Join the XERF Waitlist

XERF is an advanced radiofrequency device that uses dual-frequency RF energy — 6.78MHz and 2MHz simultaneously — to heat the deep layers of skin where collagen and elastin live. That controlled heat triggers the body's natural repair process, causing existing collagen to contract (immediate tightening) and stimulating new collagen production over the following weeks. The result is lifted, firmer skin with no incisions, no anesthesia, and no downtime.

Cosmetiq Medicine is bringing XERF to the Portland and Vancouver, WA area — one of the first med spas in the Pacific Northwest to offer this dual-frequency RF technology. Join the waitlist to secure early access pricing and be among the first patients treated when we launch.

Most RF devices operate at a single frequency. XERF is the only device delivering dual-frequency RF (6.78MHz and 2MHz) in a single treatment. The higher frequency targets superficial skin layers for surface refinement, while the lower frequency penetrates deeper for structural lifting. Morpheus8 combines RF with microneedling. Thermage uses a single monopolar RF frequency. XERF delivers both depths of treatment simultaneously without needles — making it unique in precision, depth control, and comfort.

XERF is designed to be comfortable and pain-free. Most patients describe it as a warm, relaxing sensation — similar to a deep-heat massage. There are no needles, no numbing cream required, and no sharp or stinging sensations. The device's dual-frequency technology allows precise energy delivery, which means effective heating without discomfort. Sessions typically take 15 to 30 minutes depending on the treatment area.

Results happen on two timelines. Immediately after your first session, you'll notice visible lift and firmness as collagen contracts from the heat. Then over the following 4 to 12 weeks, new collagen and elastin continue to form, deepening and improving those results. With a proper treatment series and good skincare maintenance, results can last 12 to 24 months. Annual maintenance sessions are recommended to sustain long-term improvement.

XERF can treat most areas where skin laxity, crepiness, or loss of firmness is a concern. Common treatment areas include the face and jawline, neck, under-chin (jowls), décolletage, abdomen, inner arms, inner thighs, and knees. At your consultation at Cosmetiq Medicine, we'll assess your goals and recommend the areas and number of sessions best suited to your concerns.

There is zero downtime with XERF. Unlike surgical procedures or more aggressive energy treatments, XERF causes no wounds, peeling, or prolonged redness. You may experience mild warmth or a slight flush in the treated area immediately after, which typically resolves within a few hours. You can return to work, exercise, and daily activities immediately after your session. Most patients schedule treatments during a lunch break.

XERF RF skin tightening is ideal for adults with mild to moderate skin laxity who want visible improvement without surgery or significant recovery time. Great candidates include people noticing early jowling, a softening jawline, loose neck skin, or crepey texture on the body. It works across a wide range of skin tones and types. It's also a strong preventative treatment for patients in their 30s and 40s who want to get ahead of collagen loss before it becomes more advanced. Patients with active skin infections, metal implants in the treatment area, or certain medical conditions may not be suitable — your provider will confirm at consultation.

You will see results after a single session, but a series produces the most significant and lasting outcomes. Most patients achieve optimal results with 3 to 6 sessions spaced 3 to 4 weeks apart. The number of sessions depends on the treatment area, degree of laxity, and your personal goals. Your provider at Cosmetiq Medicine will build a personalized treatment plan at your initial consultation. Waitlist members receive exclusive launch pricing on treatment packages.

Yes — XERF pairs exceptionally well with other treatments. Combining RF skin tightening with Botox addresses both movement-related lines and skin laxity, while adding dermal fillers restores volume in areas where RF tightens structure. At Cosmetiq Medicine in Portland and Vancouver, we take a full-face approach to aesthetics, building treatment plans that work together rather than in isolation. Your provider will discuss combination options, sequencing, and timing to maximize your results safely.