XERF skin tightening in Portland, OR at our Vancouver, WA clinic

XERF at Cosmetiq Medicine is priced by area: Eye Refresh $600, Jawline Lift $900, Neck Renewal $900, Cheek Lift $1,200, Lower Face Lift $1,400 and Signature Face and Neck $1,800. Abdomen, underarm and thigh treatments are $1,800 each. XERF is performed at our Vancouver, WA clinic for Portland clients, and your total is confirmed at consultation.

XERF is a prescription device treatment priced per area, with a session of about 45 minutes, while many treatments are priced per unit or syringe. The Signature Face and Neck, for example, uses 900 customized pulses. Glow and Elite members save 10% or 15% on regular-priced XERF, and payment plans, CareCredit and Cherry can spread the cost.

XERF is a prescription medical device sold to clinics, not a device for home use, so patients pay per treatment rather than buying the machine. At Cosmetiq Medicine, a XERF treatment costs $600 to $1,800 depending on the area.

There is no fixed number. In the published multicenter study, participants had two sessions four weeks apart, and the before and after photos on this page follow two treatments. Your provider builds a plan at consultation and reassesses your skin before recommending another session.

That has not been established yet. The published XERF study followed people for 90 days after the last session, and its authors call for longer follow-up to confirm how long results last. Skin also keeps aging, so some people plan maintenance over time.

Many people notice a tighter feel right after treatment, and firmness tends to build over the following weeks as collagen remodels. In the study, improvement at 90 days was slightly higher than at 30 days.

XERF is FDA-cleared rather than FDA-approved. The FDA cleared it on August 11, 2025 through the 510(k) process, record K251327, for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis. Cynosure Lutronic describes its skin tightening effect as coming from that soft tissue coagulation.

No. XERF is a monopolar radiofrequency device that heats tissue with radiofrequency energy rather than light, so it does not target skin pigment the way many lasers do. It is performed at our Vancouver, WA clinic alongside our laser treatments.

XERF feels warm, with bursts of cryogen cooling protecting the skin's surface during each pulse. The published study used no numbing cream, and average discomfort was 4.2 out of 10. Comfort varies, so tell your provider how the heat feels as your session progresses.

Expect warmth, pinkness or mild swelling that settles on its own, and follow the written aftercare your provider gives you on the day. Most daily activities can resume right away. Call us right away about blistering, crusting or pain that grows instead of easing.

Radiofrequency heats tissue without targeting pigment the way many lasers do. The published XERF study included Fitzpatrick skin types I to IV only, so data for deeper skin tones is still limited, and your provider reviews your skin and history before recommending XERF.

Neither is better for everyone. Both use monopolar radiofrequency without needles. Thermage FLX works at 6.78 MHz and its FDA clearance also covers wrinkles, while XERF combines 2 MHz and 6.78 MHz with three depth settings. Cosmetiq Medicine offers XERF, and your provider explains whether it fits your goals.

XERF uses radiofrequency with no needles, while Ultherapy uses microfocused ultrasound with real-time imaging and is FDA-cleared to lift the brow, the area under the chin and the neck. Cosmetiq Medicine offers XERF, not Ultherapy, and the comparison table above summarizes each device's clearance.

No. XERF can firm mild to moderate laxity without needles or incisions, but it does not lift or remove skin the way a surgical facelift does. For heavy sagging, a consultation with a plastic surgeon is the better first step, and we will tell you if XERF is unlikely to meet your goals.

Loose skin on the face, neck or body after GLP-1 weight loss is a common reason clients ask about XERF. It can help with mild to moderate laxity, while significant excess skin usually needs a surgical consultation. Your provider assesses your skin and goals first.

Yes. Many clients pair XERF with Botox or filler, since each addresses a different concern. Arwa Salti plans the order and timing at your consultation, and Botox and filler can be booked at either of our clinics.

Cosmetiq Medicine performs XERF at our Vancouver, WA clinic at 12000 SE Mill Plain Blvd, which serves Portland clients at the same prices as our Portland clinic on SE Stark St. Book online or call or text (503) 572-2675.