XERF skin tightening treatment in Melbourne, FL
XERF treatment at Karisma Esthetics, 1542 S Wickham Rd in Melbourne, is $1,500 for a session of about 90 minutes. XERF is a Cynosure Lutronic radiofrequency device, FDA-cleared in August 2025 for electrocoagulation and hemostasis. Kay offers XERF for the face and neck, to help improve the appearance of loose skin. No needles.
Published · Written by Kay Woodson · Results vary.
How much is XERF at Karisma?
| Booking | Length | Price | Reservation fee |
|---|---|---|---|
| XERF consultation | About 20 minutes | $150 | Nonrefundable, applied to your XERF balance |
| XERF, one session | 90 minutes | $1,500 | $150 for new clients |
| XERF, two-session package | 90 minutes each | $3,000 | $150 for new clients |
From the studio's GlossGenius booking page, read October 29, 2026. A consultation comes before your first XERF session. Payment over time is possible through Cherry.
How does XERF radiofrequency skin tightening work?
XERF sends radiofrequency energy into the skin at two frequencies, 6.78 MHz and 2 MHz, to warm the deeper layers. That heat is meant to prompt the skin's own collagen response over the following weeks. [TO CONFIRM: mechanism wording checked against Cynosure materials, compliance-legal]
Kay offers XERF for the face and neck, jawline included. She keeps to those areas while the published data stay small.
Kay is clear that XERF is not a one-and-done visit. Most clients need a series, typically 2 to 3 sessions. The change starts subtle, then builds as the skin follows its natural collagen cycle. To keep that going, she suggests maintenance about once a year, or at 6 months. Results vary.
What happens at your appointment?
- 1Consultation, $150About 20 minutes on your skin, your health history and your goals, so Kay can tell you plainly if XERF fits. The fee goes toward your first session.
- 2Treatment, about 90 minutesClients typically report a warm feeling under the tip, and Kay notes that some bony areas can feel more intense, or "spicy," than others. In the 39-person study, people rated the discomfort 4.2 out of 10 on average, without numbing.
- 3After your sessionThe maker says there is no downtime, and both published studies report only mild redness and swelling that cleared on their own. For 24 to 48 hours, Kay asks you to skip ice packs, hot showers, saunas, steam rooms, hot tubs and hard workouts, and to pause retinoids and exfoliating acids for 3 to 7 days. Makeup can usually go back on after 24 hours. Wear SPF 30 or higher every day. Kay takes photos before and after each session, and again 3 months after the second. See XERF aftercare.
XERF is new. Here is what is known.
The FDA cleared XERF in August 2025 as an electrosurgical device for electrocoagulation and hemostasis in dermatologic procedures. "Skin tightening" is how the maker describes the effect of that heat on soft tissue, not a separate FDA indication. As of October 2026, the published human data are thin: 39 people at four US sites, two sessions 4 weeks apart, with the device and a grant from the maker (Cureus, March 2026), and a look back at 16 women after a single session (Lasers in Medical Science, 2026). Neither had an untreated comparison group. The larger study enrolled skin types I to IV only, and its authors say results for types V and VI are uncertain. If your skin is deeper in tone, the data do not speak for you yet. That is why this page says "helps improve the appearance of loose skin" and never "clinically proven." Results vary from person to person, and Kay tells you at the consultation if another option suits you better.
Who may it suit?
Women who notice mild to moderate loose skin on the face, jawline or neck and want to avoid needles and surgery. Kay sees the most visible change in clients from their late 30s to early 50s, and she does not recommend XERF in your 20s. Some clients feel one session is not enough, which is why most plan a series.
Who should wait?
The maker's 40-person trial left out people who were pregnant or breastfeeding, had a pacemaker or another implanted electrical device, or had a metal implant that could interfere with the energy. That is a trial rule, not the device label. Kay goes through the full manufacturer list at your consultation. [TO CONFIRM: Cynosure contraindication list, Kay]
XERF questions, answered in our guides
- XERF treatment cost in Melbourne, FL
- Is XERF worth it? Reviews and evidence
- How long does XERF last?
- XERF side effects and safety
- XERF aftercare: the dos and don'ts
- XERF on the body: why Karisma keeps to the face and neck
- XERF vs Thermage
- XERF vs Ultherapy
- XERF vs Morpheus8
- XERF vs Sofwave
- XERF vs microneedling and HIFU
Questions about XERF
How much does a session of XERF cost?
At Karisma Esthetics, $1,500 for one session or $3,000 for two. The $150 consultation is credited to your first session, and you can pay over time through Cherry. See the full XERF cost guide.
Does XERF skin tightening work?
The FDA cleared XERF (510(k) K251327) for electrocoagulation and hemostasis in dermatologic and general surgical procedures. Its maker presents skin tightening as the effect of that controlled heat on soft tissue. Published human data on that effect are still small and early, so results vary and Kay will not promise a specific change.
Does XERF hurt?
It feels hot. People in the 39-person study rated it 4.2 out of 10 on average without numbing, and side effects in both published studies were mild and short-lived. The side effects guide has the details.
How long does XERF skin tightening last?
Nobody can say yet. Both published studies stop at 3 months, so there is no measured answer beyond that. Kay suggests maintenance about once a year, or at 6 months, to keep the collagen response going. The XERF duration guide sets out what is known.
How many XERF sessions will I need?
Most clients need a series, typically 2 to 3 sessions, Kay says. It is not a one-and-done treatment, and how many you need depends on how loose your skin is. Results vary.
Is XERF better than RF microneedling?
They work differently. XERF uses no needles. RF microneedling pierces the skin, and in Florida that sits outside an esthetician's scope, so Karisma does not offer it.
- Weiss RA et al. Dual-frequency noninvasive monopolar radiofrequency for facial laxity, a prospective multicenter study. Cureus, March 2, 2026
- Retrospective study of XERF in 16 women, Lasers in Medical Science, August 18, 2026
- XERF trial NCT07585591, ClinicalTrials.gov, eligibility criteria and results status, checked October 29, 2026
- FDA 510(k) K251327, XERF, Lutronic Corporation, decision summary, cleared August 11, 2025
- Cynosure Lutronic announces U.S. clearance of XERF, Business Wire, August 18, 2025
- XERF treatment, patient page, Cynosure Lutronic, checked October 29, 2026
- How to apply sunscreen, American Academy of Dermatology, checked October 29, 2026
- Karisma Esthetics services, reservation fees and XERF consultation, GlossGenius, read October 29, 2026