A non-surgical treatment designed to support skin tightening and remodelling, delivered through Orovenza's nurse-led aesthetic service in North London.
Clinical SettingDelivered through a clinical partner setting
PractitionerNurse-led by Rashmi Mehta
OrovenzaPart of Contoura Medical
About Xerf
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.
Why Xerf
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.
Treatment Details
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.
The Process
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
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.
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.
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.
Aftercare. You can usually return to normal activities straight away. You leave with written aftercare advice.
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
Option
What it treats
Downtime
Sessions
Typical onset of results
Xerf radiofrequency
Mild to moderate laxity, face and body
Little or none
A course, often 2 to 4
Gradual over 2 to 6 months
Morpheus8 Scale & Burst
Laxity plus texture, acne scars and stretch marks
Usually 2 to 5 days
Often 1 to 3
Gradual, reviewed at around 3 months
Profhilo
Hydration, skin quality and mild crepiness
Small bumps for up to 24 to 48 hours
Usually 2, a month apart
Gradual over several weeks
QuantumRF (surgical, Dr Edwin Anthony)
More significant laxity
Longer, discussed at surgical consultation
Usually a single procedure
Gradual 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.
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.
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 ClinicCrouch 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.
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behaviour or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional
Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.