Head to head

Thermage FLX vs XERF (2026)

Published new pricing is limited: Thermage FLX lists $100k–$145k, but we haven't verified a new-price band for XERF — see the table below for what we've confirmed. Both are used for monopolar RF skin tightening, so choose on consumable cost per treatment, cleared indications and how many treatments you can realistically book each month.

Category group: Skin tightening & remodeling (RF microneedling, monopolar RF, HIFU)

Device A
Device B

Price comparison

New price range

Cynosure Lutronic XERF
Solta Medical Thermage FLX
$100k–$145k

Used asking range

Cynosure Lutronic XERF
Solta Medical Thermage FLX
$40k–$80k

Payback calculator

Cynosure Lutronic XERF
View ROI calculator
Solta Medical Thermage FLX
View ROI calculator

Next step

Cynosure Lutronic XERF
Solta Medical Thermage FLX

Consumable economics

Consumable cost / lock-in

Cynosure Lutronic XERF
Solta Medical Thermage FLX
One of the most consumable-heavy platforms in the market: the Total Tip is single-use and shot-limited, one patient per tip. Not published — Solta does not publish a US Total Tip list price (checked 4 Sep 2026); the figures previously shown mixed euro export pricing with undated reseller quotes.

Service cost

Cynosure Lutronic XERF
Not published
Solta Medical Thermage FLX
Not published

FDA clearance

FDA status & indication

Cynosure Lutronic XERF
FDA ClearedK251327
XERF is indicated for use in dermatologic and general surgical procedures for electrocoagulation and hemostasis.
Solta Medical Thermage FLX
FDA ClearedK170758
The radiofrequency-energy only delivery components of the Thermage FLX System are indicated for use in: • Dermatologic and general surgical procedures for electrocoagulation and hemostasis; • Non-invasive treatment of periorbital wrinkles and rhytids including upper and lower eyelids; • Non-invasive treatment of wrinkles and rhytids. The simultaneous application of radio frequency energy and skin vibration by the Thermage FLX System is indicated for use in: • Dermatologic and general surgical procedures for electrocoagulation and hemostasis; • Non-invasive treatment of periorbital wrinkles and rhytids; • Non-invasive treatment of wrinkles and rhytids; • Temporary improvement in the appearance of cellulite; • Relief of minor muscle aches and pains; • Relief of muscle spasms; • Temporary improvement of local circulation (i.e., blood circulation).

Which chains run each

Chain adoption

Cynosure Lutronic XERF
0 recorded pairings
Solta Medical Thermage FLX
1 recorded pairing

Chains using it

Cynosure Lutronic XERF
Solta Medical Thermage FLX
  • LaserAway(Confirmed)

Approved reviews

Cynosure Lutronic XERF
0
Solta Medical Thermage FLX
0

Specs and platform

Manufacturer

Cynosure Lutronic XERF
Cynosure Lutronic
Solta Medical Thermage FLX
Solta Medical

Built by (OEM)

Cynosure Lutronic XERF
Cynosure LLC
Solta Medical Thermage FLX
Solta Medical Inc.

Category

Cynosure Lutronic XERF
Monopolar RF skin tightening
Solta Medical Thermage FLX
Monopolar RF skin tightening

Technology

Cynosure Lutronic XERF
Monopolar RF skin tightening (Radiofrequency — monopolar)
Solta Medical Thermage FLX
4th-gen monopolar RF (Radiofrequency — monopolar)

Launch year

Cynosure Lutronic XERF
Solta Medical Thermage FLX
2017

Status

Cynosure Lutronic XERF
Current
Solta Medical Thermage FLX
Current

OEM platform

Cynosure Lutronic XERF
Solta Medical Thermage FLX

Alternatives

Other devices in the same subcategory.

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