Home · Sanly Liu Experiences XERF at Elea Clinic Bali

Sanly Liu, Miss Universe Indonesia 2025, Experiences XERF at Elea Clinic Bali

What the treatment she had actually is, why people with full diaries gravitate towards it, and why the assessment before the treatment decides more than the device does.

By the Elea Clinic editorial team, medically reviewed by dr. Jesslyn Amelia, Sp.D.V.E · Elea Clinic, Denpasar · 23 September 2026

What was reported, and what was not

When XERF arrived in Bali at the end of June 2026, Elea Clinic was the first clinic on the island to offer it (JPNN, 30 June 2026). Indonesian media covering the launch reported that Sanly Liu — Miss Universe Indonesia 2025, a Jakarta-born entrepreneur and content creator who is based in Bali — had experienced XERF treatment at the clinic. The news agency ANTARA also reported her attendance at the launch (ANTARA Bali, 30 June 2026).

Female Daily (Female Daily, 6 July 2026) reported that, as an entrepreneur, beauty influencer and titleholder with a full diary, she chose the treatment because the appointment is relatively short, is designed to stay comfortable throughout, needs no meaningful downtime, and leaves the skin feeling firmer afterwards.

That is the whole of the public record. No measurement, no photograph of a result and no clinical outcome has been published, and she has not made a claim about what the treatment achieved. We are not going to supply any of those on her behalf. She experienced the treatment; the rest of this page is about the treatment.

What XERF actually is

XERF is a monopolar radiofrequency system made by Cynosure Lutronic. Radiofrequency heats tissue in a controlled way. That heat contracts the collagen already in the skin, which is what produces the immediate feeling of tightness, and it triggers a repair response that lays down new collagen over the following weeks and months.

It holds US FDA 510(k) clearance — K251327, granted 11 August 2025 (FDA 510(k) summary K251327) — for electrocoagulation and haemostasis, on the basis of substantial equivalence to Thermage FLX, with no clinical testing in the submission.

Three depths, and what the second frequency is for

XERF is not one setting. The manufacturer’s protocol works at three depths across a face, and only the deepest one uses both frequencies.

• Shallow · 6.78 MHzEnergy concentrated in the dermis, where collagen sits. This is the setting that addresses skin quality, fine crepiness and surface laxity.
• Middle · 6.78 MHzThe same frequency carried a little further, into the fat layer immediately beneath the dermis.
• Deep · 6.78 MHz + 2 MHzThe lower frequency is added here. The manufacturer describes this combination as reaching the deeper fat and the fascia below it.

So why add 2 MHz at all? Radiofrequency loses energy as it travels through tissue. With a single high frequency, the only way to heat something deeper is to turn the output up — and it is high output at the surface that makes a radiofrequency treatment uncomfortable. The manufacturer’s rationale is that a lower frequency travels more efficiently, so the deep setting can reach depth at lower power, which should feel milder for the same depth of heating.

Why people consider it before a busy season or a trip

The appeal is practical rather than dramatic. There are no needles and no incisions. Most people leave with warmth and some redness that settles within hours and return to normal activity the same day. For someone with a week of events, a shoot, a wedding or a flight ahead, that matters more than a stronger treatment with a fortnight of recovery.

One caution, honestly given: the tightening people notice on the day is partly genuine collagen contraction and partly swelling. The swelling settles within a couple of days, and it is common to feel less tight on day three than on day one. The result worth judging is the one at about three months. If you are treating ahead of an event, plan it several weeks before, not the week before — and leave a few days between the treatment and a long flight. Planning treatment around a trip goes through the timing in more detail.

What a session at Elea Clinic involves

dr. Jesslyn Amelia, Sp.D.V.E — a board-certified dermatologist registered with the Indonesian Ministry of Health — takes the medical history first, and it is the most important part of the appointment. The face is then cleansed and mapped, and the passes are delivered with a cooled handpiece over a coupling gel, the depth setting changing by area. Most people describe the sensation as warm rather than painful, and the energy is adjusted to what you can comfortably tolerate. The clinic confirms the appointment length when you book. A full account of a session is in the Journal.

Who should not have XERF

Not treated: anyone with a pacemaker, an implantable defibrillator or another implanted electrical device — monopolar radiofrequency passes current through tissue and can interfere with them. Pregnancy.

Assessed carefully first: metal implants or permanent filler in the treatment area; active skin infection or inflammatory skin disease at the site; a history of keloid scarring; isotretinoin within the past six months; current or recent malignancy; poorly controlled diabetes.

Probably better served by something else: heavy skin excess, where a surgical result is more meaningful than a tightening treatment. The full list sits on the XERF safety section.

Why dermatologist assessment decides the outcome

This is the part cosmetic marketing skips. Radiofrequency tightening suits early-to-moderate laxity in skin that still has reasonable quality. It does considerably less for heavy skin excess, for a significant fat pad under the jaw, or for a jawline that has softened mainly through bone and volume loss. Those are different problems, and no amount of energy turns one into the other — who is actually a good candidate sets out the distinctions.

Part of a dermatologist’s job at the consultation is to say no, or to say not this, something else. Individual results vary, and the honest version of that sentence is that they vary mostly according to who was selected for the treatment in the first place.

Questions we are asked

Did Sanly Liu endorse XERF or Elea Clinic?

No. Indonesian media reported in June and July 2026 that she experienced XERF treatment at Elea Clinic Bali and described why the format suited her schedule. She has not published a clinical result, and this page does not present her experience as an endorsement or as evidence of what the treatment achieves.

What is the difference between the shallow, middle and deep XERF settings?

The shallow and middle settings use 6.78 MHz to heat the dermis and the fat just beneath it. The deep setting adds a second frequency, 2 MHz, which the manufacturer describes as reaching deeper tissue at lower output. Which settings are used, and where, is decided at assessment.

How soon can I fly or attend an event after XERF?

Most people have only warmth and mild redness for a few hours and mild swelling for a day or two, so normal activity resumes the same day. If you are treating before something that matters, allow several weeks rather than several days, and leave a few days between the treatment and a long flight.

Medically reviewed by dr. Jesslyn Amelia, Sp.D.V.E — Dokter Spesialis Dermatologi, Venereologi dan Estetika. Registered with the Indonesian Ministry of Health, STR JT00000382760637. Verify registration. Last reviewed 27 September 2026. Individual results vary; this page is general information and not a substitute for consultation.