XERF Skin Tightening NYC
Personalized RF skin tightening with Dr. Marie Hayag
- No Needles
- No Numbing
- No Downtime
- Instant Results
- No Needles
- No Numbing
- No Downtime
- Instant Results
Before and after XERF.
Individual results vary.
Professional Physician-Led XERF Treatments
Instant Firming Effect
Feel a visible tightening effect immediately after your treatment.
Progressive Collagen Remodeling
Supports natural collagen production for firmer, smoother skin over time.
No Needles. No Numbing. No Downtime.
A comfortable RF treatment designed to fit easily into your day.
Personalized Aesthetic Approach
Every plan is tailored to your anatomy, skin laxity, and goals.
What Is XERF Skin Tightening?
XERF is a non-surgical radiofrequency treatment that delivers controlled energy across multiple skin depths, supporting collagen remodeling and firmer-looking skin — without needles or downtime.
Who XERF may help
XERF may be appropriate for adults noticing:
- Mild to moderate skin laxity
- Loss of firmness or definition
- Early jowling or lower-face looseness
- Neck laxity
- Under-chin fullness or sagging
- Crepey or thinning skin texture
- Desire for non-surgical collagen support
How does XERF’s Advanced RF-Based Tightening work?
XERF uses advanced radiofrequency (RF) energy to gently heat the deeper layers of the skin where collagen and elastin are produced.
This controlled thermal energy stimulates your body’s natural healing response, encouraging new collagen production while remodeling existing fibers for firmer, tighter, and smoother-looking skin over time. Unlike conventional RF, XERF reaches shallow, middle, and deep skin layers in a single treatment.
Accurate Impedance Feedback analyzes your skin in real time, giving Dr. Hayag precise control over how each session is calibrated to your skin’s unique profile.
How it Works
- Delivers targeted RF energy
- Stimulates natural collagen production
- Tightens and remodels existing collagen
- Improves skin firmness over time
- No surgery or lengthy recovery
Benefits & Why Patients Choose XERF
- Comfortable, low-pain treatment
- Non-invasive and needle-free
- Little to no downtime
- Boosts natural collagen production
- Tightens loose or sagging skin
- Improves skin firmness and elasticity
- Enhances facial definition
- Natural-looking, gradual results
- Suitable for most skin types



Refined Dermatology, Aesthetic, And Regenerative Care
- Board Certified Expertise
- Customized Care Plans
- Advanced Treatment Options
- Trusted Clinical Excellence
- Upper East Side, New York City
Excellent rating
Based on 110 reviewsTrustindex verifies that the original source of the review is Google. Dr. Hayag has been my excellent dermatologist for more than 20 years! I won’t reveal my secrets but I will recommend her highly! Phyllis LeeTrustindex verifies that the original source of the review is Google. I had an amazing experience with Dr. Hayag! I went in for a preventative skin check and botox. She is incredibly thorough, knowledgeable, and precise. I can't wait for my next visit! Rachel AncelTrustindex verifies that the original source of the review is Google. Dr. Hayag has been my dermatologist since I was young, and I truly cannot recommend her highly enough. She treated my acne when I was younger, and I have continued to see her over the years for any skin concerns that come up. She is always incredibly thorough, knowledgeable, and caring, and I completely trust her. On top of that, her entire staff is so warm, kind, and lovely, which makes every visit such a positive experience. I’m so grateful to have had her as my dermatologist for so many years. KatieTrustindex verifies that the original source of the review is Google. Landy AguiarTrustindex verifies that the original source of the review is Google. My entire family has been seeing Dr Hayag for over a decade for general dermatology. She’s extremely knowledgeable and provides the best level of care and advice. She’s been equally good for my kids as teens and young adults, focusing on prevention and healthy skin habits. The entire staff is kind and friendly, keeps appointments on time and has great communication. I’m a patient for life - a wonderful doctor and practice. Patricia FalconiTrustindex verifies that the original source of the review is Google. Dr. Hayag is an amazing doctor. Very caring and gentle with her patients. I have been with her for years and will continue to be with her. I highly recommend her. Ann NellissenTrustindex verifies that the original source of the review is Google. Everyone in the office is so kind and sweet to me I appreciate how they take their time to address my concerns mimi chungTrustindex verifies that the original source of the review is Google. My visit to Dr. Hayag’s Office was superb. No waiting, lovely professional help and Dr. Hayag with an easy confident manner, artistic eye and quick hands managed to make my experience the best ever. I’m so grateful to be in her care. mary ConleyTrustindex verifies that the original source of the review is Google. ⭐️⭐️⭐️⭐️⭐️ Dr. Hayag is an extraordinary dermatologist whose expertise, compassion, and commitment to excellence are unmatched. I have been under her care for over 15 years, and she remains the only dermatologist I trust implicitly. I travel from out of state, over two hours each way for my appointments, which speaks volumes about the caliber of her care. Dr. Hayag’s mastery of dermatology is second to none. She stays at the forefront of innovation, continually advancing her practice by attending leading dermatology conferences and incorporating the most cutting-edge techniques and treatments. Yet what truly distinguishes her is not just her knowledge, but her humanity. She takes the time to listen, to educate, and to ensure her patients feel understood and empowered in every decision. Her genuine care and personal attention are evident in every interaction. She is meticulous, insightful, and wholly dedicated to achieving the best outcomes for her patients. Her office reflects her professionalism and taste, immaculate, serene, and inviting. Her staff embodies the same warmth and excellence she brings to her work, creating an environment that feels both luxurious and deeply personal. Dr. Hayag represents the gold standard in dermatology: exceptional skill, unwavering integrity, and a sincere devotion to her patients’ well-being. I highly and wholeheartedly recommend her to anyone seeking the very best in dermatologic care. Mary Ann MTrustindex verifies that the original source of the review is Google. My favorite mult-generational doctor! A long-time patient, I trust her judgment and skills so much that I've sent my daughters to Dr. Hayag too! Bee-Ann Benson
Your Care Begins With A Conversation



Dr. Marie V. Hayag



XERF is a sophisticated treatment, and the results you experience will reflect the skill of the provider applying it. At Fifth Avenue Aesthetics, Dr. Hayag takes a physician-led approach to every session — building personalized plans based on your anatomy, skin quality, lifestyle, and long-term aesthetic goals.
She doesn’t treat skin tightening as an isolated concern. For many patients, XERF fits into a broader rejuvenation strategy that may include injectables, biostimulators, or lasers — depending on what makes the most sense for that individual.
Frequently Asked Questions
How long does a treatment take?
A session usually takes about 30 minutes, although the time can vary depending on the treatment areas. The number of sessions needed depends on your individual skin condition and goals. Your provider can help you develop a plan that is right for you.
When can I resume my daily activities?
XERF is a zero-downtime treatment. You can resume your daily activities immediately after the treatment without any recovery period.
Does it hurt?
The XERF treatment has been carefully designed with comfort in mind. The treatment feels warm and comfortable, thanks to Integrated Cryogen Delivery that monitors the temperature of your skin, and Wave Fit Pulse, which balances energy delivery with a cooling effect. Unlike some other treatments, there are no needles and no numbing required.
When will I see results?
You will immediately feel what patients describe as a tighter feeling in their skin. In the weeks after the treatment, your collagen will continue to rebuild, enhancing your skin’s appearance over time.
What makes Dr. Hayag's approach to XERF different?
Dr. Hayag takes a physician-led, individualized approach to every XERF treatment. Rather than following a standard protocol, she evaluates each patient’s anatomy, skin quality, and aesthetic goals before designing a personalized treatment plan.
Can XERF be combined with other treatments Dr. Hayag offers?
Yes, in many cases. Dr. Hayag often incorporates XERF into a broader aesthetic strategy that may include injectables, biostimulators, laser therapies, or regenerative treatments. She will advise on the right combination and timing during your consultation.
Experience Expert XERF Skin Tightening treatment in New York City
Schedule a personalized consultation with Marie Hayag, MD and her experienced team to receive physician-guided XERF treatment designed to improve skin texture, stimulate collagen, and restore a smoother, more refreshed complexion.

Give Us A Call
212.722.2055
