XERF Effect

Treatment focus

• An evolution of radiofrequency

  Radiofrequency has an established history in aesthetic medicine, but older technologies could be associated with significant heat and discomfort, particularly at higher energy levels. XERF combines two frequencies with controlled cooling to create a more comfortable treatment experience — better understood as an evolution of RF technology than a replacement for it.

• XERF and Ultraformer are different technologies

  XERF uses multifrequency monopolar radiofrequency; Ultraformer uses microfocused ultrasound. The two create thermal stimulation in different ways and can therefore address different aspects of skin ageing and laxity. The more useful question is not which machine is better, but which combination is right for your skin.

• The power of combining technologies

  Skin ageing does not happen in one layer alone — changes occur across multiple levels of the skin and underlying tissues. Combining technologies that work through different mechanisms can create a more strategic approach: XERF for multifrequency radiofrequency stimulation, Ultraformer for focused ultrasound energy, and a collagen biostimulator such as calcium hydroxylapatite for an injectable biological stimulus. These approaches do not simply duplicate one another.

• The science behind combination treatments

  Research is increasingly investigating the synergistic effects of combining energy-based treatments with collagen biostimulators. A 2023 histological study published in the Journal of Cosmetic Dermatology evaluated a combined protocol of microfocused ultrasound and calcium hydroxylapatite/hyaluronic-acid-based filler, and reported a threefold increase in epidermal and dermal thickness, concluding that the treatments acted synergistically in collagen production. A separate systematic review conducted in Brazil examined microfocused ultrasound with collagen biostimulation and found evidence supporting combination approaches for improving skin laxity and tissue quality.

• More technology does not mean better results

  Combination treatments should never simply mean adding every available technology. The most effective protocols are based on understanding where laxity is occurring, your skin quality, existing collagen levels, facial anatomy, tissue thickness, volume distribution and your aesthetic goals. The combination must be strategic — the goal is not to change the way you look, but to help your skin become firmer, stronger and more youthful-looking while preserving your natural identity.