Dr. Ophelia
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Prescription skin serums and hair growth elixirs, and hair growth vitamins.
XERF halfway through: treated side versus untreated side.
This is Marni partway through her XERF skin tightening treatment. Watch the direction of the lines: on the treated side the contours lift upwards, while on the untreated side they still pull down.
What you see straight after treatment is the immediate tightening. The deeper change comes from collagen remodelling, which builds gradually over the following months, so this is the start of the result rather than the end of it.
Thank you for letting us film this. Follow to see how it develops.
Shared with Marni's consent. Treatment suitability and results vary. A consultation is required.
08/10/2026
What is XERF? A radiofrequency skin tightening treatment, not a laser.
It uses two frequencies, 6.78 MHz and 2 MHz, to deliver controlled heat at different depths in the skin.
On the face, the aim is a firmer, more supported look in carefully selected areas. Depending on the person, that may include the cheeks, jawline or the area around the eyes.
It does not add volume. It is not surgery. It is not a treatment for every facial concern.
Collagen remodelling is gradual and individual, which is why diagnosis, patient selection and realistic expectations matter.
Save this for later, and follow for more from a consultant dermatologist in London.
Treatment suitability and results vary. A consultation is required.
XERF skin tightening with no numbing cream, and straight back to her day afterwards.
That was Marni's experience. Comfort is one of the things patients mention most when they have XERF with me, and it matters. A treatment you can relax through is easier to plan around, and easier to come back for.
Part of that is the technology. Cooling with every pulse protects the skin surface, and the energy is spread evenly across the tip rather than concentrated in hot spots.
Thank you for sharing your experience. Follow to see her results.
Comfort is individual. Treatment suitability and results vary. A consultation is required.
07/10/2026
Why is everyone suddenly talking about XERF, the Korean skin tightening treatment?
Kim Kardashian publicly shared herself having the treatment and described it as her “new fave”. Priyanka Chopra also shared a clip of her XERF treatment. The attention helped take a technology already associated with Korean aesthetics into the global beauty conversation.
But celebrity interest is not a medical recommendation.
The question I want my patients to ask is not “Who has had it?” It is “What is causing my concern, and is this technology appropriate for my skin and anatomy?”
Save this if you are thinking about XERF, and follow for my next post on what it actually does.
Treatment suitability and results vary. A consultation is required.
As a dermatologist rooted in science, I was sceptical when I first heard about XERF skin tightening.
Patients, friends and even the mums' WhatsApp groups were talking about it, and my first thought was that it might be a fad, or simply too good to be true.
So I looked properly at the technology, and it turned out to be a sophisticated upgrade. XERF delivers energy through a spider pattern tip, so the heat spreads evenly rather than building up in hot spots. It works to controlled temperatures, it can reach deeper levels of the skin, and it monitors the skin with every pulse, so I have oversight of exactly how much energy is being delivered each time.
That is why I brought it to Harley Street.
Here I am talking it through with Zabi from .
Follow for honest answers on new treatments from a consultant dermatologist.
Treatment suitability and results vary. A consultation is required.
06/10/2026
XERF skin tightening is now available at my Harley Street clinic in London.
After more than a decade working with radiofrequency treatments, I do not add a device simply because it is new. I add it when I believe it can meaningfully expand the way I assess and treat selected concerns.
XERF uses dual frequency monopolar radiofrequency. For me, the most important part is not simply having the technology. It is knowing when to use it, when to combine it and when another approach would be more appropriate.
Follow along as I explain what XERF is, what it may do for the face, why it has attracted so much attention and how I use it alongside PicoSure Pro.
Treatment suitability and results vary. A consultation is required.
Dark eye circles, upper lid hooding and acne scarring, all improved with one PicoSure Pro session.
This is Marni, and last week her case won Best Skin Transformation at the Aesthetics Results Awards, presented at CCR London.
What matters most to me is how Marni feels. She is more confident now, she has stopped wearing makeup, and she is delighted with her skin. Thank you for trusting me and for letting me share your result.
This is how I plan laser treatment at my Harley Street clinic: one session at a time. I expect to see measurable change after each session and I review it before deciding on the next, rather than booking a course of eight to twelve in advance.
Thank you to and , and to and for recognising this work.
Follow for more real results from a consultant dermatologist in London.
Shared with Marni's consent. Results vary and individual assessment is essential.
Most days in clinic, a patient arrives with something they learned about their skin or hair on social media. And most days, it is wrong.
A routine that is irritating their skin. A supplement that will not touch their hair loss. A treatment that does not suit their skin type. They have usually followed it carefully, sometimes for months, and they are understandably frustrated it has not worked.
That is why I make time for this. I am a working consultant dermatologist in London, not a creator or an influencer, and being in front of a camera has never got easier for me. Between clinic, patients and family life, finding the time is not easy either.
But one study found dermatologists made fewer than 4% of the most popular acne posts on Instagram. If those of us with the training do not show up, that space gets filled by people without it.
So this is me doing what I can. Accurate skin and hair information, from someone who treats both every day.
What would you like me to explain next? Tell me in the comments, and follow for more.
PART 2: XERF x MAGIC!!
Launching has been an exciting time in clinic…
02/10/2026
One session. One month. This is what a cautious first treatment around the eyes looks like.
This was the patient's first laser treatment. Because the eye area is delicate, and pigmentary risk varies between skin types, I used a staged approach with protective intraocular eye shields throughout.
The after photograph was taken one month later, after the first session of a planned four-treatment course. It shows an early visible response, not a promised final result, and I have shown it at that stage deliberately.
Laser treatment around the eyes requires individual assessment, appropriate medical expertise and careful eye protection. Results and downtime vary.
Thank you to .
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