New in South Surrey · Official Launch Event June 19, 2026

The future of skin tightening is here — meet XERF™

Get visibly tighter skin with no numbing, no needles, and no downtime.

  • Non-invasive RF treatment with no numbing, no needles, and no downtime
  • Comfortable experience using Integrated Cryogen Delivery (ICD) cooling and Wave Fit™ Pulse technology
  • Visible results may be noticeable after a single session; two treatments are recommended to achieve optimal benefits
  • Tailored to your skin with a range of depth settings and intensity levels for a truly personalized treatment
  • Safe for all skin types and fits seamlessly into any skincare routine
XERF structural skin tightening device at South Surrey Glow
Treatment Time60 min
Visible ResultsImmediate
Duration of Results6–12 months
DowntimeNone to minimal


The Science

How XERF works — three depths, one session.

The XERF system offers the world’s first multifrequency monopolar RF treatment. By combining 6.78 MHz and 2 MHz frequencies, XERF delivers energy not just deeper, but exactly where it’s needed — penetrating three layers (shallow, middle, deep) and remodeling the structural collagen scaffolding that thins and loosens with age.

01

Dual-frequency delivery

6.78 MHz and 2 MHz frequencies work together in one handpiece. The lower frequency penetrates deeper into the dermis and subcutaneous tissue; the higher tightens the shallow and middle layers. Three depths, one pass.

02

Integrated Cryogen Delivery

Continuous cryogen cooling protects the skin surface while controlled heat builds in the dermis. For most patients, no topical numbing is required — Cynosure calls this their Never-Numb™ experience.

03

Accurate Impedance Feedback

XERF reads your skin’s electrical resistance in real time and adjusts energy delivery accordingly. No two faces are the same; the system tailors output to each treatment zone — not a fixed dose.

04

Wave Fit™ Pulse

Energy is delivered in shaped pulses rather than continuous output. Wave Fit™ Pulse adjusts to your skin’s thickness — concentrating the thermal effect where collagen remodeling is needed, sparing what isn’t.

05

Spider Tip applicator

Cynosure’s Spider Tip is engineered for the contoured areas where laxity shows first — around the eyes, along the jawline, under the chin. Smaller footprint, precise vector delivery.

xerf is the world's first multifrequency monopolar RF treatment that penetrates thre layers, offering a 3 in 1 treatment
Deeper penetration with the combination of two radiofrequencies
Comparing XERF to other sking tightening options

Traditional single-frequency RF delivers energy at one depth; XERF’s dual-frequency delivery (6.78 MHz + 2 MHz) reaches shallow, middle, and deep layers in a single pass. Infographic courtesy Cynosure Lutronic.


See It In Action

How does XERF work?

The XERF system uses advanced multifrequency monopolar RF energy to tighten skin from the inside out. Unlike traditional treatments, a XERF treatment penetrates the shallow, middle, and deep layers of the skin — stimulating collagen production where it matters most. Its Wave Fit™ pulse technology adjusts to your skin’s thickness for maximum effectiveness, while Integrated Cryogen Delivery (ICD) keeps each pulse comfortable by cooling the skin. The result? A comfortable, safe, and effective treatment that delivers visibly tighter skin with no numbing, no needles, and no downtime.

XERF skin tightening device control screen showing three treatment depths — South Surrey Glow



What It Treats

Health Canada–cleared indications.

XERF is cleared in Canada for the treatment of facial lines and wrinkles, lifting the eyebrow, and facial and neck laxity. Every consultation is led by Alivia Stockall, our Certified Medical Aesthetician, under Dr. Iso’s clinical oversight, to confirm XERF is appropriate for your specific concerns.

01

Facial lines and wrinkles

Forehead, glabella, periorbital area, and lower face. XERF stimulates structural collagen remodeling in the dermis — the layer that holds your skin taut.

02

Brow lift

Health Canada–cleared to lift the eyebrow. Often the first place upper-face laxity shows, and an area where surgical alternatives carry meaningful downtime.

03

Facial laxity

Cheek descent, nasolabial deepening, perioral softening. The deep-mode 2 MHz frequency reaches the structural layer where mid-face laxity originates.

04

Neck laxity

The submental triangle and lateral neck — areas where loose skin appears earlier than most patients expect, and where surgical revision is most invasive.

Health Canada–cleared for facial lines and wrinkles, brow lifting, and facial and neck laxity. Individual results vary. Treatment plans are personalized after a clinical assessment with our medical team.


The XERF Advantage

Why patients choose XERF.

XERF was designed to deliver structural change without the recovery curve of surgery, and at a depth most non-surgical RF options can’t reach. Here’s how it shows up in real practice.

01 · Comfort

Comfortable from start to finish

Most patients describe XERF as a deep warmth — never sharp, never painful. Integrated Cryogen Delivery cools the skin surface continuously through the session. For most patients, topical numbing isn’t needed.

02 · Schedule

No interruption to your routine

There’s no anesthetic recovery and no broken skin to manage. Apply makeup, return to work, head to the gym — same day. Many patients book sessions on lunch breaks.

03 · Results

Immediate tightening, lasting change

Collagen contraction creates visible tightening during the session. New collagen remodeling builds gradually over 8 to 12 weeks. Results typically last 6 to 12 months with the Cynosure-recommended maintenance protocol.

04 · Coverage

Full-face coverage in 60 minutes

Wave Fit™ Pulse and the Spider Tip applicator make sessions efficient. Full face and neck typically completes in 60 minutes — no long appointment, no protracted protocol.


How It Compares

XERF vs. the alternatives.

There are several established RF and energy-based pathways to address facial and neck laxity. XERF was designed specifically to reach the structural layer at three depths in a single session — at a comfort level most patients tolerate without numbing.

 XERF™Thermage™Sofwave™RF Microneedling
TechnologyDual-frequency monopolar RF + ICD coolingMonopolar RF (single frequency)Multi-depth ultrasound + ICD coolingNeedles + RF through microchannels
Target depthShallow, middle, and deep — three layers in one passDermis (approx. 2 mm)Mid-dermis (approx. 2 mm)Adjustable needle depth, 1–4 mm
Anesthesia requiredNone for most patientsTopical numbing typicalNone to minimalTopical numbing 30–60 minutes
Needles / skin breachNo — non-invasiveNoNoYes — controlled penetration
Session length~60 minutes (full face + neck)60–90 minutes30–45 minutes60–90 minutes (incl. numbing)
Typical downtimeNone to minimal1–3 days redness~1 day redness2–5 days redness, swelling
When results appearImmediate + builds 8–12 weeksGradual over 6 monthsGradual over 3 monthsGradual over 4–8 weeks
Best fitStructural laxity, multi-depth change without surgery or downtimeMild surface laxityLifting at the mid-dermisTexture, scarring, mild laxity

This comparison is general guidance. The right treatment depends on your degree of laxity, your goals, and your health profile. Your consultation with Alivia Stockall, Certified Medical Aesthetician, reviews all pathways — with Dr. Iso’s clinical oversight.

XERF radiofrequency skin tightening treatment in South Surrey

Now booking · Official Launch Event June 19, 2026

See what structural skin tightening can do for your skin.

Sit down with our medical aesthetics team in South Surrey to map a XERF plan built around your skin, your goals, and your timeline.

Book a Consultation


Real Results

Before and after.

These before-and-after images come from XERF clinical studies and provider documentation, courtesy Cynosure Lutronic. Every face is different — your consultation determines whether XERF is the right fit for the structural change you’re looking for.


Before-and-after images courtesy Cynosure Lutronic, Dr. Dianne Quibell, and Dr. Jordan Wang, MD. Individual results vary.

XERF skin tightening patient experience — South Surrey Glow (individual results vary)

Real Patient

“As a busy mom, XERF fits into my schedule easily. It’s comfortable, there’s no downtime, and I could feel tightening right away.”

Brooke, actual patient


Clinical Evidence

Peer-reviewed research, not marketing claims.

XERF and dual-frequency monopolar RF technology have been studied in peer-reviewed dermatology and aesthetic surgery journals. The three studies below are publicly available — read them in full.

Hong et al. — 2024

Efficacy of dual-frequency noninvasive monopolar radiofrequency in skin tightening: histological evidence

Skin Research and Technology, June 2024. Histological evidence that the XERF 6.78 + 2 MHz device produces immediate collagen bundle restructuring and fascial layer thickening, supporting structural skin tightening.

Read the study →

Park et al. — 2024

Monopolar radiofrequency for dermal temperature regulation and remodeling: a porcine model study

Journal of Cosmetic Dermatology, 2024. Using the XERF system (Cynosure Lutronic), researchers measured dermal temperature dynamics and tissue response, confirming controlled collagen remodeling within the safe thermal range.

Read the study →

Wollina — 2011

Treatment of facial skin laxity by a new monopolar radiofrequency device

Journal of Cutaneous and Aesthetic Surgery, 2011. Foundational open trial documenting the effect of monopolar RF on acquired facial skin laxity, establishing the procedural and safety framework that modern devices like XERF build on.

Read the study →

As featured in
Allure

XERF™ structural skin tightening has been covered by the beauty press, with board-certified dermatologists detailing its dual-frequency technology. Read the Allure review →

South Surrey Glow Hormone & Aesthetics - Team | Serving South Surrey and White Rock | Botox® and Juvederm® Injectables


What Sets Us Apart

Why choose South Surrey Glow for XERF.

XERF comes with the full medical-oversight stack. Your consultation and treatment plan are led by Alivia Stockall, our Certified Medical Aesthetician, with Dr. Andras Iso, MD providing clinical oversight — confirming the indication, screening for contraindications, and signing off before treatment proceeds. Not sign-off-at-the-end formality; it’s how the clinic operates.

As a CPSBC-licensed, medically directed hormone and aesthetics clinic, we run the complete Cynosure stack — 6.78 MHz + 2 MHz, Wave Fit™ Pulse, Integrated Cryogen Delivery, Accurate Impedance Feedback, and the Spider Tip applicator — not a stripped-down RF device.

Your XERF plan is coordinated with Morpheus8, LaseMD Ultra, Botox, and hyaluronic fillers — all under one roof, all medically supervised.

MD-Supervised by Dr. IsoCPSBC-Licensed ClinicCynosure-Authorized

Before Your Visit

How to prepare for your XERF treatment.

A few simple steps in the days before your appointment help you get the most from your treatment.

befor yopur XERF treatment

Cleanse

Arrive with clean skin — free of makeup, serums, creams, oils, and lotions.

Hydrate

Increase your water intake for a few days before, and limit alcohol and caffeine.

Avoid sun

Stay out of direct sunlight and tanning beds in the days leading up to your visit.

Tell us

Let your provider know about any medications you take and any recent or planned procedures.


Frequently Asked

Questions, answered.

What is XERF, and what makes it different from other RF skin tightening treatments?

XERF is the world’s first multifrequency monopolar radiofrequency device. While most RF treatments deliver a single frequency at one depth, XERF combines 6.78 MHz and 2 MHz frequencies in the same handpiece — penetrating three skin layers (shallow, middle, deep) in one session. It also uses Integrated Cryogen Delivery for surface cooling and Accurate Impedance Feedback to adapt energy to your skin in real time. The combination is designed for structural skin tightening — not just surface improvement.

XERF is Health Canada–cleared for facial lines and wrinkles, lifting the eyebrow, and facial and neck laxity. The most common treatment areas are the forehead, periorbital area (around the eyes), cheeks, jawline, submental triangle (under the chin), and lateral neck.

For most patients, no topical numbing is needed. XERF uses Integrated Cryogen Delivery — continuous surface cooling during treatment — so what you feel is a deep warmth rather than discomfort. Cynosure refers to this as their Never-Numb™ experience. Most patients describe sessions as comfortable from start to finish. Sensitivity is reviewed during consultation, and if numbing is preferred for a specific zone, our team can accommodate.

XERF protocols are personalized to your skin and goals, so pricing is confirmed at your consultation rather than published as a flat rate. The Cynosure-recommended Canadian approach is two initial treatments followed by maintenance every six months.

The Cynosure-recommended Canadian protocol is two initial XERF treatments, followed by maintenance every six months. Spacing between the two initial treatments is determined by Alivia, our Certified Medical Aesthetician, under Dr. Iso’s clinical oversight, based on your skin’s response — typically four to twelve weeks apart. Your written treatment plan will be specific to your skin assessment.

Many patients notice an immediate tightening effect from collagen contraction during and right after the session. The structural change — new collagen remodeling — builds gradually over eight to twelve weeks. Results typically last six to twelve months, which is why maintenance every six months is recommended to keep the structural collagen scaffolding remodeling continuously rather than starting from baseline each time.

None to minimal. Most patients return to their regular day immediately. Some experience mild redness or warmth that resolves within a few hours. There are no needles, no broken skin, and no recovery period the way there is with microneedling RF or surgery.

Yes. XERF is Health Canada–cleared for the treatment of facial lines and wrinkles, lifting the eyebrow, and facial and neck laxity. South Surrey Glow is an authorized Cynosure XERF provider, and every treatment is performed under the medical supervision of Dr. Andras Iso, MD, a CPSBC-licensed physician.

Pregnancy, active skin infection in the treatment area, certain implanted electrical devices, recent fillers or surgical procedures in the area, and a few specific medical conditions are contraindications. This is part of why your consultation with Alivia, under Dr. Iso’s clinical oversight, reviews every protocol — to make sure XERF is the right fit, and the right timing, for your individual health profile.

Yes. XERF integrates with most aesthetic protocols — Botox, hyaluronic fillers, HydraFacial, LaseMD Ultra, and Morpheus8 are all commonly paired alongside XERF. Please consult with your practitioner regarding paired treatments.

Smooth, tightened skin on the neck and décolleté after XERF at South Surrey Glow

Ready to Begin

Your XERF consultation starts here.

Book a consultation with our clinical team at South Surrey Glow Hormone & Aesthetics. We’ll review your skin, your goals, and your medical history. Your consultation is led by Alivia Stockall, Certified Medical Aesthetician, under Dr. Iso’s clinical oversight. If XERF is the right fit, we book your first session.

South Surrey Glow Hormone & Aesthetics · 15388 24 Ave, Suite 112, Surrey BC · Mon–Fri

Proudly Serving

South Surrey Glow Hormone & Aesthetics is proud to bring Cynosure XERF™ structural skin tightening to patients across South Surrey, White Rock, Ocean Park, Grandview Heights, Morgan Creek, and Morgan Crossing — with patients regularly traveling in from Crescent Beach, Chantrell, Sunnyside, Semiahmoo, Langley, Delta/Tsawwassen, and Metro Vancouver for medically supervised RF skin tightening under Dr. Andras Iso, MD.

Explore Related Treatments

XERF™ is a trademark of Lutronic Corporation. Cynosure® is a registered trademark of Cynosure, LLC. Health Canada–cleared for the treatment of facial lines and wrinkles, lifting the eyebrow, and facial and neck laxity. All instances of the term “skin tightening” describe tightening effects that occur via soft tissue coagulation. Individual results vary. Treatment plans are personalized after a clinical assessment by Alivia Stockall, Certified Medical Aesthetician, under Dr. Andras Iso’s clinical oversight. Information on this page is for educational purposes and is not a substitute for personalized medical advice. South Surrey Glow Hormone & Aesthetics is an authorized Cynosure XERF provider in South Surrey, British Columbia, Canada.