XERF Skin Tightening
Tighten · Lift · Contour · Firm
Medically reviewed by Dr. James Veltmeyer, MD. Performed by the registered nurses of Satori Medical Aesthetics.
XERF Skin Tightening in San Diego
XERF is the newest generation of radiofrequency skin tightening — FDA-cleared in 2025 — and it reaches where older RF devices couldn't. Dual-frequency monopolar energy heats the deep structural layer of the face, the same foundation a surgical facelift addresses, triggering an immediate tightening response and then months of fresh collagen building on top of it. No needles, no incisions, and thanks to built-in cooling, most sessions don't even need numbing.
Its lane is the geography of gravity: softening jawlines and jowls, loosening neck and under-chin skin, crepey décolleté, and laxity on the body — arms, abdomen, above the knees. There's a subtle lift visible soon after the session, but the real result arrives over eight to twelve weeks as the collagen rebuilds, and because radiofrequency heats tissue without caring about pigment, XERF is safe for every skin tone.
The Facelift Layer, Without Surgery
XERF's dual-frequency energy reaches the deep structural layer surgeons work on — a depth older RF devices never touched — and tightens it without a single incision.
No Numbing, No Downtime
Built-in cooling keeps the treatment comfortable without numbing cream, and there's nothing to recover from — mild redness fades fast, and makeup and normal life resume immediately.
Every Skin Tone
Radiofrequency heats tissue without targeting pigment, so XERF treats all skin tones and types — including everyone the light-based treatments have to turn away.
Face, Neck & Body
Jawline, jowls, neck and décolleté are the headliners — but the same energy firms crepey arms, abdomen and above-the-knee skin in the same chair.
Unretouched: before, and four weeks after a single XERF treatment. Photos courtesy of Jordan V. Wang, MD — Cynosure Lutronic. Individual results vary.
01 — Screening & Plan
A medical review first: monopolar radiofrequency means your nurse screens for pacemakers, implanted devices and metal in the treatment area, along with pregnancy and skin condition. Then the plan — which zones, what depth, how many sessions.
02 — Prep, Without the Numbing Wait
There's no numbing cream and no half-hour waiting for it to work. XERF's pulse technology and built-in cooling are engineered for comfort at full power — you're on the table and underway in minutes.
03 — The Settings
XERF treats at three distinct depths — the skin itself, the layer beneath it, and the deep structural foundation — across ten energy levels. Your nurse maps depth and energy zone by zone: one plan for a softening jawline, a different one for crepey neck skin.
04 — The Pass
The handpiece moves zone by zone, each shot spreading its energy across twelve micro-pulses with cooling between every one — a steady build of deep warmth rather than spikes of heat. Expect thirty to sixty minutes depending on how many areas you're treating.
05 — Straight Back to Your Day
Some warmth and light redness afterward, gone within hours. No peeling, no swelling to hide, no aftercare beyond sunscreen you should be wearing anyway. There's often a subtle tightness you can feel immediately — that's the collagen contracting on day one.
06 — The Build
The immediate tightening is the preview; the feature is the rebuild. Over the following eight to twelve weeks, collagen and elastin thicken and shorten, and the improvement keeps compounding at the one, three and six month marks. Most plans run about two treatments, with an annual session to maintain the structure.
Why Have XERF at Conjure
XERF at Conjure is performed by a registered nurse from Satori Medical Aesthetics under Medical Director Dr. James Veltmeyer, MD, in a dedicated medical room inside the studio — in Hillcrest, with free private parking at the door. Energy at facelift depth belongs in exactly those hands.
And it slots into a menu built to give the honest answer instead of the available one. If your concern is surface texture — lines, scars, sun damage — that's Opus Plasma resurfacing, not tightening. If it's skin quality and glow, PRX Biorevitalization is the gentler tool. XERF's job is structure: the jawline, the jowls, the neck. Your nurse will tell you which one your face is actually asking for.
Frequently Asked Questions
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No numbing is used, and none is needed — that's engineered, not bravado. Each shot spreads its energy across twelve micro-pulses with cooling gas between every one, so you feel a deep, building warmth rather than spikes of heat. Most people describe it as intense but entirely manageable.
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Different layers, different jobs. Opus resurfaces — it renews the surface for texture, lines and sun damage. XERF tightens — it heats the deep structural layer to firm jawlines, jowls and necks. One is about the quality of the canvas, the other about the frame it hangs on. Plenty of faces eventually want both.
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Most plans run about two treatments, and the manufacturer's own results photos are taken after exactly that. From there, a single annual session maintains the structure. Your nurse sets the plan by how much laxity you're starting with.
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There's often a subtle tightness immediately — collagen contracts on contact with the heat. The real result builds over eight to twelve weeks as collagen and elastin rebuild, and keeps improving through the six-month mark. This is a treatment that gets better after you've stopped thinking about it.
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Yes — radiofrequency heats tissue without targeting pigment, so XERF treats every skin tone and type safely. It's one of the treatments we point people toward when light-based options like IPL have to turn them away.
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It's skipped with pacemakers or any implanted electronic device, metal implants in the treatment area, during pregnancy, and on skin with an active infection or flare. The medical screening at the start of your appointment covers all of it before the device is ever switched on.
Book XERF in Hillcrest
XERF appointments are booked directly with the Satori medical team. Call or text 442.655.8617 and mention code CONJURE1 for preferred pricing. You'll be treated in the medical room at Conjure Skin Therapies, 1450 Washington Street, Hillcrest — free private parking at the door.
