XERF Skin Tightening in Atlanta, GA
XERF treatment at IBI Plastic Surgery & Med Spa uses multifrequency monopolar radiofrequency (RF). This means that the device uses adjustable radio-wave heat that penetrates deep under the skin to tighten it and encourage your body to produce new collagen in the treated areas.
It may improve mild to moderate skin laxity without surgery or needles. A consultation with an IBI specialist is the best way to determine whether XERF is the best treatment for your concerns, which areas can be treated, and how many sessions may be recommended.
IBI offers XERF treatment at its Loganville, Georgia, location for patients from Atlanta and surrounding communities.
Overview Of XERF Treatment
What Is XERF Treatment?
XERF is a nonsurgical skin-tightening treatment that uses radiofrequency (RF) energy that creates heat and delivers this controlled heat below your skin’s surface. The heat can help tighten your existing collagen fibers and build new collagen, which is a protein that helps support your skin and keep it smooth and firm.
XERF uses monopolar RF. In this type of system, a handpiece sends energy into the treatment area. A return pad placed on your body completes the energy path. The system uses two RF settings: 2 MHz and 6.78 MHz. These settings help the IBI specialist control how the energy is delivered.
The handpiece also has a built-in cooling feature called Integrated Cryogen Delivery. It releases a cooling spray during each pulse. The cooling helps protect the skin and makes the treatment more comfortable. The device also checks how the energy moves through the skin in real time.
The IBI specialist uses this feedback to adjust the treatment for your skin and treatment area.
XERF is not a laser. Lasers use focused light, while XERF uses RF energy to create heat. XERF is also different from RF microneedling. RF microneedling uses tiny needles to deliver RF energy into the skin. XERF uses a handpiece on the skin’s surface and does not use needles.
XERF vs. Morpheus8: What Is the Difference?
XERF and Morpheus8 both use radiofrequency energy during the treatment, but they deliver it in different ways. XERF sends monopolar RF through a handpiece on the skin surface without needles. Morpheus8 uses microneedles to deliver RF into the tissue. It may be selected when skin texture, acne scars, or enlarged pores are also part of the treatment goal. Read the full XERF vs. Morpheus8 comparison.
What Concerns Can XERF Address?
XERF skin tightening may improve the appearance of:
- Mild to moderate skin laxity.
- Early jowling or reduced jawline definition.
- Loose-looking skin under the chin or on the neck.
- Crepey-looking skin texture.
- Fine lines associated with skin laxity.
- A gradual loss of firmness.
XERF is not expected to remove excess skin or reproduce the results of a facelift. Severe skin laxity may require a surgical consultation or a different treatment recommendation.
What Areas Can Be Treated With XERF?
The XERF handpiece has interchangeable heads that are designed to treat different areas, so XERF skin tightening can be performed on many areas of the body, including:
Your treatment is customized to fit your needs and the areas being treated.
Who Is a Candidate for XERF?
XERF treatment may be a good choice if you have mild to moderate skin laxity or early signs of aging. It may also fit people who want to avoid corrective surgery. Age or a skin concern alone does not establish candidacy.
A potential candidate may:
- Have mild to moderate skin laxity or loss of firmness.
- Want a nonsurgical, needle-free option.
- Understand that results develop gradually and vary from person to person.
- Understand that XERF does not remove excess skin or reproduce facelift results.
People with severe skin sagging may need another treatment or a surgical consultation. The IBI team will evaluate your skin, health history, concerns, and goals before recommending a treatment plan.
Who Should Not Have XERF Treatment?
XERF treatment may not be suitable for everyone. People who are pregnant or breastfeeding may not be candidates. The same may be true for people with an implanted electronic device or metal hardware. An active infection or recent surgery near the planned treatment area may also affect candidacy. This is not a complete list. Your IBI specialist will review your medical history and current health to decide whether XERF is appropriate for you.
What Does XERF Treatment Feel Like?
Most patients tolerate XERF treatments without a numbing agent and feel that they are comfortable overall, but comfort varies from person to person. You may feel warmth as the handpiece moves across the treatment area or brief flashes of heat in areas that are more sensitive, which can deliver a quick zinging feeling. The quick delivery of cool air from the built-in Integrated cooling helps keep the treatment comfortable and protects the skin surface.
The XERF technology also monitors your skin’s response in real-time and makes adjustments to the heat or deploys cooling on the fly to ensure your treatment is safe and comfortable. Your IBI specialist can also adjust the energy and cooling settings based on your feedback. No needles are used, and most patients do not need numbing.
What Happens During a XERF Session?
XERF skin tightening treatments can take about 45 to 60 minutes, depending on the area being treated. Treatment steps may vary, but the basic process includes:
Dr. Angelina or a qualified IBI Plastic Surgery specialist evaluates your skin and discusses your concerns, goals, and realistic expectations. The treatment plan is based on the areas being treated and the degree of skin laxity.
The treatment area is cleaned to remove makeup, oil, and skincare products. The XERF handpiece has a cooling system built into it. Most patients do not need numbing, although the treating professional can discuss comfort options if needed.
A gel is applied so the handpiece can glide across the skin. A return pad may also be placed on your body as part of the monopolar RF system.
Your IBI specialist moves the XERF handpiece across the treatment area while radiofrequency energy heats selected tissue. The built-in cooling system helps protect the skin surface. A soothing moisturizer or serum may be applied when the session is complete, and you can usually return to your normal schedule.
How Many XERF Sessions Will I Need?
The number of XERF sessions will depend on your skin and the area being treated. The changes you hope to see also help guide the plan. Your IBI specialist will discuss the recommended number and timing of sessions during your consultation.
Packages of two treatments are available. Sessions should be spaced far enough apart to allow time for collagen remodeling. The right interval will depend on your treatment plan.
When Will I See Results, and How Long Do They Last?
Some patients may notice an initial change soon after XERF treatment. The treated area may continue to change over the following weeks or months as collagen remodeling occurs. No exact date or degree of change can be guaranteed.
The longevity of XERF results varies. Your treatment plan and degree of skin laxity can affect how long changes remain visible. Age, skin condition, sun exposure, smoking, skincare, weight changes, and ongoing aging also play a role.
Your IBI specialist can discuss realistic expectations and whether future maintenance treatments may be considered.
XERF Recovery & Side Effects
XERF does not require a planned recovery period, and you can return to your normal schedule after treatment. No planned downtime does not mean that every patient will have no temporary skin response. You may experience some short-term side effects right after your XERF treatment that may include:
- Redness or pinkness.
- Warmth.
- Mild swelling.
- Tingling or tenderness.
Rare but more serious risks are possible. Your IBI specialist can explain those risks and discuss your individual health history during the consultation.
XERF Aftercare
Gentle aftercare can help protect your skin while it recovers and the collagen remodeling continues. Staying properly hydrated is especially important in the days after treatment.
- Use a gentle, fragrance-free moisturizer to support the skin barrier.
- Cleanse the treated area with cool or lukewarm water for the first 24 to 48 hours.
- Apply broad-spectrum sunscreen with SPF 30 or higher whenever the treated area will be exposed to daylight, starting the day after treatment.
- Drink plenty of water in the days after your appointment.
- Avoid hot showers, saunas, intense workouts, and direct sun exposure for the period recommended by your IBI specialist.
- Follow the aftercare instructions from your IBI specialist because individual protocols may vary.
You can usually apply makeup as soon as you feel comfortable after your appointment, but check with your specialist to ensure it is appropriate for your situation.
Benefits
XERF may be a viable option for patients who want to improve the appearance of mild to moderate skin laxity without surgery. Treatment benefits include:
Does not require surgery.
No incisions or resulting scars.
No needles are used.
Almost no downtime.
Encourages the natural production of new collagen.
Improves the elasticity and firmness of your skin.
Is safe for most skin types and tones.
Can leave the treated areas looking refreshed, more defined, and toned.
Treatment options for several areas of the face and body.
Individual results vary, and a consultation is needed to determine whether XERF fits your concerns and goals.
How Much Does XERF Cost in Atlanta?
XERF skin tightening starts at $2,200. Your final XERF cost depends on the treatment area and whether you choose a single session or a package. IBI Plastic Surgery & Med Spa often run specials that can impact the cost of your XERF treatment.
Your IBI team member can provide a personalized quote during your consultation. You can also review current pricing, check current specials, and learn about financing options.
Our Specialists
Angelina Postoev, MD, FACS, is a triple board-certified cosmetic surgeon at IBI Plastic Surgery & Med Spa. Dr. Angelina or a qualified IBI specialist will meet with you to evaluate your concerns and learn more about you and your medical history and current health. The evaluation helps the team determine whether XERF or another treatment may fit your needs.
Trust in Excellence
Backed by Credentials!
- Board-Certified Cosmetic and Plastic Surgeons at Your Service
- Proud Members of AACS, ASPS, ACS, ASRM, and more!
- Accredited Facilities Ensuring Your Safety and Satisfaction
Testimonials
State of the art facility. Always on top of new technology & products. Very professional customer service.
– Celia
Highly recommend. Dr. Angelina and her staff made this all very easy. While beauty at my age was not the objective, I feel great about the results and would recommend the procedure in a heartbeat.
– Michael
Dr. Angelina is by far one of the best doctor I’ve met, I had such a life changing experience with her never felt more confident and comfortable in my life amazing results love love love!!!
– Brittany
FAQs
Is XERF a laser treatment?
No. XERF uses radiofrequency energy rather than laser light. The handpiece delivers RF through the skin surface while integrated cooling helps protect the surface.
Is XERF the same as RF microneedling?
No. XERF delivers monopolar radiofrequency through a handpiece placed on the skin and does not use needles. RF microneedling uses needles to place radiofrequency energy within the tissue.
Does XERF treatment hurt?
XERF is usually well tolerated, and most patients do not need numbing. You may feel warmth, cooling, or a brief flash of stronger heat, especially near bony areas. Comfort varies from person to person, and settings can be adjusted by the treating professional.
How many XERF treatments will I need?
The number of treatments depends on your skin, treatment area, degree of laxity, and goals. Packages of two treatments are available. Your IBI specialist will recommend the number and timing that fit your plan. Sessions should be spaced to allow time for collagen remodeling.
When will I see XERF results?
Some patients notice an early change soon after treatment. The appearance may continue to develop over the following weeks or months as collagen remodeling occurs. The timing and degree of change vary.
How long do XERF results last?
XERF results do not have one guaranteed duration. Your treatment plan, skin condition, and age can affect how long changes remain visible. Sun exposure, smoking, skincare, weight changes, and ongoing aging also play a role. Your specialist may discuss maintenance based on your response.
Is there downtime after XERF?
XERF does not require planned downtime, so most patients can return to their normal routine after the appointment. Temporary pinkness, warmth, mild swelling, tingling, or tenderness may still occur.
What are the possible XERF side effects?
Expected short-term responses may include redness or pinkness, warmth, mild swelling, tingling, or tenderness. Rare but more serious risks are possible. Your IBI specialist can explain those risks and assess your health history before treatment.
Who should not have XERF?
People who are pregnant or breastfeeding may not be candidates for XERF. An implanted electronic device or metal hardware may also affect candidacy. The same may be true for an active infection or recent surgery near the planned treatment area. This is not a complete list. An IBI specialist will review your medical history and current health before making a recommendation.
How much does XERF treatment in Atlanta cost?
XERF treatment starts at $2,200. The final quote depends on the treatment area and number of sessions. Choosing a single treatment or a package will also affect the price.
Where does IBI offer XERF treatment?
IBI offers XERF treatment only at its Loganville, Georgia, location at 367 Athens Hwy, Suite 100C. This office serves patients from Atlanta and surrounding communities.
Can XERF replace a facelift?
No. XERF may improve the appearance of mild to moderate skin laxity. It cannot remove excess skin or reproduce surgical correction. A surgical consultation may be more appropriate for severe laxity.

