Am I a Good Candidate for XERF?

Published by Dr Hasaneen

Published date 17.07.26

XERF is one of the most advanced non-surgical skin tightening treatments available, but it is not the right answer for every concern.

The patients who see the most satisfying results share a few clear characteristics. Understanding them honestly before you book saves time, manages expectations, and ensures you are investing in the right treatment for your specific situation.

Here is a clear breakdown of who tends to respond best, which concerns XERF addresses most effectively, and when a different approach would serve you better.

Our XERF Laser Treatment at Dr Hass Clinic

XERF Before and After - Jawline - Dr Hass Clinic

Signs you are a good candidate for XERF

You have mild to moderate skin laxity. XERF is designed specifically for patients in the early to moderate stages of skin loosening. If your jawline has softened, your neck skin feels less firm than it once did, or your lower face has begun to feel heavier without significant excess skin, XERF is well suited to your concern. The treatment stimulates collagen and reaches the SMAS layer, the structural foundation of the face, which is where early to moderate laxity is driven from.
You are noticing early jowling. Jowls form as the deep fat pads of the face descend and the skin loses its structural support. In their early stages, before significant skin excess develops, energy-based tightening can meaningfully slow and improve this process. XERF reaches the SMAS fascia, the same layer addressed in a surgical facelift, making it one of the most effective non-surgical options for this concern.
You are concerned about neck laxity or crepiness. The neck is one of the areas where XERF performs particularly well. Patients with mild loosening, early crepiness, or a softening of the cervicomental angle (the contour between the neck and jaw) tend to see clear improvement. If you have been told you have a turkey neck in its early stages, XERF is worth considering before the concern becomes more advanced.
You want to address skin quality as well as structure. Because XERF delivers energy across multiple tissue depths simultaneously, it improves not only the structural laxity of the skin but also the quality of the dermis itself. Patients who have noticed a general loss of firmness, increased fine lines, or a less radiant and resilient skin texture benefit from this dual effect.
You want no downtime. XERF requires no anaesthesia, no numbing cream, no incisions, and no recovery period. Most patients return to work and normal daily life immediately. If avoiding downtime is a priority, XERF is one of the few treatments that achieves meaningful structural tightening without any of it.
You have found Ultherapy or Thermage too uncomfortable. Both established alternatives involve significant procedural discomfort requiring numbing cream. XERF’s integrated cryogen cooling system allows the RF energy to be delivered without pain relief for most patients, making it accessible to those who have avoided skin tightening treatments because of discomfort concerns. For a detailed comparison, read our article on XERF vs Ultherapy vs Thermage.
You are in good general health with no relevant contraindications. XERF is a non-invasive treatment, but good general health is the baseline. Active skin conditions, inflammatory conditions, implanted electronic devices such as a pacemaker, pregnancy, and certain medications are all relevant factors assessed at consultation.

Signs XERF may not be the right choice

Your skin laxity is advanced. XERF produces meaningful results for mild to moderate laxity. Where significant excess skin is present, where the tissue has descended substantially, or where jowling is pronounced and well established, the structural change required may exceed what any non-invasive device can achieve. In these cases, a surgical approach or a more invasive minimally invasive treatment such as Endolift may produce a more satisfying outcome. Dr Hasaneen will assess this honestly at consultation.
Your primary concern is fat, not laxity. XERF tightens and lifts the skin; it does not remove fat. Patients whose main concern is a submental fullness (double chin), lower face heaviness driven by fat accumulation rather than tissue descent, or localised fat deposits elsewhere on the body are better served by fat dissolving injections or laser liposuction. Some patients benefit from combining XERF with fat reduction, and this can be discussed at consultation.
Your concern is primarily volume loss. If the face looks hollow, deflated, or gaunt rather than loose, the issue is volume loss rather than laxity. XERF does not restore volume. Dermal filler addresses this more directly and is often the right first step before considering a tightening treatment.
You are pregnant or breastfeeding. XERF is not recommended during pregnancy or while breastfeeding. Treatment should be deferred until neither applies.
You have implanted electronic devices. Patients with pacemakers, defibrillators, or other implanted electronic devices are not suitable candidates for radiofrequency treatment. This is assessed at consultation.

Non Surgical Face Lift Stage Image - Dr Hass Clinic

Areas XERF can treat

XERF is not limited to the face. It can be used across a range of areas where skin laxity and collagen decline are present.

Cheeks and mid-face: improved firmness and skin quality
Jawline and jowls: one of XERF’s strongest applications; structural tightening at SMAS level
Neck: crepiness, laxity, and cervicomental angle definition
Under chin (submental area): skin tightening in this area, though fat reduction may also be needed depending on the concern
Forehead and upper face: skin quality improvement and mild tightening
Décolletage: improved texture and firmness in the chest area
Body areas: selected body areas with skin laxity can be treated, assessed individually at consultation

Below is an example of a patient whose XERF laser treatment was focused on the jawline, jowls, neck, submental area and décolletage.

XERF Before and After - Skin Laxity - Dr Hass Clinic

What the consultation will establish

Candidacy for XERF cannot be fully determined without a physical assessment. At Dr Hass Clinic, the consultation with Dr Hasaneen Al-Janabi will establish:

Whether laxity or volume loss is the primary driver of your concern, which determines whether XERF, filler, or a combination is most appropriate
The degree of skin laxity and SMAS descent, which determines how significant and how lasting a result XERF is likely to achieve
Whether fat reduction is also needed and whether combining XERF with another treatment would produce a better outcome
The specific areas to treat and how they should be sequenced or combined for the most natural result
Realistic expectations for your specific anatomy, including what improvement is achievable and how long it is likely to last

To understand more about what results to expect and how long they last, read our guide on XERF results and how long they last.

XERF at Dr Hass Clinic

At Dr Hass Clinic, XERF is performed exclusively by Dr Hasaneen Al-Janabi, a GMC-registered surgeon and Member of the Royal College of Surgeons with advanced training in energy-based skin tightening devices. We use the authentic FDA-cleared XERF system by Cynosure Lutronic.

Our approach at consultation is to assess the full picture before recommending anything. If XERF is the right treatment for you, we will tell you clearly and explain what you can realistically expect. If a different approach would serve you better, that is what Dr Hasaneen will recommend.

Book your consultation today

Latest News

How to Treat Loose Skin After Weight Loss

A complete guide to loose skin after weight loss: what causes it, GLP-1 medication considerations, and every treatment compared.

How to Treat Loose Skin After Pregnancy

The complete guide to treating loose skin after pregnancy: diastasis recti, safe timing, C-sections, and every treatment compared.

Best Skin Tightening Treatments for the Stomach

A GMC-registered surgeon's guide to skin tightening for the stomach: causes, treatments compared, real costs, and how to choose.

View all news

Don’t Take Our Word For it…

       EXCELLENT  
   Based on 319 reviews 
    
 
 
 
   
 
 
      Posted on Google  
   
   Rume Rahman 
 3 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I spent years looking for an effective treatment for my jawline and came across Dr Hass's clinic on instagram. I am  extremely happy with the results of endolift and a mini liposuction. The service was exceptional from beginning to the after care. Dr Hass always responds to queries and gives appropriate advice. I would highly recommend his services.
  
 
     Posted on Google  
   
   Fatima Al-musawi 
 3 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Extremely happy with my results for a non surgical rhinoplasty with DR HASS. I highly recommend as he is professional, highly knowledgeable and patient.
  
 
     Posted on Google  
   
   Suleyman Mustafa 
 8 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I was very happy with my experience with dr.hass and my results were great. He was very welcoming and very  professional. I would highly recommend.
  
 
     Posted on Google  
   
   Lucy Bridgeman 
 35 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Would highly recommend the Dr Hass Clinic. From booking my initial consultation right through to aftercare, every interaction has been quick, easy and professional. After having Endolift on my face with exceptional results, I had no hesitation in booking an Endolift body treatment for my thighs. Due to the amount of loose skin, I had always assumed surgery was my only option. I didn’t want to trade sagging skin for scars, and I also didn’t have the budget or the time for surgery and a lengthy recovery. I was therefore over the moon when Dr Hass explained that I could achieve visible skin tightening results with Endolift. I’ve just had the treatment, so I’m now really excited to see the results develop! The level of care, expertise and attention throughout has been brilliant. I’m particularly self-conscious about my thighs, but Dr Hass made me feel completely at ease and comfortable throughout the consultation and treatment. The treatment itself was also practically pain-free. I genuinely wouldn’t hesitate to recommend Dr Hass and his clinic. He clearly knows his stuff, takes great care of his patients and, as an added bonus, is actually a really cool guy to spend a few hours, I’m now a country music fan too!
  
 
     Posted on Google  
   
   Monika Lescevska 
 40 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I am so lucky to have found Dr. Hass. I recently did an Endolift procedure on my body and couldn't be happier that I chose to go with this clinic. I first had a consultation where Dr. Hass went through the whole procedure in detail and made me feel heard. I then came in for the actual procedure, feeling quite anxious as I never had anything similar done. The procedure went through so smoothly, and the pain was very minimal. Dr. Hass ensured I felt comfortable, and was very patient with me the entire time. He is definitely at the top of his field, so I felt safe being in his hands. I'm still in the process of recovery but I have minimal bruising and swelling and everything is healing really well. I already told Dr. Hass that I will come to him for any future procedure or cosmetic enhancement!
  
 
     Posted on Google  
   
   Lisa 
 44 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Dr Hass performed an Endolift procedure on my sub mental area.My experience exceeded my expectations. Dr Hass reassured me all the way through the procedure and I had zero pain.I am excited to see my results.If you are considering this treatment with Dr Hass I would not hesitate to go ahead.
  
 
     Posted on Google  
   
   Amy Barker 
 45 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Great experience from Dr Hass, really pleased with the results of my under eye endolift
  
 
     Posted on Google  
   
   Charlotte Mackinnon 
 46 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I visited Dr. Hass for a non-surgical nose treatment and I couldn't be happier with the results. My nose was lifted instantly and the whole procedure was very quick and painless. I don't live in the UK, but I would absolutely travel back to London to have this treatment done again. I highly recommend Dr. Hass
  
 
     Posted on Google  
   
   Anju 
 51 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Dr Hass is incredibly helpful and truly an expert in his field. He explains everything thoroughly and clearly, which made me feel completely at ease throughout my treatment. I felt in very safe hands from start to finish. Thank you!
  
 
     Posted on Google  
   
   Ani Y 
 53 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Dr Hass made the whole experience feel easy and reassuring. He was friendly, explained everything clearly. I’m really happy with my treatment and wouldn’t hesitate to recommend him. Thank you!
  
 
     Posted on Google  
   
   Victoria Winterford 
 57 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Excellent service, I felt extremely comfortable throughout the whole process from start to finish! Dr Hass really has your best interests at heart and I would certainly reccomend him to anyone looking to enhance their own natural features
  
 
     Posted on Google  
   
   Adraa Bakri 
 60 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I had a really nice consultation. He took the time to explain everything clearly and answered all of my questions, which made me feel really comfortable. I also liked that he recommended a treatment that actually suited my age, my skin, and my facial structure instead of just suggesting anything. I think that’s really important because everyone’s face is different. Overall, I had a great experience and would definitely recommend him.
  
 
     Posted on Google  
   
   Aleisha Crespo 
 68 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I’m so happy with my facial balancing results from Dr Hass. It was completely painless, and he took the time to listen to my concerns and understand exactly what I wanted. I felt really comfortable and in good hands throughout the process, and the results are exactly what I was looking for! I’m so pleased with how natural and balanced everything looks and would highly recommend him!!! Definitely going back for more treatmentsin future⭐️⭐️⭐️⭐️⭐️ Thank you Dr Hass😃
  
 
     Posted on Google  
   
   Nic Fourie 
 68 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I had a fantastic experience with Dr. Hass. He is highly professional, takes the time to listen, and delivers subtle, excellent results. The clinic is welcoming and the overall care is top-tier. Highly recommend!
  
 
     Posted on Google  
   
   A A 
 69 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Hass was absolutely amazing! I had an Endolift laser treatment with him, and I couldn't be happier with my experience. He was incredibly attentive, took the time to listen to all my questions, and always responded to my messages straight away, which made me feel really cared for throughout the whole process. He offers great prices, the clinic is beautiful, friendly and welcoming. The atmosphere is relaxed and professional, making every visit a pleasure. It's only been two weeks since my treatment, and I'm already so impressed with the results. My face looks more lifted, refreshed, and defined, and I've had people commenting on how good my skin looks. Knowing that the full results continue to develop over the next three months makes me even more excited to see the final outcome. I was so impressed that I brought my mum and sister with me, and they both loved their treatments too! I honestly can't recommend Dr. Hass enough. If you're thinking about having Endolift, I highly recommend him. Thank you for such an amazing experience—I can't wait to come back for more treatments!

Our clients’ satisfaction is at the heart of everything we do. We take immense pride in helping individuals enhance their natural beauty and boost their confidence.

Our Clinic

Your Sanctuary

Welcome to our clinic, where innovation, expertise, and personalised care merge to redefine your natural beauty. We specialise in providing a wide range of non-invasive treatments that deliver remarkable results without the need for surgery.

Discover Our Mayfair Clinic

About

Contact

Skin

Body

Face