Skin Tightening · Face, Jawline & Neck
Want a firmer-looking jawline or neck—without surgery?
XERF™ is a no-needle skin-tightening option for early looseness in the lower face, jawline, and neck.
If your face or neck is starting to look softer than it used to, but surgery is not what you want right now, XERF may be worth discussing. It uses radiofrequency heat and cooling—not needles—to support gradual skin tightening. Dr. Rajan Kohli, MD, evaluates whether it is a good fit for you.
On the Texas Health Presbyterian Hospital campus · No card required to book online
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.
Offer pricing applies to XERF plans purchased at consultation. Candidacy, treatment areas, and session count are decided individually. Results vary.
Is this for you?
A practical option for people noticing early skin looseness.
XERF is not about changing your face. It is for people who want to explore a non-surgical approach when they start noticing a softer jawline, a less-defined lower face, or skin on the neck that does not feel as firm as before.
You notice a softer outline
Your jawline, lower face, or neck looks less defined than it once did.
You want no needles
XERF is performed without needles and is different from RF microneedling.
You want honest options
Dr. Kohli will tell you if XERF is reasonable—or if another treatment is a better use of your time and money.
Your appointment
What happens when you come in.
We start with what you see in the mirror and what you actually want to improve—not a preset package.
Look at the concern
Dr. Kohli looks at the areas bothering you, your skin quality, and how much looseness is present.
Explain the realistic options
You will hear where XERF may help, where it may not, and whether another skin-tightening treatment is a better match.
Make a simple plan
If XERF is appropriate, you decide whether to start with one session or a physician-recommended series.
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.
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 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.
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 HIFUPhysician-led care
You deserve a straight answer before you spend on skin tightening.
Dr. Kohli assesses whether XERF is a sensible option for your anatomy and goals. If it is not, he can explain other paths instead of forcing a device into every plan.
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.
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 ConsultationXERF is a non-invasive radiofrequency treatment. Treatment suitability, outcomes, and treatment intervals vary by patient.
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