XERF Skin Tightening Treatment in Ubud Bali

Conventional monopolar RF typically operates at a single 6.78 MHz frequency, primarily targeting more superficial tissue layers. XERF also uses 6.78 MHz, but combines it with a lower 2 MHz frequency, allowing energy to reach different tissue depths. This is important because facial ageing is a multi-layer process: collagen and elastin gradually decrease in the skin, fat compartments can lose volume or shift, muscles and connective tissues become less supportive, and the SMAS gradually loses elasticity. Together, these changes contribute to skin laxity, folds, sagging, and loss of facial definition. The SMAS is the connective tissue layer that surgeons tighten during a surgical facelift. By combining 6.78 MHz and 2 MHz frequencies, XERF is designed to address superficial, mid, and deeper tissue layers, supporting both skin quality and deeper tissue tightening for a more comprehensive approach to facial ageing.

XERF continuously adjusts each RF pulse based on real-time feedback from the skin. Energy is delivered at controlled therapeutic temperatures, reaching approximately 55–65°C in the dermis to stimulate collagen, while the system monitors the skin surface to help prevent overheating. If the surface temperature exceeds 43°C, RF delivery automatically pauses for added safety.

XERF delivers up to 12 cooling bursts per shot, before, during, and after RF delivery. This helps maintain a comfortable surface temperature, protect the epidermis, minimise discomfort, and allow controlled delivery of RF energy into deeper tissue.

The system continuously monitors tissue impedance and adjusts energy delivery accordingly, helping maintain consistent and precise treatment. RF delivery automatically stops if the skin surface reaches the safety threshold.

The unique Spider-Web pattern tip is designed to distribute RF energy more evenly across the treatment area, reducing energy concentration at the edges. This helps minimise hot spots and supports a more comfortable and controlled treatment.

XERF works primarily by stimulating collagen remodeling and improving tissue firmness. This makes it effective for tightening and defining facial contours, enhancing jawline definition, smoothing fine lines and wrinkles, and softening the appearance of smile lines and marionette lines. It also lifts the brow, improves the appearance of hooded eyes, tightens and rejuvenates the neck, and improves skin laxity and crepey skin. Selected body areas, such as the postpartum belly, can be treated as well.

XERF is not a replacement for surgery. It cannot provide the same degree of lifting as a surgical facelift or neck lift, so patients with severe skin sagging, significant jowling, or substantial excess skin may see more dramatic results from a surgical approach instead.

XERF is also not designed to add volume, and it does not replace treatments such as dermal fillers or collagen stimulators. This is one reason it matters to choose a provider experienced in both energy-based treatments and advanced injectables. A skilled doctor can assess whether you would benefit most from XERF, injectables, or a combination of the two, rather than defaulting to a single technology for every concern.

XERF is not primarily a treatment for pigmentation or skin brightening, and it does not treat acne, rosacea, or the appearance of acne scars. Patients with active skin inflammation, unstable pigmentation, or a tendency toward post-inflammatory pigmentation need careful assessment before any energy-based treatment.

Our goal is not simply to offer XERF. It is to recommend the right treatment for your anatomy, skin condition, and aesthetic goals, even when that means telling you another treatment may be more appropriate.

XERF is contraindicated in patients with implanted pacemakers, implantable cardioverter-defibrillators (ICDs/AICDs), or other active electrical medical devices, as RF energy may potentially interfere with their function.

XERF treatment should be carefully evaluated or postponed in patients with permanent fillers or facial implants, detected pathological abnormalities, or medical conditions that may impair peripheral nerve function, such as diabetes or multiple sclerosis. Treatment should also be avoided over areas with active infection or infected tissue. XERF is not recommended during pregnancy or lactation, and treatment should be postponed for clients who have undergone facelift surgery within the previous two months.

Dual-frequency RF at 6.78 MHz and 2 MHz, targeting the epidermis, dermis, fat, and SMAS. Its main focus is skin tightening, lifting, and collagen remodelling. Comfort is a warm sensation with integrated cooling. Some improvement appears early, with continued improvement up to 3–6 months. Cost consideration: mid to high.

Single-frequency RF at 6.78 MHz, targeting the deep dermis and collagen. Its main focus is skin tightening and collagen remodeling. Comfort is a heating sensation with vibration and cooling. Results are visible from 4 weeks and continue up to 6 months. Cost consideration: high — premium pricing for a single-session treatment.

Focused ultrasound (MFU-V), targeting the superficial dermis, deep dermis, and SMAS layer. Its main focus is lifting and contouring. Comfort is a tingling and warm sensation. Results are immediate, with the peak result after 6 weeks. Cost consideration: moderate — more affordable.

We believe that good results don't only depend on the advancement of the machine, but also on ensuring that the patient is a good candidate and will achieve a good result, as no single technology will fit everyone. Our doctor will also explain the possible outcome, realistic expectations, and the treatment combination that you may benefit from.

After ensuring you're an ideal candidate, your skin will be thoroughly cleansed with double cleansing. A special sheet mask will be applied not only to hydrate your skin, but also to reduce skin impedance to enhance your XERF treatment.

Our doctor will perform XERF, delivering radiofrequency energy in controlled pulses. XERF is equipped with an advanced cooling system, so you will only feel warmth with mild discomfort. Comfort varies for every patient; patients with thinner and drier skin tend to feel more. Areas closer to the bone, such as the jawline, may feel more intense. The treatment itself will take around 30–60 minutes, depending on the number of shots.

Before going back home, enjoy our curated wellness elixir to hydrate your body while taking in the beautiful greenery of the five-star resort.

Some patients will notice immediate improvement, although the full result develops over the weeks and months as we wait for new collagen production. Some patients notice early improvements in skin smoothness and tightness within 2–4 weeks. The result will improve gradually as new collagen and elastin form, with the peak of the result after approximately 3 months.

XERF utilizes dual-wave RF to address multiple tissue layers, while HIFU delivers highly focused energy to the deeper supporting layers. Our HIFU can provide structural lifting, like the foundation of a building, while XERF complements the result by improving skin laxity, firmness, and tissue tightening. This combination is ideal for patients looking for a more holistic lifting and tightening approach without surgery.

HA-based skin boosters improve skin hydration by delivering hyaluronic acid directly into the dermal layer. They can help refine fine lines, improve elasticity, and smooth the overall skin texture. When combined with XERF, the two treatments address different aspects of skin aging: skin boosters improve hydration, plumpness, and dermal quality, while XERF works deeper to promote tightening and firmness.

The heat and energy delivered during XERF may potentially affect freshly injected Botox and could reduce the longevity of the treatment. Performing XERF first allows the RF treatment to be completed before Botox is injected, helping to protect the intended placement and duration of the neuromodulator.

Collagen stimulators work by stimulating the skin's natural collagen production to create gradual, natural-looking improvement. When combined with XERF, which stimulates collagen through controlled thermal energy, the treatments can complement each other by addressing different aspects of aging. XERF focuses on deeper tightening and tissue support, while collagen stimulators improve dermal quality and can help restore volume loss, creating a more comprehensive approach to skin rejuvenation.

Hyaluronic acid fillers can be sensitive to heat and thermal stimulation. Performing XERF first minimizes the potential for thermal energy to affect freshly injected filler and allows the filler to be placed after the RF treatment has been completed.

Treatments should be spaced approximately 3–4 weeks apart. RF microneedling delivers RF energy through microchannels created in the skin, making it particularly useful for concerns such as enlarged pores, acne scars, uneven texture, and superficial lines. When paired with XERF, RF microneedling can refine the skin's surface while XERF focuses on deeper tissue tightening. This allows the treatments to address different levels of the skin without unnecessarily combining two heat-based treatments in a single session.

XERF creates controlled thermal stimulation, while microneedling creates multiple microchannels and controlled micro-injury in the skin. Performing both treatments together can increase inflammation and erythema and may increase the risk of complications such as post-inflammatory hyperpigmentation. It is therefore preferable to space the treatments apart to allow the skin to recover.

Possible with certain gentle peels, depending on the patient and the type of peel. XERF creates controlled thermal stimulation, while chemical peeling induces controlled chemical exfoliation and injury to the skin. Combining both treatments requires careful assessment and appropriate timing to minimize irritation and other potential side effects. Stronger or deeper peels should generally be performed separately from XERF.

Every treatment starts with a medical assessment and a personalized plan based on your facial anatomy and goals. XERF is performed by our doctor, never delegated to a nurse or therapist.

No stress regarding transportation arrangements. We will handle it, so you can simply relax and enjoy the entire XERF experience.

Non-negotiable. We only use authentic devices because your safety matters the most.

Aging is multidimensional. Your treatment should be too. Our doctor is skilled not only in energy-based devices but is also trusted by thousands of patients for injectable treatments, including dermal fillers, Botox, and collagen stimulators.

Our head doctor has personally experienced and evaluated multiple monopolar RF technologies before deciding that XERF was the right technology for Healthy Look Aesthetic.