Official Cynosure Lutronic demoSkin Tightening · Face, Jawline & Neck
Non-Surgical RF Skin Tightening in Dallas | XERF
XERF is a needle-free radiofrequency (RF) treatment that may improve the appearance of lax (loose) skin on the full face, jawline, under the chin, and neck.
XERF warms the deeper support layers of the skin while a built-in cooling system keeps the surface comfortable — no needles, no numbing, minimal downtime. Dr. Rajan Kohli, MD, confirms whether it fits your skin and goals and will suggest another option if it does not. Results vary, and a series of treatments may be recommended.
$1,250 per session · 3 sessions $3,200 · Consultation is free
Leave your name and number — a member of our team will call you back.
Your consultation with Dr. Kohli is complimentary · No card required to book online · On the Texas Health Presbyterian Hospital campus
See the handpiece in use — Official Cynosure Lutronic treatment demonstration. The manufacturer clip uses the phrase “No downtime.” Individual recovery varies; temporary warmth or redness can occur.
Official XERF media
See what a XERF treatment looks like—and view manufacturer-supplied patient examples.
The treatment demonstration shows the XERF handpiece being used on the lower face. The patient images were supplied by Cynosure Lutronic and are credited to the treating physicians shown below; they are not Lakewood Med Spa patients.


Official patient examples
Left: after two treatments, courtesy of Dianne Quibell, MD. Right: after one treatment, courtesy of Barry DiBernardo, MD.
Images supplied by Cynosure Lutronic. These are not Lakewood Med Spa patients. Individual results vary and these examples do not predict your outcome. A physician consultation is required to determine candidacy.
The technology
How it works — in plain English
XERF is the first multifrequency monopolar RF device, combining 6.78 MHz and 2 MHz energy so it can warm the shallow, middle, and deep layers of skin down to the SMAS — the deep support layer that holds up the jawline and cheeks. A built-in cooling system keeps the surface comfortable, so no numbing is needed. The controlled heat may prompt collagen remodeling — the skin's natural firming and rebuilding process. Personalized with 3 depth settings, 10 intensity levels, and real-time skin feedback.

What to expect
Often 1-2 sessions about 4 weeks apart (sometimes up to 3). Needle-free, no numbing, minimal planned downtime for most. Improvement builds gradually over the following weeks; maintenance may be recommended.
Introductory XERF Pricing
Start with one treatment—or choose a guided series.
Single Session
$1,250
A straightforward way to begin if you and Dr. Kohli decide XERF makes sense for your goals.
Series of Three
$3,200
For patients whose evaluation supports spacing treatment into a series rather than expecting everything from one visit.
The consultation itself is complimentary — there is no charge to be evaluated and no obligation to book treatment. Offer pricing applies to XERF plans purchased at consultation. Candidacy, treatment areas, and session count are decided individually. Results vary.
Treatment areas
Where XERF treats
XERF may improve the appearance of mild-to-moderate skin laxity across four face and neck areas.
Full face
Overall mild-to-moderate looseness.
Jawline & lower face
A soft lower face and the look of early jowls.
Under the chin (submental)
Lax skin beneath the chin.
Neck
Mild-to-moderate loose or crepey-looking neck skin.
Skin tightening options
Not every skin concern needs the same treatment.
XERF is one option in our Skin Tightening category. These links help you understand the conversation before you book.
XERF
No-needle tightening
A radiofrequency option for selected face, jawline, and neck concerns.
You are hereRF Microneedling
Texture and acne-scar support
Uses microneedles with radiofrequency and is a different conversation from no-needle XERF.
Explore RF MicroneedlingHIFU
Focused ultrasound option
Another non-surgical technology that may be discussed depending on your goals and anatomy.
Explore HIFUIf you came here searching a brand name
How XERF compares to the devices you have probably read about.
Most people arrive having heard a brand name rather than a technology. Brand names belong to devices; the thing that decides whether a treatment suits you is the mechanism underneath. Here is where XERF actually sits, in plain terms — including the ones we do not offer.
Thermage — monopolar RF
The same technology class
Thermage and XERF are both needle-free monopolar radiofrequency: heat is delivered into the deeper layers while the surface is cooled. XERF is a multifrequency system, pairing 6.78 MHz and 2 MHz. We do not offer Thermage — XERF is the monopolar RF device in this office.
Compare the technologiesUltherapy — focused ultrasound
A different mechanism
Ultherapy is not radiofrequency at all. It uses focused ultrasound to reach the SMAS, the deep support layer. That is a genuinely different approach, not a rival brand of the same thing. We do not offer Ultherapy; we do offer HIFU, which is the same focused-ultrasound class.
Read the HIFU comparisonMorpheus8 — RF microneedling
Radiofrequency, through needles
RF microneedling puts the same kind of energy in through insulated microneedles, which makes it a texture and acne-scar conversation as much as a tightening one. It is the right tool for different concerns, and it is not needle-free. We offer RF microneedling as its own treatment.
Explore RF MicroneedlingWhich of these suits you is a clinical question, not a shopping question — and the consultation that answers it is complimentary. Dr. Kohli will tell you if none of them is right for your skin.
XERF FAQ
Straight answers about XERF skin tightening.
Serving Dallas, Lakewood, Preston Hollow, Highland Park, University Park, Plano, Frisco, Richardson, and the wider DFW area from the Texas Health Presbyterian Hospital campus.
Prefer to talk first? Get a call back
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Dallas XERF Consultation
Not sure which skin-tightening treatment fits? Start with a conversation.
Book online, then talk through XERF and your other options with Dr. Kohli before deciding on a plan.
Book a XERF ConsultationIndividual results vary and are not guaranteed. A consultation with Dr. Kohli is required to determine whether treatment is appropriate for you.
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