XERF™ Structural Skin Tightening

Beautiful Skin Begins with Beautiful Structure.

The Next Evolution of Non-Invasive Skin Tightening

Time changes more than the surface of the skin—it transforms the intricate framework beneath it. As collagen and elastin gradually diminish, the skin’s structural support weakens, leading to laxity, crepiness, and loss of firmness. True rejuvenation begins by restoring that foundation.

Welcome to XERF™ Advanced Structural Skin Tightening—a revolutionary, non-invasive treatment that harnesses the world’s first multifrequency monopolar radiofrequency (RF) technology to strengthen skin from within—with no numbing, needles, anesthesia, or downtime. Unlike conventional skin-tightening treatments, XERF™ delivers advanced radiofrequency energy throughout the superficial, middle, and deep structural layers of the skin—where meaningful collagen remodeling and lasting skin rejuvenation begin.

What is so unique and exceptional about this device is that XERF™ treats the skin as well as the deeper structural layer of the face called the SMAS (the Superficial MusculoAponeurotic System), which is a continuous layer of fibromuscular tissue beneath the facial skin and fat that connects the facial muscles to the skin—and is the key structure tightened in facelift surgery to produce a lift. By treating both the skin and underlying SMAS, XERF™ thereby creates a lifted look and improves the quality of the skin—so you obtain skin improvement combined with a lifted effect.

All the skin-tightening, collagen-boosting power of this radiofrequency energy creates naturally firmer, smoother, more resilient skin—a beautiful, visibly younger look—backed by science and designed for comfort—all with:

No Numbing
No Needles
No Anesthesia
No Downtime

Because beautiful skin is built from within.

A New Standard in Structural Skin Tightening

Dr. Kristy Hamilton believes exceptional aesthetic results begins by preserving and enhancing the body’s natural architecture. Rather than simply treating the surface, XERF™ rebuilds the skin’s underlying support system through advanced collagen stimulation and tissue remodeling. Over time, this biological renewal improves skin firmness, elasticity, texture, and overall quality while maintaining natural movement, expression, and elegance.

This is structural skin tightening—a refined approach to rejuvenation that strengthens the skin’s foundation while preserving what makes you uniquely beautiful.

The Science Behind XERF™

The World’s First Multifrequency Monopolar Radiofrequency Platform

Traditional monopolar radiofrequency devices operate using a single frequency, limiting where energy can be delivered.

XERF™ introduces an entirely new category of skin rejuvenation by combining 6.78 MHz and 2 MHz radiofrequency frequencies within one sophisticated platform.

This innovative multifrequency technology enables precisely targeting the superficial, intermediate, and deeper structural layers of the skin during one single treatment—stimulating collagen exactly where support is needed most.

Rather than creating superficial improvement alone, XERF™ promotes comprehensive collagen remodeling throughout the skin’s architectural framework for beautifully refined, long-lasting results.

Intelligent Technology. Personalized Precision.

Every XERF™ treatment is intelligently customized using Accurate Impedance Feedback™, an advanced system that continuously analyzes your skin throughout treatment. This real-time feedback automatically optimizes energy delivery based upon your unique skin profile, ensuring exceptional consistency, precision, and safety.

With three treatment depths and ten customizable energy levels, every treatment is tailored specifically for your anatomy, skin quality, and aesthetic goals.

Because personalized medicine creates personalized beauty.

Luxury Should Feel Comfortable

Advanced technology should enhance your experience.

XERF™ combines proprietary Wave Fit™ Pulse Technology with Advanced Integrated Cryogen Delivery™, enabling therapeutic radiofrequency energy to penetrate beneath the skin while continuously cooling and protecting its surface.

The treatment is remarkably comfortable and requires no numbing, no needles, no anesthesia, and no downtime. Most patients describe a pleasant warming sensation throughout treatment before immediately returning to work, exercise, social activities, and everyday life.

This is sophisticated science made to operate effortlessly.

What Can XERF™ Improve?

XERF™ is designed to restore firmness, improve skin quality, and refine contour throughout both the face and body. Treatment areas include:

Face

Jawline

Neck

Décolleté

Upper Arms

Abdomen

Flanks

Bra Roll

Buttocks

Inner Thighs

Outer Thighs

Above the Knees

Crepey skin

Mild, Cellulite-related Textural Irregularities

Whether treating early signs of aging, postpartum skin laxity, changes following weight loss, or maintaining youthful skin quality, XERF™ offers an elegant, non-surgical solution.

Beautiful Alone. Even Better Together.

XERF™ is exceptionally versatile—it may be performed as a standalone treatment for patients seeking non-invasive structural skin tightening or incorporated into comprehensive regenerative treatment plans.

XERF™ pairs beautifully with:

QuantumRF™ Skin Tightening (minimally-invasive)

Morpheus8 Burst RF Microneedling

CO2 Laser Resurfacing

Regenerative Skin Therapies

Facial Optimization Surgery

Neck Lift Surgery

Body Contouring Procedures

By continually stimulating collagen remodeling, XERF™ helps preserve and extend the beautiful results achieved through both surgical and non-surgical treatments.

Your XERF™ Experience

Following a comprehensive consultation, a personalized treatment plan will be created based upon your anatomy, skin quality, and long-term aesthetic goals.

During treatment, the XERF™ handpiece gently glides across the skin while precisely controlled, multifrequency radiofrequency energy is delivered beneath the surface.

With no recovery period, you can immediately return to your daily life.

Results That Continue to Evolve

Because XERF™ stimulates your body’s own regenerative processes, results develop naturally over time. You experience an early improvement in skin tone and firmness, with continued collagen remodeling occurring over the following several months.

For optimal structural tightening, it is recommended to undergo:

Two treatment sessions

Spaced four to six weeks apart

Maintenance treatments may then be performed periodically to further stimulate collagen production in order to feature beautifully healthy skin for years to come.

The Hamilton Philosophy

Beautiful skin is experienced by more than simply tightening it. Exquisite skin results from being strengthened, supported, and preserved. At Dr. Kristy Hamilton Plastic Surgery, every treatment reflects a philosophy of respecting anatomy, while enhancing natural beauty through next-level innovation and precision.

XERF™ Advanced Structural Skin Tightening represents that philosophy in its purest form—science-driven technology that restores the skin’s foundation, preserves natural movement, and delivers refined, elegant rejuvenation with elegance.

XERF™ Structural Skin Tightening

The Next Evolution of Non-Invasive Skin Tightening

A New Standard in Structural Skin Tightening

The Science Behind XERF™

Intelligent Technology. Personalized Precision.

Luxury Should Feel Comfortable

What Can XERF™ Improve?

Beautiful Alone. Even Better Together.

Your XERF™ Experience

Results That Continue to Evolve

The Hamilton Philosophy

Begin Your Journey Your Path to Elevated Beauty