Microneedling with Radiofrequency is often described as the gold standard for transforming acne scars, fine lines, and lax skin. This article discusses Microneedling with Radiofrequency: Transforming Acne Scars & Fine Lines.

In essence, RF microneedling (also known as radiofrequency microneedling) combines tiny, sterile needles with radiofrequency energy that is delivered deep into the skin. The microneedles create controlled micro-injuries (micropunctures) while simultaneously heating the surrounding dermal tissue with RF energy.

This dual action triggers a cascade of wound healing, stimulating the formation of new collagen and elastin, remodeling scar tissue, and tightening the dermis.

This minimally invasive procedure can deliver deeper penetration than standard microneedling alone. Because the RF bypasses the epidermis via insulated needles, more focused heating reaches deeper dermal layers while leaving the surface relatively spared.

Over weeks to months, the treated zones fill in and contract via new matrix deposition and remodeling. As a result, RF microneedling benefits include improved smoothness, reduced scar depth, enhanced firmness, and more durable results compared to simple microneedling alone.

Different devices (such as Morpheus8, Potenza, Genius, and Scarlet RF) vary in how they deliver energy, needle depth, insulation, and settings, but the core principle remains the same: combining micro-injury with heat to coax your skin into repairing itself more effectively than it would with injury alone.

2. Can RF Microneedling get rid of acne scars?

Yes, RF microneedling can significantly reduce the appearance of acne scars, though it doesn’t “erase” them completely in many cases.

By stimulating collagen and elastin remodeling, the depressed or irregular scar tissue gradually becomes more level with the surrounding skin. Over time, the skin texture becomes smoother as the shallow reticular dermal structure is renewed.

Clinical reviews indicate that RF microneedling is effective in treating acne scars, particularly those with rolling and boxcar patterns.

In one study, fractional RF microneedling (FMR) was used in multiple sessions, demonstrating measurable improvements in scar volume and grading, as well as reductions in sebum production in individuals with acne-prone skin.

Moreover, because RF microneedling promotes dermal contraction, some deeper scars become shallower as the surrounding tissue tightens. That said, intense “ice pick” scars may need adjunctive techniques (TCA CROSS, punch excision, fillers) to maximize smoothing.

Thus, RF microneedling for acne scars is a proven, clinically validated use, primarily when performed as a multi‑session course by a skilled provider.

3. Does RF Microneedling help with fine lines and wrinkles?

Absolutely. One of the key advantages of RF microneedling is its ability to reduce fine lines by inducing dermal remodeling.

The heat from RF energy causes partial denaturation of collagen fibers, triggering fibroblasts to synthesize fresh, more youthful collagen and elastin. Over months, this process helps improve skin firmness and reduce surface wrinkles.

Because you can adjust needle depths and energy levels, finer superficial lines can be targeted at shallower depths. At the same time, deeper wrinkles or folds receive treatment at deeper levels in the dermis.

In many practices, RF microneedling for fine lines is a routine indication, and patients often see visible smoothing after a couple of sessions.

Additionally, compared to other noninvasive methods, microneedling helps focus the RF precisely where it’s needed (rather than diffuse heating), thereby improving efficacy for fine line reduction with less epidermal damage.

4. How does RF Microneedling improve overall skin texture and pores?

Beyond scars and lines, one of the oft-cited benefits is the improvement in skin texture, pore size, and overall clarity.

The microchannels and RF heat stimulate remodeling of dermal collagen architecture, helping to smooth irregularities, reduce roughness, and tighten adjacent tissue. This results in an appearance that feels more even and refined.

In terms of pores, RF microneedling can indirectly reduce the appearance of enlarged pores by firming up the surrounding dermis, causing the pore orifices to contract slightly.

Some studies even show reduced sebum output in individuals with acne-prone skin after RF microneedling.

Patients often remark that their skin “feels smoother,” “more polished,” or “less textured” after treatment, reinforcing that this is not just about scars or lines, but about refining the skin envelope as a whole.

5. Is RF Microneedling safe across different skin tones?

Yes, one of the significant advantages of RF microneedling over many laser-based resurfacing treatments is its relative safety in darker skin types (Fitzpatrick IV–VI).

Because the RF energy is delivered beneath the surface via insulated or semi-insulated needles, the overlying epidermis is spared from thermal injury, reducing the risk of postinflammatory hyperpigmentation (PIH).

Review articles conclude that RF microneedling is effective and safe even in darker skin phototypes when appropriate settings are used.

However, some caveats apply: aggressive settings that are too close to the epidermis, or inadequate sun protection, can still cause adverse pigmentation.

Thus, safe RF microneedling for dark skin is feasible, but it requires a provider experienced in adjusting parameters (lower energy, shorter pulses, conservative depths) and following strict post-care protocols.

6. What’s the difference between traditional microneedling and RF microneedling?

Traditional microneedling (or collagen induction therapy) uses fine needles (manual dermarollers or motorized pens) to puncture the skin, creating controlled micro-injuries that trigger collagen and elastin production.

But the depth, intensity, and consistency are constrained, and effectiveness is limited to more superficial remodeling.

RF microneedling, on the other hand, adds radiofrequency energy delivered through needles. This heat enhances the wound-healing response by causing thermal injury deeper in the dermis, increasing collagen denaturation and contraction, and stimulating more robust remodeling.

The result is often a more dramatic improvement in texture, firmness, and scar remodeling than microneedling alone.

In plain terms, standard microneedling is akin to pricking the soil to grow grass; RF microneedling is like heating and aerating deeper, stronger layers, so the grass root system becomes more vigorous.

Because of this, microneedling RF side effects are somewhat similar (redness, mild swelling), but with added caution regarding heat damage. Additionally, RF microneedling downtime is generally longer, although still mild compared to ablative resurfacing.

7. Which is better for acne scars: microneedling or RF microneedling?

Between the two, RF microneedling generally yields better results for acne scars, particularly when addressing deeper, more severe scars.

The addition of heat allows deeper remodeling and contraction that simple microneedling may not achieve. Many practitioners find that RF microneedling is more effective than microneedling alone for moderate to severe acne scarring.

However, standard microneedling may still have a role in very mild scarring or as a lower-cost alternative, especially for maintenance or adjunctive treatments. In less severe cases, microneedling alone might be sufficient, especially when paired with topical agents (e.g., PRP, growth factors).

In short, for most acne scars, RF microneedling tends to outperform plain microneedling; however, the final decision depends on the scar depth, skin type, and individual tolerance.

8. How does the RF energy component tighten skin?

The radiofrequency energy delivered via microneedling causes thermal heating in the dermis, which partially denatures collagen fibers.

When collagen is denatured (i.e., heated to ~60–70°C), it tightens immediately through contraction. Then it triggers a wound-healing response that lays down new, more robust collagen over the course of weeks to months.

Additionally, the heat stimulates fibroblasts, prompts neocollagenesis and neoelastinogenesis, and reorganizes extracellular matrix, cumulatively tightening and firming the skin. Reviews of RF microneedling show progressive improvement in laxity over 3–6 months, as the skin continues to remodel.

Because the microneedles can deliver energy at depth while sparing the epidermis, more effective dermal remodeling is possible with less superficial damage. That mechanism underlies the non‑surgical facelift RF effect that many providers mention.

9. Can RF Microneedling reduce deep wrinkles and sagging (beyond fine lines)?

While RF microneedling is not a surgical facelift, it can yield noticeable improvements in deeper wrinkles and mild to moderate sagging.

The combination of dermal contraction and volumetric remodeling often results in lifting and tightening, particularly around the jawline, cheeks, and jowls. Many practitioners market RF microneedling as a “mini lift” or non-surgical facelift option with a modest lifting effect.

However, severe sagging (heavy jowls, excess lax tissue) will likely still require surgical intervention for full effect. RF microneedling is best viewed as a middle ground: more potent than topical treatments or injectables, yet less invasive than surgery.

In well-selected patients, the results can be quite gratifying; combined with good skin preparation, maintenance, and other modalities (e.g., radiofrequency skin tightening, ultrasound), RF microneedling can act as a durable lifting tool in one’s aesthetic toolkit.

10. How effective is RF Microneedling for skin laxity, jowl lifting, and non‑surgical facelift effect?

As an adjunctive tightening tool, RF microneedling has proven effective, mainly when used over multiple sessions.

Patients often report improvements in skin firmness, sharper jawline definition, and reduced jowl sag after a course of treatments. The micro-coagulation zones created by the needles act to draw tissues inward, subtly enhancing contour.

Some devices (e.g., Genius RF) are explicitly marketed for skin tightening and “non-surgical facelift” roles, citing their capacity to treat deeper layers with insulated needles for safer, deeper heating.

But outcomes depend heavily on the provider’s technique, depth, energy settings, and post-care. Results are gradual and cumulative; many improvements unfold over 3–6 months as remodeling continues.

Thus, while RF microneedling may not achieve the dramatic effect of a surgical lift, it can deliver a meaningful tightening effect, improve laxity, refine contours, and delay or complement surgical options in appropriately selected candidates.

11. What about enlarged pores, texture irregularities, and skin smoothness?

One of the side benefits (in a positive sense) of RF microneedling is visible refinement of skin texture and pore appearance.

As dermal structure tightens and supports firm up, the overlying epidermis becomes more stable, and pores can appear smaller. Patients often see a smoother, more even skin surface and fewer textural irregularities after a full course.

Because the energy stimulates regeneration across many microscopic zones, areas of roughness, mild creasing, or “orange peel” texture gradually soften. Thus, RF microneedling for pore reduction and general skin texture improvement is a common cosmetic indication.

In practice, many dermatologists combine RF microneedling with resurfacing topicals or light peels to enhance smoothing and glow. However, even on its own, its remodeling effect yields a discernible improvement in skin texture.

12. Can RF Microneedling treat body areas (neck, chest) and stretch marks?

Yes, RF microneedling is not limited to the face.

Many providers extend the technique to the neck, décolletage, arms, abdomen, and other areas of lax or scarred skin. Because needle depths can reach deeper (often up to 8 mm or more in body devices), they can target thicker dermal and subdermal zones.

It’s also used for stretch marks (striae) with positive outcomes: the controlled injury and heat help remodel dermal collagen and elastin even in scarred zones. In the review literature, RF microneedling has been investigated as a potential treatment for striae.

However, recovery is generally more prolonged, and multiple passes or sessions may be needed. The costs and discomfort may scale with area.

However, microneedling RF for stretch marks and the chest/neck is a valid use.

13. Which skincare ingredients should be avoided before and after treatment?

Before treatment, patients are typically asked to discontinue potent actives (e.g., retinoids, acids, Vitamin C, hydroxy acids) for at least 5–7 days, sometimes longer, to reduce skin sensitivity and the risk of irritation.

Also, avoid using strong exfoliants, harsh scrubs, and any aggressive home treatments before the procedure.

After treatment, the skin is vulnerable. Avoid retinoids, glycolic acid, vitamin C serums, alpha or beta-hydroxy acids, benzoyl peroxide, and other potent actives for approximately 7–14 days (depending on the clinician’s protocol).

Sunscreen avoidance is not allowed; in fact, a broad-spectrum SPF is critical. Gentle, hydrating, and barrier-soothing products (e.g., hyaluronic acid, ceramides) are preferred early on.

Always follow your provider’s RF microneedling post-care instructions. It’s also wise to avoid makeup for 24–48 hours, refrain from sweating/strenuous exercise for a few days, and limit sun exposure (or use strong sun protection).

In short, avoid active, irritating, or exfoliating ingredients before and immediately after use to preserve healing and reduce the risk of pigmentation or irritation.

14. What are the common side effects and downtime of an RF microneedling session?

Most side effects are mild, temporary, and manageable.

Common microneedling RF side effects include redness, mild swelling, edema, pinpoint bleeding, tenderness, itching, and temporary dryness or flaking of the skin. These typically subside within hours to a few days.

Occasionally, bruising or mild hematomas may occur in sensitive areas. Rare but possible complications include infection, scabbing, hyperpigmentation (especially in darker skin if treated aggressively), or “grid marks” if the operator’s technique is not precise.

In terms of RF microneedling downtime, most patients have redness for 1–3 days, sometimes mild swelling for up to 4–5 days. Makeup can often mask residual redness after 24 to 48 hours.

Full recovery (i.e., return to baseline texture) usually takes about a week. In more aggressive treatments, downtime may be extended.

Because this is not an ablative procedure, downtime is relatively short compared to laser resurfacing. Still, one should plan for at least 1–2 days of minimal social downtime.

15. What is the average total cost for a whole series of RF microneedling treatments?

The cost depends heavily on geographic location, provider experience, device type, and treatment area.

As a ballpark, a single session might cost $600 to $ 2,000 or more for a full face in many U.S. cities. A whole series (commonly 3–4 sessions) might thus total $2,000 to $ 6,000 or more. (Some premium devices or high-end practices may charge more.)

When you see “radiofrequency microneedling cost” advertised, be sure to check exactly what area, device, and number of sessions are included.

Prices also vary if adjuncts like PRP, growth factors, or numbing enhancements are included.

Because results build over multiple treatments, many patients budget for the full course rather than individual sessions.

In short, the cost of an RF microneedling session is significant, and the total cost of a whole series should be factored in when deciding whether this treatment is feasible for you.

16. Frequently Asked Questions (FAQs) about Microneedling with Radiofrequency: Transforming Acne Scars & Fine Lines

Q1. Is RF Microneedling worth the cost for fine lines?

Concise Answer: Yes, for moderate fine lines, RF microneedling often yields noticeable improvement and may be worth the investment.

Detailed Answer: Fine lines respond well to the dermal remodeling produced by RF microneedling. Because the RF heat accelerates collagen formation and contraction, many patients see smoother skin after a few sessions.

While it’s more expensive than standard microneedling, its enhanced efficacy often justifies the cost, especially for lines that were unresponsive to creams or superficial treatments.

The key is managing expectations: it won’t erase deep furrows like a facelift, but for many, the smoother, tighter outcome is a meaningful upgrade over other noninvasive options.

Q2. Which types of acne scars does RF Microneedling treat best?

Concise Answer: RF microneedling is most effective on rolling and boxcar atrophic scars, less so on deep ice pick scars.

Detailed Answer: Because RF microneedling remodels the dermal architecture, scars that are shallow to moderately deep (rolling or boxcar) benefit most: the collagen stimulation lifts depressed zones. However, narrow, deep “ice pick” scars are more challenging, since the device may not fully smooth their narrow, deep channels.

In those cases, adjunctive methods like TCA CROSS or punch excision may be needed. Many practitioners combine modalities to optimize results.

Q3. How many RF microneedling sessions for acne scars?

Concise Answer: Typically, 3 to 4 sessions spaced 4–6 weeks apart are recommended.

Detailed Answer: Because collagen remodeling is gradual, a series is essential. Most protocols require 3–4 treatments, spaced approximately 4 to 6 weeks apart, allowing sufficient time for healing and matrix remodeling to occur.

Some patients with more severe scarring may benefit from additional sessions or maintenance treatments. Providers tailor the count based on progress, skin response, and the depth of the scar.

Q4. Can RF Microneedling effectively improve severe atrophic and ice pick scars?

Concise Answer: It can help, but is often less effective alone for severe ice pick scars; adjunctive treatments are usually needed.

Detailed Answer: For severe atrophic and especially narrow ice pick scars, the impact of RF microneedling is more limited because the device may not fully reach or remodel the narrow, deep tract.

Many experienced clinicians combine RF microneedling with targeted treatments (like TCA CROSS, punch excision, lasers, or fillers) to better address those deep scars. Still, RF microneedling contributes by improving the surrounding dermal support and texture.

Q5. Is RF Microneedling a better treatment for acne scars than laser resurfacing?

Concise Answer: It depends. RF microneedling offers safer results in many skin types and less downtime, but lasers may achieve more dramatic resurfacing.

Detailed Answer: Laser resurfacing (especially ablative CO₂ or erbium) is a powerful treatment that can dramatically improve surface texture, but it carries higher risks, longer downtime, and a greater risk of pigmentation issues, especially in darker skin tones. RF microneedling strikes a balance: deeper remodeling with less risk and shorter downtime.

In many cases, RF microneedling is safer (especially for darker skin tones), but for severe resurfacing needs, a hybrid or layered approach (laser + RF) may be ideal.

Q6. Is RF Microneedling a painful procedure, and what is used for numbing?

Concise Answer: It can cause mild to moderate discomfort, but strong topical or regional anesthesia is typically used to reduce pain.

Detailed Answer: Because microneedles penetrate the dermis and RF heat is applied, some degree of pain or stinging is expected. Most clinics apply a potent topical anesthetic cream (containing lidocaine, tetracaine, etc.) for 45–60 minutes before treatment.

In sensitive cases, nerve blocks or local infiltration may be used to supplement the numbing effect. Many patients compare the sensation to a mild stinging or prickly heat feeling rather than sharp pain.

Q7. What is the essential aftercare routine immediately following RF microneedling?

Concise Answer: Gently cleanse, apply barrier-soothing hydrating ointment, avoid makeup for 24–48h, and use broad-spectrum sunscreen.

Detailed Answer: After the procedure, the skin’s barrier is disrupted. For the first 24 to 48 hours, avoid wearing makeup, sweating, and touching the area.

Use a gentle cleanser (no harsh actives) and apply a sterile, bland, hydrating ointment or gel (e.g., hyaluronic acid, Panthenol, aloe) as recommended. In the subsequent days, gradually shift to a minimal, hydrating, barrier-supportive routine.

Strict sun protection (broad-spectrum SPF, hats, shade) is mandatory to avoid pigmentation risks. The provider’s RF microneedling post-care protocol should be followed closely to maximize healing and results.

Q8. How long do RF Microneedling results typically last?

Concise Answer: Results often last 1–2 years (or longer) if maintained, though gradual aging continues.

Detailed Answer: Because the structural remodeling is biological, results fade gradually as aging and environmental stress continue. Many patients enjoy visible improvements for 12–24 months before planning touch-ups.

Some individuals opt for a maintenance session every 9 to 18 months. Of course, skincare habits, sun protection, and lifestyle heavily influence how long the gains last.

Q9. How often should I get maintenance RF Microneedling treatments?

Concise Answer: Maintenance is often recommended every 9–18 months (sometimes annually).

Detailed Answer: After completing the initial series, providers often recommend occasional “touch-up” treatments to maintain collagen stimulation. Many plans call for one maintenance session every 12–18 months, but in more aggressive or aging-prone settings, some people do them yearly or even semiannually.

The timing depends on individual skin aging, response, and goals.

Q10. Why are there so many posts about RF Microneedling causing fat loss on the face?

Concise Answer: Excessive energy or deep penetration can inadvertently heat facial fat, risking partial fat atrophy, which some perceive as hollowing.

Detailed Answer: Because RF energy generates heat, if needles go too deep or energy is delivered too abundantly in the subcutaneous plane, it can partially damage or atrophy facial fat over time. Patients sometimes report unexpected volume loss (“sunken” look) or over-thinning.

That’s why provider expertise is critical: conservative depth, proper insulation, and avoiding direct heating of fat planes are essential to prevent “melting” or fat loss. Some of the alarm stems from poorly done treatments or overtreatment.

Q11. How can I ensure my provider doesn’t use settings that will melt my facial fat/volume?

Concise Answer: Choose a board‑certified, experienced provider who tailors depth, avoids fat compartments, and uses insulated needles.

Detailed Answer: During your consult, ask about the provider’s experience with RF microneedling, how they calibrate depth and energy, and whether they use insulated needles (which protect the epidermis and reduce collateral heating). A skilled clinician will avoid settings that unnecessarily target fat compartments and will monitor feedback metrics.

Reviewing before-and-after images and asking about previous patient outcomes also helps. Avoid bargain providers with aggressive settings.

Q12. Have you experienced “chicken skin” or texture changes after RF microneedling?

Concise Answer: While rare, some patients report transient roughness, bumpiness, or microtextural changes, often due to improper settings or healing irregularities.

Detailed Answer: “Chicken skin” refers to unwanted microtextural irregularities or dimpling post-procedure. It can occur if the treatment is too superficial or healing is uneven, or when overlapping passes create microtrauma that doesn’t heal uniformly.

Usually, such effects are temporary and improve over weeks as remodeling continues. Choosing a gentle and experienced provider and following post-care instructions helps prevent this.

If it persists, laser smoothing or additional microneedling may correct it.

Q13. Does RF Microneedling hurt, even with numbing cream?

Concise Answer: Some mild discomfort or heat sensation is still felt, but it’s usually tolerable with proper numbing.

Detailed Answer: Despite the use of topical anesthesia, patients may still experience sensations of warmth, tingling, or mild stinging as needles puncture and RF energy is activated. But compared to untreated procedures, numbing significantly blunts pain.

Many people describe it as a strong prickling or warming sensation rather than sharp pain. The discomfort is transient and usually well tolerated by most candidates.

Q14. Can RF Microneedling also effectively treat stretch marks on the body?

Concise Answer: Yes, it’s a recognized application, though multiple sessions and appropriate depth/energy are critical.

Detailed Answer: RF microneedling is used off-face for treating stretch marks (striae), with promising results in both the literature and clinical practice. Because stretch marks represent dermal disruption, the collagen remodeling triggered by RF microneedling can help “fill in” and smooth striae over time.

That said, stretch mark zones are heterogeneous, so success depends on factors such as energy, needle depth, skin thickness, and the number of sessions. Many patients require 4–6 sessions or more for meaningful improvement.

Q15. Will RF Microneedling help with my hyperpigmentation or melasma?

Concise Answer: It may help alleviate some pigmentation issues in conjunction with other treatments, but it is not an ideal standalone treatment for melasma.

Detailed Answer: RF microneedling’s remodeling effect can help even out tonal irregularities and subtly improve pigmentation, but for melasma, which is driven by more profound pigment instability, it’s not a primary therapy. In darker skin types, aggressive RF can lead to postinflammatory hyperpigmentation if proper care is not taken.

In practice, RF microneedling is often combined with topical agents, chemical peels, or laser modalities specifically tailored for pigment to address melasma comprehensively.

17. Conclusion: Microneedling with Radiofrequency: Transforming Acne Scars & Fine Lines

Microneedling with Radiofrequency has emerged as a compelling middle ground in aesthetic dermatology: more potent than traditional microneedling, yet safer and less invasive than ablative lasers.

The pairing of microneedle injury with RF heat potentiates collagen and elastin remodeling in a zone-targeted manner, making it a strong tool for addressing acne scars, fine lines, texture irregularities, and mild to moderate skin laxity.

Its adaptability, via adjustable depths, energy modulation, and multi-device options (Genius RF, Morpheus8, Potenza, Scarlet RF, etc.), allows treatments to be customized to suit individual skin types, scar patterns, and tolerances.

However, success hinges on selecting a skilled and experienced provider, setting realistic expectations, and adhering to preparation and post-care protocols.

Risks such as pigmentation changes, grid marks, or even inadvertent fat loss underscore the importance of conservative settings, especially in delicate areas. Treating multiple sessions and following maintenance plans are essential to maximize and preserve the gains.

If you’re seeking a rejuvenation approach that bridges efficacy, safety, and recovery, RF microneedling is one of the standout options.

But as with any elective procedure, weigh costs, review before/after cases, ask questions, and choose a provider whose understanding of the RF microneedling procedure is demonstrable.

The transformation potential is real when done thoughtfully.

We have covered everything about Microneedling with Radiofrequency: Transforming Acne Scars & Fine Lines.

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18. References

Dr. Dahabra

West Palm Beach IV Therapy Clinic

Evaluation of Microneedling Fractional Radiofrequency Device for Treatment of Acne Scars

Source: PMC / Journal of Cutaneous and Aesthetic Surgery

Brief: Retrospective assessment of 31 patients (skin types III–V) treated over four sessions, showing that ~80 % improved by two scar grades. Side effects were mild (erythema, edema, transient hyperpigmentation).

Radiofrequency Microneedling: A Comprehensive and Critical Review

Source: PubMed / Various contributing journals

Brief: A broad review summarizing 42 higher-quality studies (14 on skin rejuvenation, seven on acne scars, etc.), discussing benefits, limitations, evidence strength, and safety across skin types.

Efficacy and safety of microneedling radiofrequency in acne scars

Source: PMC / Journal of Cosmetic Dermatology (meta‑analysis, clinical series)

Brief: This article aggregates multiple studies on microneedling radiofrequency (MNRF) for acne scars, also comparing with fractional CO₂ laser and assessing pore reduction and safety in Asian skin.

Clinical and histologic evaluation of a fractional radiofrequency ultrathin‑electrode technology

Source: PMC / Dermatologic Research Journal

Brief: This study utilizes ultrathin electrode tips (1.0 mm × 0.15 mm) for fractional RF (VoluDerm/Legend Pro) to evaluate improvements in texture, wrinkles, and histologic changes.

Histological and clinical dose‑response analysis of radiofrequency microneedling

Source: Springer / Lasers in Medical Science

Brief: Investigates the correlation between applied RF energy per needle and resulting coagulation volumes, and how that relates to clinical volume changes and skin rejuvenation outcomes.

Transcutaneous Radiofrequency Microneedling in the Facial Plastic Surgeon’s Practice

Source: Liebert / Facial Plastic Surgery & Aesthetic Medicine

Brief: Discusses usage of RF microneedling in facial aesthetic surgery settings, reporting typical improvements (20–60 % in rhytids, laxity, texture) over 1–3 treatments and durability across 7 months.

oi/10.1089/fpsam.2022.0226

Combination of fractional microneedling, radiofrequency, and ablative fractional laser for acne scars: A split‑face randomized clinical trial

Source: Yonsei Medical Journal (Korea)

Brief: In 23 Korean patients, combining FMR + AFL showed significantly greater improvement (inflammatory lesions, scar grading) than AFL alone, suggesting synergy in treating acne scars.

Comparison of the effects of fractional microneedle radiofrequency in altering the cellular milieu of aged skin

Source: Nature / Scientific Reports

Brief: Looks at how fractional MNRF changes cellular and molecular markers in aged skin, along with clinical skin improvements, giving insights into the mechanism of action.

Pulsed Wave Mode of Fractional Radiofrequency Microneedling as a Novel Treatment for Acne Vulgaris

Source: MDPI / Cosmetics

Brief: Investigates a pulsed wave mode in FMR treatment for moderate to severe acne (IAV category), using insulated microneedles to deliver energy while sparing the epidermis.

Synergistic effect of microneedle‑delivered extracellular matrix compound and radiofrequency on periorbital wrinkles

Source: Frontiers in Medicine

Brief: Explores combining microneedle-delivered extracellular matrix compounds (ECM‑C) plus RF in the periorbital area; the RF + ECM arm showed enhanced wrinkle reduction vs microneedling + ECM alone.

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