XERF (Serf) vs Thermage FLX: How They Differ in Method, Recovery and Results

Both are monopolar radiofrequency devices targeting dermal collagen. XERF is designed to reach different depths with multiple frequencies, while Thermage FLX is the long-established reference device. Skin thickness and pain sensitivity guide the choice.
Medically reviewed by Dr. Lee Da-in, Medical Director, Daybeau Clinic Seomyeon · Last reviewed October 2026

In short

Both are monopolar radiofrequency devices targeting dermal collagen. XERF is designed to reach different depths with multiple frequencies, while Thermage FLX is the long-established reference device. Skin thickness and pain sensitivity guide the choice.

Side-by-side

XERF (Serf) Thermage FLX
Device / product XERF monopolar radiofrequency Thermage FLX
Main concerns Loss of firmness, Fine lines, Facial contour Skin laxity, Fine facial lines, Lines around the eyes
Treatment time about 30–60 minutes about 40–90 minutes depending on shots
Downtime minimal (temporary redness) minimal (temporary redness or swelling)
Results immediate tightening, with gradual improvement over weeks to months immediate tightening, with gradual improvement over 2–6 months
Repeat interval reassessed every few months to a year depending on skin usually reassessed around once a year

Can they be combined?

They work differently, so when concerns overlap they are often scheduled together or in sequence. Discuss the plan with Dr. Lee Da-in.

Full guides: XERF (Serf) · Thermage FLX

Medical notice: every procedure can cause side effects such as swelling, bruising, redness, pain, inflammation or pigmentation, and results and their duration vary between individuals. Suitability and method are decided only after a consultation with the doctor. This page is general information, not a diagnosis. Fees follow the clinic's official non-covered fee schedule.

Frequently Asked Questions

Should I start with XERF (Serf) or Thermage FLX?

The main cause (muscle, volume, sagging, skin quality and so on) is assessed first to set the order.

Can I get XERF (Serf) and Thermage FLX on the same day?

Depending on the combination and areas it is sometimes possible; it is decided at consultation.

How does recovery compare between XERF (Serf) and Thermage FLX?

XERF (Serf): minimal (temporary redness). Thermage FLX: minimal (temporary redness or swelling).

Dr. Lee Da-in

Not sure this is the right treatment?

Send Dr. Lee's team a photo and your travel dates. We'll suggest a plan and a consultation time.