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XERF™ vaginal rejuvenation is a non-invasive skin-tightening treatment that emits radiofrequency (RF) energy into your vaginal tissues. XERF can deliver energy exactly where you need it, restoring the appearance, elasticity, and comfort of your vaginal tissues and structures.

Dr. Silvia Rotemberg of Rotemberg Plastic Surgery is a board-certified cosmetic and reconstructive surgeon based in South Miami. Dr. Rotemberg specializes in vaginal rejuvenation and restoration, and as a woman herself, she truly understands the frustrations her patients experience. She strives to offer the latest, most cutting-edge technologies and treatments to help each of her patients restore their sense of well-being, comfort, and confidence.

If you are ready to meet with Dr. Rotemberg, please schedule a consultation online or call (305) 274-5170.

About XERF Vaginal Rejuvenation Treatment

XERF vaginal rejuvenation is a non-invasive RF treatment that uses multiple wavelength frequencies to address laxity around the pubis and the labia majora, or outer vaginal lips. As the world’s first multifrequency monopolar RF treatment, this procedure delivers energy into superficial and underlying layers of skin, contracting them and stimulating collagen production to restore appearance and tightness. (1)

Over time, genetics, hormonal changes, pregnancy, menopause, and the natural aging process can affect your vaginal tissues. (2) The skin can start to wrinkle and sag, taking on an aged appearance or a loose feel. While these effects are natural, they can detract from your appearance, diminish your confidence, and lead to sexual dysfunction. (3) With XERF, you can address each of these changes—all without the need for incisions, anesthesia, or downtime.

Benefits

There are numerous benefits to undergoing XERF for vaginal rejuvenation, such as:

  • Tightened Skin: XERF can effectively address lax or hanging skin around the pubis and outer vaginal lips.
  • Stimulated Neocollagenesis: The device’s RF energy can stimulate the production of new collagen fibers in the area, leading to healthier, firmer, and more elastic skin.
  • Non-Invasive Techniques: XERF achieves significant results without requiring general anesthesia, linear incisions, or a significant recovery time.
  • Tailored Treatment Plans: The XERF system offers three depth settings and ten intensity levels, allowing Dr. Rotemberg to personalize each treatment plan to her patient’s skin type, the degree of laxity present, and their desired results. (1)
  • Safe for All Skin Types: Dr. Rotemberg can perform this treatment on all skin types and tones.
  • No Downtime: XERF is so gentle that you can return to your routine immediately after your appointment.

Candidates

You may be a good candidate for XERF if you have noticed the skin around your pubis and vaginal lips starting to lose elasticity, and you wish to tighten it without the need for surgical intervention. You should also be in good general health and maintain realistic expectations regarding what treatment can achieve.

Dr. Rotemberg will assess your candidacy at your consultation. If she finds that you do not qualify for this treatment, she can help you find a suitable alternative.

Personal Consultation

Before proceeding with your treatment, you will need to attend a consultation at our South Miami office. During your visit, Dr. Rotemberg will assess your medical history, learn about your treatment goals, and perform a physical examination.

Dr. Rotemberg will then use this information to create your personalized treatment plan. She will decide the most effective XERF settings for your skin type and sensitivity, and may even suggest additional treatments for further benefits. Throughout the consultation, she will also answer any questions and ensure that you leave this meeting feeling well-informed and empowered.

If you are ready to take the first step and schedule this consultation, please contact us online or call (305) 274-5170.

Procedure

Dr. Rotemberg performs XERF vaginal rejuvenation in her office on an outpatient basis. The duration of your exact procedure will vary, but treatments typically last between 30 and 60 minutes.

Upon your arrival, a member of Dr. Rotemberg’s team will lead you to a private treatment suite where you will meet with Dr. Rotemberg. She will address any last-minute questions or concerns before cleansing your skin and beginning your treatment.

Dr. Rotemberg will use the XERF handpiece and pass it over the intimate regions to address the pubis and labia majora. As she moves the handpiece, it emits the RF energy deep into your tissues, stimulating the production of new collagen fibers in the area. As Dr. Rotemberg continues the treatment, the XERF system will naturally adapt to your unique skin profile using its Accurate Impedance Feedback. This advanced system performs a real-time analysis of the skin and can switch between depths and intensity levels to truly address your concerns.

Recovery

XERF requires no downtime, which means that you will be able to return to each of your daily activities as soon as your appointment is over. You may notice a reddened appearance across the treated skin, but this will subside shortly after. You may also start to experience tightness in the treated areas, which is a sign that your skin has started to contract.

Dr. Rotemberg will provide you with a set of aftercare instructions to guide you as your treatment results develop.

Results

The results of XERF vaginal rejuvenation are gradual and can take several weeks to develop. Once they do, you will be able to enjoy tighter and firmer skin, reduced labial laxity, and a more youthful appearance across your intimate regions. These effects may also improve your sexual satisfaction, boost your self-esteem, and enhance your personal comfort.

The results of XERF are long-lasting, with many patients enjoying them for approximately 12 to 18 months. After this point, you may return for another treatment to maintain your results.

Corresponding Procedures

Dr. Rotemberg can perform other treatments in conjunction with XERF to allow you to achieve more substantial results. She can provide you with tailored suggestions during your personal consultation.

CO2Lift V Mask

The CO2Lift V mask is a topical treatment that uses a carbon dioxide gel to elevate the comfort and appearance of your intimate area. Dr. Rotemberg can apply this mask to your vaginal tissues to stimulate the body to send more oxygen-rich blood to the area, potentially resulting in improvements in your comfort, tissue elasticity, sexual satisfaction, and more.

FemiLift™

The FemiLift is a vaginal rejuvenation treatment that uses laser technology to address discomfort, enhance vaginal health, and stimulate the production of new collagen. This treatment features a fractional CO2 laser, allowing you to address your concerns without the need for incisions or an extensive recovery.

We encourage you to read Dr. Rotemberg’s blog to learn more about the other treatments she offers.

Cost of XERF Vaginal Rejuvenation

Dr. Rotemberg personalizes each XERF treatment, which means pricing will vary from patient to patient. When she meets with you in person to establish each aspect of your treatment plan, she will provide an outline of total costs.

To learn more about XERF vaginal rejuvenation and request a personal consultation, please call our South Miami office at (305) 274-5170 or contact us online.

FAQ

What is XERF?

XERF is a device that emits radiofrequency energy deep into your tissues to restore tighter, more youthful-looking skin.

What concerns can XERF treat?

XERF can effectively address lax vaginal skin, specifically around the pubis and the labia majora.

What type of anesthesia will Dr. Rotemberg use during XERF vaginal rejuvenation?

This treatment does not require any anesthesia, but if you have sensitive skin, Dr. Rotemberg can discuss numbing options with you.

How long do the results of XERF last?

The results of XERF are long-lasting, with effects that you can enjoy for up to 18 months. After this point, you may return for a maintenance treatment.

How will I know if I am a candidate for XERF vaginal rejuvenation?

Attending a personal consultation is the best way to determine your candidacy. Here, Dr. Rotemberg can assess your medical history, discuss your concerns, and perform a physical evaluation to determine whether this treatment aligns with your personal goals.

References

  1. XERF – Structural Skin Tightening – Cynosure Lutronic. Cynosure Lutronic. Published September 29, 2025. https://www.cynosure.com/xerf/
  2. Karcher C, Sadick N. Vaginal rejuvenation using energy-based devices. International Journal of Women’s Dermatology. 2016;2(3):85-88. doi:https://doi.org/10.1016/j.ijwd.2016.05.003
  3. Indri Aulia, Valeria M. Current Perspectives in Vaginal Laxity Measurement: A Scoping Review. Archives of Plastic Surgery. 2023;50(05):452-462. doi:https://doi.org/10.1055/a-2113-3202