I don't think you'll find any commercially
(see the ps below).
I've done what you are looking for in medical research a decade ago.
I used a cable to a notch antenna radiating into an elliptical reflector to focus on a spot of chicken breast. We had approximately a 1" diameter area that was cooked on the boneless chicken breast. Power was from a microwave oven with rf power coupled off into a coax. using a coax. to waveguide transition. The coaxial cable went through a new door we made out of aluminum and added a type n f-f adapter through the door to a cable outside which connected to the notch antenna (which we also designed and built). Worked pretty well and we could change the transmit average power on the microwave duty cycle control and set the maximum power by moving the waveguide to coax adapter closer or further from the microwave source aperture.
to focus it into a smaller spot, you need to change air to dielectric. You could probably get down to a 1/3 inch diameter spot with dielectric = 10, but 0.1" diameter would cost an added $30K in ceramic high dielectric. The part would be probably 6" long, 6" diameter and triangular in shape, or look like a large spinning top a child would play with, except the bottom would be somewhat flat. There's a bit more complication too on the sides.
You can't just change the elliptical reflector larger or smaller to change spot size. Laws of physics says your medium must change from air to something denser.
What size spot do you need to make?
kch
PS: GTRI (part of Georgia Tech) has a lense system to focus a spot as you discuss, but it's really expensive and you get a 5-10" diameter spot at 5-10 feet away. It's for dielectric testing, etc.