XERF™ RF Skin Tightening in West Lake Hills, TX

What Is XERF™ Structural Skin Tightening?

XERF™ is an advanced, non-invasive radiofrequency (RF) skin tightening treatment that delivers targeted energy deep into the skin without numbing, needles, or downtime. As the world’s first multifrequency monopolar RF system, XERF™ combines 6.78 MHz and 2 MHz frequencies to reach the shallow, middle, and deep layers of the skin, including the SMAS (Superficial Musculoaponeurotic System), the same foundational tissue layer addressed in surgical facelifts.

This dual-frequency approach is what separates XERF™ from traditional single-frequency RF skin tightening devices. By layering two frequencies, the treatment stimulates collagen remodeling at multiple depths simultaneously, producing firmer, tighter, more lifted skin without surgery or recovery time. For patients in West Lake Hills, Austin, Lakeway, and Bee Cave searching for a non-surgical alternative to a facelift, XERF™ offers a clinically supported path to visible skin tightening with zero downtime.

How Does XERF™ Skin Tightening Work?

XERF™ uses Accurate Impedance Feedback to read your skin in real time and Wave Fit™ pulse technology to adjust energy delivery to your skin’s unique thickness and laxity. With three depth settings and ten intensity levels, every treatment is fully customized — whether you’re targeting fine lines on thinner areas like the forehead or deeper structural laxity in the jowls and lower face.

Integrated Cryogen Delivery (ICD) cools the skin with every pulse, which is why XERF™ requires no topical numbing. Most patients describe the sensation as warm and comfortable rather than painful.

What Happens During a XERF™ Treatment?

Your Auveau provider will glide the XERF™ handpiece across the treatment area, delivering controlled warmth at depths calibrated to your skin profile. There’s no numbing and no needles. Most patients feel a comfortable warming sensation throughout the session, with cooling pulses interspersed for comfort.

XERF™ vs. Sofwave: Which Skin Tightening Treatment Is Right for You?

Auveau offers both XERF™ and Sofwave because they use fundamentally different technologies to achieve skin tightening, and the right choice depends on your goals, treatment area, and skin concerns.

The core difference: radiofrequency vs. ultrasound.

XERF™ uses dual-frequency monopolar radiofrequency energy to heat tissue broadly across the shallow, middle, and deep layers of the skin, including the SMAS. Sofwave uses Synchronous Ultrasound Parallel Beam (SUPERB) technology to deliver tightly focused ultrasound energy at a precise 1.5mm depth in the mid-dermis. In simple terms: XERF™ delivers volumetric, multi-depth heating across a broader area, while Sofwave delivers a narrowly focused beam at one consistent depth.

Treatment areas and FDA clearance. Sofwave is FDA-cleared specifically for lifting the eyebrows, submental (under-chin) area, and neck. XERF™’s customizable depth settings make it suited to a wider range of areas, including the cheeks, jawline, jowls, brows, and neck, with the ability to adjust depth and intensity by treatment zone.

Customization. XERF™ offers three depth settings and ten intensity levels, allowing your provider to tailor energy delivery layer by layer within a single session. Sofwave’s ultrasound beam is fixed at its 1.5mm depth, designed for consistent, repeatable mid-dermis treatment.

Sensation and comfort. Both treatments are generally well tolerated, although some patients describe XERF as more comfortable than Sofwave. XERF™ pairs its RF energy with continuous Integrated Cryogen Delivery cooling for comfort. Sofwave patients typically describe warmth and tingling during the 30–45 minute session.

Who tends to choose which. Patients drawn to XERF™ are often looking for a more customizable, multi-depth approach that can address both fine lines near the surface and deeper structural laxity (like jowls or a softening jawline) in the same visit. Patients drawn to Sofwave are often focused specifically on brow, chin, or neck lifting and want a single, consistent ultrasound protocol with strong FDA-backed data for those exact areas.

Not sure which is the better fit for your skin? Our providers will evaluate your laxity, treatment goals, and target areas during a consultation and recommend XERF™, Sofwave, or a combination approach.