Radiofrequency Microneedling (RF Microneedling) – Everything You Need to Know

If you’re looking for a way to enhance the appearance and quality of your skin without surgical intervention and a long recovery period, RF microneedling could be the perfect choice for you.

In the world of aesthetic medicine and cosmetology, microneedling has long stood out as one of the most popular treatments for stimulating the natural process of skin regeneration. This non-invasive procedure uses microscopic needles to stimulate the production of collagen and elastin, improve skin quality, and reduce the appearance of acne scars, fine lines, and other imperfections. However, technological advancements haven’t stopped at traditional microneedling – today, we also have its enhanced version – radiofrequency microneedling or RF microneedling.

Radiofrequency microneedling represents the next generation of microneedling technology, offering deeper, more intense, and more effective skin stimulation. Micro-needles are inserted into the skin while emitting radiofrequency energy, so this treatment simultaneously combines the benefits of microneedling and radiofrequency energy, i.e., mechanical and thermal stimulation. The result is an even more intense collagen boost and more effective correction of numerous skin issues, making it an ideal choice for those looking for a comprehensive solution for wrinkles, scars, stretch marks, enlarged pores, and other skin imperfections.

What is RF Microneedling?

RF microneedling (radiofrequency microneedling) is a treatment that combines two methods to achieve optimal results:

1. Microneedling: Micro-needles penetrate the skin to a precisely controlled depth, creating microchannels and micro-injuries. These micro-injuries activate the skin’s natural response—enhanced production of collagen and elastin, key proteins responsible for firmness, elasticity, and a youthful appearance of the skin.
2. Radiofrequency (RF): While the needles are in the skin, radiofrequency energy is emitted through them, heating the tissue from within. This heat further stimulates tissue renewal, skin tightening, and pore reduction. The result is a stronger, more lasting, and more effective effect compared to classic, traditional microneedling.

This synergy allows for exceptional results in combating a range of issues: from fine lines, acne scars, and stretch marks to hyperpigmentation and loose skin.

How does RF Microneedling work?

The principle of RF microneedling is based on the simultaneous action of mechanical and thermal stimulation:

• Micro-needle Penetration: During RF microneedling treatments, our highly qualified and trained experts use a hand-held, specially designed RF microneedling device equipped with sterile, ultra-thin micro-needles. With adjustable depth, these needles penetrate the epidermis and dermis (deeper layer of the skin), creating microscopic punctures on the skin’s surface, stimulating the body’s natural healing response. The depth of penetration is adjusted according to the skin type, the region being treated, and the specific problems we aim to resolve.
• Emission of Radiofrequency Energy: When the needles reach the desired depth, radiofrequency energy is released. This energy heats the tissue, causing controlled damage to collagen fibers and stimulating their renewal and remodeling.
• Regeneration and New Collagen Formation: In response to the micro-injuries and thermal effect, the skin begins an intense regeneration process, forming new collagen and elastin fibers. This leads to skin tightening, improved texture, and even skin tone.

What Issues Does RF Microneedling Address?

RF microneedling is an extremely versatile treatment that can be used to resolve various aesthetic issues:

• Wrinkles and Fine Lines: The treatment tightens the skin and reduces the visibility of fine lines, especially those around the eyes, on the forehead, and around the lips.
• Acne Scars and Other Types of Scars: RF microneedling promotes the reconstruction of damaged collagen fibers, making scars shallower and less noticeable.
• Stretch Marks: As this involves damage to the skin’s elastic fibers, radiofrequency energy, along with collagen stimulation, can help reduce the visibility of stretch marks.
• Uneven Skin Tone and Texture: This treatment helps even out skin tone, reduce enlarged pores, and improve the overall smoothness of the skin.
• Loose Skin: Radiofrequency stimulates collagen contraction and the creation of new fibers, resulting in firmer, tighter skin.
• Non-inflammatory to Moderately Inflammatory Acne: RF microneedling can contribute to controlling sebum production and improving the condition of skin prone to mild to moderate acne.
• Melasma and Other Pigmentation Issues: Controlled heating and collagen stimulation can contribute to evening out pigmentation and reducing the visibility of spots.
• Hair Condition: Applying RF microneedling to the scalp can improve circulation and stimulate the growth of stronger and healthier hair.
• Rosacea: A mild, controlled thermal effect helps reduce redness and improve the skin condition in individuals with rosacea.
• Body Contouring: By applying this technique to specific parts of the body, it is possible to tighten the skin and complement other body shaping methods.
• Excessive Underarm Sweating (Hyperhidrosis): RF waves can reduce the activity of sweat glands, effectively decreasing excessive sweating in the underarm area.

This wide range of possibilities makes RF microneedling one of the most sought-after treatments in modern aesthetic medicine, offering the opportunity for individually tailored protocols and long-term improvement in skin quality.

Who is RF Microneedling Suitable For?

One of the great advantages of RF microneedling is that it is suitable for almost all skin types and tones. Unlike certain laser treatments, which can cause hyperpigmentation in darker skin types, RF microneedling is safe and effective for individuals with darker complexions. It is also suitable for younger people who want to improve skin texture and act preventively against aging, as well as older individuals with more pronounced signs of wrinkles and skin laxity.

Of course, it is always best to consult with an experienced dermatologist or aesthetic doctor who can assess whether RF microneedling is the right choice for you. In some cases, certain active inflammatory processes on the skin, certain skin diseases, or a tendency towards keloid scarring may be reasons to delay or avoid the treatment.

Are There Any Contraindications?

Yes, there are certain contraindications not suitable for radiofrequency microneedling treatment:

• Skin cancer
• Acute, active acne
• Inflammatory, infectious skin diseases
• Acute herpes infection
• Taking anticoagulants (Heparin, aspirin, etc.)
• Known allergies to local anesthetics
• Uncontrolled diabetes
• Radiation therapy or chemotherapy
• Pregnancy

What Does the Treatment Look Like?

The RF microneedling procedure typically unfolds as follows:

• Consultation: Before the treatment, a professional will examine your skin, discuss your desires and expectations, and explain what you can realistically achieve. You will also receive advice on how to prepare for the treatment, such as avoiding strong chemical peels or aggressive cosmetic procedures a few days prior to your appointment.
• Skin Preparation: A cleansing and disinfecting agent is applied to the skin, and often a local anesthetic cream is used to reduce discomfort and pain.
• Performing the Treatment: Using a special applicator with micro-needles, the treated areas are slowly covered. The depth of the needles and the intensity of the radiofrequency energy can be individually adjusted. The treatment typically lasts from 30 to 60 minutes, depending on the area being treated and the complexity of the issues.
• After the Treatment: The skin may be reddish and slightly swollen, but these symptoms usually disappear within a few hours to a couple of days. Our experts will recommend products to soothe and hydrate the skin, as well as necessary sun protection.

Post-Treatment Skin Care for RF Microneedling

After the treatment, follow the expert’s advice regarding post-procedure care. This includes:

• Using a gentle cleanser and moisturizing cream
• Avoiding strong active ingredients (like retinol, acids) and irritants in the first few days after treatment (such as pool water and strong chemicals)
• Avoiding makeup for several days or while the skin is inflamed
• Mandatory use of sunscreen with an SPF of 30 or higher to prevent hyperpigmentation

How Many Treatments Are Needed?

The number of treatments depends on the initial condition of the skin and the goals you wish to achieve. Many patients notice improvement after just one or two treatments, but for optimal results, a series of three to five RF microneedling treatments is usually recommended, spaced four to six weeks apart. To maintain the results long-term, additional treatments every 6-12 months are advised.

When to Expect Results?

You can see initial results as early as the second week, once the active healing period is complete and the skin surface is fully renewed. However, the effect of collagen in increasing volume will not reach its peak until the third or fourth month. Over the period of three to six months following the completion of the treatment series, the skin continues to improve, meaning the final result will progressively get better. Improvement in acne scars and skin tightening can last up to a year with ongoing collagen remodeling.

Possible Side Effects and Precautions

Although RF microneedling is generally a safe treatment, possible side effects include mild and transient redness, swelling, bruising (usually minor and quick to resolve), mild pain or discomfort, and occasionally small blisters or scabs. It is important that the treatment is performed by a qualified and experienced professional, as they will correctly assess the depth and strength of the treatment and minimize the risk of any complications.

Combination with Other Treatments

RF microneedling can often be combined with other aesthetic procedures for even better results. For example, chemical peels, PRP treatments, hyaluronic fillers, or Botox can be used at different stages to achieve a comprehensive effect of rejuvenation and skin quality improvement. Your doctor will assess the ideal schedule and combination of procedures for you.

Benefits of RF Microneedling

• Minimally Invasive: Unlike surgical procedures, RF microneedling does not require incisions and has a short recovery time.
• Short Recovery Time: Redness and swelling are temporary and mild, allowing for a quick return to daily activities.
• High Efficacy: The combination of microneedling and radiofrequency provides a stronger stimulation of collagen and skin elasticity.
• Safe for All Skin Types
• Comprehensive Improvement: Addresses or alleviates a wide range of issues – from wrinkles and scars, lifting of lower eyelids, rejuvenation of the neck, décolleté and hands to hyperpigmentation and loose skin.
• RF Microneedling can treat numerous regions, such as: face, neck, décolleté, hands, underarms, body (upper parts of the arms, elbows, inner thighs, knees, etc.)