Emsculpt NEO
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XERF is a needle-free, non-surgical multifrequency monopolar radiofrequency (RF) device designed to target skin laxity and sagging. Developed by Cynosure Lutronic, XERF is introduced as one of the first monopolar RF systems able to combine two radiofrequency waves, 6.78 MHz and 2 MHz, on a single platform. Conventional single-frequency RF devices usually focus their energy at one particular depth. By combining two frequencies, XERF aims to deliver controlled heat to the superficial, middle and deeper layers of the skin. The goal is to support tightening not only at the surface but also within the connective tissue structures that support the skin. No needles are used and the skin surface is not broken. Following an assessment by Dr. Buket Yıldırım, a personalized treatment plan can be created based on your skin structure, the degree of laxity and the areas to be treated.
XERF stimulates the skin’s own collagen and elastin production to support a firmer, tighter-looking complexion. Main treatment goals include:
In monopolar RF systems, energy is delivered into the skin through the treatment handpiece and completes its circuit through a grounding pad placed on the body. Controlled heat is generated in the tissues the energy passes through. This heat causes an immediate contraction of existing collagen fibers and stimulates new collagen and elastin production over the following weeks.
XERF’s defining feature is its ability to use the 6.78 MHz and 2 MHz frequencies together. Different frequencies generate heat at different depths, so treatment can be planned to target both superficial and deeper skin layers.
The device offers multiple depth and intensity levels. Treatment parameters can be adjusted during the session according to skin thickness, the area treated and the level of warmth the patient feels.
WaveFit™ technology spreads RF energy across multiple pulses instead of short, high-intensity single bursts, helping tissue temperature rise in a more controlled way.
The skin surface is cooled and protected throughout the treatment, so heat can reach the targeted layers while keeping the surface more comfortable.
| Treatment Area | Concerns That Can Be Targeted |
|---|---|
| Full face | Skin laxity, sagging, fine lines |
| Eye area | Loose, crepey skin under and around the eyes |
| Lower face and jawline | Loss of jawline definition, sagging cheeks |
| Under the chin and neck | Laxity under the chin, sagging neck skin |
| Décolletage | Loose, wrinkled skin |
| Abdomen | Skin laxity after pregnancy or weight loss |
| Arms and legs | Loose skin on the back of the arms, inner thighs and above the knees |
Suitable areas and the treatment plan are determined after a medical assessment.
Before treatment, the skin is cleansed and the area to be treated is marked. A grounding pad is placed on the body. The XERF handpiece is then moved across the planned area while RF energy is delivered. Most people describe a temporary warming sensation during treatment. The procedure can usually be performed without anesthesia. Because heat perception varies from person to person, parameters are adjusted throughout the session for patient comfort. Treatment time depends on the size of the area. Face and neck treatments can usually be completed in a single session.
The number of sessions is planned according to the degree of laxity, the area treated and your skin structure. A single session may be sufficient for some people, while others may be advised to have an additional session a few weeks later. Since collagen production continues over time, maintenance sessions can be planned at appropriate intervals to help preserve the results.
A slight firming effect may be noticed right after treatment. However, the main effect develops gradually as new collagen and elastin form. Results are generally expected to become visible within 8–12 weeks and may continue to improve in the following months. How long results last varies depending on age, skin structure, lifestyle and sun protection.
Most people can return to their daily routine shortly after XERF. Temporary redness, mild warmth or slight swelling may occur in the treated area; these usually resolve on their own within a short time. After treatment:
Treatment may not be suitable, or further assessment may be needed, in the following cases:
For this reason, your medical history, medications and skin structure should be assessed by a doctor before treatment.
Most RF devices work with a single frequency and concentrate energy mainly at one depth. XERF uses two different frequencies together, allowing tissues at different depths to be targeted within the same treatment. WaveFit™ pulse technology and integrated cooling also aim to deliver heat in a more controlled and comfortable way. Which device is most suitable is determined after an examination, based on your skin structure, the degree of laxity and your expectations. In some cases, XERF may be combined with other methods such as ultrasound-based devices, fillers or thread lifts.
XERF prices in Ankara may vary depending on the area treated, the size of the area and the planned number of sessions. For example, a treatment limited to the eye area is planned differently from one covering the full face and neck. The most accurate information can therefore be provided after a preliminary assessment.
Most people describe a temporary warming sensation during treatment. Thanks to integrated cooling and adjustable parameters, the procedure can usually be performed without anesthesia.
Yes. Most people can return to their daily activities shortly after treatment. Temporary redness may occur.
Because collagen production takes time, results generally become visible within 8–12 weeks and may continue to improve over the following months.
The number of sessions is planned individually. A single session may be sufficient for some people, while an additional session may be recommended for others.
No. XERF is a needle-free radiofrequency treatment and does not break the skin.
In suitable cases, treatment can be planned for loose and crepey skin around the eyes.
Yes. It can be used for skin laxity on areas such as the abdomen, arms, legs and above the knees.
No. XERF is a non-surgical method targeting mild to moderate laxity. Advanced sagging may require surgical evaluation.
No. Pacemakers, pregnancy, metal implants in the treatment area and certain medical conditions must be assessed before treatment.
Disclaimer: Whether XERF is suitable for you can only be determined after a medical assessment. Results may vary from person to person. This content is for general information purposes only and does not replace a medical examination.

Content Author and Medical Review
Dr. Buket Yıldırım Medical Aesthetics Physician
Dr. Buket Yıldırım graduated from Ankara University Faculty of Medicine in 1995. In 2004 Dr. Yıldırım completed the Turkish Ministry of Health’s medical aesthetics training and certification programme and began working in the field of aesthetics and cosmetology.
Seeing patients in private practice since 2012, Dr. Buket Yıldırım continues this work together with the clinic team at Next Level Loft Offices in Çankaya, Ankara.
The XERF content was prepared by Dr. Buket Yıldırım and reviewed for medical accuracy.
Last medical review: . This page is for information only and does not replace medical advice.
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EMSCULPT NEO THE GROUNDBREAKING BODY SHAPING TECHNOLOGY Meet Emsculpt NEO, the newest non-surgical treatment that tightens muscles and burns fat…
Read More