A Complete Guide to XERF Lifting: Effects and Pain

At last, I’m Dr. Park Taeo of Reliv, the hospital that uses XERF the most nationwide.

(Always with gratitude)

When I conduct consultations,

it is not common for a dramatic change in the face to begin with a single clear event.

In most cases, people notice it through relatively small moments, such as when they take a photo and their facial contour looks blurrier and less defined than before, or when they wash their face and feel that the skin’s elasticity has changed.

These changes are often not simply a matter of feeling; they are often signs that aging is gradually beginning due to reduced dermal elasticity and changes in the skin’s support structure.

Today, I’ll explain XERF, a treatment that can provide both a firm lifting effect and a natural look.

XERF Lifting, the Structural Use of Radiofrequency

XERF is a lifting procedure based on monopolar radiofrequency (RF). Rather than physically pulling the skin, it delivers heat into the skin to encourage restructuring of the elasticity framework and collagen regeneration.

The core of this device is its dual-RF structure, which uses two frequencies simultaneously: 6.78MHz and 2MHz. The 6.78MHz frequency acts on the upper dermis and helps improve skin texture and subtle elasticity, while the 2MHz frequency reaches deeper into the dermis and affects the facial support structure and contour formation.

XERF can be seen as a more efficient way of organizing radiofrequency lifting, because it makes it possible to achieve in a single treatment what used to be approached with multiple devices for the surface and the deeper layers.

Three Efficient Modes

Another important feature of XERF lifting is that the energy can be adjusted in three stages: Shallow, Middle, and Deep. This is closer to understanding and approaching the skin by layer, rather than simply adjusting output.

• Shallow mode

: Primarily works on the upper dermis and is used when surface changes such as skin texture, fine lines, and pores are felt first. Its purpose is to refine skin texture through collagen remodeling and fibroblast activation.

• Middle mode

: Targets the middle and lower dermis and the boundary with the subcutaneous fat layer, and is used to address the overall feeling of laxity in the face, such as sagging cheeks or a double chin.

• Deep mode

: Targets the deeper dermis and the facial support structure, and is used for structural lifting when the jawline has collapsed or the lower-face contour has become blurred.

XERF is not a treatment that stimulates the entire face in the same way; its key point is that it is a lifting treatment designed by deciding which layer to stimulate and how, depending on skin thickness, elasticity, fat distribution, and contour condition.

Why XERF Causes Less Pain

For those considering radiofrequency lifting, one of the biggest concerns is pain. You want to look better, but you really don’t want it to hurt... I’m the same.

In fact, among people who have experienced conventional radiofrequency lifting such as Thermage, there are many who say, "The effect was good, but the pain was too hard to تحمل."

The reason XERF lifting is relatively less painful lies in the structural difference of its cooling gas system. While general radiofrequency devices apply cooling only at the start and end of a pulse, XERF repeatedly sprays cooling gas up to 12 times between the multiple pulses that make up one shot.

As a result, even while radiofrequency energy is delivered deep into the skin, the rise in surface temperature is effectively suppressed, which greatly reduces pain.

From clinical experience, many cases can be treated without anesthetic cream, and most people describe it as a "warm heat" or a "slight pressing sensation." The ability to deliver heat stably without excessive pain is a truly important advantage for people starting lifting treatments for the first time, or for those who are sensitive to pain.

Lifting Should Follow a Management Flow, Not Be a One-Time Event.

The changes from XERF do not end with the immediate tightening after the procedure. In the dermis that has received radiofrequency stimulation, collagen regeneration actively progresses over about 2 to 3 months after treatment, and the effect can last from 6 months to as long as 1 year.

Therefore, lifting is better approached not as a treatment you receive once and finish, but as an ongoing management process while checking the condition of the skin. Adequate moisturizing after the procedure, sun protection, and adjusting the treatment interval to match individual skin condition all have a major effect on how long the results last.

XERF lifting is a treatment that can be broadly applied from the stage before sagging becomes pronounced to the point where overall loss of elasticity is felt.

Rather than aiming for an overly obvious change, I can say it is a suitable option for those who want to naturally improve facial condition while minimizing the burden of pain.

I’m Dr. Park of Reliv, wishing to help you become more beautiful while preserving naturalness.