What it is
Radiofrequency microneedling combines two technologies: micro-needles that penetrate to a controlled depth, and radiofrequency energy delivered through those needles into the deep dermis. The insulation on each needle protects the surface skin, allowing energy delivery at depth without compromising the epidermis. The result is significant collagen contraction and remodeling with much lower downtime than ablative resurfacing.
How we approach it
The clinician maps depth and energy settings per zone — jawline and neck typically take deeper, higher-energy passes; the upper face is treated more conservatively. Topical anesthesia is standard. For deeper indications (advanced acne scarring), dental block or pretreatment with oral analgesic is sometimes added.
A series of three sessions spaced four to six weeks apart is typical. Annual maintenance follows.
What to expect
The session is 60–90 minutes including anesthesia. Skin is red and feels sunburned for one to three days. Pinpoint crusting at needle entry points can persist 5–7 days. Makeup is typically fine after 48 hours.
Tightening becomes visible at two to six weeks. Collagen remodeling continues for three to six months per session.
Candidacy
Best for patients with early-to-moderate laxity, acne scarring, or texture beyond surface microneedling’s reach. Not for significant laxity requiring surgical lift, active infection, pregnancy, or active cold-sore outbreak.