XERF Skin Tightening with Dr. Kleydman | PFRANKMD

XERF Skin Tightening

XERF is a non-invasive radiofrequency skin tightening treatment designed to improve firmness, early laxity, jawline softness, and skin quality without needles, numbing, or downtime. XERF uses multifrequency monopolar radiofrequency energy to support collagen remodeling and visible tightening over time.

XERF is performed by Dr. Kleydman at PFRANKMD in Manhattan.

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What is XERF skin tightening?

XERF is a non-invasive radiofrequency treatment designed to support skin tightening, collagen stimulation, and overall skin quality. Unlike treatments that use needles or create controlled surface injury, XERF delivers radiofrequency energy through the skin to help firm and strengthen the treatment area over time.

It is especially appealing for patients who want a skin-tightening option that fits into real life: no injections, no numbing, and no social downtime.

Common Treatment Areas:

Face
Jawline
Lower face
Neck
Areas of mild skin looseness

How It Works

Radiofrequency energy supports collagen remodeling

XERF uses multifrequency monopolar radiofrequency energy to heat targeted layers beneath the skin’s surface. This controlled heating helps stimulate collagen remodeling and improve visible firmness over time.

Because the treatment works below the surface, results are not about peeling or resurfacing. Instead, XERF is focused on firmness, tightening, elasticity, and early laxity. Some patients may notice an immediate tightening effect, while longer-term improvements develop gradually as collagen remodeling continues.

XERF Can Help Improve:

A softer or less defined jawline
Early to moderate skin laxity
Early jowling or lower-face heaviness
Mild neck laxity
Crepey or thinning skin texture
Loss of skin firmness and elasticity
Subtle facial contour softening

Who Is It Best For?

XERF is best for patients who want a non-invasive, no-downtime approach to early skin laxity and firmness.

Best For:

Early laxity around the jawline or lower face
Mild jowling or softening of facial contours
Neck laxity or crepey skin texture
Loss of elasticity
Patients who want skin tightening without needles
Patients who want a treatment that can fit into a busy schedule
Pre-event tightening or maintenance treatment plans

Not Ideal For:

Significant sagging or advanced laxity
Patients who need surgical lifting
Deep wrinkles, scars, or texture concerns that require resurfacing
Patients looking for volume restoration
Patients expecting dramatic lifting from one treatment

Dr. Kleydman can help determine whether your concern is primarily skin laxity, volume loss, texture, or a combination.

XERF VS. OTHER TREATMENTS

XERF
Best for patients who want no-downtime tightening for early laxity, jawline softness, and skin firmness.
RF Microneedling
Better when tightening is paired with texture, scars, pores, or deeper remodeling, and the patient is comfortable with needles and a few days of redness.
CO2 Laser Resurfacing
Best for patients focused on scars, texture, fine lines, sun damage, and resurfacing, with planned downtime.
Sculptra®
Best when the concern is collagen support, volume loss, or structural deflation, rather than skin laxity alone.

Frequently Asked Questions