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At Bellissimo Plastic Surgery & Medi Spa, we are always looking for new aesthetic devices and service offerings to help our patients look and feel their best.
When we discovered Everesse RF with Cartessa Aesthetics, we knew it would be a transformative addition to our practice. This innovative radiofrequency technology lifts and firms the tissue and skin, all in a painless, no-downtime treatment, offering a new option to rejuvenation for patients who want results without injections.
For patients who want to restore youthful volume but prefer to avoid injectables, Everesse provides a natural alternative. Whether due to ingredient sensitivities, a dislike of needles, or simply wanting a more organic approach, Everesse rejuvenates by awakening your body’s own collagen. It gradually restores soft fullness and refined definition, creating a fresh, confident look that feels entirely your own.
Recently awarded the Elle Tools and Treatments Award 2025, Everesse represents a new era in non-surgical facial rejuvenation. It’s one of the most comfortable and precise treatments for tightening and contouring the face and neck.
Everesse offers something truly different. It's powerful enough to deliver visible lifting and tightening yet gentle enough for even the most sensitive skin. Patients leave looking refreshed, not treated.
Dr. Jeffrey Antimarino, a board-certified plastic surgeon and founder of Bellissimo.
What is Everesse RF?
Everesse is an FDA-cleared, non-invasive monopolar radiofrequency (RF) device that delivers controlled thermal energy at 6.78 MHz into both the superficial and deep layers of the dermis – stimulating collagen and elastin production to lift, tighten, and volumize skin without surgery or needles.
How Everesse Works
Everesse uses radiofrequency, a gentle, controlled warmth beneath the skin’s surface to wake up collagen, the protein that keeps tissue firm, smooth, and lifted. This natural process helps tighten and tone from within, gradually improving texture and elasticity over the following weeks.
1. RF Energy Penetrates the Dermis
6.78 MHz monopolar RF energy targets both the papillary (upper) and reticular (deeper) dermal layers simultaneously, without damaging the epidermis above.
2. Collagen Fibres Contract
Controlled heat causes immediate contraction of existing collagen fibres, producing a visible firming and lifting effect even in the first session.
3. Fibroblasts Are Activated
The thermal stimulus triggers fibroblasts — the skin’s collagen-producing cells — to generate new Type I and Type III collagen over the following weeks and months.
4. Continuous Water Cooling Protects the Surface
Unlike older RF systems that use gas cooling, Everesse uses continuous water cooling to keep the skin’s surface calm throughout — no redness, no discomfort, no numbing needed.
Its advanced cooling system and flexible treatment tip glide comfortably across the skin, keeping the surface calm while the energy works below. Most patients describe the experience as warm and soothing, and they can return to normal activities immediately after treatment.
Why Patients Choose Everesse Treatment
Everesse delivers visible tightening and lift across the jawline, neck, and cheeks, while softening fine lines and restoring a natural glow. It's especially loved by patients seeking subtle volumizing and contouring without injectables. It's ideal for patients who want to look rejuvenated but not overdone and are not ready for surgery.
Dr. Antimarino
- No needles, no chemicals — ideal for patients who avoid injectables or have sensitivities to filler ingredients
- Zero downtime — return to work, makeup, and normal activities immediately after treatment
- All skin types and tones — the continuous water-cooling system makes it safe and effective across the full Fitzpatrick spectrum
- Natural-looking results — gradual collagen regeneration means you look like a better version of yourself, not “done”
- No sun restrictions or post-treatment limitations — unlike many laser treatments, Everesse imposes no UV avoidance requirements
- Treatable beyond the face — effective on neck, arms, legs, and décolletage, not just the facial zone
Everesse vs. Other Collagen-Stimulating Devices
Devices like Thermage, Exilis, and Morpheus8 have long been used for non-surgical tightening. Still, many can cause redness, heat discomfort, or require numbing. Everesse refines the process with continuous cooling and even energy delivery, providing deep collagen activation while keeping the skin’s surface calm and comfortable.
This innovation allows Everesse to achieve powerful lifting results without downtime, something older RF systems and microneedling devices can’t match.
The Radiant Lift Combination: Everesse + CoolPeel
For patients looking to enhance surface texture and deeper firmness, Everesse can be paired with CoolPeel in a treatment known as the Radiant Lift.
Everesse firms and lifts below the surface, while CoolPeel refreshes tone, texture, and sun damage at the top layer. Together, they create smoother, brighter, and more even skin, the ultimate combination for visible rejuvenation without recovery.
Results and Treatment Schedule
Patients often notice firmer, more lifted skin immediately. Improvement continues as collagen builds over several months. Results typically last six months or longer, depending on skin health and maintenance.
Bellissimo recommends two treatments about 6-9 weeks apart for optimal results, followed by annual maintenance to preserve tone and elasticity.
Who Is a Good Candidate for Everesse Treatment
Everesse is suitable for healthy individuals seeking firmer, more youthful contour without surgery, needles, or downtime. The results are best on individuals between the ages of 35 and 55. It is for all skin types and tones and is especially beneficial for:
- Lifting the jawline and neck
- Tightening sagging cheeks
- Brightening and firming the eye area
- Improving fine lines, wrinkles, and texture
- Restoring fullness to thinner or aging skin
Frequently Asked Questions About Everesse RF
What is the best treatment to tighten skin without surgery?
Can I lift my face or neck without fillers or injectables?
How long do Everesse RF results last?
Is Everesse painful, or does it require numbing?
How soon will I see results from Everesse RF?
What areas can be treated with Everesse?
Is Everesse safe for all skin types?
How does Everesse compare to other collagen-stimulating treatments like Thermage or Morpheus8?
Can Everesse be combined with other treatments?
Who is the best candidate for Everesse RF?
The Takeaway
Everesse RF redefines non-surgical tightening, providing the kind of lift, smoothness, and radiance that once required more invasive procedures, but now can be achieved naturally and comfortably.
You can book a consultation at Bellissimo Plastic Surgery & Medi Spa in Monroeville or Shadyside, Pittsburgh, to discover whether Everesse RF or another treatment in our aesthetic menu is right for you.