Drs Tatiana + Rishi Advanced Aesthetics
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Award-winning, CQC-registered, medical skincare & aesthetic centre specialising in skin, face & body
Can XERF melt fat in the face? And could it cause unwanted facial fat loss? ๐๐คโก๏ธ
Itโs a question weโve been asked a lot - and itโs a really important one. So, press play to hear Dr Rishi break it down โฏ๏ธ
โก๏ธ The short answer is: yes, XERF can ๐ฅ๐ค๐ฉ๐๐ฃ๐ฉ๐๐๐ก๐ก๐ฎ affect fat if itโs used incorrectly - but this is ๐๐ฒ๐ฟ๐ different from saying that XERF routinely โmelts facial fatโ
As Dr Rishi explains, whether heat causes fat damage depends on both temperature and the length of time the tissue is exposed to that temperature.
With XERF, energy delivery is controlled and the treatment parameters are designed to work within specific tissue depths and treatment protocols. When used appropriately, the likelihood of unwanted fat loss is considered very low.
โก๏ธ This is also why who performs the treatment ๐๐๐๐๐๐๐
Understanding facial anatomy, tissue depth and the appropriate settings for each individual is critical - particularly when treating areas where maintaining healthy facial fat compartments is important for natural-looking results.
And this is something we always emphasise โก๏ธ ๐ญ๐ก๐ ๐ญ๐๐๐ก๐ง๐จ๐ฅ๐จ๐ ๐ฒ ๐ข๐ฌ ๐จ๐ง๐ฅ๐ฒ ๐จ๐ง๐ ๐ฉ๐๐ซ๐ญ ๐จ๐ ๐ญ๐ก๐ ๐๐ช๐ฎ๐๐ญ๐ข๐จ๐ง. ๐๐ก๐ ๐ฉ๐๐ซ๐ฌ๐จ๐ง ๐ฎ๐ฌ๐ข๐ง๐ ๐ข๐ญ ๐ฆ๐๐ญ๐ญ๐๐ซ๐ฌ ๐ญ๐จ๐จ.
Our approach is anatomy-led, evidence-informed and focused on achieving tightening and rejuvenation without compromising the natural structure of the face ๐
If youโve been wondering whether XERF is suitable for you, comment XERF below and weโll send you more information ๐ฌ๐
Send this to a friend whoโs been wondering the same thing โ๏ธ
03/10/2026
Cool Laser or COโ? โก๏ธ๐คโฌ๏ธ
If youโre considering laser resurfacing, knowing the difference ๐ฆ๐๐ญ๐ญ๐๐ซ๐ฌ ๐
Both are powerful resurfacing technologies, but they are not interchangeable - and there is no one-size-fits-all answer to which is โbetterโ.
โก๏ธ Cool Laser uses Er:YAG technology to deliver highly precise resurfacing with less residual thermal effect, making it a versatile option for concerns such as fine lines, pores, uneven texture and superficial scarring.
โก๏ธ COโ laser works differently, creating both ablation and a greater thermal effect. It can be used for more intensive resurfacing where deeper wrinkles, significant sun damage, acne scarring or more pronounced textural changes are the concern.
โก๏ธ And importantly, more aggressive does not automatically mean better.
The right choice depends on your skin, the concern being treated, the depth required, your goals and how much downtime is appropriate for you.
At Drs Tatiana + Rishi Advanced Aesthetics, we look at the individual rather than simply choosing the strongest technology.
Treatment settings, depth and intensity can all be carefully tailored to achieve the best possible result while respecting the skin and its ability to heal.
โ The best approach isnโt doing ๐๐๐๐
โ๏ธ Itโs knowing exactly what your skin needs - and ๐ธ๐ฉ๐บ โจ
Swipe through for a closer look at Cool Laser vs COโ laser - and leave any questions in the comments below โฌ๏ธ๐ฌโฃ
If youโre unsure which approach could be right for you, book a consultation with our team:
๐ฌ DM usโฃ
๐ฅ Email [email protected]โฃ
๐ Book onlineโฃโฃโฃโฃโฃ: www.drtatiana.co.ukโฃโฃโฃโฃโฃโฃโฃโฃ โฃโฃโฃโฃโฃโฃโฃโฃโฃ
๐ฑ Whatsapp or call us on: 07718 219145
02/10/2026
Before and after XERF at Drs Tatiana + Rishi Advanced Aesthetics - giving us an early look at the tightening, definition and overall freshness that can be seen straight away โก๏ธ๐โจ
And just look at the nasolabial folds and the skin around the mouth ๐คฉ
โก๏ธ But this isnโt the finished result.
XERF is designed to keep working beyond the treatment room.
Using monopolar radiofrequency, XERF delivers controlled heat into the deeper tissues, triggering a process of collagen remodelling that can continue to support skin tightening and facial definition over the weeks and months that follow.
So what youโre seeing here is the beginning of the journey - not the end result โฌ๏ธ
The goal is gradual, natural-looking rejuvenation:
โจ Firmer-looking skinโจโจ Improved facial definitionโจโจ Greater support through the lower faceโจโจ Progressive skin tighteningโจโจ No needles, no surgery and no downtime
And that gradual evolution is one of the things we find so exciting about XERF ๐
Still you โจ Just fresher, firmer and more defined.
Want to know whether XERF could be suitable for you?
Comment XERF below and weโll send you more information ๐ฌ
โจOr comment BOOK and our team can help arrange your consultation.
01/10/2026
One event. Two doctors. A whole day dedicated to pushing aesthetic medicine forward ๐โก๏ธ๐ฃ๏ธ
Day one of CCR is officially complete - and what a day itโs been!
Dr Tatiana and Dr Rishi have had an incredibly busy, rewarding and inspiring first day at CCRโฆ immersing themselves in the conversations shaping the future of aesthetic medicine ๐
From sharing some of the devices, technologies and innovations theyโre most excited about, to discussing clinical results and the thinking behind new approaches, the day has been all about education, innovation and sharing knowledge.
They have taken to the Innovation Stage, delivered live treatment demonstrations and spoken with practitioners from across the industry - from those at the beginning of their aesthetic careers to some of the most experienced clinicians in the field.
โก๏ธ And that exchange of knowledge is exactly what makes events like CCR so valuable ๐๐๐
Because innovation isnโt simply about whatโs new โ
Itโs about understanding why it matters, where it fits into clinical practice, what the evidence tells us, and ultimately how it can benefit our patients.
A huge thank you to everyone who stopped to listen, ask questions, share ideas and be part of the conversation today ๐๐ฌ
30/09/2026
Five months before and afterโฆ and the difference is not ๐ฐ๐ฏ๐ญ๐บ striking, but ๐๐๐ถ๐น๐น ๐๐ฒ๐ฟ๐ ๐บ๐๐ฐ๐ต ๐๐ต๐ฒ๐ฟ๐ฒ ๐โจโฃ
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This beautiful before and after shows the result of a carefully considered regenerative treatment plan combining BioFiller, PRP and polynucleotides.โฃ
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For this patient, Dr Rishi used:โฃ
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โจ Polynucleotides - used specifically through the under-eye area to support skin quality and improve the appearance of this delicate region.โฃ
โจ BioFiller - used to address focal areas of volume descent and restore subtle structural support where it had been lost.โฃ
โจ PRP - working together with BioFiller to improve overall skin quality, tone and underlying skin health.โฃ
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The result is a face that looks fresher, fuller and better supported, while still looking completely natural and entirely like her.โฃ
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โก๏ธ And an important point here: this photo was taken five months after treatment.โฃ
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Thereโs often a perception that BioFiller is very short-lived, but this case is a great example of why that isnโt always the full story. At five months, we can still see a clear structural difference through the face, alongside improvements in skin quality and tone.โฃ
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For us, this is exactly where regenerative aesthetics becomes so exciting.โฃ
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โ Itโs not simply about adding volume.โฃ
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Itโs about combining treatments in a way that supports structure, skin health and tissue quality together - creating a result that looks balanced, healthy and refreshed rather than โdoneโโฃ
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Five months on, and the change is still beautiful ๐ข๐ฏ๐ฅ beautifully apparent ๐โจโฃ
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Would you like to know more about BioFiller, PRP or polynucleotides? Leave your questions below ๐โฃ
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XERF real talk โก๏ธ๐ฃ๏ธโฃ
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Thereโs a lot of noise around XERF online at the moment - a lot of excitement, a lot of opinions and, as with any new treatment, quite a few big claims โฃ
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โก๏ธ Letโs talk about itโฃ
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Because yes, XERF is a very promising treatment and, in the right patient, can produce some excellent outcomes ๐๐๐โฃ
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โ But itโs ๐ป๐ผ๐ for ๐ฆ๐ท๐ฆ๐ณ๐บ๐ฐ๐ฏ๐ฆ. โฃ
โ It ๐ฐ๐ฎ๐ปโ๐ do ๐ฆ๐ท๐ฆ๐ณ๐บ๐ต๐ฉ๐ช๐ฏ๐จ. โฃ
โ And the device alone is ๐ป๐ผ๐ what determines the result.โฃ
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โก๏ธ One of the biggest factors is patient selectionโฃ
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XERF can be a great option for patients showing earlier signs of facial ageing - where weโre beginning to see soft tissue descent, reduced elasticity and a loss of support through the face.โฃ
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But if there is significant tissue descent or a large amount of skin redundancy, ๐๐ต๐ฒ๐ป ๐ฎ ๐ป๐ผ๐ป-๐๐๐ฟ๐ด๐ถ๐ฐ๐ฎ๐น ๐ฑ๐ฒ๐๐ถ๐ฐ๐ฒ ๐ถ๐ ๐๐ป๐น๐ถ๐ธ๐ฒ๐น๐ ๐๐ผ ๐ฐ๐ฟ๐ฒ๐ฎ๐๐ฒ ๐๐ต๐ฒ ๐ฟ๐ฒ๐๐๐น๐ ๐๐ต๐ฎ๐ ๐๐๐ฟ๐ด๐ฒ๐ฟ๐ ๐ฐ๐ฎ๐ป. In those cases, a face or neck lift may simply be the more appropriate treatment.โฃ
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โก๏ธ And then thereโs how the treatment is actually performed.โฃ
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๐๐๐ฒ๐ฟ๐ ๐ณ๐ฎ๐ฐ๐ฒ ๐ถ๐ ๐ฑ๐ถ๐ณ๐ณ๐ฒ๐ฟ๐ฒ๐ป๐โฃ
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That means the settings, depths and pattern of energy delivery should not necessarily be identical from one patient to the next ๐โฃ
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To use XERF intelligently, you need to understand:โฃ
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โ Where the SMAS sits - and where it doesnโtโฃ
โ The different depths of the superficial and deep facial fat compartmentsโฃ
โ How those layers change with ageingโฃ
โ Where support has been lostโฃ
โ And which tissues you are actually trying to targetโฃ
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That anatomical understanding allows the treatment to be tailored to the individual rather than simply following the same protocol for every face.โฃ
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As a doctor-led team - and with Dr Rishiโs background as a Consultant Facial Plastic Surgeon - facial anatomy, ageing and t
28/09/2026
Before & 6 weeks after XERF - the results we saw ourselves that made it clear that this innovative new technology works ๐๐๐
โก๏ธ No downtime
โก๏ธ Suitable for all skin types
โก๏ธ Doesnโt melt fat
โก๏ธ Targets deeper in the skin than ever before (repositioning volume in the SMAS)
Why is everyone talking about XERF? ๐ฃ๏ธ
XERF is one of the most exciting advances in non-surgical skin tightening. It uses innovative radiofrequency technology to gently heat the tissues beneath the skin, reaching the deeper support structures of the face and neck.
This controlled heating helps to tighten, lift and support the tissues, improving definition and creating a more refreshed, contoured appearance.
One of the things we love most about this treatment is that it is designed to preserve facial volume. Unlike some treatments, it doesnโt melt fat - meaning we can support natural-looking lifting and tightening without unwanted volume loss ๐๐๐
Itโs also designed to be a comfortable treatment, with no anaesthetic required and no downtime ๐
And of course, when you book at Drs Tatiana + Rishi Advanced Aesthetics, youโll be in expert hands ๐จโโ๏ธ๐ฉโโ๏ธ
Dr Tatiana and Dr Rishi trained with XERF in Korea and are the first medical Key Opinion Leaders for the treatment in the UK - so they know the technology, technique and treatment planning inside out.
โ No edits โ Angles โ Photoshop โ or tricks of the light.
โก๏ธ Just advanced technology weโre proud to introduce to our treatment menu - as XERF UK Ambassadors ๐
Get in touch to find out more - comment BOOK below and weโll help arrange your consultation and answer any questions you may have ๐ฌโฌ๏ธ
Seriderm UK & IrelandโจCynosure Lutronic
XERF UK and Ireland
xerflondon
Have you ever wondered which areas are the hardest to treat in facial aesthetics? ๐ค
Press play to learn more โฏ๏ธโฆ the answers may surprise you ๐
Two of the most challenging concerns we see are festoons and neck skin quality.
1๏ธโฃ Festoons are the puffy, fluid-prone areas that sit in the upper cheek/malar region. They can be particularly difficult because some of the treatments people often think will help (such as adding filler underneath) can sometimes make the area appear worse.
The best approach is usually a careful, tailored one; which may include microneedling radiofrequency, laser treatments, skin tightening and, in some cases, surgery.
2๏ธโฃ The neck is another area that requires real precision. While we can tighten the neck with surgery, radiofrequency microneedling and energy-based treatments, improving the quality of the neck skin itself is more complex.
The neck skin is delicate, and overtreating it - particularly with aggressive laser settings - can thin and weaken the appearance of the skin over time.
This is where regenerative and biostimulatory treatments can be so valuable. Treatments such as Profhilo, polynucleotides, light energy-based treatments and JULAINE can help support tissue health, improve hydration, stimulate collagen and enhance the overall quality of the skin ๐
As always, the key is not more treatment - itโs the right treatment, in the right area, for the right patient.
Get in touch to find out more and leave any other questions for us in the comments below ๐ ๐ฌ
โYou have beautiful skin - can you share your treatments?โ ๐ฅนโจ
Firstlyโฆ what a lovely comment. And secondly, of course we had to get to spill her secrets ๐ฉ๐ปโโ๏ธ
For Dr Sepi, itโs about choosing a small number of treatments that work well for her skin and using them strategically - rather than constantly adding more.
So, what had she been having around the time this video was filmed?
โจ JULAINE - her current favourite for patients and in the results sheโs seen in her own skin. Used as a collagen-stimulating treatment to gradually improve firmness, support and facial contours.
โจ Secret RF - helping to stimulate collagen and improve overall skin quality, firmness and rejuvenation.
โจ Redensity 1 - for that all-important boost of hydration and improvement in skin quality and luminosity.
The takeaway? โฌ๏ธ
Great skin doesnโt necessarily mean doing everything.
Sometimes itโs about knowing which treatments your skin responds to, being consistent and not overcomplicating it ๐
Have you tried any of these treatments before?
Not sure where to start? Comment BOOK below and weโll help get you booked in for a consultation with our skin experts ๐ฌ
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