"I’ve seen Dr. Nina twice now for lip augmentation, and honestly I couldn’t recommend her enough! The care she took in ensuring she knew what I wanted, as well as keeping me safe was more than any other practitioner I have been with. I have superficial blood vessels, so I am more prone to having complications, and she explained this to me and took all the necessary measures to ensure I got fabulous results while still being safe. I know that I can always contact her if anything worries me and for me that is paramount. Coming from a medical background it’s difficult to find someone I can trust, and after meeting lots of facial aesthetics doctors/dentists I know that I’ll be sticking with her! Also, she gives very helpful information on her instagram and TikTok!"
Treatments · Advanced Laser & Radiofrequency
XERF™ Structural Skin Tightening
The next generation of non-surgical skin tightening arrives at Facial Sculpting this September. XERF™ (Extended Energy Radio Frequency) is the world’s first multifrequency monopolar RF treatment, delivering collagen-boosting radiofrequency energy into the shallow, middle and deep layers of the skin, with no needles, no numbing and no downtime.
- Treatment
- Non-invasive · multifrequency radiofrequency
- Session
- About 45 minutes, depending on areas
- Comfort
- No needles, no numbing required
- Downtime
- None, resume most activities immediately
- Available
- From September 2026 · waiting list open
★★★★★ 5.0 on Google
Save Face Platinum accredited
As seen in
Treatment summary
XERF at a glance
XERF is a non-surgical treatment described by its makers as Structural Skin Tightening: radiofrequency energy delivered deeper than conventional RF, reaching the shallow, middle and deep layers of the skin, where it is designed to remodel the structure of tissue and restore firmness from within through collagen and elastin thickening, strengthening and shortening. It is designed for comfort, with no needles and no numbing, and no downtime.
- What it is
- The world’s first multifrequency monopolar RF skin-tightening treatment
- How it works
- RF energy delivered to shallow, middle & deep layers to stimulate collagen & elastin
- Comfort
- Warm, comfortable feeling; no needles, no numbing required
- Personalisation
- Three depth settings & ten intensity levels, tailored to your skin
- Skin types
- Described by the manufacturer as appropriate for all skin types
- Session time
- Usually about 45 minutes, depending on the areas treated
- Downtime
- None; most daily activities can resume immediately
- Results
- An immediate tighter feeling, with collagen continuing to rebuild over the following weeks
- Availability
- At Facial Sculpting from September 2026 · join the waiting list for first access
The treatment
What is XERF?
XERF™ (Extended Energy Radio Frequency) is an advanced, non-surgical skin tightening treatment developed by Cynosure Lutronic. Unlike conventional radiofrequency treatments, it delivers RF energy deeper into the skin, reaching the shallow, middle and deep layers, where its makers describe real structural change beginning.
The treatment uses proprietary multi-depth technology designed to remodel the structure of tissue and restore firmness subdermally, through collagen and elastin thickening, strengthening and shortening. Each pulse uses Wave Fit™ pulse technology balanced with Integrated Cryogen Delivery (ICD) cooling, which monitors the temperature of your skin throughout, so the treatment feels warm and comfortable, with no needles and no numbing required.
XERF joins our advanced laser & radiofrequency portfolio in September 2026. As with every treatment at Facial Sculpting, it will be offered assessment-first: if another option suits your skin better, we will say so.
Real results
Before & after XERF
The photographs shown here are clinical before-and-after images for the XERF treatment, including results after a single treatment and after two treatments. They illustrate the kind of structural tightening of the lower face, jawline and profile the treatment is designed to achieve.
Once XERF launches at Facial Sculpting in September 2026, results from our own patients will be added here, assessed and photographed with the same honesty we apply across every treatment page.
Individual results vary and are not guaranteed. Photographs are clinical before-and-after images shown to illustrate the treatment and are not a promise of a specific outcome.
Concerns it can help
What does XERF address?
XERF is a skin-tightening treatment, designed for firmness and laxity concerns of the face and neck.
Honest suitability
Is XERF right for you?
XERF is described by its manufacturer as appropriate for all skin types, and every treatment is tailored with three depth settings and ten intensity levels. As always, final suitability is confirmed at your consultation, and we will tell you honestly if another option would serve you better.
Often well suited
- Skin laxity and loss of firmness of the face or neck
- Wanting skin tightening without needles, numbing or downtime
- Preferring a comfortable, warm treatment experience
- A busy routine that cannot accommodate recovery time
- All skin types, per the manufacturer’s guidance
- Realistic expectations of a progressive, natural-looking result
May not be suitable
- Significant excess skin or advanced sagging needing surgical assessment
- Pregnancy or breastfeeding (subject to clinic policy)
- Active infection or a skin condition in the treatment area
- Certain implants, devices or medical conditions identified at consultation
- Expecting a dramatic, surgery-level lift from a non-invasive treatment
The process
How XERF works, step by step
- Consultation & assessmentDr Nina or the clinical team assess your skin, facial anatomy, medical history and goals, and confirm whether XERF is the right choice or whether another route would be safer or more effective.
- Personalised settingsYour treatment is tailored to your unique skin profile using XERF’s three depth settings and ten intensity levels. The system adjusts according to your skin’s thickness to maximise effectiveness and minimise discomfort.
- Treatment deliveryThe handpiece delivers multifrequency RF energy in Wave Fit™ pulses, each cooled by Integrated Cryogen Delivery (ICD). The Spider Tip design provides uniform energy delivery with real-time temperature monitoring. A session usually takes about 45 minutes.
- An immediate tighter feelingPatients describe an immediately tighter feeling in the skin after treatment, and most daily activities can resume straight away.
- Collagen rebuilds over weeksIn the weeks after treatment your collagen continues to rebuild, enhancing your skin’s appearance over time. Reviews and any further sessions are planned with you.
“A less-is-more philosophy: XERF only when it’s genuinely right for you, for results that look like you, refined.”
The Facial Sculpting approach · Dr Nina BalBefore treatment
What happens at your consultation
A consultation is required before XERF. During your consultation with Dr Nina and her team you will have a clinical assessment and your eligibility for treatment reviewed. You will be talked through the procedure in detail, what to expect during and after, and given the opportunity to ask questions.
The consultation covers your medical history, a facial-anatomy assessment, your suitability and any contraindications, realistic expected outcomes, alternatives if XERF is not ideal, consent, aftercare, and confirmation of your individual plan and pricing. Waiting-list members will be offered the first consultation slots ahead of the September launch.
Results & recovery
What to expect afterwards
XERF is designed with no downtime: you can resume most daily activities immediately after the treatment. The treatment itself feels warm and comfortable thanks to ICD cooling and Wave Fit™ pulse technology, with no needles and no numbing required.
How results develop: patients describe an immediately tighter feeling in the skin, and in the weeks after treatment collagen continues to rebuild, enhancing the skin’s appearance over time. The number of sessions depends on your individual skin condition and goals, and is planned with you.
Typical results timeline
Straight after
An immediately tighter feeling in the skin; most daily activities can resume right away.
First weeks
Collagen rebuilding gets underway in the treated layers.
Following weeks
Skin appearance continues to enhance as collagen remodelling progresses.
Ongoing
Reviews and any recommended further sessions are planned around your individual goals.
Safety
Possible risks & side effects
As with any medical aesthetic procedure, XERF carries some risks, even though it is non-invasive. Temporary warmth, redness or tenderness in the treated area can occur after radiofrequency treatments and usually settles quickly. Individual risks are discussed openly at your consultation before any treatment.
Careful patient selection, personalised settings and an experienced clinical team are important for reducing avoidable risks. If anything feels unexpected after treatment, you can contact the clinic for advice at any time.
Honest limitations
What XERF cannot do
- It cannot remove significant excess skin or replace a surgical facelift.
- It is not an instant transformation: the collagen response builds over weeks.
- The number of sessions needed varies with your individual skin condition and goals.
- Final suitability can only be confirmed at a face-to-face consultation.
Compare your options
XERF vs other approaches
A simple, honest comparison to help you and Dr Nina choose the right route when XERF launches.
| Approach | Best for | Invasiveness | Downtime |
|---|---|---|---|
| XERF™ | Structural skin tightening of face & neck, all skin types | Non-invasive multifrequency RF | None |
| HIFU | Mild-to-moderate laxity, brow, jaw & neck | Non-invasive focused ultrasound | Little to none |
| InMode Contoura | RF tightening & contouring of face/neck | Non-invasive RF | Minimal |
| Endolift® | Early-moderate laxity, jawline & under-chin definition | Minimally invasive laser, local anaesthetic | Minimal (~1 day) |
| EMFACE® | Tone, muscle & subtle lift (needle-free) | Non-invasive RF + electromagnetic | None |
| Surgical facelift | Significant excess skin / advanced sagging | Surgical, general anaesthetic | Several weeks |
Where XERF sits for your skin is confirmed honestly at consultation, alongside options such as HIFU, Endolift® and EMFACE®, with surgery discussed where it is genuinely the better option.
Launching soon
When can I have XERF?
XERF arrives at Facial Sculpting in September 2026. Pricing will be announced at launch, and waiting-list members hear first, with priority access to the first consultation and treatment slots.
Launching September 2026
Waiting list open
Pricing will be announced at launch. Waiting-list members hear first and receive priority access to the first consultation and treatment appointments, with no commitment to book.
Join the waiting listWhy Facial Sculpting
XERF at the Facial Sculpting Clinic
Doctor-led & honest
Assessment first. If XERF isn’t right for you, we’ll say so and recommend a safer or better option.
Tailored to you
Three depth settings and ten intensity levels, personalised to your skin, never one-size-fits-all.
Award-winning
Best Aesthetics Practice 2026 (TheIndustry.beauty Innovators) and Best Facial Transformation Clinic London 2025.
Dr Nina Bal
Cosmetic Doctor & Founder · South Kensington, London
Facial Sculpting will be among the first London clinics to offer XERF when it launches in September 2026. As with every device Dr Nina Bal introduces, it has been chosen for how it complements an assessment-led practice: XERF will be planned thoughtfully alongside treatments such as Profhilo®, Endolift® and EMFACE® where appropriate, and never over-sold.
GDC registeredBCAM memberSave Face PlatinumJCCP
TheIndustry.beauty Innovators 2026, Best Aesthetics PracticeGHP Best Facial Transformation Clinic London 2025Endolift UK Achievement Award 2025Safety in Beauty Best Aesthetic DoctorSafety in Beauty Best Non-Surgical TransformationGHP Best Non-Surgical Aesthetics Studio 2024Aesthetics Awards Finalist 2024Save Face Platinum
Accreditations & recognition
Save Face Platinum accredited
Registered with the General Dental Council
British College of Aesthetic Medicine member
Save Face COVID-19 Operational Protocol Certified
ICO, Information Commissioner's Office
JCCP, Joint Council for Cosmetic Practitioners
Featured in the Tatler Address Book
Hello! Aesthetics Guide
Safety in Beauty memberTrusted by patients
What our patients say about Facial Sculpting Clinic
Real reviews from patients who chose Dr Nina Bal and the Facial Sculpting team.
5.0
★★★★★
Rated 5.0 by patients on Google
via Google
F
Freya K.Patient review
★★★★★
I recently visited Dr Nina at her Belgravia clinic and had the most wonderful experience, she is so skilled at what she does, super professional and not mention just lovely! She made me feel completely at ease and comfortable whilst talking through the procedures with great knowledge. I had Botox and profhilo with Dr Nina and it’s been a little over a week since the treatments and I am completely over the moon with my results, my skin has never been so glowy and radiant. I can’t wait for my next session in a few weeks.
Verified patient
H
Henad A.Patient review
★★★★★
Dr Nina, Grace and Olivia are all lovely, trust their work and knowledge
Verified patient
J
Jessica C.Patient review
★★★★★
Beautiful clinic and brilliant treatments available. Dr Nina is very talented and lovely to deal with!
Verified patient
M
Milli P.Patient review
★★★★★
I first went to see Dr Nina for Bruxism. Having already faced fillings from the grinding, and wearing a mouth guard every night, I was still regularly getting migraines and ice pick headaches, exacerbated from the daily tension in my jaw. My temples were always tender, and I’d wake up every morning tense and sore. This has been such a life-changing procedure, and now I start the day from a place of much greater relaxation, I’m able to deal with the stress of work and every day life with far more ease, I’m sleeping better, and if I wake in the night, I’m still amazed and grateful to find that my jaw is relaxed. I’m looking forward to trusting Dr. Nina with further treatments! Thanks Dr Nina!
Verified patient
J
Jess A.Patient review
★★★★★
I have never had laser treatment before but having just turned 47, I have started to notice ageing on my face and neck. I was feeling self conscious about the sagginess in my neck and the lines around my lips and chin, I didn’t want harsh surgery, so I decided to try Endolift, a non evasive treatment, with Dr Nina Bal. I cannot recommend Dr Nina, Endolift and her clinic enough. From the moment I entered the clinic I was made to feel relaxed and welcome. Dr Nina and her team were amazing throughout, the treatment was relatively quick and pain free. It has only been a week but I can already see fantastic results, and love what the treatment has done for me. Thanks Dr Nina, I will definitely be back.
Verified patient
Your questions
XERF FAQs
What is XERF?
XERF™ (Extended Energy Radio Frequency) is an advanced, non-surgical skin tightening treatment developed by Cynosure Lutronic, described as Structural Skin Tightening. It is the world’s first multifrequency monopolar RF treatment, delivering radiofrequency energy into the shallow, middle and deep layers of the skin to stimulate collagen and restore firmness from within.
When will XERF be available at Facial Sculpting?
XERF launches at Facial Sculpting, South Kensington in September 2026. The waiting list is open now: members hear first and are offered priority access to the first consultation and treatment slots.
How does the XERF waiting list work?
Enter your email in the form on this page and you will be added to the XERF waiting list. Before launch we will contact you with booking access ahead of general availability. Joining the list is free, involves no commitment to book, and you can unsubscribe at any time.
How is XERF different from other radiofrequency treatments?
Unlike conventional RF treatments, XERF delivers energy deeper into the skin, reaching the shallow, middle and deep layers. It combines multifrequency monopolar RF with Wave Fit™ pulse technology and Integrated Cryogen Delivery (ICD) cooling, which balances energy delivery with cooling and monitors skin temperature in real time for a comfortable, safe treatment.
Does XERF hurt?
XERF has been designed with comfort in mind. The treatment feels warm and comfortable thanks to ICD cooling and Wave Fit™ pulses, and unlike many treatments there are no needles and no numbing required. Your practitioner tailors the intensity to you across ten levels.
How long does a XERF treatment take?
A session usually takes about 45 minutes, although the time can vary depending on the treatment areas. The number of sessions needed depends on your individual skin condition and goals, and is planned with you at consultation.
Is there any downtime after XERF?
No. You can resume most daily activities immediately after the treatment, which is one of the reasons XERF fits easily into a busy routine.
When will I see results from XERF?
Patients describe an immediately tighter feeling in their skin after treatment. In the weeks that follow, collagen continues to rebuild, enhancing the skin’s appearance over time. Individual results vary and are discussed honestly at consultation.
Is XERF suitable for all skin types?
The manufacturer describes XERF as appropriate for all skin types, with treatments tailored to each patient’s unique skin profile using three depth settings and ten intensity levels. Your individual suitability is always confirmed at a consultation, where your medical history and skin are assessed.
How much will XERF cost?
Pricing will be announced at launch in September 2026. Waiting-list members hear first. As with every treatment at Facial Sculpting, your exact plan and price are confirmed at consultation before anything goes ahead, with no obligation to proceed.
Do I need a consultation before XERF?
Yes. A consultation is required to assess your skin, facial anatomy, medical history and goals, and to confirm whether XERF is the right option or whether another treatment would serve you better. Waiting-list members will be offered the first consultation slots ahead of launch.
Take the next step
Join the XERF waiting list
XERF launches at Facial Sculpting in September 2026. Leave your email and you will be the first to hear, with priority access to the first consultation and treatment appointments before general booking opens.
Medical disclaimer: This page is for general information about a non-surgical aesthetic treatment and is not medical advice. Suitability, benefits, risks and results vary from patient to patient. Dr Nina Bal and her team will assess whether XERF is appropriate for you during a consultation. Before-and-after photographs are of individual patients for illustration only and are not a guarantee of any specific outcome.
