Structural Skin Tightening in Denver, CO
XERF Skin Tightening at ASD of Cherry Creek
Skin laxity is one of the most common concerns we hear from patients. The gradual loss of collagen and firmness that comes with age can leave the face and neck looking less defined than it once did, and for many people, the idea of addressing it has always come with an unwelcome trade-off: either commit to a surgical procedure or accept the limitations of a surface-level treatment.
Now, there is a third option. XERF structural skin tightening is a breakthrough in non-surgical skin tightening that delivers the deep collagen-stimulating power of radiofrequency energy with no numbing cream, no needles, and no downtime. If you have been looking for real, visible improvement without the recovery, this is the treatment worth knowing about.
At ASD of Cherry Creek, we are proud to offer XERF to our patients in Denver. Dr. Adrienne Stewart is a board-certified dermatologist with decades of experience in both medical and aesthetic dermatology, and her clinical depth sets our practice apart from typical med spas. Every treatment at our practice is guided by the same commitment to safety, precision, and natural-looking outcomes that Dr. Stewart has built her reputation on. Whether you are beginning to notice early signs of skin laxity or looking to restore firmer, more youthful contours, we will work with you to determine whether XERF is the right fit for your skin goals.
We invite you to schedule a consultation and experience a higher standard of care for yourself.
How the XERF System Works
A Smarter Approach to Skin Tightening
Most skin tightening treatments ask something of you. They require numbing cream applied well before your appointment, extended recovery time, or a tolerance for significant discomfort during the procedure itself. XERF was designed with a fundamentally different philosophy: that effective skin tightening and patient comfort do not have to be in conflict. Understanding why it works the way it does helps explain why this treatment represents a meaningful step forward.
XERF is the world's first multifrequency monopolar radiofrequency (RF) treatment. Rather than delivering energy at a single frequency like conventional RF devices, XERF combines two frequencies, 6.78 MHz and 2 MHz, to reach multiple tissue depths simultaneously. This means the treatment is not limited to the surface of the skin. It reaches the shallow, middle, and deep layers, including the SMAS (Superficial Musculoaponeurotic System), a foundational tissue layer beneath the skin that plays a central role in lifting and tightening sagging facial contours. Clinical studies using histological analysis have confirmed that XERF stimulates collagen remodeling at multiple depths and produces an observable tightening effect in the fascia.
What makes the treatment comfortable enough to require no numbing is a combination of two integrated technologies. The first is Wave Fit pulse delivery, which controls how energy is distributed during each session. The second is Advanced Integrated Cryogen Delivery, a built-in cooling system that maintains the surface temperature of the skin while the energy works in the deeper layers beneath it. The result is what Cynosure calls a Never-Numb treatment: one that achieves meaningful internal temperatures for collagen remodeling without the surface discomfort that typically requires a pre-treatment anesthetic.
XERF treatments are also highly personalized. The system uses Accurate Impedance Feedback to analyze each patient's skin in real time, and providers can adjust from three depth settings and ten intensity levels during the session. No two patients receive an identical treatment, because no two patients have identical skin.
For patients who have been hesitant about skin tightening because of the downtime, the discomfort, or the commitment involved, XERF removes many of the barriers that have historically made this category of treatment feel out of reach.
Frequently Asked Questions
What areas can XERF skin tightening treat?
XERF is designed to address laxity in the face and neck, which is where the effects of collagen loss and volume shift tend to be most visible over time. Common treatment areas include the jawline, jowls, under the chin, the cheeks, and the neck. Because the system reaches the SMAS layer, the structural tissue beneath the skin, it is particularly well suited for patients who are beginning to notice softening along the lower face or loss of definition in the neck. Dr. Stewart will assess your skin during your consultation to identify the areas where treatment will have the greatest impact.
How many XERF treatments will I need, and when will I see results?
The number of treatments varies depending on the degree of laxity and the specific goals you bring to your consultation. Some patients see meaningful improvement after a single session, while others benefit from a series of two or more treatments spaced several weeks apart. Because XERF works by stimulating your skin's own collagen production, results continue to develop gradually in the weeks and months following treatment. This is not an overnight change; it is a progressive improvement that reflects what is happening at a structural level inside your skin. Dr. Stewart will give you a realistic picture of what to expect based on your individual assessment.
Is XERF skin tightening safe for all skin types?
XERF uses radiofrequency energy rather than light-based technology, which means it does not target pigment. This makes it suitable for a wide range of skin tones and types. As with any energy-based treatment, a thorough evaluation is important before proceeding, and Dr. Stewart will review your medical history, skin condition, and any contraindications during your consultation. Her background as a board-certified dermatologist gives her a level of clinical judgment that goes beyond what a standard med spa consultation offers, ensuring that every treatment plan at our practice is built on a foundation of safety as well as aesthetics.
How do I schedule a XERF skin tightening consultation near me?
We know that your time is valuable, which is why we strive to make the scheduling process as seamless as possible. Whether you are a returning patient or visiting us for the first time, arranging your consultation with Dr. Stewart is simple. We offer a convenient online schedule request system that allows you to book your visit at your leisure, ensuring you can find a time that fits perfectly into your busy lifestyle.
When you come in for your appointment, you will be greeted by a warm, professional team dedicated to your comfort and privacy. We look forward to seeing you and helping you achieve the refreshed, youthful appearance you deserve.