Orovenza · Non-Surgical Aesthetics

Xerf London

A non-surgical treatment designed to support skin tightening and remodelling, delivered through Orovenza's nurse-led aesthetic service in North London.

Clinical Setting Delivered through a clinical partner setting
Practitioner Nurse-led by Rashmi Mehta
Orovenza Part of Contoura Medical

A considered approach to skin tightening.

Xerf is a non-surgical aesthetic treatment used to support skin tightening and skin remodelling. It is designed for people looking for a clinical, non-surgical approach to improving the appearance and quality of their skin.

At Orovenza, Xerf is approached as part of a wider assessment rather than as a one-size-fits-all treatment. Your practitioner will assess your skin, concerns and desired outcome before discussing whether Xerf is appropriate for you.

Because every patient is different, the recommended treatment approach, number of sessions and expected timeline will be discussed during your consultation.

Designed around your skin, not a standard template.

Non-surgical aesthetics work best when the treatment is selected for the individual rather than simply following a fixed protocol.

Your consultation provides an opportunity to discuss the area you want to treat, your expectations, previous treatments and the most appropriate treatment plan.

Treatment suitability, expected results, sessions and downtime are assessed individually.

What to expect from Xerf.

The exact treatment plan is determined following assessment. These are the key areas discussed during your consultation.

01

What it can address

Xerf may be considered where the aim is to support skin tightening and improve the appearance of skin laxity. Xerf at Orovenza is a doctor-led treatment. Treatment plans are overseen by Dr Edwin Anthony, GMC registered, with the procedure performed by Nurse Rashmi Mehta.

02

Treatment sessions

The number and frequency of sessions depend on the treatment area, your skin and the goals discussed during your consultation.

03

Downtime

Your practitioner will explain the expected post-treatment effects and recovery requirements before treatment, including any temporary redness, swelling or sensitivity where relevant.

04

Results

Results and their timing vary between patients. During your consultation, you will be given a more specific indication of what can reasonably be expected from your treatment plan.

How Xerf works at Orovenza.

Your treatment journey begins with assessment and planning. The process below gives an overview of what you can expect, with the precise protocol tailored to you.

01

Consultation

Xerf at Orovenza is a doctor-led treatment. Treatment plans are overseen by Dr Edwin Anthony, GMC registered, with the procedure performed by Nurse Rashmi Mehta.

02

Assessment

Your skin and treatment area are assessed to help determine whether Xerf is suitable and what approach may be appropriate.

03

Treatment

If appropriate, your agreed treatment is carried out using the planned protocol for your individual needs.

04

Aftercare

You will receive guidance on what to expect after treatment and any aftercare recommendations relevant to your treatment.

05

Review

Where appropriate, your practitioner can review your progress and discuss whether further treatment is recommended.

By Dr Edwin Anthony, Lead Clinician, Contoura Medical · Treatments delivered by Nurse Rashmi Mehta · Last updated 4 October 2026

Xerf is a needle-free radiofrequency treatment that heats the deeper layers of the skin to firm and tighten the face, neck and body over a course of sessions. At Orovenza in Marylebone, London, it suits adults with mild to moderate laxity who want minimal downtime.

What it is and how it works

Xerf is a non-invasive monopolar radiofrequency device. A smooth treatment tip glides over the skin and delivers radiofrequency energy that gently heats the tissue underneath. That heat causes existing collagen fibres to contract and signals the skin to produce new collagen and elastin over the following months.

What sets Xerf apart from older radiofrequency devices is that it uses two frequencies. According to the manufacturer's product information, it combines 6.78 MHz and 2 MHz energy to reach shallow, middle and deep layers of tissue. Built-in cryogen cooling protects the skin surface while the heat does its work below.

There are no needles and no wounds to heal, so most patients need no numbing cream.

Who it is best suited for

  • Adults noticing early softening along the jawline, jowls or neck
  • Mild skin laxity on the cheeks, under the chin or around the eyes
  • Crepey or less firm skin on the abdomen, arms, thighs or knees
  • People who cannot take time off and want little or no visible downtime
  • Those who prefer to avoid needles, or are not ready for surgery

Xerf is not a replacement for surgery. With heavy jowls or loose skin after major weight loss, we will discuss surgical options.

Your treatment journey at Orovenza

  1. Consultation. Nurse Rashmi Mehta assesses your skin, medical history and medication at Langham Hospital, and explains what Xerf can and cannot realistically achieve for you.
  2. Your plan. You receive an individual plan setting out the areas, the number of sessions and the spacing between them. Dr Edwin Anthony (GMC 4776646), Lead Clinician at Contoura Medical, provides medical oversight and prescribes any prescription-only medicines if needed.
  3. Treatment day. The skin is cleansed and the tip is moved steadily across each area. Sessions usually take 30 to 60 minutes depending on the area.
  4. Aftercare. You can usually return to normal activities straight away. You leave with written aftercare advice.
  5. Review. We check progress during and after your course.

Results and how long they last

Some people notice skin feels firmer soon after a session, but the real change is gradual because collagen takes time to rebuild. A course typically gives a subtle, natural tightening rather than a dramatic lift.

  • Cleveland Clinic notes that some people need two to six treatments of radiofrequency skin tightening to reach the result they want.
  • Changes to skin tone and appearance are typically seen within two to six months.
  • With good skincare, the effects of radiofrequency skin tightening may last one to three years.
  • The manufacturer states Xerf offers three depth settings and ten intensity levels, which allows treatment to be adjusted to each area.

Recovery and aftercare

  • Mild redness and warmth are common and usually settle within a few hours, and within 24 hours for most people.
  • Make-up can usually be worn straight away.
  • Some patients feel slight tenderness or tingling in the area for a day or two.
  • Avoid saunas, steam rooms and hot baths for 24 hours.
  • Keep skin hydrated and use SPF 30 to 50 every day.

Safety, side effects and who should avoid it

  • Most side effects are mild and short-lived: redness, swelling and warmth. Cleveland Clinic notes these usually go away within 24 hours.
  • Rarely, excess heat can cause a burn or blister, which is why settings and technique matter.
  • Not suitable during pregnancy or breastfeeding.
  • Not suitable if you have a pacemaker, implanted defibrillator or other implanted electronic device.
  • Not suitable over metal implants, recent fillers or thread lifts without prior discussion.
  • Not suitable over active skin infection, cold sores, open wounds or flaring eczema or psoriasis.
  • Always check your practitioner's registration and training. Registers such as the JCCP and Save Face list vetted non-surgical practitioners and clinics.

Xerf compared with other options

OptionWhat it treatsDowntimeSessionsTypical onset of results
Xerf radiofrequencyMild to moderate laxity, face and bodyLittle or noneA course, often 2 to 4Gradual over 2 to 6 months
Morpheus8 Scale & BurstLaxity plus texture, acne scars and stretch marksUsually 2 to 5 daysOften 1 to 3Gradual, reviewed at around 3 months
ProfhiloHydration, skin quality and mild crepinessSmall bumps for up to 24 to 48 hoursUsually 2, a month apartGradual over several weeks
QuantumRF (surgical, Dr Edwin Anthony)More significant laxityLonger, discussed at surgical consultationUsually a single procedureGradual over several months

How Orovenza compares

  • Treatment in a hospital setting at Langham Hospital, 77 Hallam Street, Marylebone.
  • Nurse-led by Nurse Rashmi Mehta, with doctor oversight from Dr Edwin Anthony, a GMC-registered surgeon with years of experience in skin tightening.
  • A consultation before every treatment, so your skin is checked each time.
  • A fixed consultation fee that is not deducted from treatment prices, keeping advice separate from sales.
  • An individual plan, including an honest view on whether Xerf alone is enough.
  • Aftercare reviews built into your course.

Related treatments

To see whether Xerf is right for your skin, arrange a consultation at Langham Hospital, Marylebone, London W1W 5HB, or call 020 3890 1911. Consultation fees are fixed and are not deducted from treatment prices, and your practitioner confirms your personal treatment cost at consultation. Book a consultation

Frequently asked questions

How much does Xerf cost in London?

The cost depends on the areas you want treated, their size and how many sessions your plan includes. A full face and neck course is priced differently from a single body area. Your practitioner confirms your personal cost at consultation after assessing your skin, so you have the full figure before deciding whether to go ahead.

Does Xerf hurt?

Most people find Xerf comfortable. You feel a building warmth, followed by short bursts of cooling from the device. Numbing cream is not usually needed. Bony areas such as the jawline can feel warmer, and Nurse Rashmi Mehta adjusts the intensity throughout so that it stays tolerable for you.

Is there any downtime after Xerf?

There is usually little or no downtime. Skin may look pink and feel warm for a few hours, and most people go straight back to work or their day. Make-up can generally be worn immediately. Occasionally skin feels slightly tender for a day or two.

How many Xerf sessions will I need?

Most patients have a course of several sessions spaced a few weeks apart, and some people need two to six radiofrequency treatments in total. The number depends on your age, skin quality and the degree of laxity. We agree a realistic course at consultation and review progress rather than committing you to more than you need.

When will I see results from Xerf?

Some people notice skin feels firmer shortly after a session, but visible change usually builds over two to six months as new collagen forms. This gradual pattern is normal for radiofrequency tightening. We take photographs at consultation so progress can be compared fairly at review.

How long do Xerf results last?

Results from radiofrequency skin tightening may last one to three years with good skincare, but the skin keeps ageing, so they are not permanent. Many patients return for a maintenance session once or twice a year. Daily sun protection, not smoking and a stable weight all help results last longer.

Is Xerf safe for darker skin tones?

Radiofrequency does not target pigment, so it is generally considered suitable for a wide range of skin tones, including darker skin. Heat can still irritate any skin, so we take a careful history, start with conservative settings and check your skin closely. Tell us if you have had pigmentation after previous treatments.

Can Xerf be combined with other treatments?

Yes. Xerf often works well alongside Morpheus8 Scale & Burst for texture, Profhilo or polynucleotides for skin quality, and anti-wrinkle injections for expression lines. The order and spacing matter, particularly if you have fillers or threads, so we plan combinations at consultation rather than adding treatments on the day.

Who should not have Xerf?

Xerf is not suitable during pregnancy or breastfeeding, or if you have a pacemaker, implanted defibrillator or other electronic implant. We also avoid areas with active infection, open wounds or inflamed skin. If you have metal implants, recent fillers or threads in the area, we discuss this carefully before treating.

Is Xerf better than Morpheus8 Scale & Burst?

Neither is better for everyone. Xerf is needle-free with little downtime and suits people focused mainly on firmness. Morpheus8 Scale & Burst also treats texture, pores and acne scarring, but needs a few days of recovery. Some patients benefit from both, and we will recommend the approach that fits your skin and schedule.

Sources

  1. XERF Structural Skin Tightening, Cynosure Lutronic
  2. Radio Frequency (RF) Skin Tightening, Cleveland Clinic
  3. Joint Council for Cosmetic Practitioners, JCCP
  4. Save Face practitioner register, Save Face

North London, Crouch End.

Xerf treatments through Orovenza are delivered at a partner clinic in Crouch End, North London. This is separate from the main Orovenza setting at Langham Hospital.

The location provides a convenient North London setting for patients considering Xerf while remaining part of the Orovenza treatment pathway.

Partner Clinic Crouch End
North London

N8 · London

Your Practitioner

Nurse Rashmi Mehta

Orovenza is led by Nurse Rashmi Mehta, bringing a clinical approach to non-surgical aesthetic treatments within the wider Contoura Medical environment.

Treatment begins with understanding the individual rather than simply selecting a procedure. Your consultation is used to assess your concerns, discuss realistic expectations and establish an appropriate treatment plan.

About Orovenza

Discover whether Xerf is right for you.

Discuss your skin concerns, treatment goals and options with the Orovenza team.

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