XERF Skin Tightening NYC

Personalized RF skin tightening with Dr. Marie Hayag

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:

Who Xerf may Help

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

Benefits & Why Patients Choose XERF

Refined Dermatology, Aesthetic, And Regenerative Care

Excellent rating
Based on 110 reviews
Google star 1Google star 2Google star 3Google star 4Google star 5
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 Lee profile picture
Phyllis Lee
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 Ancel profile picture
Rachel Ancel
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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.
Katie profile picture
Katie
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Landy Aguiar profile picture
Landy Aguiar
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 Falconi profile picture
Patricia Falconi
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 Nellissen profile picture
Ann Nellissen
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 chung profile picture
mimi chung
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 Conley profile picture
mary Conley
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 M profile picture
Mary Ann M
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex 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 profile picture
Bee-Ann Benson

Your Care Begins With A Conversation

Dr. Hayag

Dr. Marie V. Hayag

Dr. Hayag

XERF is a sophisticated skin tightening treatment, and the quality of your results depends on the expertise behind your care.
At Fifth Avenue Aesthetics, Dr. Marie Hayag brings a physician-led approach to every XERF session. She carefully evaluates your anatomy, skin quality, lifestyle, and long-term aesthetic goals to create a treatment plan that feels personal, precise, and intentional.
Rather than treating skin laxity as a single concern, Dr. Hayag looks at the face and skin as a whole. For many patients, XERF becomes part of a broader rejuvenation plan that may include injectables, biostimulators, lasers, or advanced skincare, all chosen to support natural-looking, balanced results.

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.

XERF is a zero-downtime treatment. You can resume your daily activities immediately after the treatment without any recovery period.

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.

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.

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.

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.

Call 212-722-2055

Give Us A Call

212.722.2055

Request an Appointment

Request an appointment