Is XERF right for your skin?/h2>
At Omniya, the XERF consultation is where the decision gets made. Sometimes the answer is that XERF is a good option, sometimes that we should wait, and sometimes that a different treatment will serve you better.
If you are still deciding whether the treatment itself is right for you, start with our full XERF treatment guide, which explains how it works, what it treats, expected results, downtime and pricing.
We start with your skin
Before we discuss settings, sessions or treatment areas, we look at your skin.
When someone comes in asking about XERF, we assess the overall pattern of ageing rather than one isolated concern: skin quality, elasticity, and where laxity shows most, particularly around the lower face, jawline and neck. We also look at whether the concern is mainly reduced firmness, or whether volume loss and facial structure are contributing.
Two people can ask for the same treatment and need very different plans, because skin quality, anatomy, degree of laxity and volume loss all differ. The plan should follow your skin, not the name of the treatment you came in asking about.
The questions I ask you
The plan depends on more than what your skin looks like under clinic lighting, so the consultation runs both ways.
- What have you noticed changing recently? This tells me what prompted you to come in.
- What bothers you most? I will often hand you a mirror for this one. It means we work from your priorities.
- Have you had any treatments before? This tells me what you have tried and how your skin responded.
- What would a worthwhile result look like to you? This tells me what you are hoping for, so we are working towards something that feels meaningful.
Your answers tell me whether XERF suits the concern, and whether it fits your expectations, your timeline and your priorities.
The questions to ask me
Most people arrive with one question: will this work for me? It is a fair question, but there are many other useful ones.
- What are you seeing in my skin that makes XERF suitable here?
- What would you expect it to improve, and what will it leave unchanged?
- Would you do this before or after other treatments?
- How will we judge whether it has been worthwhile?
- If you would not choose XERF for me, what would you suggest instead?
A consultation has done its job when you leave clearer about the recommendation and the reasoning behind it.
When another treatment suits you better
XERF suits some concerns and not others, and I would rather say so at the consultation than afterwards.
When I assess your skin I am looking at more than laxity. Skin quality, texture and pigmentation all come into it. Where pigmentation or overall tone is a larger part of what is bothering you, BBL and Moxi or Halo may do more for the result you want. Where laxity is advanced enough that a surgical approach would serve you better, I will say that too. XERF does not replace surgery.
What matters is that you understand what XERF can realistically achieve. I would rather recommend the right treatment than perform one I do not believe will get you where you want to be.
When it is a yes
We build the plan around the areas you want treated: the face alone, or the face and neck together. We will talk through how those areas relate to each other, and why we might treat them together or in sequence.
We will also cover the spacing between treatments and why that timing suits your skin. Results are gradual because collagen takes time to build. It can take around three months before collagen-led changes become visible, so the timeline is set around that rather than around an instant result.
Some people need one treatment. Where laxity is moderate to more advanced, a second may add to the result. That is judged on your starting point and how your skin responds, rather than applied as a standard number to everyone.
You should leave knowing what we are treating, why we are treating it that way, what to expect, and what would make us change the plan.
Bring your questions
The consultation is time with a specialist whose attention is on your skin, your concerns and what you want from treatment. The most useful appointments are the ones where you leave understanding the recommendation, its limits, and the reasoning behind the plan.
If you want to understand the treatment in more detail before booking, read our full XERF treatment guide.
Related: why a no-downtime treatment still deserves clinical judgement.
About the author
Katie Barrett is a Senior Aesthetician and Laser Specialist at Omniya Clinic in Knightsbridge. She has worked with medical-grade skincare brands since 2013, and treats complex skin concerns including acne, acne scarring, pigmentation and melasma. She was nominated for Best Aesthetic Therapist at the Aesthetic Medicine Awards 2023, and shortlisted for Best Aesthetic Clinic Therapist at the Safety in Beauty Awards in 2023 and 2024. Book with Katie.
Medical review
The clinical content on this page, including how radiofrequency works, who it may suit, and its limitations, was reviewed by Dr Jules Nabet, GMC 4554558, on 20 August 2026. We review clinical content every 12 months, or sooner if guidance changes.
