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XERF Laser Skin Tightening is a non-invasive cosmetic treatment that helps improve skin firmness and reduce the appearance of mild facial laxity. XERF is commonly used on the jawline, cheeks, neck, and around the eyes.

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Botox® is an injectable treatment that reduces the appearance of facial wrinkles on the skin. Botox® is usually injected in the forehead area, wrinkles at the corner of the eyes (crow’s feet), around the mouth, lips, and chin.

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Treatments & Services

At Happy Hands Aesthetics, we offer a number of FDA approved, industry leading dermal fillers that will help you keep that youthful look without going under the knife. The goal always being to create a NATURAL yet youthful appearance.

What Is XERF RF Skin Tightening?

XERF RF Skin Tightening is an advanced, non-invasive radiofrequency treatment designed to tighten and firm the skin without surgery, needles, numbing, or downtime.

At Best Fillers LA, Dr. Sarshad uses XERF technology to deliver controlled, multifrequency monopolar RF energy into the skin’s shallow, mid, and deeper layers, including the SMAS. This process helps stimulate collagen remodeling, improve skin firmness, and create a subtle lifting effect that continues to improve over the following weeks.

The treatment also includes built-in cooling for greater comfort, and each session is customized based on your skin condition, treatment goals, and areas of concern. The result is a refreshed, tighter, and more naturally youthful appearance.

Benefits At A Glance

A firmer and more sculpted appearance along the jawline, jowls, and cheeks

Softening of fine lines and early skin laxity

Comfortable treatment sessions with no downtime

Natural-looking improvements that continue as collagen rebuilds

Can be combined with RF microneedling or injectables for more comprehensive facial rejuvenation

Am I A Candidate?

You may be a good candidate for XERF RF Skin Tightening if you are starting to notice mild to moderate skin laxity, especially around the cheeks, jawline, or lower face, and want a non-surgical solution.

During your consultation at Best Fillers LA, Dr. Sarshad will evaluate several factors, including:

Your medical history

Any implanted devices, such as pacemakers or metal, in the treatment area

Pregnancy or breastfeeding status

Your skin concerns, including laxity, texture, or volume loss

Any recent cosmetic procedures or active skin conditions

If another treatment would better match your needs, such as RF microneedling for texture and tightening or laser resurfacing for pigmentation concerns, Dr. Sarshad will review the pros and cons with you and help you choose the most effective option.

What To Expect Before, During, and After Treatment

Before Treatment

Arrive with clean skin and stay well hydrated.

Avoid strong active ingredients such as retinoids or acids for 24 to 48 hours before treatment unless otherwise instructed.

Remove any metal jewelry from the treatment area.

During Treatment

Treatment time is typically about 30 to 45 minutes for the lower face and jawline.

Most patients describe the sensation as a deep and even warmth with active cooling throughout the session.

Numbing is generally not needed, and most patients remain very comfortable during the procedure.

After Treatment

There is no downtime after XERF RF Skin Tightening.

Mild redness may appear immediately after treatment, but this usually fades within a few minutes to a few hours.

Most patients can return to their normal routine the same day.

Sunscreen with SPF 30 or higher is strongly recommended to protect and maintain your results.

Recommended Treatment Series

Most patients benefit from two initial treatments spaced about 4 to 6 weeks apart, followed by maintenance sessions every 6 to 12 months, depending on skin goals and response.

Why Hydration Matters For XERF Treatment

Staying well hydrated is one of the simplest and most important ways to support your XERF results.

XERF technology works by targeting the water naturally present in the skin and underlying tissue. For best results, Best Fillers LA recommends drinking 2 to 3 liters of water daily for at least three days before your appointment. Proper hydration can help improve energy delivery, reduce the chance of hot spots, and support a more comfortable treatment experience.

Hydration is a small step that can make a noticeable difference in both comfort and outcome.

Results Timeline

Weeks 1 To 4

Early firmness may begin to develop as the skin responds to treatment and collagen stimulation starts.

Weeks 4 To 12

Many patients begin to notice visible improvements, such as a more defined jawline, tightening under the chin, smoother neck skin, and subtle lifting in the cheeks and lower face.

Ongoing Improvement

Collagen remodeling continues over time, and annual maintenance treatments can help preserve and enhance results.

Doctor’s Note

“When skin laxity is one of the main concerns and a patient wants visible improvement without downtime, XERF RF Skin Tightening can be an excellent place to start. At Best Fillers LA, we customize each treatment based on tissue response, skin condition, and comfort so patients can achieve natural-looking tightening in a way that feels both effective and comfortable.”

Dr. Sarshad
Best Fillers LA

RF Skin Tightening Vs Other Options

XERF RF Skin Tightening is ideal for patients who want to improve skin laxity along the jawline, cheeks, and lower face with no downtime. The treatment feels like deep warmth and includes cooling for added comfort.

RF Microneedling is often better for patients who want both tightening and improvement in texture, pores, or acne scarring. Downtime is usually low to moderate, and numbing is typically required.

Laser Skin Resurfacing is generally more appropriate for concerns such as pigmentation, acne marks, and surface texture. Downtime varies by device and treatment intensity.

At Best Fillers LA, Dr. Sarshad will help determine which option best aligns with your aesthetic goals, skin condition, and comfort preferences.

XERF Compared To Other Skin Tightening Treatments

XERF is designed to tighten loose skin, smooth crepey texture, and improve jawline definition through strong collagen stimulation and advanced radiofrequency delivery.

Compared with other skin tightening treatments:

Thermage tends to deliver broader heating with less precision.

Sofwave may provide milder tightening results.

Ultherapy can effectively target deeper layers, but many patients find it less comfortable.

Other RF devices may offer fewer customization options than XERF.

Many patients choose XERF because it offers a strong balance of lift, comfort, customization, and minimal interruption to daily life. At Best Fillers LA, every recommendation is based on your individual skin condition and treatment priorities.

Frequently Asked Questions

How Many Treatments Will I Need?

Most patients begin with two treatments spaced 4 to 6 weeks apart, followed by maintenance treatments every 6 to 12 months.

Is There Any Downtime?

There is little to no downtime. Mild redness may occur after treatment, but it usually resolves quickly.

Do you know when I will see results?

Some patients notice early firmness within the first few weeks, while more visible improvements often develop between 4 and 12 weeks as collagen production increases.

Can I Combine XERF With Other Treatments?

Yes. XERF can often be combined with injectables, RF microneedling, and other non-surgical rejuvenation treatments to create a more comprehensive treatment plan.

Are There Any Contraindications?

Patients with certain implanted medical devices, metal in the treatment area, pregnancy, breastfeeding, or active skin conditions may not be ideal candidates until medically cleared. A consultation with Dr. Sarshad is the best way to determine whether XERF is right for you.