Firmer, more lifted skin no longer requires surgery, needles, or weeks of recovery. XERF radiofrequency skin tightening is a noninvasive treatment that uses advanced multifrequency energy to warm the deeper structural layers of the skin, prompting the body to rebuild collagen and gradually restore the firmness that softens with age. For patients in Cincinnati who want to address a relaxing jawline, looser cheeks, or crepey texture without stepping away from daily life, XERF offers a comfortable, in-office path to smoother, tighter skin.
This treatment is performed under the direction of Dr. Kristine Zitelli, a board-certified dermatologist and Fellow of the American Academy of Dermatology who completed her dermatology residency at the University of Cincinnati and pursued specialized clinical research at the University of California, San Francisco Psoriasis and Skin Treatment Center. A Cincinnati native recognized as a Cincinnati Magazine “Top Doctor” every year since 2016, Dr. Zitelli has authored numerous peer-reviewed publications and brings an evidence-based, safety-first approach to every cosmetic technology she introduces — and Queen City Dermatology is proud to be the first practice in Cincinnati to offer XERF.
One of the best dermatologists! After visiting numerous dermatologists over the years, I can confidently say she is the best in the field. From the moment I stepped into her office, I felt valued and heard. Dr. Zitelli took the time to genuinely listen and provide thoughtful insights and personalized care. Her approach is warm, professional, and incredibly reassuring, making each visit a breeze. I left feeling not only more informed but also confident about my skin health. If you’re looking for a dermatologist who truly cares and excels in patient interaction, look no further! Highly recommend her!
Expert-Led, Evidence-Based Skin Tightening Care
Energy-based treatments are only as good as the clinician guiding them. Because radiofrequency works beneath the surface, candidacy, device settings, and treatment depth must be tailored to each patient’s skin — which is exactly why dermatologist oversight matters. Dr. Zitelli personally evaluates whether XERF is the right fit for your concerns and customizes every session to your unique skin profile rather than applying a one-size-fits-all protocol.
“The technology behind XERF is genuinely exciting, but the results still come down to thoughtful, individualized care. I take time to understand each patient’s goals and skin before we ever begin, so the treatment truly fits them.” — Dr. Kristine Zitelli
What Is XERF Radiofrequency Skin Tightening?
XERF is a noninvasive, energy-based device developed by Cynosure Lutronic and cleared by the FDA in 2025. It is the first system to use multifrequency monopolar radiofrequency, combining two energy frequencies — 6.78 MHz and 2 MHz — to deliver controlled heat across the shallow, middle, and deep layers of the skin in a single session. This depth allows the energy to reach the supportive tissue beneath the surface, where firmness and lift originate.
The warming process works in two ways. Existing collagen fibers contract for an immediate firming effect, while the deeper heat stimulates fibroblasts to produce fresh collagen and elastin over the following weeks. Throughout the session, integrated cooling protects the skin’s surface and real-time impedance feedback adjusts the energy to your tissue — making the treatment both customizable and comfortable, with no numbing and no needles required.
Common Concerns XERF Can Help Address
XERF is well suited to patients noticing the early-to-moderate signs of skin laxity who prefer a nonsurgical approach. During your consultation, Dr. Zitelli will confirm whether your concerns align with what radiofrequency tightening can realistically achieve. Patients most often seek this treatment for:
- Softening Jawline: loss of definition along the lower face and jaw as supportive collagen declines
- Loose Cheek Skin: a gradual relaxation of the mid-face that can make features appear tired
- Crepey Texture: thinning, finely wrinkled skin that no longer responds to topical products alone
- Mild Neck Laxity: early sagging beneath the chin and along the neck in patients not ready for surgery
What to Expect From Your XERF Treatment
A XERF session begins with a brief skin assessment, after which the smooth treatment tip is guided across the targeted area. Most patients describe the sensation as a series of warm pulses, kept comfortable by the device’s built-in cooling. There is no numbing, no recovery period, and most people return to their normal day immediately afterward. Temporary redness or mild warmth may appear and typically settles quickly.
Some firming is often noticeable soon after treatment, while the more meaningful tightening develops gradually over the following weeks and months as new collagen forms. Individual results vary, and Dr. Zitelli will discuss a realistic timeline and whether a series of sessions would best support your goals. XERF also pairs well with other treatments offered at the practice, including facial fillers and IPL photofacial therapies, as part of a comprehensive rejuvenation plan.
Frequently Asked Questions About XERF Skin Tightening
Most patients find XERF comfortable. The sensation is usually described as warm pulses across the skin, and the device’s integrated cooling helps protect the surface throughout, so numbing is not needed.
There is little to no downtime. You can typically return to your usual activities right away, though mild redness or warmth may appear briefly and resolve on its own.
Some firming may be visible soon after your session, with continued improvement over the following weeks as your body produces new collagen. Results develop gradually and vary from person to person.
This depends on your skin and goals. During your consultation, Dr. Zitelli will recommend a personalized plan that may include one session or a short series for optimal results.
XERF is designed to be suitable for a wide range of skin types. A dermatologist evaluation ensures the treatment and settings are appropriate for your individual skin before you begin.
Am I a good candidate for XERF skin tightening? Patients with mild to moderate skin laxity who prefer a nonsurgical option are often well suited to XERF. A consultation with Dr. Zitelli is the best way to determine whether this treatment fits your needs and expectations.
Why Choose Queen City Dermatology for XERF
- Board-Certified Expertise: every treatment is directed by a fellowship-recognized dermatologist with research-backed training
- First in Cincinnati: our practice was the first in the area to introduce XERF radiofrequency technology
- Personalized Treatment Plans: settings and depth are tailored to your skin rather than a fixed protocol
- Comfort-Focused Care: a warm, welcoming environment where your goals and questions come first
Schedule Your XERF Consultation in Cincinnati
If you are ready to address sagging or aging skin without surgery, XERF radiofrequency skin tightening at Queen City Dermatology may be the refreshing, nonsurgical option you have been looking for. Dr. Zitelli and our team welcome patients from across Cincinnati and the surrounding Ohio communities, and we would be glad to help you decide whether this treatment is right for you. Call 513-202-3883 or schedule your consultation online to take the first step toward firmer, more confident skin.