Structural Skin Tightening —
Firm, Lifted, Refined Without Surgery
Meet the next generation of non-surgical skin tightening. XERF delivers Structural Skin Tightening: the full collagen-boosting power of radiofrequency energy reaching the shallow, middle, and deep layers of the skin — with no needles, no downtime, and exceptional comfort. At Bombshelled Aesthetics, double board-certified plastic surgeon Dr. Pamela Brownlee personally oversees every XERF treatment, designing a plan tailored to your unique anatomy and goals so you experience visible, lasting firming without ever stepping into the operating room.
XERF at a Glance
| Treatment Type | Non-surgical Structural Skin Tightening |
|---|---|
| Technology | Monopolar radiofrequency with Integrated Cryogen Delivery, Wave Fit™ Pulse, and Accurate Impedance Feedback |
| Treatment Time | 30 to 60 minutes per session |
| Standard Protocol | Two treatments to the same area, spaced 4 to 6 weeks apart |
| Downtime | None |
| Starting Price | $3,500 (includes two treatments to the same area) |
| Initial Results | Visible immediately after first session |
| Full Results | Develop over 3 to 6 months as new collagen matures |
| Result Duration | 12 to 18 months on average |
| Performed By | Pamela Brownlee, DO, FACS, double board-certified plastic surgeon |
What Is XERF?
XERF is an advanced, non-invasive Structural Skin Tightening treatment that delivers monopolar radiofrequency energy across the shallow, middle, and deep layers of the skin in a single session. Unlike conventional radiofrequency platforms, XERF reaches deeper into the dermal and subdermal structures where meaningful collagen remodeling begins, while continuously adapting to each patient’s unique skin profile through real-time analysis. The outcome is firmer, tighter, more refined skin — with no needles, no incisions, and no recovery time.
XERF is a thoughtful non-surgical option for patients seeking to address:
- Mild to moderate skin laxity on the face and neck
- Softening of fine lines and early wrinkles
- Loss of definition along the jawline and early jowling
- Crepey or loose skin under the eyes
- Overall facial firmness and lift
- Maintenance between, or as an alternative to, more invasive treatments
How XERF Works
XERF delivers monopolar radiofrequency energy across multiple depths of the skin — reaching the shallow, middle, and deep layers in a single session. Three depth settings and ten intensity levels allow each treatment to be precisely calibrated to your anatomy and goals, stimulating collagen remodeling in the foundational layers while refining surface texture above.
What sets XERF apart is its dual comfort technology. Integrated Cryogen Delivery continuously monitors the temperature of your skin, while Wave Fit™ Pulse balances energy delivery with a cooling effect throughout the session — keeping the treatment comfortable from start to finish. Most patients describe the sensation as a warm, deeply relaxing heat.
XERF also uses Accurate Impedance Feedback to analyze your skin in real time, adjusting energy delivery throughout the session to ensure every area receives precisely the amount of energy needed for optimal results.
Ready To Get Bombshelled?
Welcome to Bombshelled Aesthetics, where beauty is tailored to your individuality. Whether you are looking for a subtle enhancement or a dramatic transformation, Dr. Pamela Brownlee and our team customize aesthetic plans that reflect your personal goals. Request a breast reduction consultation—either in-person or virtually—and join our community today. We’re excited to help you embrace your unique beauty and achieve the results of your dreams.
What Can XERF Treat?
XERF is most commonly used to address concerns on the face, jawline, neck, and under-eye area, including:
- Skin laxity. Firms and tightens loose or sagging skin for a more youthful, lifted appearance.
- Jowling. Refines and redefines the jawline by addressing early descent of facial tissues.
- Fine lines and wrinkles. Smooths surface texture as new collagen forms and matures.
- Neck laxity. Tightens crepey or loose skin along the neck for a more contoured profile.
- Under-eye area. Gently firms the delicate skin beneath the eyes.
- Overall facial contour Restores definition and lift for a naturally refreshed look.
XERF is appropriate for a wide range of skin types and tones, making it an inclusive option for our diverse patient community.
Why Choose XERF at Bombshelled Aesthetics?
The technology is only as valuable as the surgeon directing it. At Bombshelled Aesthetics, every XERF treatment is performed under the direct medical oversight of Dr. Pamela Brownlee, a double board-certified plastic surgeon (American Board of Plastic Surgery and American Board of Surgery) who is fellowship-trained and in private practice since 2021. Here is what sets the experience apart:
- Expert oversight from your surgeon. Dr. Brownlee personally designs each XERF treatment plan, drawing on deep anatomical expertise to deliver natural, balanced results.
- Unhurried, personalized consultations. Initial consultations are 90 minutes, giving you the time to discuss your goals thoroughly, not a rushed sales pitch.
- Next-generation technology. XERF’s Integrated Cryogen Delivery, Wave Fit™ Pulse, and Accurate Impedance Feedback represent a meaningful advancement over earlier radiofrequency platforms, with three depth settings and ten intensity levels for fully personalized treatment.
- Comfort-first experience. Most patients describe XERF as a warm, deeply relaxing treatment, rarely requiring numbing cream.
- Zero downtime. Return to your full routine — including makeup and exercise — immediately after your session.
- Available worldwide. Begin your consultation in-person in Frisco or virtually from anywhere in the world.
Your XERF Results
One of the qualities patients appreciate most about XERF is that results unfold in two phases.
Immediately following treatment, most patients notice a subtle but visible improvement in skin firmness and tone. The complexion appears refreshed, and the treated areas feel tighter.
Over the following three to six months, as the body’s natural collagen remodeling process continues, those results deepen and refine. Tightening becomes more pronounced, contours sharpen, and overall skin quality improves. Many patients report that their skin continues to look better well after their final session.
For optimal outcomes, the standard XERF protocol includes two treatments to the same area spaced approximately four to six weeks apart, allowing collagen development between sessions. Maintenance treatments every six to twelve months help preserve and build on your results over time.
Am I a Candidate for XERF?
XERF is an excellent option for women and men who want to address early to moderate skin laxity without committing to surgery. It is not a replacement for a surgical facelift; patients with significant sagging or excess skin may be better served by a surgical approach, which Dr. Brownlee will discuss during your consultation.
Ideal XERF candidates:
- Are experiencing mild to moderate skin laxity on the face, neck, or jawline
- Want to improve firmness and contour without surgery or downtime
- Are in good overall health
- Have realistic expectations about non-surgical skin tightening
- Are interested in preventive or maintenance treatment
- Represent a wide range of skin tones and skin types
What to Expect During Your XERF Treatment
A XERF session at Bombshelled Aesthetics is designed to be as comfortable as it is results-driven.
The skin is cleansed and a conductive gel is applied to the treatment area to ensure optimal energy delivery.
A trained provider guides the XERF handpiece over the targeted areas, delivering a consistent, deeply warm sensation.
Most sessions take approximately 30 to 60 minutes depending on the areas being treated.
The skin may appear slightly flushed — similar to the glow following a warm facial — typically resolving within a few hours.
None. Patients return to their full routine, including makeup and exercise, right away.
How Much Does XERF Cost in Dallas–Fort Worth, TX?
XERF treatment at Bombshelled Aesthetics starts at $3,500, which includes a series of two treatments to the same area spaced approximately four to six weeks apart — the protocol designed to deliver the most meaningful, lasting results. Final pricing is personalized to each patient based on the number of areas treated and the individualized plan developed during consultation. Dr. Brownlee’s team will provide a detailed, transparent breakdown of your investment at the time of your consultation, and a variety of financing options are available to make your treatment as accessible as possible.
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Frequently Asked Questions About XERF Skin Tightening
XERF has been thoughtfully designed with comfort in mind, and most patients describe the experience as warm and relaxing. The treatment features Integrated Cryogen Delivery, which continuously monitors the temperature of your skin, and Wave Fit™ Pulse technology, which balances energy delivery with a cooling effect. There are no needles involved, and numbing cream is typically not required.
Each XERF session typically takes about 30 minutes, though treatment time can vary depending on the size and number of areas being addressed. During your consultation, Dr. Brownlee will discuss the expected length of your individual sessions as part of your personalized treatment plan.
The standard XERF protocol at Bombshelled Aesthetics includes two treatments to the same area spaced approximately four to six weeks apart, designed to achieve the most meaningful and lasting results. Some patients with more advanced concerns may benefit from additional sessions, which Dr. Brownlee will discuss during your consultation.
Many patients notice an immediate tightening sensation in the skin right after their treatment. In the weeks and months that follow, your body continues to produce new collagen, enhancing your skin’s firmness, tone, and overall quality progressively. Full results typically develop over three to six months, with continued refinement often visible for up to six months following your final session.
None. XERF is a zero-downtime treatment. Patients return to normal activities, apply makeup, and exercise immediately after the session. Some patients experience mild, temporary flushing that typically resolves within a few hours.
Immediately. XERF is a zero-downtime treatment, which means you can return to your full daily routine — including work, exercise, and your usual skincare regimen — right after your session, with no recovery period required.
XERF is an excellent non-surgical option for mild to moderate skin laxity, but it is not a replacement for a surgical facelift. Patients with significant sagging or excess skin may achieve better outcomes with a surgical approach, which Dr. Brownlee will discuss with you during your consultation. XERF is ideal for patients who want visible improvement without surgery, or who want to maintain and extend results from prior procedures.
Yes. XERF is appropriate for a wide range of skin types and tones. Radiofrequency energy is well-tolerated across the Fitzpatrick spectrum, making XERF an inclusive option for our diverse patient community.
Results vary by individual, but most patients enjoy their improvement for twelve to eighteen months before a maintenance session is recommended. A consistent skincare routine, daily sun protection, and a healthy lifestyle help extend results.
Yes. XERF pairs beautifully with injectables, skin rejuvenation treatments, and other elements of a comprehensive aesthetic plan. Dr. Brownlee will help you design an approach that maximizes your results.
XERF may not be appropriate for patients who are pregnant, have implanted electronic devices such as pacemakers, have active skin infections or open wounds in the treatment area, or have certain metal implants near the treatment site. Dr. Brownlee will review your complete health history to confirm that XERF is safe and appropriate for you.
XERF treatment starts at $3,500, which includes a series of two treatments to the same area spaced approximately four to six weeks apart. Final pricing is personalized to each patient based on the number of areas treated and the individualized plan developed during consultation.
Discover Your Most Refined Skin
Your transformation begins with a clear vision and the right team beside you. Schedule your consultation with Dr. Brownlee to experience XERF and discover what next-generation skin tightening can do — supported by the expertise, advanced technology, and individualized care that define Bombshelled Aesthetics. Proudly serving the DFW metroplex, the United States, and patients worldwide.
