Radiofrequency Microneedling

Microneedling uses a fine needle to create micro wounds, or channels, in the skin. This triggers the production of capillaries, elastin, and collagen. It’s also called skin needling or collagen induction therapy.

If the procedure also uses radiofrequency waves, it’s called radiofrequency microneedling. The needle releases radiofrequency into the channels, causing additional damage. This enhances the effects of standard microneedling. The skin that grows back is thicker and smoother.

RF Microneedling Targets

  • fine lines
  • Wrinkles
  • stretch marks
  • appearance of large pores
  • acne scars
  • scars from injury or surgery
  • hyperpigmentation
  • loose, sagging skin
  • Cellulite
  • Tighten eyelid region
  • Under eye rejuvenation

*You can also get radiofrequency microneedling with platelet-rich fibrin (PRF).

In this procedure, your provider draws blood from your arm and uses a machine to separate the platelets.After a microneedling session, your provider injects or applies the platelets to the treated area. This may maximize the results of your treatment.

Who’s an ideal candidate for radiofrequency microneedling? 

Radiofrequency microneedling is considered safe, but it isn’t appropriate for everyone.

You may be an ideal candidate if you:

  • Are in good health
  • Have early signs of aging
  • Have realistic expectations
  • A commitment to at least 3 treatments and yearly maintenance

You should avoid the treatment if you:

  • Currently or recently used Accutane
  • Have an active cold sore breakout
  • Have a skin infection
  • Have a moderate to severe skin disease (like psoriasis)
  • Are receiving chemotherapy or radiation therapy
  • Are pregnant
  • Are taking anticoagulants
  • Have a history of keloids, hypertrophic scarring, or poor wound healing

Prior to the procedure

At your initial appointment, your provider will ask questions about your medical history and expectations. They’ll also take photos of the areas you would like treatment for to determine the best technique for your condition, as well as provide instructions on how to prepare for the procedure.

During the procedure

Your actual procedure will take place in your healthcare provider’s office. Generally, here’s what you can expect:

  • We will cleanse your skin with a disinfectant. 
  • A topical anesthetic to the treatment area about 30-60 minutes before the procedure.The anesthetic cream will numb the area which will help decrease the pain you may experience.
  • The microneedling device makes tiny wounds in the skin. Simultaneously, the tip of the needle releases radiofrequency waves to the site.
  • The procedure takes 10-30 minutes. The exact duration depends on what area you are treating. 

After the procedure

  • You can apply ice packs to reduce swelling and discomfort.
  • You must SPF for several weeks after your treatment. 
  • Your skin will be extra sensitive to the sun during this time.
  • Avoid makeup or at home topical agents for 12 hours, you can use a gentle cleanser to wash your face that evening.
  • Avoid wearing makeup until the next day. 
  • After 24 hours, you can return to your normal makeup and skin care routine.
  • Avoid retinoids or skin irritants for 3-7 days
  • Your skin may feel dry and irritated for up to 10 days.
  • Small marks from the needling device are to be expected for 3-7 days. 
  • Some people will not have any evidence of marking after 24 hours
  • You can return to work however expect that your face may be irritated and red. Wearing a mask would be contraindicated after treatment.

When to expect results

After your treatment you will see some results around the 3-6 weeks. The exact time frame depends on your age, skin condition that is being treated and amount of treatments you have received. In most cases you will require at least three sessions. This also depends on what you’re treating. For example, if you have moderate acne scars, you’ll need about three or four treatments. Bigger scars might need five treatments. These sessions will be done every 4 to 6 weeks. This lets your skin heal between treatments.  After the initial set of treatments, the results will last about 1 year. It’s recommended to have a touch-up session once a year to maintain your desired results.

Other Side Effects

  • Dryness
  • Redness
  • Scaling
  • Itching
  • Swelling
  • Mild acne flare-up
  • Cold sore breakout 
  • Bruising
  • Fatigue
  • Headache

Less Common Side Effects

  • Allergic reaction to needles
  • Signs of infection
  • Persisting swelling or redness
  • Prolonged bleeding