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Microneedling and Radiofrequency

Cosmetic medicine continues to advance, becoming more effective and requiring less recovery. 

Microneedling Fractional Radiofrequency represents one of the latest developments in rejuvenating the skin.

We will introduce and discuss the exciting new procedure that combines microneedling with radiofrequency energy to rejuvenate the face and body.

RF microneedling is a great tool for improving skin texture, skin color, scarring and stretch marks. It has minimal downtime and takes only a few minutes in the office. Read on to learn more.

What is radiofrequency microneedling?

Microneedling Fractional Radiofrequency is a long name to describe a procedure that combines microneedling with radiofrequency energy.

To understand the advantages of this combination, we have to understand each one and the synergy they produce together.

Microneedling is a technique that rejuvenates the skin by doing hundreds of tiny needle sticks

The needles are very small and go just into the skin. They feel rough but are not uncomfortable enough to require anesthesia. The needles cause a healing response that not only tightens the skin, but also improves pigment and surface irregularities like scars and stretch marks. Microneedling alone is effective on superficial skin issues.

What is the importance of adding radiofrequency to the needling?

We use radiofrequency energy frequently to tighten the skin. Adding radiofrequency to the needling enhances both the tightening and the rejuvenating effect.

Both microneedling and radiofrequency induce a healing response from the body. The injured areas release chemical messengers known as growth factors. These growth factors call in healing cells like macrophages, fibroblasts and stem cells. These cells clean up the damage from the Legend RF needling. They also repair damage like age spots and old collagen. The result is rejuvenated skin. The combination results in a greater healing response than either procedure alone. It is like adding 1+1 and getting 3 because of the work they do together.

The combination approaches the effectiveness of some aggressive lasers with only a small fraction of the downtime and none of the swelling or discomfort. The Microneedling/RF system is also very safe, even when compared to other RF needling products. Some of the earlier devices could go to deep and even scar if the operator pressed too hard. However newer technology makes RF needling one of the safest and most effective skin rejuvenating procedures available. We use the newest technology available today.

How long does a treatment take?

Radiofrequency (RF) needling usually takes about 20-40 minutes depending on the area treated. The treatments feel rough but is really not uncomfortable. The tiny wounds remain open for about 4 hours, so we advise you to not put anything on your face including makeup for about 4 hours. After that you may be a little red overnight, but it is fine to use makeup. You may be able to see some tiny dots if you look closely. Swelling and bruising is unusual.

                                                     How many RF needling treatment do I need?

We typically recommend about 4-6 treatments about 3-4week apart. Each treatment builds on the previous treatment. The first treatment induces release of chemical messengers known as growth factors. Special healing cells respond to the growth factors and cause a healing and rejuvenating response.

Growth factor /healing cell graphic or animation.

When cells and growth factors are already present, an even greater growth factor and cellular response occurs. Therefore, multiple treatments 3-4 weeks apart results in a greater response than treatments several weeks or months apart. Again, it is the 1+1 equals 3 scenario.

                                                  What is Radiofrequency microneedling most helpful in treating?

Studies show that RF needling is good for:                                                   

    fine lines and wrinkles

    colored lesions like melasma or age spots

    scars like acne scars or surgical scars respond well 

    stretch marks and skin tightening


RF needling may be the best procedure available for acne scars and stretch marks, although direct comparison studies are not yet done.

When would you use Radiofrequency microneedling instead of radiofrequency skin tightening without the microneedling?

That is a question we receive a lot. If we are wanting tightening over a large area and smoothing, radiofrequency without the needling is recommended. If you have color changes or surface problems like scars or stretch marks, microneedling is recommended.


As cosmetic medicine continues to sprint forward, Microneedling Fractional Radiofrequency needling is moving to the forefront for skin rejuvenation. It is very effective for a variety of disorders, has minimal pain and downtime, and is extremely safe. For even better results combine this with platelet rich plasma (PRP) !!!