XERF Results and Downtime: When Will You See Changes?
When considering a non-surgical skin-tightening treatment, two common questions are how much recovery time is needed and how long it takes to see results. XERF is a radiofrequency-based treatment designed to improve the appearance of skin firmness, but the recovery experience and visible changes can vary between individuals. Some people may notice changes relatively early, while others may need more time to assess their results. Temporary redness, tenderness or swelling may also occur, even though XERF does not involve surgical incisions. Understanding the available clinical evidence, possible side effects and realistic result timelines can help you prepare for treatment and know what to discuss with your aesthetic practitioner. Is There Downtime After XERF Treatment? XERF is a non-invasive monopolar radiofrequency treatment. It delivers controlled radiofrequency energy through an external handpiece rather than through needles or surgical incisions. However, non-invasive does not mean that there is never any downtime. The skin and underlying tissues may respond differently depending on the treatment settings, area treated and individual sensitivity. Possible temporary reactions include: Redness around the treated area A sensation of warmth or tenderness Mild swelling Discomfort during or after treatment These reactions do not occur to the same degree in everyone. Some people may experience minimal visible changes, while others may need time for temporary reactions to settle. What Does the Clinical Evidence Say About XERF Recovery? A retrospective study published in 2026 evaluated 16 women who received one XERF treatment session. The researchers reported that treatment was generally well tolerated, with mild and temporary side effects. Reported reactions included redness lasting one or two days and one case of redness accompanied by mild swelling that resolved within a day. A separate prospective multicentre study published in 2026 followed 39 participants who received two treatment sessions. The researchers reported no long-lasting adverse events during the study period. These findings are encouraging, but both studies involved relatively small groups. They do not guarantee that every patient will have the same recovery experience or that more significant side effects cannot occur. You can read the published research here: Retrospective evaluation of XERF treatment outcomes and safety Prospective multicentre study of XERF for facial laxity and lower-face lifting What Happens Immediately After XERF? Immediately after treatment, your skin may feel warm or slightly tender. Some people may notice temporary redness or swelling, while others may have little visible reaction. Your practitioner should explain the reactions that may be expected with the treatment settings used and provide instructions for caring for the treated area. Although some clinics describe XERF as having minimal downtime, it is best not to assume that your skin will look or feel completely normal immediately after the procedure. If you have an important event approaching, discuss the timing with your practitioner rather than relying on a guaranteed recovery period. XERF Results Timeline: When Might You See Changes? The timing of visible changes varies. Current XERF-specific clinical studies have assessed outcomes at several follow-up points, including one month and three months after treatment. These study timepoints provide useful context, but they should not be interpreted as a guarantee of when every patient will see results. Immediately After Treatment Some people may perceive an early change in skin firmness or facial appearance. However, an immediate appearance is not necessarily a reliable indication of the final result. Temporary redness, swelling or other short-term effects can also influence how the treated area looks immediately after a session. For this reason, it is sensible to assess results over time rather than judge the treatment solely by the immediate post-treatment appearance. Around One Month After Treatment One month is an important follow-up point in published XERF research. In the 2026 prospective multicentre study, researchers assessed clinical improvement 30 days after treatment. The study reported improvements in clinician-rated aesthetic assessments at this timepoint. The retrospective study also evaluated outcomes at one month and reported improvements in selected facial measurements and skin-quality assessments. These studies suggest that changes may be assessable within the first month, but the degree of improvement varies and cannot be predicted precisely for an individual patient. Around Three Months After Treatment The published studies also assessed participants at approximately 90 days or three months. In the prospective study, clinician-rated improvement was reported at both 30 and 90 days. The researchers observed a higher proportion of participants meeting the study’s improvement threshold at 90 days than at 30 days. The retrospective study reported selected improvements in facial measurements and skin-quality assessments at its three-month follow-up. These findings suggest that results may continue to evolve beyond the immediate post-treatment period. However, the studies were small and differed in their designs and treatment protocols. They do not prove that every patient will experience progressively better results over three months. How Long Do XERF Results Last? The duration of XERF results is an important consideration, but the long-term evidence is still limited. The published XERF-specific studies discussed above followed participants for up to approximately three months after treatment. This provides information about short-term outcomes, but it is not sufficient to establish reliably how long the results will last over six months, one year or longer. The duration of visible improvement may vary according to factors such as: Your starting skin condition and degree of laxity Your individual response to treatment The treatment plan and settings used Natural ageing and changes in skin structure over time It is therefore important to be cautious about fixed claims regarding how many months or years results will last. Ask your practitioner what is currently known about treatment durability, whether further sessions may be considered and how any maintenance recommendation applies to your individual circumstances. What Aftercare Should You Follow After XERF? Aftercare should follow the instructions provided by your treating practitioner. These instructions may depend on your skin condition, the treatment area and the settings used. Keep Your Aftercare Instructions Clear Before leaving the clinic, make sure you understand how to care for your skin, which activities or products you may need to
XERF for Double Chin and Jawline: Can It Tighten Loose Skin?
A less-defined jawline or a double chin can change the appearance of the lower face. For some people, the concern is related to loose skin. For others, it may be caused by fat beneath the chin, facial structure or a combination of factors. Because these concerns can look similar, choosing an appropriate treatment starts with understanding what is contributing to the appearance. XERF is a non-invasive skin-tightening treatment that uses dual-frequency monopolar radiofrequency technology. It may be worth discussing when reduced skin firmness is a concern, but it should not automatically be considered a fat-reduction treatment. So, can XERF help improve a double chin or define the jawline? The answer depends on the underlying cause, your skin condition and the outcome you hope to achieve. What Causes a Double Chin or Less-Defined Jawline? A double chin refers to the appearance of fullness beneath the chin. A less-defined jawline may also occur when the transition between the lower face and neck becomes less distinct. Several factors can contribute to these concerns. 1. Loose Skin and Reduced Firmness As skin changes with age, its structure and supporting proteins can gradually change. This may contribute to a softer jawline, mild sagging around the lower face or loose skin beneath the chin. In some cases, skin laxity is a contributing factor even when excess fat is not the main concern. A skin-tightening treatment may be considered when reduced skin firmness is part of the problem. However, the degree of improvement depends on the extent of laxity and the individual’s response to treatment. 2. Fat Beneath the Chin Fat beneath the chin, also called submental fat, can create fullness even when the skin itself is relatively firm. If fat volume is the main contributor, a treatment designed primarily for skin tightening may not sufficiently change the overall shape of the area. This distinction matters because improving skin firmness and reducing fat are different treatment goals. A practitioner should assess which factor contributes most to the appearance of a double chin before recommending a procedure. 3. Facial Structure and Age-Related Changes The shape of the chin and jaw, natural fat distribution, changes in facial volume and the position of surrounding tissues can all affect jawline definition. These factors may occur alongside skin laxity, making it difficult to identify the main cause by appearance alone. For this reason, a less-defined jawline does not automatically mean that a skin-tightening treatment is the most appropriate option. What Is XERF Treatment? XERF is a non-invasive treatment that uses monopolar radiofrequency energy at two frequencies, 6.78 MHz and 2 MHz. The system is designed to deliver controlled energy into tissue at different depths, generating heat that may support collagen remodelling and improve the appearance of skin firmness. Unlike radiofrequency microneedling, XERF delivers energy through an external treatment handpiece rather than needles. XERF is designed for non-surgical skin tightening. Its potential role in improving the appearance of the lower face depends on whether skin laxity is an important part of the concern. You can learn more about the technology and the treatment available at Maple Clinic on our XERF treatment page. Can XERF Help Improve a Double Chin? XERF may be worth discussing when loose skin contributes to the appearance beneath the chin. However, it is important to separate skin tightening from fat reduction. If the area looks less defined mainly because of mild skin laxity, a practitioner may assess whether a radiofrequency skin-tightening approach is appropriate. If the main concern is a substantial pocket of fat beneath the chin, tightening the skin alone may not achieve the change you want. The appropriate approach may be different, depending on the amount of fat, the skin’s condition and other anatomical factors. There is also an important limitation to the current evidence. Published clinical research has examined XERF for facial laxity and lower-face lifting, but this does not establish that the treatment directly removes submental fat or reliably eliminates a double chin. The most accurate way to think about XERF is as a treatment designed for skin tightening, rather than a guaranteed solution for every cause of fullness beneath the chin. Can XERF Help Define the Jawline? Jawline definition depends on more than skin firmness. The amount of fat beneath the chin, facial structure and the degree of skin laxity can all influence how clearly the jawline appears. When reduced skin firmness contributes to a soft or less-defined lower face, XERF may be considered as part of an individualised treatment plan. Improving the Appearance of Mild Skin Laxity For selected patients, radiofrequency-based skin tightening may help improve the appearance of mild laxity. The extent of improvement varies, and it is important to maintain realistic expectations. Addressing a Soft-Looking Lower Face A soft jawline does not always mean the skin needs tightening. Fat distribution and facial anatomy may be equally important, so the underlying cause should be assessed before selecting a treatment. Understanding the Limits of Non-Surgical Tightening XERF does not remove excess skin in the way surgery can, and it should not be expected to produce the same degree of lifting as a surgical procedure. For people with substantial skin sagging, a non-surgical treatment may provide less improvement than anticipated. A consultation can help clarify what is achievable with different approaches. XERF for Loose Skin vs Fat Beneath the Chin Understanding the difference between these concerns can help you have a more productive consultation. Main Concern What It Means What to Consider Mild loose skin Reduced skin firmness contributes to the appearance of sagging. Ask whether a skin-tightening treatment may be appropriate. Fat beneath the chin Fat volume creates fullness under the chin. Discuss whether a treatment that addresses fat is more appropriate. Both loose skin and fat Skin laxity and fat volume contribute to the contour. The treatment plan may need to address both factors. Facial structure Chin shape or natural anatomy affects the jawline. Skin tightening may have limited impact on the underlying structure. Significant excess skin A larger amount of
Is XERF Right for You? Who May Benefit and What Results Can You Expect?
When skin begins to lose firmness, the jawline becomes less defined or the lower face appears to sag, it is natural to explore non-surgical treatment options. XERF is one option designed to improve the appearance of skin laxity using dual-frequency monopolar radiofrequency technology. However, not everyone with sagging skin has the same underlying concern, and not everyone will achieve the same outcome from treatment. So, who may benefit from XERF, what results are realistic, and how can you determine whether it is appropriate for your skin? Understanding these factors can help you make a more informed decision before arranging a consultation. What Is XERF Designed to Improve? XERF is a non-invasive skin-tightening treatment that uses monopolar radiofrequency energy to generate controlled heat within targeted tissue. The treatment is designed to support collagen remodelling and improve the appearance of skin firmness. Depending on the individual’s concerns, a practitioner may consider XERF for selected cases of facial skin laxity and less-defined facial contours. It is important to distinguish between concerns caused by reduced skin firmness and those mainly related to excess fat, significant volume loss or underlying facial structure. These concerns may require different treatment approaches. To learn more about the technology and the treatment available at Maple Clinic, visit our XERF treatment page. Who May Be a Suitable Candidate for XERF? XERF may be worth discussing with an aesthetic doctor if your main concern is reduced skin firmness and you are looking for a non-surgical treatment option. Suitability should always be assessed individually. 1. People With Mild Skin Laxity Skin firmness can change with age as collagen, elastin and other supporting structures change. Some people notice mild sagging around the cheeks, lower face or jawline. For selected patients, a radiofrequency treatment such as XERF may be considered to help improve the appearance of skin firmness. The extent of improvement depends on the individual’s skin condition and response to treatment. People with more significant skin laxity should understand that a non-surgical treatment may provide less lifting than they expect. 2. People Who Want a Non-Surgical Approach Some people prefer to explore non-surgical options before considering an operation. XERF does not involve surgical incisions and uses an external treatment handpiece to deliver radiofrequency energy. However, non-surgical does not mean risk-free or suitable for everyone. Treatment still requires appropriate assessment, and the potential benefits must be considered alongside possible side effects and limitations. 3. People With Realistic Treatment Expectations A suitable candidate should understand that XERF is intended to improve selected signs of skin laxity rather than completely reverse facial ageing. The outcome may be subtle rather than dramatic. People who expect a surgical facelift-like result from a non-invasive procedure may need to discuss other options with their practitioner. A consultation should establish the main concern, the improvement that may reasonably be expected and whether XERF is an appropriate choice. Can XERF Improve a Sagging Jawline? A less-defined jawline can develop for several reasons, including skin laxity, fat beneath the chin, changes in facial volume and natural facial structure. Where reduced skin firmness contributes to the appearance of the lower face, a skin-tightening treatment may be considered. However, XERF should not be viewed as a guaranteed way to create a sharply defined jawline. If fat beneath the chin is the main concern, tightening the skin alone may not address the underlying issue. Similarly, significant excess skin or changes in facial volume may require a different treatment strategy. An assessment is important because the appearance of sagging does not always indicate the same underlying problem. What Results Can You Realistically Expect From XERF? XERF is designed to support improvements in skin firmness, but the degree of visible change varies between individuals. Some people may notice changes in the appearance of their skin following treatment, while other changes may develop over time as the tissue responds. The timing and extent of improvement cannot be guaranteed. Understanding the Current Clinical Evidence Published research on XERF is emerging, but the available evidence remains preliminary. A prospective multicentre study published in 2026 evaluated 39 participants who received two XERF treatment sessions, with follow-up assessments extending to 90 days. The researchers reported improvements in clinician-rated assessments, including measures related to facial laxity and lower-face lifting. A separate retrospective study published in August 2026 evaluated 16 women who underwent one XERF session. The researchers reported changes in facial measurements and selected skin-quality assessments at follow-up. You can review the studies here: Prospective multicentre study of XERF for facial laxity and lower-face lifting Retrospective study evaluating XERF facial skin laxity and skin quality These findings are encouraging, but both studies had important limitations. The participant groups were small, and the studies did not include control groups. The findings therefore do not establish how much improvement every patient will experience or how long the results will last. More controlled research with larger groups and longer follow-up is needed to establish the treatment’s effectiveness and durability more confidently. For patients, the key takeaway is to evaluate XERF using realistic expectations and an individual assessment rather than relying on promotional claims or another person’s experience. What Factors Can Affect Your XERF Results? Several factors can influence whether XERF is appropriate and how much visible improvement may occur. 1. Your Starting Skin Condition The degree of skin laxity, skin quality and the area being treated can influence the outcome. A person with mild laxity may have different treatment goals from someone with substantial sagging. 2. The Cause of Your Concern Skin laxity is only one possible reason for changes in facial contour. Fat distribution, facial volume and underlying anatomy may also contribute. If the primary concern is not related to skin firmness, XERF alone may not achieve the desired result. 3. Your Individual Response to Treatment People can respond differently to the same treatment. Differences in skin condition, tissue characteristics and individual healing responses mean that outcomes cannot be predicted precisely for every patient. 4. Treatment Planning and Practitioner Assessment Appropriate patient selection and treatment
XERF vs Ultherapy vs HIFU: What Are the Differences?
Choosing a non-surgical skin-tightening treatment can be confusing, especially when several technologies promise firmer skin and a more defined facial contour. XERF, Ultherapy and HIFU are often considered by people who want to address skin laxity without undergoing surgery, but they do not all work in the same way. The main difference lies in the type of energy used and how that energy is delivered into the tissue. XERF uses monopolar radiofrequency, while Ultherapy uses microfocused ultrasound with real-time imaging. HIFU, or high-intensity focused ultrasound, is a broader category that includes different devices and treatment systems. Understanding these differences can help you ask more informed questions during a consultation and determine which approach may be appropriate for your skin concerns. What Is XERF Treatment? XERF is a non-invasive skin-tightening treatment that uses dual-frequency monopolar radiofrequency energy. Its system delivers 6.78 MHz and 2 MHz radiofrequency energy sequentially as part of its approach to heating different tissue depths. Radiofrequency energy produces controlled heat in targeted tissue. This heating is intended to stimulate changes in collagen and support tissue remodelling, which may help improve the appearance of skin firmness. XERF may be considered by people concerned about mild facial laxity, reduced skin firmness or less-defined facial contours. However, suitability depends on the underlying concern, the degree of laxity and the individual’s treatment goals. To learn more about the technology and treatment available at Maple Clinic, visit our XERF treatment page. What Is Ultherapy? Ultherapy is a branded non-invasive treatment that uses microfocused ultrasound with real-time imaging. The ultrasound energy is focused at selected depths to create small areas of controlled thermal injury in targeted tissue, stimulating a repair response associated with collagen remodelling. Its imaging feature allows the practitioner to visualise tissue layers during treatment and guide energy delivery. This is an important distinction between Ultherapy and ultrasound devices that do not provide real-time visualisation. Ultherapy is used for specific lifting and skin-laxity indications, including the brow, under-chin area and neck, according to its authorised indications. It does not reproduce the results of a surgical facelift, and outcomes vary between individuals. What Is HIFU? HIFU stands for high-intensity focused ultrasound. It describes a category of technology that uses focused ultrasound energy to create controlled heating at selected depths within tissue. Different HIFU devices may vary in their design, imaging capabilities, treatment settings and intended applications. Some provide imaging to help the practitioner visualise the target tissue, while others rely on predetermined treatment depths without the same real-time visualisation system. Ultherapy is a specific branded microfocused ultrasound treatment, so it is important not to assume that every HIFU device has the same features, evidence or treatment outcomes. Research reviews have reported potential improvements in skin laxity with focused-ultrasound treatments. However, results vary across studies, and findings from a group of different HIFU devices cannot automatically be applied to every individual machine. XERF vs Ultherapy vs HIFU: Key Differences The main difference is how each technology delivers energy into the tissue. Feature XERF Ultherapy HIFU Energy technology Monopolar radiofrequency Microfocused ultrasound High-intensity focused ultrasound How energy is delivered Radiofrequency energy produces controlled heating across a volume of tissue Focused ultrasound creates small, targeted zones of heating Focused ultrasound creates heating at selected tissue depths Real-time imaging Uses a radiofrequency delivery system rather than ultrasound visualisation Includes real-time ultrasound imaging Depends on the specific device Main treatment goal Non-surgical skin tightening Non-surgical lifting and improvement of selected areas of skin laxity Depends on the device and treatment protocol Treatment approach Dual-frequency energy delivery Focused energy delivered at selected depths Focused energy delivered according to the device’s design Suitability Depends on skin laxity, treatment area and individual assessment Depends on the indicated treatment area and individual assessment Depends on the specific device, concern and treatment settings Evidence considerations XERF-specific clinical evidence is still developing Has published clinical evidence for certain lifting indications Evidence varies between devices, studies and protocols These are general technology-level differences. They do not establish that one treatment is more effective or safer than the others for every individual. How Do XERF, Ultherapy and HIFU Work Differently? 1. Radiofrequency vs Focused Ultrasound XERF uses radiofrequency energy to heat tissue through electrical energy delivery. Its dual-frequency system is designed to deliver energy at different frequencies as part of its approach to treating different tissue depths. Ultherapy and HIFU use focused ultrasound energy. Rather than delivering radiofrequency energy through tissue, ultrasound energy is focused on selected points to generate heat in the target area. Both approaches are intended to support tissue responses associated with skin tightening, but the energy-delivery mechanisms are different. These technical differences may influence how a practitioner chooses a treatment for a particular patient. 2. Treatment Depth and Precision Treatment depth is an important consideration in non-surgical skin tightening, but deeper does not automatically mean better. Ultherapy incorporates real-time imaging to help practitioners visualise tissue layers and guide treatment. Other HIFU systems may have different imaging capabilities and treatment-depth options. XERF uses a dual-frequency monopolar radiofrequency system designed to heat tissue at different depths. Its approach is different from the focused points of thermal energy created by ultrasound devices. The appropriate treatment depends on the location and cause of the concern, the device’s capabilities and the practitioner’s assessment. A treatment should not be chosen based on a claimed depth alone. 3. Clinical Evidence and Expected Results Published research supports the use of focused-ultrasound and radiofrequency technologies for selected skin-tightening applications, but the strength of evidence differs by technology and specific device. A systematic review published in 2023 evaluated 13 studies involving 477 participants who received microfocused ultrasound for facial rejuvenation and tightening. The review reported improvements in investigator assessments and patient satisfaction, while also noting the need for additional research. A separate systematic review published in 2025 examined 45 clinical trials and cohort studies involving HIFU. It reported improvements in skin tightening across the studies, while identifying inconsistent treatment protocols and the need for longer-term research. XERF-specific research is more recent.
What Is XERF Treatment? How It Works, Benefits and Limitations
As non-surgical aesthetic treatments continue to develop, many people are exploring ways to improve skin firmness without undergoing surgery. One treatment gaining attention is XERF, a non-invasive skin-tightening treatment that uses dual-frequency monopolar radiofrequency (RF) technology. But what exactly is XERF, how does it work, and what should you know before considering it? Understanding the technology, its potential benefits and its limitations can help you decide whether it is worth discussing with an aesthetic doctor. What Is XERF Treatment? XERF is a non-invasive skin-tightening treatment that uses monopolar radiofrequency energy. It is designed to deliver controlled energy into different tissue depths to support skin tightening and improve the appearance of skin laxity. Unlike treatments that use needles to deliver energy into the skin, XERF delivers radiofrequency energy externally through a treatment handpiece. It does not require the skin to be punctured as part of the energy-delivery process. XERF is intended for people who want to explore non-surgical options for concerns such as reduced skin firmness and mild facial laxity. However, suitability depends on the person’s skin condition, facial structure and desired outcome. To learn more about the treatment offered at Maple Clinic, visit our XERF treatment page. How Does XERF Work? XERF uses two monopolar radiofrequency frequencies: 6.78 MHz and 2 MHz. The system delivers these frequencies in sequence as part of its approach to heating different tissue depths. Radiofrequency energy generates controlled heat within the targeted tissue. This heating can cause changes in existing collagen and initiate a tissue-remodelling response. Collagen is an important structural protein that helps support the skin’s firmness and elasticity. As the skin responds to treatment, gradual changes in firmness may develop. The extent of any visible improvement varies between individuals and cannot be guaranteed. What Makes XERF Different From Conventional Radiofrequency Treatments? XERF combines two frequencies in one treatment pulse. The system also incorporates cooling technology and adjustable treatment settings that allow the practitioner to tailor energy delivery to the treatment area and the individual’s needs. These technical features are designed to help control how energy is delivered. However, having different frequencies or adjustable settings does not automatically mean that one treatment will produce better results for every patient. Treatment outcomes depend on several factors, including the individual’s skin condition, the treatment protocol and the practitioner’s assessment. What Skin Concerns May XERF Help Address? XERF is designed for non-surgical skin tightening. Depending on the individual’s concerns and suitability, a practitioner may consider it when the main goal is to improve the appearance of skin firmness. 1. Mild Skin Laxity Skin can gradually lose some of its firmness as the body ages. Changes in collagen, skin structure and underlying facial support may contribute to a less-firm appearance. Radiofrequency-based treatments are designed to heat targeted tissue and support remodelling. XERF may be considered for selected patients with mild skin laxity, although the degree of improvement varies and deeper structural changes may require a different approach. 2. Less-Defined Facial Contours Some people notice that the cheeks, lower face or jawline appear less defined over time. Skin laxity may contribute to this change, although fat distribution, facial structure and volume changes can also play a role. Where reduced skin firmness is a contributing factor, a skin-tightening treatment may be considered as part of an individualised treatment plan. XERF should not, however, be presented as a guaranteed way to create a sharper jawline or remove fat beneath the chin. 3. Visible Signs of Facial Ageing Changes in skin firmness and the appearance of fine lines can occur as facial skin ages. XERF has been studied for facial laxity and lower-face lifting, but the available clinical evidence is still developing. It is important to distinguish between a treatment’s intended purpose and the results that have been firmly established through research. An assessment can help determine whether XERF is appropriate for the particular concern or whether another option should be considered. What Are the Potential Benefits of XERF Treatment? XERF has several features that may make it worth discussing with a qualified aesthetic practitioner if you are exploring non-surgical skin tightening. Non-invasive treatment: Radiofrequency energy is delivered through an external treatment handpiece rather than through needles. Dual-frequency technology: The system combines 6.78 MHz and 2 MHz radiofrequency energy as part of its approach to treating different tissue depths. Adjustable treatment settings: Energy delivery can be tailored by the practitioner according to the treatment area and individual assessment. Potential improvement in skin firmness: Radiofrequency treatments are intended to support tissue heating and remodelling, although the degree of visible improvement varies. No surgical incisions: XERF does not involve the incisions required for a surgical facelift. These features describe how the treatment is designed to work. They should not be interpreted as a guarantee of a particular result, comfort level or recovery experience. What Does the Clinical Evidence Say About XERF? Clinical research specific to XERF is emerging, so it is important to interpret reported results carefully. A prospective multicentre study published in 2026 followed 39 participants who received two sessions of dual-frequency non-invasive monopolar radiofrequency treatment. The researchers reported improvements in clinician-rated assessments at follow-up visits, including at 90 days. However, the study was relatively small and did not include a control group. The authors’ findings support further investigation, but they do not establish exactly how much improvement every patient can expect, how long results will last, or whether XERF is superior to other skin-tightening treatments. You can read the published study here: Clinical outcomes following dual-frequency non-invasive monopolar radiofrequency treatment. For patients, the practical takeaway is to approach XERF with realistic expectations. A treatment assessment should consider the available evidence alongside the individual’s skin condition, treatment goals and alternatives. What Should You Expect During a XERF Session? The process may vary according to the clinic’s protocol and the treatment area. In general, a non-invasive radiofrequency session involves an assessment, preparation of the treatment area and delivery of energy using the treatment handpiece. Before Treatment The practitioner should discuss your concerns, medical
What Causes Marionette Lines Around the Mouth?
You may first notice them as faint shadows extending downward from the corners of your mouth. Over time, those shadows can become deeper folds that make the mouth appear slightly downturned—even when your face is completely relaxed. These are commonly known as marionette lines. Also called melomental or labiomandibular folds, marionette lines extend from the corners of the mouth toward the chin or jawline. They become more noticeable with age, but some people develop them earlier because of genetics, facial anatomy, sun exposure, smoking or natural patterns of facial movement. But marionette lines are not simply wrinkles in the skin. They can develop through a combination of collagen and elasticity loss, changes in facial fat, bone remodelling, ligament support, muscle activity and sagging tissue around the lower face. That is why treating marionette lines successfully often requires looking at the entire lower face rather than simply injecting the visible crease. What Are Marionette Lines? Marionette lines are folds or depressions extending downward from the corners of the mouth toward the chin. The name comes from traditional marionette puppets, whose movable lower jaws create noticeable lines around the mouth. They are different from nasolabial folds, which run from the sides of the nose toward the corners of the mouth. In simple terms: Nasolabial folds: nose → corners of mouth Marionette lines: corners of mouth → chin/jawline Cleveland Clinic describes marionette lines as wrinkles that extend from the mouth corners toward the chin and notes that they tend to become more noticeable with ageing. They may begin as subtle creases and gradually develop into deeper folds. Why Do Marionette Lines Form? There is no single cause. The lower face is anatomically complex. Skin, fat compartments, ligaments, muscles and bone all interact around the mouth and jawline. Modern anatomical research suggests marionette lines can develop through several simultaneous processes, including: A 2024 anatomical review specifically identified changes in the maxilla and mandible, deeper fat loss, muscle effects, ligament tethering, skin laxity and jowl tissue among the factors contributing to marionette-line formation. Let’s look at these causes individually. 1. Loss of Collagen Collagen provides strength and structural support to the skin. As you age, the skin naturally contains less collagen and becomes less elastic. Mayo Clinic notes that ageing skin becomes drier and less elastic and has less collagen and fat within its deeper layers, contributing to wrinkles and loose skin. Around the mouth, this reduced support means the skin becomes less able to resist folding. A faint line that once appeared only when speaking or smiling may eventually remain visible even when the face is relaxed. This is one reason marionette lines usually become more noticeable with age. 2. Loss of Skin Elasticity Collagen gives skin strength, while elastin helps it stretch and return toward its previous position. As skin elasticity declines, facial movements leave increasingly visible impressions. This is especially relevant around the mouth because this area is constantly moving when you: Repeated facial movement is normal and not something you should try to avoid. However, as ageing skin loses flexibility, the lines created during movement may remain visible for longer. Mayo Clinic identifies both declining skin elasticity and repetitive facial expressions as contributors to persistent wrinkles. 3. Facial Volume Loss Ageing does not affect only the skin. Facial fat is organised into different compartments, and these compartments can lose volume or change position differently over time. Around the mouth and lower face, this can create areas of: Research into facial ageing describes lower-face changes as involving both loss of support and redistribution of facial fat. The result can be a clearer separation between tissues on either side of the marionette line. This is why simply treating the skin surface may not fully correct a deeper marionette fold. 4. Changes in the Cheeks Can Affect the Lower Face It may seem surprising, but marionette lines are not always just a mouth-area problem. Changes higher in the face can influence what happens lower down. Age-related loss of midface support can alter cheek projection and the way facial tissues sit over the lower face. Research into facial ageing describes deep midface fat loss and reduced cheek support as contributors to descending facial tissues and increasing lower-face ageing. This can make: That is why a qualified practitioner should assess the whole face, not simply the line beside your mouth. 5. Jowls Can Make Marionette Lines Deeper Jowls are sagging or fuller areas that develop along the lower jawline. As jowl tissue becomes more prominent, it can accentuate the hollow or crease immediately in front of it. Anatomical research suggests marionette lines can become more noticeable because fat and tissue accumulate on one side of the fold while volume is reduced on the other. This creates a stronger contrast between: The hollow marionette regionandThe fuller jowl beside it The shadow between those areas can make the line appear much deeper. This is why treating the crease alone may not always provide the most balanced result. 6. The Mandibular Ligament Can Define the Fold The lower face contains ligaments that attach tissues to deeper structures. One particularly important structure in marionette-line anatomy is the mandibular ligament. Research indicates that this ligament acts as a structural fixation point near the lower part of the marionette line. As surrounding tissue changes with age, the ligament can create a relatively fixed boundary while nearby tissue becomes looser or fuller. This helps explain why marionette lines can sometimes look sharply defined. The problem is not simply a wrinkle sitting on top of the skin—it can involve how deeper tissues are attached. 7. Facial Muscles Influence Marionette Lines Several muscles affect the lower face and corners of the mouth. These include the: The depressor anguli oris, or DAO, pulls the corners of the mouth downward. Research examining facial ageing has linked activity of the DAO and platysma to the development and prominence of marionette lines and downturned mouth corners. Some people naturally have stronger downward muscle activity than others. This can
How to Improve a Tired-Looking Face Without Surgery
You can sleep well, drink enough water and still look in the mirror and think: “Why do I look so tired?” A tired-looking face is not always caused by tiredness. Dark circles, hollow under-eyes, puffy eye bags, flatter cheeks, dull skin, fine lines and mild facial sagging can all create shadows and changes in facial contour that make you appear less rested—even when you feel perfectly fine. Ageing can make some of these changes more noticeable. The skin around the eyes becomes thinner, facial volume changes and supporting tissues gradually weaken. Genetics, allergies, pigmentation and sun exposure can also contribute. The good news is that improving a tired-looking face does not automatically require surgery. Depending on what is causing the appearance, options may range from simple skincare and lifestyle changes to treatments such as chemical peels, microneedling, laser treatments, skin tightening, neuromodulator injections or carefully selected dermal fillers. The key is identifying what actually makes your face look tired before choosing a treatment. What Makes a Face Look Tired? When people say their face looks tired, they may be describing several different concerns. Common features include: You may have only one of these concerns or several at the same time. That distinction matters because there is no single treatment for a tired-looking face. For example, treating pigmentation will not correct a deep tear trough. Adding filler will not solve allergy-related puffiness. And a tightening procedure may not be the best choice when the real problem is facial volume loss. Why Does My Face Look Tired Even When I Get Enough Sleep? Sleep deprivation can certainly affect how rested you look, but it is only one possible cause. Cleveland Clinic lists ageing, genetics, allergies, lack of sleep, dehydration, sun-related pigmentation and eye rubbing among possible causes of dark under-eye circles. It also notes that tear-trough hollows can create shadows beneath the eyes. Mayo Clinic explains that under-eye bags can become more noticeable as tissues supporting the eyelids weaken with age. Fat may shift into the lower eyelids, and fluid can also collect beneath the eyes. So if you consistently get enough sleep but still look tired, your facial appearance may have more to do with anatomy and skin changes than actual fatigue. 1. Dark Circles Can Make You Look Constantly Tired Dark circles are one of the most obvious reasons a person may appear tired. But not all dark circles have the same cause. They may involve: Cleveland Clinic notes that ageing can make the under-eye skin thinner, allowing underlying blood vessels to become more visible. Genetics can also play a significant role. What can help? Treatment depends on the cause. Pigmentation may respond to targeted skincare or selected professional treatments. Allergy-related darkness requires managing the allergy. Structural shadowing from a deep tear trough requires an entirely different approach. This is why simply buying another “dark-circle cream” does not work for everyone. 2. Tear-Trough Hollows Can Create Shadows The tear trough is the groove running from the inner under-eye area toward the upper cheek. Some people naturally have noticeable tear troughs even when young. Others develop deeper hollows as facial anatomy changes with age. Cleveland Clinic specifically notes that hollow tear-trough areas can create shadows that make the under-eye region appear darker or puffier. One useful clue is lighting. If your “dark circles” look dramatically worse under overhead lighting but less noticeable when light shines directly toward your face, shadowing may be an important part of the problem. Skincare can improve the surface skin, but it cannot fundamentally alter a deep anatomical hollow. 3. Eye Bags Can Make You Look Tired Sometimes the problem is not a hollow but the opposite: puffiness beneath the eyes. As tissues surrounding the eyes change with age, fat can move into the lower eyelids and create visible bags. Fluid retention may make them look more pronounced. Under-eye bags can also cast a shadow immediately beneath the puffiness. This may produce both: Common factors that may worsen under-eye puffiness include ageing, fluid retention, lack of sleep, allergies, smoking and genetics. What may help temporarily? For mild fluid-related puffiness, Mayo Clinic recommends measures such as a cool compress, managing allergies where appropriate and sleeping with the head slightly elevated. Structural eye bags caused by prominent fat or significant loose eyelid skin may respond much less to home remedies. 4. Loss of Facial Volume Can Create a Drawn Appearance Facial fullness changes gradually with age. The cheeks may appear flatter, temples may become more hollow and the transition between the lower eyelid and cheek may become less smooth. These changes create shadows. And shadows strongly influence whether a face looks: Someone may therefore feel energetic while appearing “drawn” simply because the shape of the face has changed. Volume loss can be particularly noticeable around the: Restoring selected areas of volume may sometimes soften these shadows, but treatment needs to be conservative and anatomy-led. 5. Dull Skin Can Make the Whole Face Look Tired A tired appearance is not always concentrated around the eyes. Sometimes the entire complexion simply looks: Healthy-looking skin reflects light relatively evenly. When the surface becomes dry, rough or unevenly pigmented, light scatters differently and the complexion may appear less fresh. Potential contributors include: Improving the skin itself can therefore make a noticeable difference even without changing facial structure. 6. Fine Lines Can Contribute to a Fatigued Appearance Fine lines around the eyes are completely normal. However, when combined with dark circles, dryness or hollowing, they can make the eye area appear more fatigued. Common areas include: Dehydrated or dry skin may temporarily make fine lines more noticeable. Expression-related lines can also become more established over time. 7. Facial Sagging Can Change the Overall Expression Mild changes in skin firmness or facial support can make the lower face appear heavier. People may notice: This can change how the face is perceived even when the person is not tired. Non-surgical skin-tightening procedures may provide modest improvement in appropriately selected people with mild laxity. The American
Why Does the Face Lose Volume With Age?
A face can change considerably with age even when your weight stays almost exactly the same. Cheeks may appear flatter. The temples can become more hollow. The area beneath the eyes may look sunken, and folds around the mouth may seem deeper. At the same time, the lower face can begin to look heavier or less defined. These changes are often described as facial volume loss. But why does facial volume disappear with age? The answer is more complex than simply “losing fat.” Facial ageing affects several anatomical layers at the same time. Facial fat compartments can lose volume or change position, facial bones gradually remodel, skin becomes thinner and less elastic, and deeper supporting structures also change. Understanding these changes is important because a face that looks hollow does not necessarily need the same treatment as a face with loose skin or significant jowling. The best approach starts by identifying where volume has changed and why. What Is Facial Volume Loss? Facial volume refers to the fullness and structural support created by several different tissues, particularly: A youthful-looking face generally has smoother transitions between these structures. For example, there may be a relatively smooth contour between the lower eyelid and cheek, fullness over the cheekbones and temples, and good structural support around the mouth and jawline. As these tissues change with age, the face can develop areas that look: The American Academy of Dermatology notes that it is natural for the face to lose some youthful fullness as part of intrinsic ageing. However, facial volume does not disappear evenly. That uneven change is what creates many familiar signs of facial ageing. Where Does Facial Volume Loss Usually Appear? Volume changes can occur throughout the face, but some areas are particularly noticeable. Common areas include: Some regions become hollow while others may appear relatively fuller because facial fat changes differently in different compartments. Research on facial ageing describes loss of subcutaneous fat in areas including the temples, forehead, around the eyes, cheeks, jaw and mouth, while other areas may become relatively more prominent because of fat redistribution. This is why facial ageing is not simply a process of the entire face getting thinner. Why Does the Face Lose Volume With Age? There are several reasons. 1. Facial Fat Changes With Age One of the biggest contributors is the way facial fat compartments change. The face does not contain one continuous layer of fat. Instead, facial fat is organised into separate superficial and deep compartments. These compartments can behave differently as you age. Some can lose volume more noticeably than others. Deep cheek fat, for example, may become less supportive, contributing to flattening of the midface and making the transition between the lower eyelid and cheek appear less smooth. Recent anatomical literature also describes deep cheek fat atrophy alongside ligament and bone changes as contributors to midface deflation. This can make the cheeks appear: At the same time, folds and shadows elsewhere may become more noticeable. 2. Fat Does Not Disappear Evenly A particularly important point is that facial fat loss is not uniform. Different fat compartments change at different rates. Research describing facial fat anatomy notes that depletion can occur independently within individual compartments rather than as one uniform loss of facial fat. This helps explain why ageing can create a combination of: Hollow temples + deeper folds + flatter cheeks + more noticeable jowls all at the same time. One area becomes depleted while another may appear relatively heavier. That uneven distribution changes the overall shape of the face. 3. Facial Bones Remodel Throughout Adult Life Your facial bones are not a completely fixed framework after early adulthood. The facial skeleton continues to remodel with age. A 2026 review of facial bone ageing found that age-related skeletal changes occur throughout adult life, with region-specific changes affecting areas including the orbital rims, maxilla and mandible. Why does this matter? Because facial bones provide support for everything sitting above them. Think of the face as a structure: Bone forms the foundation.Fat adds contour and volume.Skin covers the structure. When the underlying foundation changes, the overlying tissues are supported differently. For example, age-related changes around the eye socket and upper cheek can contribute to greater under-eye hollowing. Changes in the maxilla—the central facial bone beneath the cheeks—can reduce support for the midface. Changes around the jaw may also influence lower-face contour. So what looks like “fat loss” may actually be a combination of fat changes and reduced skeletal support. 4. Collagen Declines With Age Collagen is a major structural protein within the skin. It helps maintain: As collagen changes with age, the skin becomes thinner and less supportive. This does not technically represent the same type of volume loss as losing facial fat, but it can make underlying volume changes much more visible. A face with less dermal support may develop: Changes in collagen and skin structure are therefore part of the overall ageing process that makes the face appear deflated. 5. Skin Becomes Thinner and Less Elastic Skin ageing affects both thickness and elasticity. As the skin becomes thinner and less resilient, it may no longer drape over facial structures in the same way. The AAD notes that natural ageing is associated with thinner, drier skin and loss of youthful facial fullness. Reduced elasticity can also mean that when deeper volume decreases, the skin does not simply contract tightly around the new facial shape. Instead, volume loss and skin laxity may occur together. That combination can produce: This is why someone may need treatment for both volume loss and skin laxity, rather than simply one or the other. 6. Supporting Ligaments Change Facial retaining ligaments help stabilise and support the facial tissues. These ligaments interact with the different fat compartments and deeper layers of the face. As ageing affects facial support, changes in ligaments and surrounding tissues can make folds and contour changes more noticeable. Research into facial volume restoration notes that retaining ligaments help anchor skin and facial fascia,
What Causes Facial Sagging? 8 Common Causes Explained
Facial sagging is one of the most common visible changes associated with ageing. You may notice that your cheeks look lower, your jawline becomes less defined, or the skin around the lower face and neck feels less firm than it used to. But what causes facial sagging? It is easy to assume that gravity is the only reason. In reality, facial sagging is a gradual process involving several changes in the skin, collagen and elastin, facial fat, connective tissues and underlying facial structures. External factors such as sun exposure and smoking can also accelerate visible skin ageing, while genetics, hormonal changes and significant weight loss may influence how early or noticeably facial sagging develops. Understanding the cause is important because different types of facial sagging may require different treatment approaches. If you are already noticing loss of firmness, you can also explore the different non-surgical face lifting treatments in Malaysia that may be considered depending on the cause and degree of skin laxity. What Causes Facial Sagging? Facial sagging is usually caused by a combination of age-related and environmental changes rather than one single factor. The main contributors include: Natural ageing Loss and changes in collagen and elastin Reduced skin elasticity Changes in facial fat Changes in deeper facial support Long-term sun exposure Significant or rapid weight loss Genetics and hormonal changes These factors can overlap. For example, someone may have age-related collagen loss together with sun damage and changes in facial fat distribution. 1. Natural Ageing The most common cause of facial sagging is the natural ageing process. As we age, the skin gradually becomes less elastic and the structures that support facial shape change over time. Collagen and elastin are important components of the skin’s structural support. Age-related changes in these components can contribute to reduced firmness and elasticity. At the same time, changes can occur below the skin, including changes in facial fat and deeper structural support. This is why facial ageing is not simply a problem of loose skin. 2. Collagen Loss Collagen provides structural support within the skin. As collagen production and organisation change with age, the skin may gradually become less firm and more prone to laxity. This can contribute to visible changes such as: Reduced skin firmness Fine lines and wrinkles Looser-looking skin Less defined facial contours More noticeable folds Collagen changes are one reason why many non-surgical aesthetic treatments focus on stimulating or supporting collagen remodeling. However, collagen loss is only one part of facial ageing. Treating collagen alone may not address changes in facial fat or deeper support. 3. Loss of Skin Elasticity Elastin helps the skin stretch and return toward its original position. As the skin ages and accumulates environmental damage, its ability to maintain elasticity can decrease. This can make the skin appear less resilient and contribute to laxity around areas such as the: Cheeks Jawline Lower face Neck Reduced elasticity is particularly noticeable when the skin has to adapt to changes in the underlying facial tissues. 4. Changes in Facial Fat Another important cause of facial sagging is the way facial fat changes with age. Facial fat is organised into different compartments rather than existing as one uniform layer. With ageing, some areas may lose volume while other fat compartments can shift or become more prominent. These changes can affect facial contours and contribute to features such as: Flatter-looking cheeks Deeper facial folds Jowls Reduced jawline definition Changes around the lower face Research on facial ageing describes changes in both the amount and distribution of facial fat, which can alter the relationship between the skin and deeper facial structures. This is why facial sagging cannot always be corrected simply by tightening the skin. 5. Changes in Deeper Facial Support Facial ageing also involves changes beneath the skin. The skin, connective tissues, fat, muscles and underlying facial skeleton work together to create facial shape and support. Over time, changes in these deeper structures can alter facial proportions and the way the overlying skin sits. Changes in facial bone and other structural tissues have been associated with changes in facial contour and soft-tissue support. This helps explain why two people of the same age can develop very different patterns of facial sagging. 6. Long-Term Sun Exposure Sun exposure is one of the major environmental factors that can accelerate visible skin ageing. Ultraviolet radiation can damage collagen and elastin fibres within the skin. Over time, cumulative UV exposure can contribute to loss of elasticity, wrinkles and other signs of photoaging. This means someone who has spent many years with significant unprotected sun exposure may develop visible skin ageing earlier or more noticeably than someone with less cumulative UV exposure. Sun protection is therefore important not only for pigmentation and skin cancer prevention, but also for maintaining skin quality as you age. 7. Significant or Rapid Weight Loss Major weight changes can also affect how the face looks. When a person loses a significant amount of facial or overall body fat, the skin may not immediately adapt to the change in underlying volume. This can make the face appear: Less full Looser More hollow in certain areas Less defined around the jawline Weight loss does not cause facial sagging in everyone, but significant changes in facial volume can make existing laxity more noticeable. This is another reason why the visible appearance of facial sagging cannot always be explained by skin elasticity alone. 8. Genetics and Hormonal Changes Genetics can influence how quickly and where visible facial ageing develops. Some people naturally have thicker or more elastic skin, while others may be more prone to earlier changes in facial volume, laxity or jawline definition. Hormonal changes can also affect skin thickness, collagen and other aspects of skin ageing. This is why there is no single age at which everyone develops facial sagging. Does Gravity Cause Facial Sagging? Gravity does play a role, but it is not the whole explanation. As the skin becomes less elastic and the underlying facial tissues change, gravity
Can Acne Scars Be Completely Removed? Realistic Treatment Expectations
If you have lived with acne scars for years, one of the first questions you may ask is: Can acne scars be completely removed? The honest answer is not always. Modern acne scar treatments can significantly improve the appearance of many scars, but no treatment can guarantee that every acne scar will disappear completely. The amount of improvement depends on the type of scar, depth, severity, skin condition, treatment chosen and individual healing response. For many people, the realistic goal is not to make the skin look as though it never had acne. Instead, treatment aims to make scars less noticeable, improve uneven texture and create a smoother, more even-looking complexion. Understanding this difference can help you make better treatment decisions and have more realistic expectations. Can Acne Scars Be Completely Removed? Acne scars cannot always be completely removed. Acne scarring can involve structural changes within the skin. When deeper acne inflammation damages the skin, the healing process can produce too little or too much collagen in certain areas. This can leave behind depressed scars, raised scars or uneven skin texture. Because the scar may involve changes beneath the skin surface, treatment generally focuses on remodelling the scar and improving its appearance, rather than simply erasing it. That does not mean treatment is ineffective. Meaningful improvement can often be achieved when the treatment is appropriately matched to the scar. What Does “Acne Scar Improvement” Actually Mean? When someone says their acne scars have improved, this does not necessarily mean the scars have disappeared. Improvement can mean: Scars are less visible under normal lighting Skin texture looks smoother Depressed areas appear shallower The contrast between scars and surrounding skin is reduced Uneven texture becomes less obvious Skin looks more even overall Certain pigmentation or post-acne marks become less noticeable The overall complexion appears healthier and more uniform A scar may still be visible when examined closely, but it can become much less noticeable in everyday situations. Why Are Acne Scars So Difficult to Completely Remove? Acne scars are different from temporary acne marks. A flat brown or red mark left after acne may be related to post-inflammatory pigmentation or redness. A depressed acne scar, however, can involve an actual change in the structure of the skin. When acne causes significant inflammation, the healing process may alter collagen production. This can contribute to: Depressed scars Uneven skin texture Loss of skin support Irregular skin surface Raised scar tissue Post-acne pigmentation Because different problems can exist at the same time, there is rarely a single treatment that is ideal for every person. A treatment that is useful for pigmentation may not be the best choice for a deep depressed scar. Can Deep Acne Scars Be Completely Removed? Deep acne scars are generally more challenging to improve than superficial textural changes. This does not mean that deep scars cannot be treated. It means that the expected outcome should be different. For example, a deep rolling or boxcar scar may become shallower and less noticeable after treatment, but some residual irregularity may remain. Very deep or narrow scars, such as some ice-pick scars, may require a different approach from broader superficial scars. The deeper and more structurally established the scar is, the more important it becomes to identify the scar type before selecting treatment. Does the Type of Acne Scar Matter? Yes. One of the most important factors in acne scar treatment is understanding what type of scar you actually have. Rolling scars Rolling scars tend to create broad, shallow depressions that can make the skin look uneven, particularly under overhead or side lighting. Because some rolling scars may involve tethering beneath the skin, simply stimulating collagen at the surface may not address every component of the scar. Boxcar scars Boxcar scars are usually wider depressions with more defined edges. They can vary significantly in depth, so treatment needs to be tailored to the individual scar. Ice-pick scars Ice-pick scars are narrow and extend relatively deeply into the skin. They can be more difficult to treat with general surface resurfacing alone, and some patients may require a more targeted treatment strategy. Raised acne scars Raised scars are different from depressed scars because scar tissue extends above the surrounding skin. They require a different treatment approach from atrophic or depressed acne scars. Post-acne pigmentation Dark marks after acne are not necessarily structural acne scars. Post-inflammatory hyperpigmentation is a colour change rather than a depression in the skin. This distinction matters because pigmentation-focused treatments may be more appropriate when the main concern is discolouration rather than textural scarring. What Acne Scar Treatments Can Actually Do There is no single “best” acne scar treatment for everyone. Depending on the scar type and skin characteristics, treatment may include procedures such as: Microneedling Radiofrequency microneedling Fractional laser resurfacing Subcision Chemical peels Fillers for selected depressed scars Combination treatments Treatments specifically targeting pigmentation The important point is that treatment should be selected according to the patient’s individual scars and skin characteristics. Why Combination Acne Scar Treatment May Sometimes Be Better Acne scars are often mixed. For example, one patient may have: Rolling scars on the cheeks Boxcar scars around the temples A few deeper scars Post-acne pigmentation Trying to treat all of these problems with one technology may not provide the best result. A dermatologist may therefore recommend a combination approach, where different treatments address different components of the scarring. This does not mean that everyone needs multiple procedures. The appropriate plan depends on the individual’s skin and scar characteristics. Can Acne Scars Improve After Just One Treatment? Some patients may notice an improvement after one treatment. However, one session should not automatically be considered the final result. Many acne scar procedures work partly through the body’s healing and collagen-remodelling process. This means visible changes may continue to develop after the procedure rather than appearing immediately. A series of treatments may therefore be recommended when greater improvement is the goal. How Long Does It Take to See Acne Scar Treatment