XTherma RF skin tightening treatment with cryogen cooling

Laser & Skin

XTherma Skin Tightening in Des Moines, WA

Non-invasive skin tightening and contouring that combines high-frequency radiofrequency energy with integrated cryogen cooling for deep lifting without surgery or downtime.

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Treatment Time: 45-60 minutes
Downtime: Minimal to none
Results In: 4-6 weeks
Lasts: 12-18+ months
Sessions: 2-3 average
Best For: Deep lifting and contouring

Overview

What Is XTherma?

XTherma by BENEV is a monopolar RF device that operates at 6.78 MHz, delivering high-frequency energy to the deeper layers of the skin. This thermal energy causes immediate contraction of existing collagen fibers and initiates a remodeling process that produces new collagen and elastin over the following weeks and months. The result is gradual, progressive tightening and lifting of the treated area.

What distinguishes XTherma from earlier RF and ultrasound-based tightening devices is its Smart Temperature Cooling (S.T.C.) technology. The device delivers seven integrated cooling pulses per shot, before, during, and after each RF pulse, which protects the skin surface and significantly reduces discomfort during treatment. Most patients describe the sensation as a deep warmth with simultaneous cooling on the surface.

For patients who have previously considered High-Intensity Focused Ultrasound (HIFU) treatments such as Ultherapy, XTherma offers a comparable depth of tissue heating with a considerably more tolerable treatment experience. It is also frequently more cost-accessible, particularly when paired with SylfirmX as part of a comprehensive rejuvenation plan.

Monopolar Deep Tissue Heating Delivers RF energy to the foundational layers of the skin, initiating collagen contraction and long-term neocollagenesis for structural lifting and tightening.

Integrated Cryogen Cooling Seven cooling pulses per shot protect the skin surface and reduce treatment discomfort, making the procedure well-tolerated without sedation.

Continuous Glide Mode Supports a continuous glide technique, allowing treatment of larger areas including the neck, jawline, and body with consistent, even energy delivery.

SylfirmX Combination Protocol XTherma addresses deep tissue laxity while SylfirmX RF microneedling targets mid-dermal and superficial layers for texture, tone, and pigmentation. Together, they provide multi-depth skin remodeling.

How It Works

How XTherma Treatment Works

Treatments at Allen Medical Aesthetics are tailored to each patient's anatomy, skin quality, and goals. Your provider will determine the appropriate energy settings, tip size, and treatment protocol during your consultation.

Consultation and Skin Evaluation

Your provider evaluates your degree of skin laxity, facial anatomy, and any additional concerns such as texture or pigmentation. If appropriate, they will discuss a combination protocol with SylfirmX.

Pre-Treatment Preparation

The skin is cleansed and a conductive gel is applied. Because of the integrated cooling system, topical numbing is generally not required, though it can be offered for patients with lower pain tolerance.

XTherma Treatment

The handpiece is moved over the treatment area in a continuous glide technique. The RF energy heats the deep tissue while the cryogen system maintains surface comfort. Treatment time is 45 to 60 minutes depending on the areas addressed.

Post-Treatment Care

There is minimal to no downtime. Mild redness may be present for a few hours. Patients can return to normal activities immediately. A follow-up schedule is provided based on your treatment goals.

Ready to see if xtherma skin tightening is right for you?

$50 consultation fee, applied toward your first treatment. No pressure, no obligation.

Book Your XTherma Skin Tightening Consultation Or call (206) 414-9979

Woman with firm, lifted jawline and smooth neck after XTherma treatment

Conditions Treated

Conditions Treated and Ideal Candidates

XTherma is appropriate for patients with mild to moderate skin laxity who are seeking non-surgical improvement in skin firmness and contour. It is effective on both the face and body.

Skin laxity on the lower face and jawline
Laxity in the neck and submental area
Loss of facial contour and definition
Body skin laxity (abdomen, arms, inner thighs, knees)
Overall loss of skin firmness and elasticity
Early jowling or loss of jawline definition

Ideal For

Is This Treatment Right for You?

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Patients with mild to moderate skin laxity who are not ready for surgical intervention
Those who have researched Ultherapy but are concerned about pain or cost
Patients who want to address both deep laxity and surface texture in a single treatment plan (XTherma + SylfirmX)
Anyone experiencing early jowling or loss of jawline definition
Patients who need a treatment with no recovery time
Those who want a gradual, natural-looking improvement rather than an abrupt change

What to Expect

What to Expect: Recovery and Results

There is minimal recovery associated with XTherma. The integrated cryogen cooling protects the surface of the skin, so most patients experience only mild, transient redness that resolves within a few hours. Makeup can be applied and normal activities resumed the same day.

Some patients notice an immediate firmness following treatment due to initial collagen contraction. Longer-term results develop over two to six months as the body produces new collagen and elastin in response to the thermal stimulus.

For patients combining XTherma with SylfirmX, the two treatments work at different depths and through different mechanisms, producing more comprehensive results than either treatment alone.

Day 1

Mild redness or warmth may be present for a few hours. Some patients notice an immediate firmness. Normal activities can be resumed right away.

Weeks 2-4

The initial surface response settles. Deep collagen remodeling is underway, though visible changes are still developing.

Months 1-3

Progressive tightening becomes noticeable. Jawline definition improves, and skin firmness increases as new collagen matures.

Months 3-6

Peak results are typically reached as the collagen matrix fully remodels. Skin is measurably tighter and more lifted. Results generally last 12 to 18 months, with maintenance treatments recommended annually.

FAQ

Common Questions About XTherma Skin Tightening

How does XTherma compare to Ultherapy?

Both treatments use energy to heat the deep layers of the skin and stimulate collagen production. Ultherapy uses focused ultrasound (HIFU) to target specific tissue planes, while XTherma uses high-frequency monopolar RF with integrated cryogen cooling. The primary difference patients notice is comfort. XTherma's cooling system makes the treatment significantly more tolerable. From a value standpoint, XTherma paired with SylfirmX typically costs the same or less than a single Ultherapy session while addressing a broader range of concerns.

What is the difference between XTherma and SylfirmX?

XTherma delivers deep, monopolar RF energy for foundational lifting and contouring. SylfirmX is an RF microneedling device that targets the mid-dermal and superficial layers to improve texture, tone, redness, and pigmentation. They work at different depths and through different mechanisms, which is why combining them produces more comprehensive results.

Is XTherma painful?

Most patients describe the sensation as a deep warmth with simultaneous surface cooling. The integrated S.T.C. cryogen system significantly reduces discomfort compared to older RF and ultrasound devices. Topical numbing is available but generally not necessary.

How many sessions are needed?

Most patients see meaningful improvement after one to two sessions. A series of two to three treatments spaced four to six weeks apart is recommended for patients with more significant laxity or those combining XTherma with SylfirmX as part of a comprehensive plan.

Who is not a candidate for XTherma?

XTherma is not appropriate for patients who are pregnant, have active skin infections in the treatment area, have implanted electronic devices such as pacemakers, or have metal implants in the treatment zone. Your provider will review your full medical history during the consultation.

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Areas We Serve

Allen Medical Aesthetics serves patients from across the greater Seattle area. Visit our Des Moines, WA clinic for xtherma skin tightening.

Des Moines Federal Way Seattle Kent Burien Renton SeaTac Tacoma Bellevue

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$50 consultation fee, applied toward your first treatment. No pressure, no obligation.

6+ Years in Practice

18 FDA-Cleared Devices

7 Expert Providers

4.9 Patient Rating

Board-certified providers
FDA-approved products only
$50 consultation fee applied to treatment
Transparent, honest pricing
Individualized treatment plans

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