XERF in Karachi
Dual-frequency radiofrequency skin tightening for the face, jawline and neck. Non-invasive, no needles, comfortable, with almost no downtime.
Is XERF right for me?
- XERF tightens with radiofrequency at two depths in one treatment, with no needles.
- It suits early to moderate laxity of the face, jawline and neck.
- The treatment is comfortable, downtime is minimal, and results build over about three months.
Tighten without the pain.
Most skin tightening is uncomfortable. XERF was designed not to be. It is a monopolar radiofrequency device that works at two frequencies, one reaching the deeper layers that support the face and one working closer to the surface, so a single treatment tightens and firms at more than one depth. There are no needles and no incisions, and the handpiece’s built-in cooling keeps the skin comfortable throughout.
Dr. Fehmida uses XERF for early to moderate laxity of the face, jawline and neck, and for skin that has lost firmness. As she tells patients, the result is noticeable but not magic: collagen remodels over the following weeks, so the skin firms gradually over about three months. There is almost no downtime, and most patients go straight back to their day.

What XERF treats.
Jawline and jowls
Softening definition along the jaw.
Jawline and jowls → AreaLower face and neck
Early laxity and loose skin under the chin.
Lower face and neck → AreaCheeks and mid-face
Skin that has lost firmness and bounce.
Cheeks and mid-face → SkinTexture and firmness
Overall tone and tightness of the skin.
Texture and firmness → ConcernSagging and laxity
The full range of lifting options.
Sagging and laxity → CompareHIFU and Ultherapy
Ultrasound lifting for deeper laxity.
HIFU and Ultherapy →Good candidates
- Early to moderate laxity of the face, jawline or neck.
- Patients who want tightening without needles or pain.
- Anyone who cannot take time off.
- Maintenance after a lifting treatment.
Not suitable for
- Pregnancy.
- Pacemakers or metal implants in the treatment area.
- Active infection or open wounds on the area.
- Severe laxity, where surgery or threads are the honest answer.
How XERF works.
Assessment
Dr. Fehmida grades the laxity and marks the treatment zones.
Two frequencies
The handpiece delivers radiofrequency at two frequencies, heating the deeper support layers and the upper dermis in the same session.
Built-in cooling
The surface is cooled throughout, which keeps the treatment comfortable without numbing.
Collagen remodelling
Heat triggers new collagen, and the skin firms gradually over the following weeks.
Before and after, by area.


Lower face and neck
Softer jowls and smoother neck skin after two treatments. Courtesy of Dianne Quibell, MD.
Clinical photography from Cynosure Lutronic, the maker of XERF, with the treating physician credited on each set. Individual results vary.
From consultation to results.
Often in the same visit.
Mild redness settles within hours.
Skin begins to feel firmer.
Tightening at its best; maintenance as advised.

"Most skin tightening is painful. This one is not. The result is noticeable, but it is not magic, and I tell every patient that."
Consultant Dermatologist and Laser Specialist. Over 35 years of dermatology, trained in Zurich, practising in Clifton since 1999. Page medically reviewed September 2026.
XERF, answered.
Straight answers from the clinic. If your question is not here, ask on WhatsApp.
Ask on WhatsAppXERF is a monopolar radiofrequency skin tightening device that works at two frequencies, treating the deeper support layers and the upper skin in one session.
No. The handpiece cools the skin throughout, and most patients find it comfortable without numbing.
No. XERF is non-invasive, with no needles and no incisions.
Almost none. Mild redness settles within hours and you can return to your day.
The skin firms gradually as collagen remodels, with the result building over about three months.
Dr. Fehmida decides at the consultation based on the degree of laxity; many patients need only one.
The face, jawline, jowls and neck most often.
Both tighten. HIFU uses focused ultrasound for deeper lifting; XERF uses radiofrequency at two depths with a more comfortable experience. The consultation decides which suits your skin.
Pregnancy, pacemakers or metal implants in the area, and severe laxity where surgery or threads are the honest answer.
It depends on the areas treated. Ask on WhatsApp for current pricing.
Start with a consultation.
A twenty-minute consultation with Dr. Fehmida decides whether this is the right treatment for your face, or whether something gentler or stronger would serve you better. Message on WhatsApp or leave your number and the clinic calls you back.
D200, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 5:00, Saturday 9:00 to 4:00.
Call or WhatsApp 0301 827 9630