XERF is Structural Skin Tightening: the world's first multifrequency monopolar RF treatment. It delivers collagen-boosting energy to every layer of the skin — for firmer, smoother results, with no numbing, no needles, and no downtime.
Are you ready for the next step in the evolution of skincare? Introducing the XERF treatment — Structural Skin Tightening. It delivers all the skin-tightening, collagen-boosting power of radiofrequency energy, with no needles or downtime — just visible results, backed by science and designed for comfort. Unlike conventional RF treatments, the XERF system delivers RF energy deeper into the skin, reaching the shallow, middle, and deep layers where real change begins.
The XERF treatment adapts to each patient's unique skin profile using Accurate Impedance Feedback for real-time analysis of the skin. With three depth settings and ten intensity levels, it's a truly personalized experience tailored just for you — overseen by board-certified physician Dr. Sharath Reniguntala. The best part? No numbing, needles, or downtime.
XERF is designed for subtle, natural-looking improvement — the kind people notice without knowing exactly why.
RF energy stimulates collagen for a visibly lifted, tightened look.
Multifrequency RF reaches shallow, middle, and deep layers — down to the SMAS.
A comfortable, Never-Numb™ treatment with no downtime.
Three depth settings and ten intensity levels tailor every session.
From consultation to renewed skin — a clear, physician-led path.
Dr. Reniguntala reviews your skin, history, and goals, and confirms whether XERF is right for you.
A comfortable, Never-Numb™ RF session treats the face and/or neck — no numbing or needles, and a shorter room time than treatments that require numbing.
Collagen continues to remodel over the following weeks, revealing firmer, smoother skin. Most patients complete a two-session protocol.
See how Structural Skin Tightening works — and the results patients feel. Video courtesy of Cynosure Lutronic.
Actual patients treated with XERF Structural Skin Tightening. Individual results vary; images provided by Cynosure Lutronic.
XERF is a great fit for adults looking to refresh the face and neck without surgery. A consultation confirms suitability.
A board-certified physician with 14+ years of focused experience, Dr. Reniguntala brings the same meticulous, patient-first care that defines our vein practice to every aesthetic treatment — so your results look natural and your safety comes first.
The most common questions we hear. Anything else — just ask at your consultation.
None. XERF requires no numbing, no needles, and no downtime — you can return to your day right after your session.
Most patients choose a two-session protocol. Dr. Reniguntala confirms the right plan for your skin at your consultation.
Skin continues to tighten as collagen remodels over the weeks following treatment. Many patients notice progressive firming after their sessions.
XERF delivers RF energy down to the SMAS, and histological studies show collagen remodeling and tightening. Every treatment is physician-overseen; suitability is confirmed at consultation.
Reserve a XERF consultation at our Santa Ana clinic with Dr. Reniguntala.
Learn about physician-overseen XERF treatment for the face and neck and request a consultation to discuss whether it may be right for you.