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XERF Skin Tightening in Honolulu, Hawaii

Most radiofrequency treatments work at the surface. XERF goes deeper, reaching the same foundational tissue layer targeted in surgical facelifts, without any incisions or recovery time. Dr. Shim Ching is now offering XERF Structural Skin Tightening at Asia Pacific Aesthetics in Honolulu.

XERF Structural Skin Tightening at Asia Pacific Aesthetics

XERF, developed by Cynosure Lutronic, is the world's first multifrequency monopolar radiofrequency treatment. It delivers controlled RF energy across multiple tissue depths simultaneously, stimulating collagen remodeling from the inside out with no needles, no numbing cream, and no recovery time. Dr. Ching brought XERF to Asia Pacific Aesthetics to give patients in Hawaii access to a level of skin tightening that was previously difficult to achieve without surgery or more invasive procedures.

Woman looking to the side

What Makes XERF Different From Other Radiofrequency Treatments

Most radiofrequency devices deliver energy at a single frequency and depth. XERF combines two frequencies simultaneously: 6.78 MHz and 2 MHz. This dual-frequency approach allows the system to target the skin's shallow, middle, and deep layers in a single treatment.

Critically, histological studies confirm that XERF delivers energy all the way to the SMAS (Superficial Musculoaponeurotic System). The SMAS is the same foundational tissue layer targeted in surgical facelifts. Reaching this depth non-invasively is what gives XERF its structural tightening results.

XERF Skin Tightening Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Patient before and after XERF Laser Treatment

Case #87

This patient came to esthetician Mie seeking a non-surgical solution for skin tightening and rejuvenation of the face and neck. The XERF Laser uses deep-penetrating radiofrequency energy to stimulate collagen and improve skin strucure. Results shown are immediately after treatment, with noticeable tightening and a lifted glow that will continue to build over time.

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Patient before and after XERF Laser Treatment

Case #88

This patient in her 20s came to see Nurse Brittney for a full face and neck XERF Laser treatment to address skin laxity following weight loss. By delivering targeted radiofrequency energy deep into the skin, the treatment helps tighten loose tissue and stimulate collagen production. Results shown are immediately after, with a visibly firmer, more contoured appearance that will continue to improve as collagen rebuilds over time.

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Patient before and after XERF Laser Treatment

Case #88

This patient in her 20s came to see Nurse Brittney for a full face and neck XERF Laser treatment to address skin laxity following weight loss. By delivering targeted radiofrequency energy deep into the skin, the treatment helps tighten loose tissue and stimulate collagen production. Results shown are immediately after, with a visibly firmer, more contoured appearance that will continue to improve as collagen rebuilds over time.

View Photo Gallery Schedule a consultation
Patient before and after XERF Laser Treatment

Case #89

This patient came to see Nurse Madi for a full face and neck XERF Laser treatment to address skin laxity and overall texture. Using advanced radiofrequency technology, the treatment works to stimulate collagen and tighten the skin from within. Results shown are immediately after, with an instant lifted appearance and improved skin tone that will continue to enhance over time.

View Photo Gallery Schedule a consultation
Patient before and after XERF Laser Treatment

Case #89

This patient came to see Nurse Madi for a full face and neck XERF Laser treatment to address skin laxity and overall texture. Using advanced radiofrequency technology, the treatment works to stimulate collagen and tighten the skin from within. Results shown are immediately after, with an instant lifted appearance and improved skin tone that will continue to enhance over time.

View Photo Gallery Schedule a consultation
Patient before and after XERF Laser Treatment

Case #90

This patient came to see Nurse Madi for a full face and neck XERF Laser treatment to target skin laxity, texture, and overall rejuvenation. By delivering advanced radiofrequency energy deep into the skin, the treatment helps stimulate collagen production and tighten underlying tissue. Results shown are immediately after, with visible skin contraction and a more lifted, refreshed appearance, which will continue to improve over time as collagen rebuilds.

View Photo Gallery Schedule a consultation
Patient before and after XERF Laser Treatment

Case #90

This patient came to see Nurse Madi for a full face and neck XERF Laser treatment to target skin laxity, texture, and overall rejuvenation. By delivering advanced radiofrequency energy deep into the skin, the treatment helps stimulate collagen production and tighten underlying tissue. Results shown are immediately after, with visible skin contraction and a more lifted, refreshed appearance, which will continue to improve over time as collagen rebuilds.

View Photo Gallery Schedule a consultation

How XERF Creates Both Immediate and Long-Term Results

XERF produces two types of results that work together over time.

During treatment, controlled heat causes an immediate contraction of collagen fibers, creating a visible tightening effect in the skin. In the weeks following treatment, the body responds to the thermal stimulus by producing new collagen, gradually improving skin firmness, texture, and laxity.

The system uses Wave Fit pulse technology alongside Advanced Integrated Cryogen Delivery cooling to manage surface temperature throughout the treatment. This keeps the skin comfortable while allowing deep tissue heating, making numbing unnecessary.

Fully Customizable to Your Skin

XERF uses Accurate Impedance Feedback to read each patient's skin in real time during treatment. The system then adjusts accordingly using three depth settings and ten intensity levels, creating a treatment profile specific to each individual rather than a one-size-fits-all approach.

Woman with her arm up

What Areas Can XERF Treat?

Dr. Ching currently offers XERF treatments at Asia Pacific Aesthetics for the following areas:

Face

  • Full face
  • Upper face
  • Lower face
  • Submental area (under the chin)
  • Neck

Body

  • Abdomen
  • Arms
  • Elbows
  • Knees

What to Expect During a XERF Treatment

XERF sessions require no advance preparation, such as numbing cream, which also means shorter chair time compared to similar treatments. Patients typically notice some immediate firmness following their session, with continued improvement over the following weeks as new collagen develops.

There is no downtime. Patients can return to their normal routine immediately after treatment.

The number of recommended sessions will vary depending on the area being treated and each patient's skin laxity and goals. Our providers, overseen by board-certified plastic surgeon Dr. Shim Ching will outline a personalized treatment plan during your consultation.

XERF Skin Tightening With Dr. Shim Ching in Honolulu

Dr. Shim Ching is a board-certified plastic surgeon who has been named one of the Best Doctors in America every year since 2011, a distinction reserved for the top 5% of physicians nationally. He is recognized by Castle Connolly, Honolulu Magazine, and Modern Luxury Hawaii as a top doctor in Hawaii. Dr. Ching's approach to non-surgical treatments mirrors his surgical philosophy: precise, personalized, and focused on natural-looking results. XERF fits that standard.

To schedule an XERF consultation at Asia Pacific Aesthetics in Honolulu, contact our office today.

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