Who is the best doctor for XERF in Brasília?
Choosing a XERF doctor comes down to seven checkable criteria: physician-led care, a registered device, settings per area, honest candidacy, a realistic plan, a clinical choice of device and a transparent price in reais.
Agendar ConsultaShort answer: what to look for in a XERF provider
A good XERF provider is a licensed physician who assesses you in person and tells you clearly who will perform the treatment, works with a genuine, Anvisa-registered device, sets depth and energy area by area, and says honestly whether your skin is a candidate. In Brasília, Dr. Thiago Perfeito (CRM-DF 23199) offers XERF at the INTI clinic in Lago Sul, and each of these points can be checked before you book.
XERF is a monopolar radiofrequency platform made by Cynosure Lutronic, a South Korean manufacturer. It delivers two frequencies, 6.78 MHz and 2 MHz, in sequence within a single pulse, to tighten mild to moderate skin laxity without needles or cutting. What the device can do is covered in the companion guide, Best XERF treatment in Brasília (devices compared). This page answers a different question: once you have decided you want XERF, who should hold the handpiece?
The question matters because in radiofrequency the result depends heavily on the choices made around the machine: whether the case suits the technology, how much energy is actually delivered, and how many pulses cover each area. Published studies of the device are small and have ties to the manufacturer, so no study can tell you that one clinic will do better than another. What you can do is compare providers on criteria that are observable and verifiable, which is the structure of this page.
The rest of the page sets out seven criteria, the questions worth asking before a first session, a facts table for the clinic, and the price and session plan. Dr. Thiago Perfeito has no commercial relationship with any manufacturer mentioned on this page.
The criteria, and how to verify each one
The table below lists what separates a well-run XERF service from a poorly run one. The last column contains only facts that can be confirmed; it is not a ranking.
| Criterion | Why it matters | How to verify | Dr. Thiago Perfeito |
|---|---|---|---|
| Licensed physician who assesses and treats | Choosing the area, depth and energy is a clinical judgement, and so is deciding that you should not be treated | Look up the doctor's CRM at cfm.org.br under the physician search, and ask who will hold the handpiece | Physician, CRM-DF 23199, aesthetic and regenerative medicine; in-person assessment with Dr. Thiago Perfeito before any quote |
| Genuine device with Anvisa registration | Radiofrequency is energy delivered into tissue; an unregistered or grey-market unit has no traceable safety or servicing record | Ask for the device name and manufacturer, then search the registration on the Anvisa website | XERF by Cynosure Lutronic, registered with Anvisa (number 80102519322, risk class II); cryogen cooling integrated in the platform |
| Depth and energy chosen per area | Eyelids, jawline, neck and abdomen tolerate and need different settings; one preset for the whole face is a shortcut | Ask how the plan differs between areas and which handpiece is used near the eyes | Depth and energy chosen for each region and adjusted during the session |
| Honest candidacy | XERF tightens skin that has lost tension; it does not replace lost volume or remove excess skin | Ask what would make you a poor candidate and what the alternative would be | Indicated for mild to moderate laxity; volume loss and true skin excess are directed to other routes |
| Realistic session plan | Collagen remodelling builds over weeks to months, so a provider who sells a fixed package before examining you is selling a number | Ask how many sessions, how far apart, and when progress is judged | Clinic protocol of 1 session every 6 months, with reassessment at each return |
| Device choice is clinical | A clinic with a single device tends to recommend that device for everyone | Ask which other radiofrequency devices the clinic has and why this one is recommended for you | The clinic also has Oligio X; the choice between the two is made at the assessment |
| Transparent price per area | The fee should track the size of the area treated; a very low fee for a full face often means less coverage | Ask for the range per area in writing, and for how many areas are included | R$ 2,900–12,000 per session, depending on the area; the firm quote is given after the in-person assessment |
Two of these deserve extra weight. The first is candidacy. A provider who has never told a patient that XERF is not the right tool is unlikely to be assessing carefully. The second is who does the work. Ask who will assess you and who will hold the handpiece, and expect a direct answer.
Why the device and the doctor are separate questions
Patients often search for the machine and assume the doctor follows. The published studies cannot settle which matters more, because none compares operators or devices. A prospective multicentre study published in Cureus in 2026 followed 39 patients who had two XERF sessions four weeks apart; 84.6% reached an investigator-rated aesthetic improvement score of 3 or higher at 30 days and 92.3% at 90 days, with no lasting adverse events. It had no control group, follow-up was three months, and the manufacturer supplied the device, the consumables and research funding. A retrospective study in Lasers in Medical Science in 2026 followed 16 women after a single session and reported a redistribution of volume, lifting of brows and upper eyelids, and better wrinkles and pores at up to three months; its authors call the findings preliminary, and the first author is an international trainer for the manufacturer.
A computational and pig-skin study, also in Lasers in Medical Science, in 2025, explains the design logic: the 2 MHz frequency heated deeper and wider in fatty tissue, while 6.78 MHz concentrated along the fibrous septa, and together they produced a thermal reaction at the junction between dermis and subcutaneous tissue. That study is not clinical, and its authors are linked to the manufacturer.
Taken together, these papers describe a technology with a coherent rationale and favourable early results. They do not show that XERF beats other radiofrequency devices, and none compares devices directly. That is why it is reasonable to choose a provider on judgement and transparency, not only on the name of the machine.
Questions to ask before your first session
These questions work at any clinic, and they are also the ones a careful physician expects. The answers should be specific, not general reassurance.
- Who will treat me, and what is their CRM? The name should be one you can find in the CFM physician search.
- Which device is it, and what is its Anvisa registration? A clinic that cannot name the manufacturer is a warning sign.
- Am I a good candidate? A useful answer mentions the degree of laxity, skin thickness and what XERF will not change.
- What would you recommend if XERF is not right for me? Volume replacement, a collagen biostimulator or surgery may be the honest answer.
- Do you have other radiofrequency devices? If yes, ask how the choice between them is made.
- How many sessions do you expect, and when do we judge the result? Response builds over weeks to months, so photographs taken right after a session understate it.
- What is the price for each area, and what does it include? Ask for a range in writing and for the number of areas covered.
- What are the risks and who do I call if something goes wrong? Redness and mild swelling are expected; you should also be told who to contact after the session.
- Do I have a pacemaker, another active electronic implant, or a metal implant in the area? Am I pregnant? These need to be declared, because they change or rule out treatment.
Bring a list of medicines and any previous aesthetic treatment in the same area. Skin should be clean, without cream or make-up, on the day.
How Dr. Thiago Perfeito meets each criterion (verifiable facts)
The facts below are stated plainly so they can be checked, not taken on trust. The clinic has offered XERF since July 2026, and this page makes no claim about the number of XERF cases.
- Physician: Dr. Thiago Perfeito, CRM-DF 23199, Aesthetic and Regenerative Medicine; the registration can be confirmed at cfm.org.br.
- Clinic: INTI, St. de Hab. Individuais Sul QI 11, Deck Brasil, Bl. O, Sala 115, Lago Sul, Brasília-DF, 71625-240. WhatsApp 61 99667-0808.
- Experience in aesthetics overall: more than 10,000 procedures performed in total, at an average of 4 to 5 a day over about ten years. This is a total across all procedures, not a XERF figure.
- Training: Master's degree in Aesthetic Medicine (Esneca, Spain, 2024); international training at Harvard Medical School and Mayo Clinic.
- Memberships: ASLMS, A4M, AMS (Aesthetic Multispecialty Society) and NYAS.
- Device: XERF, Cynosure Lutronic, registered with Anvisa (number 80102519322, risk class II), with integrated cryogen cooling and two frequencies (6.78 MHz and 2 MHz) delivered in sequence.
- Other radiofrequency option: Oligio X (6.78 MHz), so the choice of device is clinical.
- Protocol: 1 XERF session every 6 months, with reassessment at each return.
- Fee: R$ 2,900–12,000 per XERF session, depending on the area.
- Language: consultations in English; see Best English-speaking aesthetic doctor in Brasília.
- Google reviews: 5.0 rating; the reviews are gathered on the reviews page.
- Approach: natural results, a staged plan rather than random treatments, and an in-person assessment before any figure is given. More on the physician is on the about page.
- What Dr. Thiago Perfeito does not do: PMMA, biopolymers or liquid silicone are never used.
Read together, these items let a patient check each criterion independently. Dr. Thiago Perfeito has no commercial relationship with any manufacturer mentioned on this page.
Who should and should not have XERF
Candidacy is where a provider's honesty shows most. The best-fitting patient has mild to moderate laxity, skin that still has thickness and elasticity to respond to heat, and wants firmness without surgery or time away from work. In the face this can include the jawline, the neck, and the area around the eyes, where small handpieces are used.
XERF does not restore lost volume and does not remove excess skin. When a face looks slack because fat compartments have thinned, the sensible route is volume or a collagen biostimulator; when there is genuine skin excess and descent, the answer moves toward surgical support. Dr. Thiago Perfeito also performs facial surgery, so a surgical route can be discussed at the same assessment. Radiofrequency is also not for a person expecting the result of a surgical lift. Declare a pacemaker, a defibrillator or another active electronic implant, pregnancy, an active infection or inflammatory lesion in the area, and any metal implant nearby; these change or exclude treatment.
For neighbouring options, compare with the best skin tightening treatment in Brasília, with microneedling radiofrequency in the guide to choosing a Morpheus8 provider, or with the non-surgical lift options in non-surgical facelift in Brasília. Morpheus8 is a different category, needle-based radiofrequency, and it is named here for comparison only.
Price, sessions and combining XERF with other treatments
At the INTI clinic a XERF session costs between R$ 2,900 and R$ 12,000, depending on the area treated. Small, isolated regions such as the eyelids sit near the lower end, while a full face or a large body area such as the abdomen sits near the upper end. Published XERF studies have assessed only the face; use on body areas such as the abdomen is a clinical decision made at the assessment. The clinic's other monopolar platform, Oligio X, is priced from R$ 1,900 to R$ 9,000 per session. The exact figure is given only after an in-person assessment, when the areas and the plan are defined.
Treat a fee far below these ranges as a warning sign. In radiofrequency the energy is delivered pulse by pulse, and each area needs a set number of them; a low price for a full face often means fewer pulses, a lower setting or a less careful plan, not a better deal. When comparing quotes, ask how many areas are included and how the pulses are allocated, not how long the session lasts.
On sessions, the clinic protocol is one session every 6 months, reassessed at each return. The published studies used different schedules: in the main clinical study the patients had two sessions four weeks apart, and another study evaluated a single session, so the number should be set by your case and not by a package. Results take weeks to months to develop, so a fair judgement is made well after the session.
Whether to combine XERF with other treatments, such as a collagen biostimulator for volume and quality or another technology, is decided after the assessment and not sold as a bundle in advance. When XERF is combined with another treatment, the investment for the whole plan is quoted after the assessment. For a wider view of the options, see the XERF device comparison. A consultation can then be requested through the button at the end of this page.
Frequently asked questions about choosing a XERF doctor
Who is the best doctor for XERF in Brasília?
No page can honestly name one best doctor. The useful approach is to compare providers on verifiable criteria: a licensed physician who assesses and treats, a genuine Anvisa-registered device, depth and energy set per area, honest candidacy advice, a realistic session plan and a transparent price. Dr. Thiago Perfeito (CRM-DF 23199) offers XERF at the INTI clinic in Lago Sul, Brasília, and each of these points can be checked.
Where can I get XERF in Brasília?
XERF is available at the INTI clinic, St. de Hab. Individuais Sul QI 11, Deck Brasil, Bl. O, Sala 115, Lago Sul, with Dr. Thiago Perfeito (CRM-DF 23199). The clinic has offered it since July 2026, alongside Oligio X, and consultations can be held in English.
How do I check that a doctor is licensed and the XERF device is genuine?
Confirm the doctor's CRM in the physician search at cfm.org.br, and ask for the device name and manufacturer. XERF is made by Cynosure Lutronic and carries an Anvisa registration, which you can look up on the Anvisa website. A clinic unable to name the manufacturer or registration is a reason to be cautious.
How much does XERF cost in Brasília?
At the INTI clinic a session costs R$ 2,900 to R$ 12,000, depending on the area: small regions such as the eyelids near the lower end, full face or abdomen near the upper end. A price far below this range for a full face is a warning sign, because it often means less coverage. The firm quote comes after the in-person assessment.
How many XERF sessions will I need?
The clinic protocol is 1 session every 6 months, with reassessment at each return. The published studies used different schedules; in the main clinical study, patients had two sessions four weeks apart. The number should be set by your case, not by a package sold in advance.
Should I choose XERF or Oligio X?
The choice is clinical. Both are monopolar radiofrequency devices, XERF with two frequencies and Oligio X with one, and no study compares them directly. Because the clinic has both, the recommendation is made at the assessment according to the area, the skin and the plan.
Is XERF right for everyone?
No. It suits mild to moderate skin laxity in people who want firmness without surgery. It does not replace lost volume or remove excess skin, and people with a pacemaker or other active electronic implant, pregnancy or an active infection in the area need specific assessment or should not have it.
Does the evidence show XERF works?
Early evidence is favourable but limited. A prospective study of 39 patients and a retrospective study of 16 women reported improvement at up to three months, but neither had a control group and both have links to the manufacturer. No study compares XERF with other devices, so the results should be read as preliminary.
References
- Erlich G, Dahan E, Wolf Y. Objective and subjective retrospective evaluation of XERF, a novel single-shot dual-frequency non-invasive monopolar radiofrequency. Lasers Med Sci. 2026;41(1). PMID: 42611100 · doi:10.1007/s10103-026-04996-0
- Weiss RA, Wang J, DiBernardo B et al. Clinical Outcomes Following Dual-Frequency Noninvasive Monopolar Radiofrequency Treatment for Facial Laxity and Lower Face Lifting: A Prospective Multicenter Study. Cureus. 2026;18(3):e104546. PMID: 41930066 · doi:10.7759/cureus.104546
- Ko K, Ryu HG, Park J et al. Computational modeling and histologic analysis of 6.78- and 2-MHz monopolar radiofrequency-induced thermal reactions. Lasers Med Sci. 2025;40(1):501. PMID: 41315066 · doi:10.1007/s10103-025-04746-8
Reviewed by Dr. Thiago Perfeito — Aesthetic and Regenerative Medicine, CRM-DF 23199. Reviewed on . Updated on .
Book a XERF assessment in Brasília
Dr. Thiago Perfeito assesses whether XERF, Oligio X or another route fits your skin, at the INTI clinic in Lago Sul, and consults in English. The firm price and session plan come after the in-person assessment.