How long does XTherma last?

How long does XTherma last? Let's start by understanding how it works on the skin.

One of the most frequently asked questions before deciding on XTherma treatment is, "How long will the results last?" and "Is it worth the money?" This is a reasonable question, as facial lifting is a long-term investment in your skin. The clinic explains that understanding the mechanism and setting realistic expectations from the start helps in making a more confident decision.^[1]

XTherma is a Monopolar Radiofrequency (RF) technology with a frequency of 6.78 MHz that delivers thermal energy to the deep layers of the skin. The doctor adjusts the energy level to suit each individual's skin condition. The clinic explains that the heat stimulates existing collagen fibers to contract and promotes the long-term production of new collagen.^[1] The clinic's service page further states that they use a Skin Temperature Control (STC) system during the treatment, creating a sensation of warmth or deep heat alternating with coolness, and that full results are not visible on the day of treatment.^[2]

A review of skin tightening technologies in the journal Facial Plastic Surgery aligns with this principle, stating that RF and focused ultrasound use heat to stimulate collagen restructuring to address facial and neck sagging. However, the authors emphasize that these methods are not intended to replace surgery.^[8]

How long does XTherma last, and why isn't it permanent?

The clinic's straightforward answer is that, generally, the results of XTherma last around 6-12 months, depending on age, original skin condition, lifestyle, post-treatment care, and the doctor's assessment and energy settings. Some people may experience continued skin tightening for longer, while others may need repeat treatments sooner to maintain the results.^[1]

It should be understood that the 6-12 month figure is a clinically used timeframe and not a direct result of independent XTherma research. No published studies tracking the effects of this device have been found in available sources. The closest independent data is a study of Monopolar RF using the Oligio device in 30 Thai adults aged 43-53 years, undergoing one treatment and followed up at 1, 3, and 6 months. It found that approximately 871 TP3T were assessed as improved at 6 months by dermatologists who were unaware whether the images were before or after.^[3] However, this study lacked a control group, the sample size was quite small, the evaluation was subjective, and the instruments and publication costs were related to the manufacturer. Furthermore, the follow-up only lasted 6 months, so it's impossible to say whether the effects persisted thereafter.^[3]

Why are the results not permanent?

The clinic explains that XTherma doesn't stop the skin's natural aging process. As we age, the body produces less collagen, the fibers thin, and the skin loses elasticity. The procedure therefore slows and rejuvenates the process, rather than permanently altering the structure like surgery.^[1] Biological data from a review in the International Journal of Molecular Sciences consistently show that the number of fibroblasts (cells that produce and restructure collagen) decreases with age. For example, older adults have about 351 TP3T fewer fibroblasts than younger people in sun-exposed skin, and the remaining cells are less active.^[4] This information describes the nature of the skin; it does not directly measure the effect of RF or the duration of the effects.

The narrator in the MDedge report also noted that the effectiveness of skin tightening devices varies both between machines and between individuals, and that RF treatments generally require multiple sessions; one session is usually insufficient.^[5] Therefore, it should be viewed as a skincare program planned in collaboration with a doctor, not as a one-time treatment that provides permanent results.

When does XTherma show results? Why do some people say their condition keeps improving?

The clinic divides the results into two phases. The short-term phase involves a feeling of tightness and slightly firmer skin immediately after the procedure. The long-term phase, during which the body continuously produces new collagen, results in firmer, fuller skin and a more defined facial contour for 1-3 months after the treatment.^[1] The clinic's service page consistently states that results are not fully visible on the day of treatment.^[2] The 1-3 month figure is a clinical description; actual results vary from person to person.

The Oligio study mentioned above followed a similar pattern, tracking outcomes at 1, 3, and 6 months, and reported that dermatological assessments showed improvement at 3 and 6 months.^[3] This data is from a different model, not the XTherma, and therefore can only be used to illustrate the general trends of monopolar RF.

Example images of real patients from the clinic's original article are shown below. The images are only examples of some cases; individual results may vary and are not a guarantee.

Factors that cause XTherma to last longer or shorter in others (summary table).

The clinic identifies four key factors that affect the duration of results: age and original skin condition, lifestyle, physician's energy settings and technique, and post-treatment skin care.^[1] The table below compares what clinics state with what is found in independent sources to show the degree of evidence supporting each claim.

What are the benefits of post-XTherma skin care?

The clinic views post-treatment care as a factor that many people overlook but which is very important.^[1] It's important to be aware that, according to widely available independent sources, there is no direct research demonstrating that post-XTherma treatment care prolongs results. Therefore, the recommendations below are clinic guidelines and general skin health information, not a guarantee of results.

Hydrate the skin.

The clinic explained that hydrated skin recovers better and recommended a moisturizer or skincare product that helps strengthen the skin barrier.^[1] Regarding the claim that hydration promotes more efficient collagen production, no independent study confirming this in the context of RF has been found, so it should be considered a clinical explanation.

Protect yourself from the sun regularly.

The clinic recommends using sunscreen daily and avoiding strong sunlight in the initial period after the procedure.^[1] A review of UV radiation and sun protection indicates that regular use of sunscreen helps reduce skin damage from UV light.^[7] However, the abstract of the paper did not mention collagen or its effect on lifting procedures, so it can only be concluded that sunscreen is a good skincare habit, but it has not been proven to extend the effects of XTherma.

Take care of your health from within.

The clinic recommends drinking plenty of water, eating protein and vitamins, and getting quality sleep.^[1] Regarding smoking, a review of 17 studies on "Cigarette Smoking and Facial Wrinkles" found a correlation between smoking and earlier facial wrinkles. However, the authors point out that the methods used to measure wrinkles varied across the studies, resulting in a correlational finding, not evidence that quitting smoking prolongs the effects of RF (Radio Frequency Ion Therapy).^[6]

Repeat as directed by your doctor.

The clinic states that consistent use over the right periods helps the skin look good in the long term.^[1] The clinic's service page explains that post-treatment evaluation and follow-up determine whether further treatment is necessary, and there is no fixed revision cycle for everyone.^[2] Therefore, the question of "when to repeat the treatment" should be assessed by a doctor based on each individual's actual skin condition, rather than simply counting months.

XTherma is suitable for those who are afraid that the treatment won't be worth it?

The clinic explained that XTherma is suitable for those who are beginning to feel their skin sagging, do not want surgery, want their skin to look better naturally, and understand that skincare is an ongoing process, not a one-time event. It may not be suitable for those who expect permanent results like surgery or who cannot afford post-treatment skincare.^[1]

Independent sources share a similar view. A speaker at MDedge reported that those requiring surgical intervention are not good candidates for skin-tightening devices, and those expecting a taut, manual-tightening effect should not expect it from these devices, as the results are inconsistent for each individual.^[5] Value for money therefore depends more on expectations and long-term plans than on the number of months. Consulting a doctor to assess your skin before making a decision is a recommended step.

Read more about XTherma's suitability for different age groups, skin concerns, and lifestyles in the article below.

FAQ (Frequently Asked Questions)

Conclusion

How long does XTherma last? The clinic states it's generally around 6-12 months, but this is an estimate depending on age, skin condition, lifestyle, energy settings, and post-treatment care. Independent research available is on other RF models, following results for only 6 months, and there's no evidence to suggest that post-treatment care extends the results. Therefore, value for money depends on realistic expectations and the ongoing care plan developed by the doctor.

At Fresh Code Clinic, doctors assess your skin on a case-by-case basis to create a personalized treatment plan. The information in this article is general knowledge and is not a diagnosis or guarantee of results. For more information, please consult a doctor for an assessment first.

References