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Advanced XERF Skin Tightening in San Antonio, TX | Sonterra Dermatology

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Dr. Annabelle Garcia

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2/27/2026

A Personal Introduction from Dr. Annabelle Garcia

As a board-certified dermatologist, I am always evaluating new technologies to ensure I bring the most advanced, effective treatments to my patients. I am proud to share that Sonterra Dermatology is the first dermatology office in San Antonio, TX to offer XERF, an innovative next-generation skin tightening treatment.

My goal has always been to combine medical precision with modern aesthetic innovation. XERF represents exactly that.

What Is XERF Skin Tightening

XERF is an advanced dual-frequency radiofrequency treatment designed to firm and tighten the skin by stimulating collagen and elastin production at multiple depths. Unlike traditional radiofrequency devices that treat a single layer, XERF delivers controlled energy both superficially and deeper within the structural support layers of the skin.

This multi-level approach allows us to improve skin laxity and overall firmness.

XERF can help address concerns such as:

• Mild to moderate skin laxity

• Loss of jawline definition

• Fine lines and wrinkles

• Crepey texture

• Early signs of aging

Before and After Neck

What Makes XERF Different

What excites me most about XERF is its ability to deliver meaningful results without surgery or extended downtime.

The treatment is non-invasive and comfortable. There are no incisions and typically no need for significant recovery time. Most patients describe the sensation as a warm, tolerable heat as collagen stimulation begins.

Some patients notice an initial tightening effect shortly after treatment. The most beautiful part of this technology, however, is the gradual improvement that continues over the following weeks. Collagen remodeling progresses over 8 to 12 weeks, with continued enhancement for up to 3 to 6 months.

The results develop naturally because we are stimulating your body’s own regenerative processes.


Why I Brought XERF to San Antonio

San Antonio patients deserve access to the most advanced non-surgical skin tightening treatments available. After carefully evaluating this technology, I felt confident that XERF would offer my patients a safe, effective solution for early to moderate skin laxity.

Being the first dermatology practice in San Antonio to introduce XERF reflects my commitment to staying at the forefront of aesthetic dermatology while maintaining the highest standards of medical care.

Before and After chin

Who Is a Good Candidate for XERF

In my practice, I recommend XERF for patients who are beginning to notice skin laxity but are not ready for surgical procedures. It is ideal for individuals who want subtle, natural-looking improvement and prefer little to no downtime.

Common treatment areas include the lower face, jawline, neck, and cheeks. During your consultation, I will evaluate your skin and create a personalized treatment plan based on your goals.


Great doctor. Short wait time. Great staff. Good results (I hope).

B. Demandforce

I came here in February and had a wonderful experience. I only waited about 10 minutes and a lovely PA treated me. She was very warm and engaging, I really appreciated it because I was initially anxious and uncomfortable about the procedure. We laughed a lot and although the process was quite painful, she definitely made it more bearable. Will be following up soon for a second!

B. Google

10 out of 10! From the staff to the Dr everything was great. Thank you all

C.J. Google

Excellent professional care. Also very patient friendly. 5 stars for Dr Matzinger and her team!!

W.H. Google

Dr. Malan is thorough in his examinations, He provides detailed descriptions of his observations and is always enthusiastic.Dr. Neiner is thorough and knowledgeable. Plus he has great bedside manner

M.A. Google

6053

Total Reviews

4.9

Average Rating

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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.