel

How radiofrequency tightens skin and restarts collagen, who it is really for, and where surgery stays the better answer.

Profile of a woman in her forties with a firmer jawline after XERF radiofrequency in Laval

The lower face softening, a less defined jawline, a neck that starts to "drop" a little: it is often the first sign of aging we notice in the mirror. Before you think surgery, there is a serious non-invasive route: radiofrequency.

Here is what XERF actually does, who it makes sense for, and where its limits are. Without overselling the promise.

What "laxity" really means

Over time, the skin makes less collagen and elastin, the fibres that keep it taut. The skin gets thinner, softer, and gravity does the rest. Laxity is not just a surface issue: it comes from the deep structure of the skin.

That is where radiofrequency comes in, working on that structure rather than the surface layer.

How XERF radiofrequency works

XERF sends a radiofrequency current that heats the deep dermis in a controlled way. That heat has two effects:

  1. It tightens the existing collagen right away.
  2. It triggers the making of new collagen over the weeks and months that follow.

So the result sets in two stages: a light tightening effect at first, then a gradual improvement in firmness. It is not a switch you flip, it is a project you set in motion.

Another important point: radiofrequency heats through the tissue's own resistance, not by targeting a pigment. So it suits every skin tone, without the risk of spots that some lasers carry on darker skin.

A woman in profile, jawline and neck clearly drawn

Does it hurt?

No. Most people describe a pleasant warmth, close to a warm massage. No needle, no anesthesia, and the intensity is adjusted to your comfort throughout the session. There is no downtime: some light redness can show up, then you go back to your day.

XERF or a facelift: who is each one for

We have to be honest here, because this is where a lot of people get let down by false promises.

  • XERF makes sense when the laxity is mild to moderate: a jawline that is starting to soften, skin that lacks tone, and creams no longer change a thing.
  • Surgery stays the better answer when there is marked excess skin or significant laxity. No non-invasive technology repositions tissue the way a facelift does. Telling you otherwise would not be honest.

The right treatment is the one that matches your stage, not the one that costs the most or the least.

A woman in profile, the skin of the lower face taut

How a session goes

We clean the skin, apply a conductive gel, then pass the handpiece zone by zone, gradually raising the heat. A face and neck session usually takes under an hour. You feel the warmth build, never pain.

How many sessions, what results

Since collagen rebuilds over time, we often suggest a short series of sessions close together, then periodic maintenance, because aging keeps going. Results vary from one person to the next and show over several weeks.

For a coherent plan, XERF pairs well with skin-quality treatments like LaseMD Ultra: one works on deep firmness, the other on surface glow and texture.

What XERF does not do

  • It does not remove excess skin.
  • On advanced laxity, a facelift stays superior.
  • The result is neither instant nor permanent.

What it does, when it is well indicated: bring back tone, sharpen the jawline, and push back the moment you consider heavier procedures. We always confirm together in consultation whether it is the right choice for you.

A question about your skin?

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