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We Take a More Intentional Approach to Skin Tightening

Novella Form & Facial offers XERF, a next-generation structural skin-tightening treatment that enhances your skin's firmness and refinement without disrupting your daily life. Our providers combine advanced aesthetic training with an education-first philosophy, ensuring that each client feels informed, supported, and confident throughout their treatment journey. Rather than aiming for dramatic changes, we focus on thoughtful treatments that help you feel refreshed, balanced, and beautifully yourself.

What Is XERF?

XERF is a non-surgical skin tightening treatment that uses multifrequency monopolar radiofrequency (RF) energy to heat deeper layers of tissue beneath the skin’s surface. This controlled thermal energy stimulates collagen and elastin remodeling, helping improve skin firmness, elasticity, and overall structural support over time.

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Unlike laser treatments, XERF does not rely on light energy. Instead, it uses radiofrequency technology to target the dermal fibro-septal network and deeper subcutaneous tissue layers while maintaining comfortable surface temperatures throughout treatment.

XERF is commonly used to address:

  • Mild to moderate skin laxity
  • Sagging along the jawline
  • Loose skin on the neck
  • Jowls and submental fullness
  • Loss of facial definition
  • Crepey or thinning skin texture
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I had the BEST experience at Novella! The interior is absolutely to die for, and the staff is so welcoming and attentive. As soon as you enter, you feel pampered and relaxed. I ...

I had the BEST experience at Novella! The interior is absolutely to die for, and the staff is so welcoming and attentive. As soon as you enter, you feel pampered and relaxed. I had a facial from Bri, who was fantastic! She helped clear an acne spot and truly gave me a glow. She was extremely specific with my skin type and gave the best recommendations for next steps/skin care at home. The best facial ever. I will be making this a regular thing now. I love Novella!

Amy

Casey gives the most amazing facials. She takes the time to make sure all my skincare goals are discussed and addressed. She always gives the best advice when it comes to produc...

Casey gives the most amazing facials. She takes the time to make sure all my skincare goals are discussed and addressed. She always gives the best advice when it comes to products, talking through my options to ensure I am using the best things specific to my skin. I was so excited to see Casey will be at this beautiful new med spa! If you don't have a facialist at Novella, I cannot recommend Casey enough!

Aubrey

Allie at Novella Form & Facial has been taking care of my skin for 6 years now! From skincare products, facials, lasers, and injections, she is the only person I let touch m...

Allie at Novella Form & Facial has been taking care of my skin for 6 years now! From skincare products, facials, lasers, and injections, she is the only person I let touch me! I receive so many compliments & feel my best every day, which as a mom of two is sometimes hard to say! This location has everything you can dream of to make sure you have the most professional, relaxing, & innovative experience you could hope for! I cannot wait to join their membership and unlock everything they have to offer!

Dana

I’ve experienced Novella on four separate occasions -- at an event, an injection consultation, over the phone, and for a wellness appointment. I felt welcomed, safe, and c...

I’ve experienced Novella on four separate occasions -- at an event, an injection consultation, over the phone, and for a wellness appointment. I felt welcomed, safe, and cared for each time. It’s quite the drive (45 mins), but definitely worth it because the ambiance is a sight to see and experience.

Jessica

Absolutely an AMAZING team, experience, and location! This post is specifically about my experience with Casey and Allie. Casey got me started on my monthly facials, and I am co...

Absolutely an AMAZING team, experience, and location! This post is specifically about my experience with Casey and Allie. Casey got me started on my monthly facials, and I am completely addicted to how my skin feels and looks for days after! It’s an experience I look forward to every month, my time to be alone, to relax, and to be pampered. Casey is so cool, and her hands are MAGIC! I had a consult with Allie about fillers the same day I had my facial (just yesterday, see my photo for facial and filler details), and I felt so comfortable with her that I was willing and able to do the service that same day! She walked me through the process, held my hand, and gave me her number after, letting me know to contact her if I had any questions or concerns. She was so sweet and did a great job! Honestly, I could go on and on about the entire team here: Allison, the CEO, def knows what she’s doing when it comes to branding, experience, services, and staffing. I am so happy with the results! Thank you for everything, Novella!!!

Kelly F.

From the moment I walked in, the ambiance was inviting and relaxing & the staff was incredibly professional and attentive, ensuring every detail was taken care of with preci...

From the moment I walked in, the ambiance was inviting and relaxing & the staff was incredibly professional and attentive, ensuring every detail was taken care of with precision and care. The treatments I received were nothing short of exceptional. The team at Novella is clearly skilled and knowledgeable, making me feel confident and comfortable throughout my visit. They took the time to understand my needs and tailored the treatments to achieve the best possible results.

Brittany

I met with Allie for a consultation, and my experience from the moment I walked into Novella was EXCEPTIONAL. I got a tour of the spa, and everyone explained the process. Allie ...

I met with Allie for a consultation, and my experience from the moment I walked into Novella was EXCEPTIONAL. I got a tour of the spa, and everyone explained the process. Allie took her time to evaluate my skin and gave her honest opinion. I have my next appointment for a facial treatment, and I cannot wait! Highly recommend!

Noemy

Novella offers me a peaceful, relaxing escape from the busyness of everyday life. I'd never had a facial prior to Novella that hadn't left my skin in shambles & broken out. ...

Novella offers me a peaceful, relaxing escape from the busyness of everyday life. I'd never had a facial prior to Novella that hadn't left my skin in shambles & broken out. You can tell that Novella took the time to find the ~best of the best~ aestheticians & injectors. I saw Casey for my facial & I saw Allie for my injections. I could not recommend Novella & their services more!!!

MacKenzie

I have had the most amazing results from my filler treatment with Taylor! I did my lips, cheeks, some under-eye, and chin to enhance my side profile. I now look more lifted and ...

I have had the most amazing results from my filler treatment with Taylor! I did my lips, cheeks, some under-eye, and chin to enhance my side profile. I now look more lifted and awake! The whole facility is incredible, and I can't wait to come back for my facial!

Jessica

The level of luxury I experienced at Novella was unreal, as someone who’s suffered with rosacea for years, I’ve always avoided facials because I usually leave flared...

The level of luxury I experienced at Novella was unreal, as someone who’s suffered with rosacea for years, I’ve always avoided facials because I usually leave flared up and frustrated. The magic that was worked on my face had me leaving with skin that was more calm and even-toned than I’d seen in years. Everyone was so wonderful and welcoming, and I truly felt like an absolute VIP the entire time there, even though I literally just got a facial. They also recommended two products (not a hard-to-follow wild skin care routine that I will never use) to help recreate the calmness in my skin that I saw during my facial. My esthetician shared that she also struggles with rosacea, so I knew I was right at home. I drive 40 minutes to come here because there’s nothing else like it. From experience to treatment, it’s truly exceptional.

Mandy

I've had May 17th on my calendar like it's Christmas Day. I almost made an Advent calendar for myself, that's how excited I am for Novella Form & Facial to open. I've been a...

I've had May 17th on my calendar like it's Christmas Day. I almost made an Advent calendar for myself, that's how excited I am for Novella Form & Facial to open. I've been a Patient of Allie's for 6 years and trust her implicitly. She has assembled an amazing team with the same knowledge and skills she possesses, and I love seeing Bri, Casey, and Taylor as well! One specific note on my latest procedure, I had Pixel8 and Erbium combo. For someone like me who sees Patients daily and cannot afford any downtime, this one is a game-changer!! Sunburned, look after the procedure and back in meetings the next morning. Pic is only 24 hrs after Pixel8 laser combo!! I love microneedling, but I've found my new skin care maintenance/routine!

Katie

I'm so excited to have this place for all of my skin care needs so close to home. Not only am I getting my tattoo removal done here, they now have me on a great skincare routine...

I'm so excited to have this place for all of my skin care needs so close to home. Not only am I getting my tattoo removal done here, they now have me on a great skincare routine. It's such a relaxing environment!

P

I am so grateful that Novella Form and Facial is open, and I couldn't be more impressed. Their expertise and attention to detail are truly exceptional. From the moment I walk in...

I am so grateful that Novella Form and Facial is open, and I couldn't be more impressed. Their expertise and attention to detail are truly exceptional. From the moment I walk in, the staff make me feel comfortable and well-cared for. Allie always takes the time to understand my goals and answer all my questions. The results always exceeded my expectations—a true skill for making me feel natural and beautifully enhanced. This is a top-notch spa offering an array of services from wellness, facials, injectables, laser services, and so much more. I wouldn’t trust my face and body to anyone else.

Martha

Best providers and great results! I wouldn’t trust my face to anyone else.

Martha

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How Does XERF Work?

XERF uses patented multifrequency monopolar RF technology that delivers both 2 MHz and 6.78 MHz frequencies within a single pulse. This allows energy to penetrate multiple skin depths simultaneously for more comprehensive collagen stimulation and tightening.

The treatment selectively heats fibrous connective tissue structures beneath the skin, triggering:

  • Collagen thickening
  • Elastin remodeling
  • Tissue contraction
  • Structural reinforcement beneath the surface

XERF also features proprietary Wave Fit™ pulse technology, which disperses energy across multiple pulses while integrating cooling between them. This gradual, controlled temperature increase helps maximize comfort while maintaining effective therapeutic heat levels.

Additionally, XERF treatments are designed to be comfortable enough to perform without topical numbing. 

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Benefits of XERF Skin Tightening

XERF offers:

  • Firmer, tighter-looking skin
  • Improved jawline definition
  • Reduction in the appearance of jowls
  • Smoother skin texture
  • Increased collagen and elastin production
  • Lifted appearance in the lower face and neck
  • Comfortable treatments without needles or numbing
  • No required downtime
  • Gradual, natural-looking improvement

Many of our clients notice an initial tightening effect shortly after treatment, with continued collagen remodeling occurring in the following weeks and months.

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Are You a Good Candidate for XERF?


Candidacy is not based solely on aesthetics. Because XERF uses advanced monopolar radiofrequency energy to heat deeper tissue structures, your Novella provider will carefully evaluate both your skin condition and overall health history before treatment.

You may be a good candidate for XERF if you:

  • Have mild to moderate looseness along the face, jawline, or neck
  • Are noticing early collagen and elastin loss
  • Have generally healthy skin without active infection or irritation in the treatment area
  • Prefer gradual, natural-looking improvement over dramatic change
  • Are looking for non-surgical skin tightening with minimal recovery time
  • Maintain realistic expectations about collagen remodeling and treatment outcomes

During your consultation, our medical providers will review factors such as:

  • Skin thickness and degree of laxity
  • Facial anatomy and tissue quality
  • Previous cosmetic procedures or energy-based treatments
  • Current medications and medical history
  • Implanted electronic devices, pacemakers, or metal hardware near the treatment area
  • Pregnancy or breastfeeding status
  • Autoimmune or connective tissue conditions that may affect healing
  • Active acne, open wounds, or inflammatory skin conditions

For some patients with more advanced skin laxity or significant volume loss, alternative or complementary treatments may yield better results. Our role is never to push treatment, but to guide you toward the safest and most effective option for your skin, goals, and long-term confidence.

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Why Choose Novella Form & Facial for XERF?

At Novella Form & Facial, XERF treatments are performed within a medically guided, relationship-driven practice built around thoughtful aesthetic care. Our team includes experienced medical professionals with backgrounds in internal medicine, ICU nursing, hormone therapy, advanced injectables, laser technology, and corrective skin health, allowing us to approach skin tightening through a comprehensive clinical lens.

Under the direction of board-certified physician Dr. Michael Harrington, our providers evaluate far more than surface-level concerns. We assess skin quality, collagen integrity, facial structure, lifestyle factors, and long-term aesthetic goals to determine whether XERF is appropriate and to customize treatment for your anatomy.

Our team’s experience also spans advanced aesthetic and laser training, including continued education with nationally and internationally recognized leaders in injectables, dermatology, skin rejuvenation, and complication management. That foundation allows us to create treatment plans that prioritize both safety and natural-looking outcomes, never overtreatment.

What to Expect Before, During, and After

Consultation

Your experience begins with a personalized consultation where we assess:

  • Skin laxity
  • Facial structure
  • Areas of concern
  • Treatment goals
  • Previous aesthetic treatments

We’ll discuss the number of recommended sessions, expected results, and pricing based on your customized treatment plan. Because every client’s anatomy and goals are unique, the cost of XERF varies based on the treatment area and frequency.

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Procedure

During treatment:

  • Your skin is cleansed and prepared.
  • The XERF handpiece is applied to targeted areas.
  • Radiofrequency energy is delivered in controlled pulses.
  • Integrated cooling technology maintains comfort throughout the session.
  • Multiple passes may be performed depending on your treatment plan.

Treatment times vary but are typically completed within 30–60 minutes, depending on the area treated. Most patients describe the sensation as warm and tolerable, without the discomfort commonly associated with older RF technologies.

Recovery and Results


One of the benefits of XERF is minimal recovery time. After treatment, you may experience:

  • Mild redness
  • Temporary warmth
  • Slight swelling in treated areas

These effects typically resolve within hours to a few days.

Some clients notice subtle tightening immediately after treatment due to tissue contraction, while collagen remodeling continues gradually over the following 2–6 months.

Results vary based on:

  • Age
  • Skin quality
  • Treatment area
  • Lifestyle factors
  • Collagen production

Maintenance treatments may be recommended to support long-term results.

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Alternative or Complementary Treatments

Depending on your goals, XERF may be combined with or complemented by:

For patients with more advanced laxity, surgical procedures may sometimes provide more significant lifting results. We’ll always guide you toward the option best aligned with your goals and expectations.

Ready to Learn More?

The Novella Form & Facial approach is intentionally personal. We take the time to understand how your skin has changed, what’s bothering you, and what kind of result would actually feel right for your life and features. For some clients, that means softening early laxity along the jawline. For others, it’s maintaining collagen before more noticeable sagging develops.

If you’re ready to explore non-surgical skin tightening with a team that values honesty, comfort, and natural-looking results, we invite you to schedule your XERF consultation at Novella Form & Facial. Contact us today.

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XERF FAQs

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How many XERF treatments will I need?

The number of treatments depends on your degree of skin laxity, collagen loss, age, and long-term goals. Some clients see improvement after a single treatment, while others benefit from a series spaced several weeks apart for more comprehensive tightening and collagen support.

Is XERF painful?

Most patients find XERF significantly more comfortable than older radiofrequency skin-tightening technologies. The system’s integrated cooling and Wave Fit™ pulse technology help maintain comfortable surface temperatures throughout treatment. Patients often describe the sensation as warmth or heat pulses rather than sharp discomfort.

What are the risks and side effects of XERF?

Like any energy-based treatment, XERF carries potential risks and side effects. Common temporary effects may include redness, swelling, warmth, tenderness, or mild sensitivity in treated areas. Less commonly, patients may experience bruising, prolonged swelling, temporary textural changes, burns, blistering, pigmentation changes, nerve sensitivity, or uneven results. Choosing an experienced medical aesthetics provider is important because treatment settings, skin assessment, and anatomical considerations all influence safety and outcomes.

Can XERF replace a facelift?

XERF is not a replacement for surgical lifting procedures. While it can improve mild to moderate skin laxity and support collagen remodeling, patients with significant sagging or excess skin may achieve more dramatic correction through surgery. XERF is often best suited for patients seeking earlier intervention, preventative collagen support, or non-surgical rejuvenation.

Is XERF safe for all skin tones?

Radiofrequency technology is generally considered safer across a wider range of skin tones than some light-based laser treatments because it does not target pigment in the same way lasers do. However, candidacy still depends on individual skin health, medical history, active inflammation, melasma tendencies, and other clinical factors that your provider will evaluate during consultation.

How should I prepare for an XERF appointment?

We recommend temporarily avoiding excessive sun exposure, self-tanning products, certain exfoliants, or active skincare ingredients before treatment. It is also important to disclose medications, implanted devices, previous cosmetic treatments, and any changes in your health history before your appointment. Arriving with clean skin and following all pre-treatment instructions can help ensure safety and optimal results.

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Disclaimer: This information is provided for educational purposes only and does not replace a consultation with a qualified healthcare professional. Outcomes, risks, and suitability vary from patient to patient.

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