Two frequencies, one pass
One reaches the upper layers of the skin and the other goes deeper, so the whole structure is treated at once.

STRUCTURAL SKIN TIGHTENING
Firmer skin, built from the inside, by a provider who knows you.
A comfortable, no-needle treatment that works beneath the surface to support firmness along the jawline, neck, and face. Offered by appointment only, as part of your care with Lisa.

STRUCTURAL SKIN TIGHTENING
Firmer skin, built from the inside,
by a provider who
knows you.
A comfortable, no-needle treatment that works beneath the surface to support firmness along the jawline, neck, and face. Offered by appointment only, as part of your care with Lisa.
No needles. No numbing. No downtime.





Why XERF?
I brought XERF into my practice because it fits the way I already care for people. It's gentle, there's no recovery time, and it works on the deeper structure of the skin, so it sits naturally alongside everything else we're doing for how you age and feel.
Why XERF?
I brought XERF into my practice because it fits the way I already care for
people. It's gentle, there's no recovery time, and it works on the deeper
structure of the skin, so it sits naturally alongside everything else we're doing for how you age and feel.

Lisa Wagner, RN

What XERF is
Radiofrequency that reaches the
structure, not just the surface.
XERF is a non-invasive radiofrequency treatment from Cynosure Lutronic, cleared by the FDA in 2025. It uses two frequencies at once to deliver gentle heat to the shallow, middle, and deep layers of the skin, including the layer that supports your facial contours. That warmth encourages your skin to remodel its own collagen, so you get a subtle lift early on and continued firming in the weeks after. It's suitable for all skin types.


Radiofrequency that reaches the
structure, not just the surface.
XERF is a non-invasive radiofrequency treatment from Cynosure Lutronic, cleared by the FDA in 2025. It uses two frequencies at once to deliver gentle heat to the shallow, middle, and deep layers of the skin, including the layer that supports your facial contours. That warmth encourages your skin to remodel its own collagen, so you get a subtle lift early on and continued firming in the weeks after. It's suitable for all skin types.
One reaches the upper layers of the skin and the other goes deeper, so the whole structure is treated at once.
The surface stays comfortable while the energy works underneath, which is why numbing isn't needed.
Depth and intensity are adjusted to your skin during treatment, so results look noticeable and still natural.

Two frequencies, one pass
One reaches the upper layers of the skin and the other goes deeper, so the whole structure is treated at once.

Cooling built in
The surface stays comfortable while the energy works underneath, which is why numbing isn't needed.

Settings made for you
Depth and intensity are adjusted to your skin during treatment, so results look noticeable and still natural.
Why XERF with Lisa
The other part is who's reading your skin, setting the treatment, and following up afterward.
I do your assessment, plan your treatment, and check in on how your results are developing. You have my number.
XERF fits into your Longevity Ritual or membership, alongside what we’re already doing for recovery and cellular renewal. When it makes sense, we may pair it with Cell Factor.
I keep my schedule small so every treatment gets my full attention. XERF openings are reserved and booked through consultation.
My years in the emergency department taught me to assess first. If XERF isn’t right for you, we won’t do it.
About 30 to 45 minutes, and you're
back to your day.
Before
• Arrive with clean skin and well hydrated
• Skip strong acids and retinoids for 24 to 48 hours unless I've told you otherwise
• Leave jewelry in the treatment area at home
During
• About 30 to 45 minutes for the lower face and jawline
• A deep, even warmth with cooling built in
• Most people relax the whole time
After
• No downtime, and any light pinkness usually fades within a few hours
• Back to your normal routine the same day
• Keep up with SPF 30 or higher
Results and your plan
A result that keeps building.
Many people see some tightening right away. We photograph your skin so you can track the change.
Your second treatment, while collagen remodeling is already underway.
The fuller result develops as your skin builds new collagen.
A maintenance session to keep your results going.
Before and aFTer
Subtle, natural, and still you.
XERF is designed for a refined result that looks like you on a well-rested day,
not like you had something done.

Questions people ask me
Before you book.
No. It uses radiofrequency energy, which works through gentle heat rather than light.
Most people describe it as a deep warmth, and the built-in cooling keeps it comfortable without numbing.
Often some change right away, with continued firming over the next few months.
Most plans start with two sessions a few weeks apart, followed by maintenance. We'll decide together at your consultation.
Yes. There's no recovery period.
Yes. It's designed to sit inside your Longevity Ritual or membership, and I'll let you know if pairing it with Cell Factor or another therapy makes sense for you.
XERF starts with a private consultation so I can make sure it's the right fit. From there we'll decide whether it stands alone or becomes part of your ongoing care.
Pricing depends on your treatment plan and is discussed privately during your consultation.
About 30 to 45 minutes, and you're
back to your day.
Before
• Arrive with clean skin and well hydrated
• Skip strong acids and retinoids for 24 to 48 hours unless I've told you otherwise
• Leave jewelry in the treatment area at home
During
• About 30 to 45 minutes for the lower face and jawline
• A deep, even warmth with cooling built in
• Most people relax the whole time
After
• No downtime, and any light pinkness usually fades within a few hours
• Back to your normal routine the same day
• Keep up with SPF 30 or higher
A result that keeps building.
Many people see some tightening right away. We photograph your skin so you can track the change.
Your second treatment, while collagen remodeling is already underway.
The fuller result develops as your skin builds new collagen.
A maintenance session to keep your results going.
Subtle, natural, and still you.
XERF is designed for a refined result that looks like you on a well-rested day,
not like you had something done.

Before you book.
No. It uses radiofrequency energy, which works through gentle heat rather than light.
Most people describe it as a deep warmth, and the built-in cooling keeps it comfortable without numbing.
Often some change right away, with continued firming over the next few months.
Most plans start with two sessions a few weeks apart, followed by maintenance. We'll decide together at your consultation.
Yes. There's no recovery period.
Yes. It's designed to sit inside your Longevity Ritual or membership, and I'll let you know if pairing it with Cell Factor or another therapy makes sense for you.
XERF starts with a private consultation so I can make sure it's the right fit. From there we'll decide whether it stands alone or becomes part of your ongoing care.
Pricing depends on your treatment plan and is discussed privately during your consultation.
Your skin should keep up with
how you feel.
If you've started noticing changes along your jawline or neck and you'd like to know whether XERF is right for you,
I'd love to sit down with you and take a proper look.
949.878.6667 · Corona Del Mar, by appointment only
Your skin should keep up with
how you feel.
If you've started noticing changes along your jawline or neck and you'd like to know whether XERF is right for you,
I'd love to sit down with you and take a proper look.
949.878.6667 · Corona Del Mar, by appointment only

Preferred Concierge Provider
Lisa Wagner combines medical expertise with personalized care, creating tailored wellness solutions that help you look, feel, and perform your best.
Get in Touch
Copyright © 2026 Longevity By Lisa | All Rights Reserved