RF fractional microneedling
Radiofrequency microneedling or Fractional Micro-needling is a minimally invasive treatment to reduce the appearance of Wrinkles, Scarring, Acne Scarring and Sagging skin and Stretch Marks.
The addition of Radiofrequency energy to the Microneedling procedure helps to further stimulate the body’s natural collagen and healing processes revealing firmer, rejuvenated skin.
The RF energy heats the underlying layers of skin, causing constriction and tightening of the skin, as well as the stimulation of collagen and elastin production. Because the RF energy is delivered so deeply, it can produce faster results that are more dramatic.
RF Microneedling uses  a gold plated needle device which gently penetrates the skin to deliver radio-frequency deep into the dermal layers of the skin. The radio frequency heats at depths that provide cumulative and ongoing benefits of collagen stimulation, skin tightening and resurfacing.
The skin that grows back is thicker and smoother. This can target:
 
●     fine lines
●     wrinkles
●     stretch marks
●     appearance of large pores
●     acne scars
●     scars from injury or surgery
●     hyperpigmentation
●     loose, sagging skin
●     cellulite
●     hyperhidrosis
Benefits of RF MicroNeedling
Micro-needling (also known as collagen induction therapy) is a minimally invasive treatment that has been used for decades to rejuvenate the skin. A device with fine needles or pins creates tiny punctures in the top layer of the skin, which triggers the body to create new collagen and elastin. Results can include improved texture and firmness, as well as skin resurfacing. RF micro-needling adds the element of radiofrequency energy to the traditional micro-needling procedure. The RF energy is delivered via small needles into the dermis. In addition to the benefits seen with the micro-injury provided by the traditional microneedles, RF micro-needling also delivers RF energy deep into the dermis further enhancing skin tightening and scar reduction.
 
Microneedling and Radio Frequency is used to reduce and improve wrinkles, stretch marks, acne scars and generally improve the tone and texture on the skin. Results can include smoother, tighter, more radiant skin. Radio frequency has long been used and is a proven technology. Radio frequency helps stimulate the body’s own natural healing processes and stimulates collagen fibers.
Microneedling and Radio Frequency give you beautiful, smoother, healthier, younger looking skin.
Compared with treatments like chemical peels and dermabrasion, radiofrequency microneedling is minimally invasive.
Alternatively, you should avoid radiofrequency microneedling if you :
●     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 RF microneedling procedure
At your initial appointment, your provider will ask questions about your medical history and expectations. They’ll also take photos of your face to determine the best technique for your condition, as well as provide instructions on how to prepare for the procedure.
If you have active acne breakouts, you may be asked to take oral antibiotics. If you have a history of cold sores, you might need to take oral antiviral medication.
During the RF microneedling procedure
Your actual procedure will take place in your healthcare provider’s office. Generally, here’s what you can expect:
A healthcare provider cleans your skin with alcohol to prevent infection.
They apply a topical anesthetic to the treatment area about 1 hour before the procedure. In some cases, they might inject a local anesthetic instead. The anesthetic numbs the area so you won’t feel pain.
The microneedling device makes tiny wounds in the skin. Simultaneously, the tip of the needle releases radiofrequency waves into the wounds.
The procedure takes 10 - 20 minutes. The exact duration depends on what you’re treating.
A healthcare provider finishes with a soothing solution to minimize any discomfort.
After the RF microneedling procedure
You can go home after the RF treatment and return to your normal activities.

What does RF Microneedling treat?

● Face, Neck and Décolleté
● Wrinkles
● Acne scars
● Crepey neck skin
● Decollete wrinkles
● Skin tightening
● Stretch mark reduction
● Loose skin

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

What’s the best way to take care of your skin post-radiofrequency microneedling?

After your procedure, your doctor will explain how to care for your skin. This will include the following aftercare tips:
● Apply ice packs to reduce swelling and discomfort.
● Apply repair cream to reduce discomfort
● Wear SPF for several weeks after your treatment. Your skin will be extra sensitive to the sun during this time.
● Use antibiotic creams or emollients if your doctor prescribed them.
● Use a gentle cleanser after your treatment.
● Avoid wearing makeup until the next day. After 24 hours, you can return to your normal makeup and skin care routine.

Does radiofrequency microneedling work?

According to research, radiofrequency microneedling is effective for many skin conditions.

1. Acne scars
In a 2014 study of 31 people, radiofrequency microneedling moderately improved acne scars in 58% of the participants. A small 2017 study found similar results.

2. Skin rejuvenation
Microneedling with radiofrequency waves can also improve the look of your skin. In a 2013 study, for example, the procedure reduced wrinkles around the eyes. The effects lasted longer than Botox injections.
A 2020 case report also shares that the treatment can reduce loose facial skin.
Additionally, in a 2018 study, radiofrequency microneedling improved skin texture and pore size.

3. Hyperhidrosis
According to a 2019 study, the procedure can permanently treat hyperhidrosis, or excessive sweating. A 2013 study found that the treatment helps by reducing the number and size of sweat glands.

When to expect RF microneedling results ?

You’ll see results after 3 - 6 months. The exact time frame depends on the type and severity of your condition.
In most cases, you’ll need at least 4 sessions. This also depends on what you’re treating. For example, if you have moderate acne scars, you’ll need about 3-4 treatments. Bigger scars might need 5 treatments.
These sessions will be done every 3 - 8 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.

Are there any potential side effects of radiofrequency microneedling?

Like all cosmetic treatments, it may cause some side effects.
Possible side effects include:
● dryness
● redness
● scaling
● itching
● swelling
● mild acne flare-up
● cold sore breakout
These side effects might last for a few hours or days.

Some complications need medical attention. If you experience any of the following, contact your doctor:
● allergic reaction to needles
● signs of infection
● persisting swelling or redness
● prolonged bleeding
● bruising
● fatigue
● headache

Is microneedling with RF worth it?

Beyond the benefits of skin tightening and smoothing, the procedure can help fade the appearance of scars and stretch marks. It benefits the skin, both structurally and superficially. These are just some reasons why Radiofrequency Microneedling is totally worth it.

What is the difference between microneedling and fractional RF?

Fractional RF produces significantly better results when compared to traditional micro-needling devices. This is achieved with deeper needle penetration and the added component of new collagen production by radiofrequency energy.

Is RF microneedling better than microneedling?

Traditional microneedling is good for slower and more subtle rejuvenation. If you are looking for improved results, RF microneedling is recommended for enhancing the overall tone and texture of the skin as it better facilitates the production of collagen and elastin.

What can go wrong with RF microneedling?

Side effects following RF microneedling are mild, resulting in minimal downtime after treatment. For some patients, there may be mild pinpoint bleeding and slight bruising. More typically, the skin is mildly red for approximately 24 hours. Most patients can resume their normal routine within a day.

What will my face look like after RF microneedling?

Most people experience redness and swelling after their microneedling session. Your skin may also be a bit pink in appearance in the days that follow. While this sounds uncomfortable, it's actually common and not a cause for concern.

How long do results last from RF microneedling?

Like other nonsurgical skin rejuvenation treatments, RF microneedling is not permanent. Results last 1-2 years, depending on the device used, the intensity of your treatment, how your body responds, and your skin care routine.

How long does it take to recover from RF microneedling?

Most patients experience minimal downtime, and fully recover within 7 days following a microneedling with radiofrequency treatment. Redness, shedding, and dryness are common during healing and resolve within a few days. Considerations on strenuous activities and skincare should be taken for a few days.

Who is a good candidate for RF microneedling?

A good candidate for RF Microneedling is anyone who wants to address fine lines and moderate wrinkles on the forehead or around the eyes, texture irregularities on the skin, tightening to the skin, uneven skin tone from sun damage, acne scars and stretch marks.

How many sessions of RF microneedling do you need?

Most patients will require an initial series of at least 3-4 treatments to see the desired results. You may require more treatments if you have moderate to severe skin concerns, such as deep acne scarring or dynamic wrinkles.

Does RF microneedling make you look younger?

This causes your body to deploy a healing response, stimulating collagen and elastin production. As a result, you may see your skin appear fresher, younger, and smoother. Regular microneedling treatments can help you maintain these benefits.

Is RF microneedling better than Botox?

Botox is best for specific lines caused by squinting, frowning, or raising your eyebrows. RF microneedling is generally better for fine lines, crepiness, and overall texture and tone.

What should you not do after RF?

DO NOT vigorously rub the skin after treatment, DO gently wash your face and continue with your usual skincare routine. DO NOT undergo laser treatments, chemical peels, waxing, facials, the use of depilatories, or microdermabrasion for 3-4 weeks after treatment.
After your treatment, you should avoid putting foreign products onto your skin. This includes AHA, retinol, vitamin C, and makeup for 1 week.

Why does my skin look worse after RF microneedling?

That's just a sign of exfoliation, and it's actually a good sign. It means that cell turnover is happening (which means collagen production is occurring) and that new skin is being created. In most cases, this exfoliation happens the day after microneedling and can make the texture look a bit dull.
In the short term, lines can appear worse for the first few days after a treatment due to transepidermal water loss (TEWL). We reassure you that any wrinkle that develops quickly is not due to loss of structural integrity and it is temporary.

What should you not do before RF microneedling?

Avoid IPL/Laser procedures, unprotected sun exposure, or sunburn for at least 2 weeks prior to your procedure. No waxing, depilatory creams, or electrolysis to the area being treated for 5-7 days prior. Do not shave the day of the procedure to avoid skin irritation.

Is RF skin tightening worth it?

RF microneedling uses low energy radiation to heat the deep layer of your skin called the dermis. This heat stimulates the production of collagen to help improve signs of wrinkles and sagging skin. Research has found that RF therapy is usually safe and can be effective at treating mild or moderate signs of aging.

Can radiofrequency damage your skin?

The radiofrequency, typically around 450 kilohertz, converts to thermal energy and creates small “injuries” to the lower levels of the skin that prompt particular tissue repair and clotting. It is safe for all skin types due to the minimal damage and melanin changes.

How many times can you do RF?

While you'll notice a difference in your skin after 1 treatment, most doctors recommend 3-4 radiofrequency or RF microneedling treatments spaced 1 month apart for the best results.

Is there any downside to RF microneedling?

In rare instances, some patients may experience one or more of the following symptoms: Prolonged swelling, redness, discomfort and flaking skin.

Can RF microneedling make wrinkles worse?

Microneedling should NOT make your lines or wrinkles worse. It takes a series of treatments to get the best results so I recommend giving it some time. You definitely should not have significantly aged only 5 days post treatment.

Which is better: fractional laser or RF microneedling?

Microneedling offers several advantages over fractional laser treatments. By leaving the surface skin intact, microneedling has a lower risk of infection and scarring. Because it does not rely on heat, there is also a lower risk of post-treatment hyperpigmentation.

How long does the face stay red after RF microneedling?

Redness after microneedling is common. In fact, your skin will feel as if you have a mild to moderate sunburn. These effects are normal and should subside within 24 – 48 hours.

Is RF microneedling painful?

Patients may notice a warm sensation and a pricking or scraping feeling during this treatment, but it is not typically painful. Following RF microneedling, it is normal to have some level of redness, swelling, irritation, and mild discomfort, but these symptoms usually resolve quickly on their own.

Is 1 session of RF microneedling enough?

RF microneedling is very effective for many skin conditions, including deep acne scars, wrinkles, and sun damage. If you notice improvements after one session, consider coming in for more treatments to accelerate the healing process. We may recommend 3 – 4 appointments so you can feel satisfied.

Does RF microneedling lift skin?

The RF element is thermal stimulation, where the needles emit radiofrequency (heat) into your skin, which further boosts collagen production and causes your skin to tighten and contract in response to the treatment; thereby giving you the tightening and lifting effect.

When can I shower after RF microneedling?

Waiting 12-24 hours to shower after microneedling is ideal to avoid the risk of infection while your skin's channels are open. Most patients who receive a microneedling procedure can safely shower the next morning, but using hot water may make inflammation and swelling more noticeable.

Does RF microneedling plump skin?

By delivering precisely controlled RF energy deep into the skin, there's no risk of over-heating or burning. A minimally invasive process, microneedling will leave your skin looking plump and luminous for a couple of weeks after the treatment.

Does RF microneedling slim face?

The RF waves also force fat cells to break down and release liquid fat, causing them to shrink and contract. This helps you achieve tighter skin for a slimmer and more contoured figure. Its safe and non-invasive nature is the primary reason why radio frequency treatment is popular for weight loss.

Does RF microneedling damage fillers?

RF devices caused thermal damage of the filler along the microneedle tracks. Deeper dermal penetration of the RF energy will cause damage to fillers in the mid to deep dermis, and advised caution in using these devices over recently injected HA fillers.

How many microneedling sessions before seeing results?

Average patients schedule 3 treatments, spread 4 weeks apart. Patients with more in-depth concerns, scarring, or deeper wrinkles can expect between 6-8 treatments for optimal results. Each session is typically followed by 2-4 days of skin sensitivity, much like a sunburn.

What cream to use after RF microneedling?

Hyaluronic acid serums should be used post-microneedling. Use this from days 1 to 14 after microneedling to hydrate and replenish the skin. After 1-4 days, you can apply hyaluronic acid, toners, or moisturisers with a base of green tea extract, Vitamin E, kiwi oil, and linseed oil to the skin.

Is RF microneedling good for a 50 year old woman?

RF microneedling is a treatment that can be beneficial for women over 50. It can help to improve the appearance of wrinkles, scars, and stretch marks, and it can also increase the absorption of skincare products.

Can I use RF microneedling after Botox?

Patients may be treated with several nonablative lasers and IPL or RF devices immediately after botulinum toxin injection without loss of efficacy or other apparent untoward effect.

How long after RF microneedling will see results?

The real magic occurs over the subsequent weeks as your skin responds to the treatment and production of collagen and elastin increases. Final results are typically seen around 3-6 months after your last treatment.

Can RF lift brows?

Nonablative skin tightening with radiofrequency energy or ultrasound can be used for achieving a brow-lift. Although these techniques do provide collagen remodeling, multiple procedures are often necessary, and results are not always substantial.