Your Essential Guide to Radiofrequency Microneedling
Navigating radiofrequency microneedling can be confusing because there are so many devices, treatment plans, needle depths, and energy levels to think about. Our goal is to make this simpler by breaking down the top radiofrequency microneedling options. For a detailed guide, click to your right, or check out the key points below!
What is Radiofrequency Microneedling?
Radiofrequency (RF) microneedling combines regular microneedling with radiofrequency (basically heat 🔥) to rejuvenate the skin. The needles create thousands of micro-punctures that trigger collagen and elastin production; heat 🔥 makes this process 10x more effective. RF microneedling can be used for wrinkles, texture, pores, scars, and more.
Regular Microneedling
VS.
Radiofrequency (RF) Microneedling
Um… What is Radiofrequency?
We’re not scientists, so let’s keep it simple: Radiofrequency (RF) is a type of energy used in medical treatments that heats the skin. We want to heat the skin because the heat helps improve the skin’s texture and tightness. It can stimulate collagen production, which makes the skin look smoother and firmer over time.
Radiofrequency = Heat 🔥
Radiofrequency Microneedling + Anatomy
To put it simply, RF microneedling involves the use of tiny needles that penetrate the skin to deliver heat. This combination of microneedling and radiofrequency energy is designed to enhance skin rejuvenation by promoting collagen production and improving skin texture.
When it comes to delivering heat into the skin through RF microneedling, there are several crucial factors to consider:
Needles - Heat can be delivered evenly throughout the entire needle (see "Uninsulated Needle") or just the tip (that's what she said).
Needle Depth - Heat can be delivered to the superficial dermis or deep into the fat, depending on the penetration of the needle.
Energy Frequency - Heat can be delivered in a bulky, wide dose (see 1 MHz below) or a tiny, precise dose (see 2 MHz below).
Energy Time - Heat can be delivered over a short time (just a few milliseconds) or a loooong time (up to 4 seconds!). Longer delivery = more heat = better results = but also more painful 😣.
Radiofrequency Microneedling Device Comparison
Let's just get a very rough overview of the devices we'll discuss today. This is a VERY GENERAL diagram. It's impossible to truly label what is stronger/strongest, as providers can adjust the energy beyond the typical settings. Think of Vivace and Secret as ideal for younger patients looking for anti-aging maintenance; think of Profound and Morpheus8 for more aggressive treatment for wrinkles and jowls with more downtime.
Let’s Get Into Devices!
Understanding the features of RF microneedling devices is important for both doctors and patients to choose the right treatment. How well RF microneedling works depends on things like the type of needles, how deep they go, whether they are insulated, and how long they heat the skin. These factors affect how effective the treatment is and how comfortable and safe it feels. To make this easier to understand, we’ve created simple graphics that compare different RF devices based on these features. This will help you see how each device works and which one might be the best fit for your skin and treatment goals.
Vivace
tl;dr: Vivace has a very polarizing opinions; not super loved by dermatologists but really loved by patients. 🤷🏼♀️
Offers both red light (for collagen building) and blue light (to kill bacteria and improve acne).
Gold-plated needles ensure less irritation and fewer allergic reactions.
Has both 1MHz energy (bulky heat, good for general tightening) and 2MHz energy (precise heat, good for scars)
A smooth motor gently glides the needles into the skin, resulting in "virtually no discomfort."
Celebrity Clients: Olivia Culpo, Molly Sims
Vivace Ultra
tl;dr: The addition of ultrasound to a RF microneedling device is very unique. It's important for the heat to be exactly in the dermis (not in the fat!). With ultrasound, the provider can be certain of the needle's location in the skin.
Vivace Ultra = Ultrasound!
The addition of ultrasound makes this device much more precise. The provider can see the exact depth of the needle. No more overshooting or undershooting!
Great for dark skin: Due to the ultrasound technology, this device can minimize trauma to the epidermis (where our melanocytes live).
Has both 1MHz energy (bulky heat, good for general tightening) and 2MHz energy (very precise, good for scars)
Can be used on face or body
Infini
tl;dr: The oldest device we've discussed (launched in 2013). It works, but with more pain + more downtime compared to newer devices.
Offers high intensity energy ("monopolar") that dives deep into the skin. This is great for tightening, though it can be painful.
This intense energy can be delivered up to 1 second. The longer time improves tightening results (but again, more pain).
Genius RF
tl;dr: No notes, 10/10, would recommend.
One of the more powerful RF devices on the market
Upgraded version of the Infini (see left)
Needles penetrate at 3 different levels, creating a 3D effect
Unlike older devices that use a fixed energy setting, Genius adjusts energy in real-time. In simple terms: Genius delivers the EXACT right amount of heat. NO MORE, NO LESS. This maximizes precision and comfort and minimizes downtime. This system is state of the art, meaning that the Genius RF devices are expen$ive.
Secret
tl;dr: Best for skin of color due to insulated needles (protect melanocytes) and 2MHz (very precise) heating. This is less likely to induce pigment changes.
Very customizable
Has 2MHz energy (meaning the heat is very precise rather than bulky). With insulated needles + very precise heat, the Secret RF is great for darker skin tones (meaning the melanocytes are very well-protected from heat). Has a very low risk of post-inflammatory hyperpigmentation (AKA dark spots).
Potenza
tl;dr: Potenza is a newer, innovative device. The Tiger Tip and the Fusion Tip are very unique and different from other devices. No opinions on this device, as it's relatively new and (I suspect) very expen$ive.
POTENZA has a BONANZA of needle tips!
Has both 1MHz energy (bulky heat, good for general tightening) and 2MHz energy (very precise, good for scars)
Potenza is comfortable with minimal recovery time.
Celebrity Clients: Kim Kardashian, Rachel Zoe, Chrishell Stause
Morpheus8
tl;dr: Due to its strength and depth, the Morpheus8 settings are particularly important. Make sure you go to a dermatologist with experience. Try to avoid MedSpas and see a dermatologist for this treatment in particular.
The DEEPEST RF device: 8mm!
Only RF device FDA cleared to penetrate fat
Melts and reshapes fat to “morph" the face, hence the name (and 8mm!)
Morpheus8 tip delivers 3 short bursts of energy as it retracts, creating 3D effect
Considered the best device for body skin tightening. Also used on lower and mid-face to tighten.
Can use Morpheus8 instead of liposuction
Celebrity Clients: Kim Kardashian, Kourtney Kardashian, Jessica Simpson, Lindsay Lohan, Eva Longoria
Profound
tl;dr: The most controversial of all the devices here. Derms seem to love it or hate it. It's up to you if you want to spend $4000+ on a single treatment that may or may not work.
FDA cleared to treat cheeks, jowls, neck, and cellulite
Popular for lower face
Requires single session
Powerful, but painful due to heating the skin for 4 seconds (!!!). This is by far the longest heat delivery time: this results in more tissue injury and a longer recovery (~7 - 10 days).
The angled needles increase contact with the skin to enhance effectiveness, but can damage vessels and nerves. Bruising and numbness may last a few weeks.
Produces 5x more elastin, 2x more collagen, and more hyaluronic acid.
If Radiofrequency Microneedling Safe for Skin of Color?
Some RF microneedling devices are better at protecting the top layer of skin (the epidermis) and the melanocytes, which helps lower the risk of post-inflammatory hyperpigmentation. This is especially important for people with darker skin, who are more likely to develop dark spots after skin treatments. Devices with insulated needles are ideal because they deliver heat directly to the deeper layers of the skin, avoiding the epidermis and reducing the chance of melanocyte damage.
Additionally, RF devices that use a 2MHz frequency provide precise heat targeting, keeping the heat in the dermis (the deeper skin layer) and avoiding the top layers. This makes devices like the Secret RF a great option for darker skin tones, as they are designed to protect melanocytes and minimize the risk of hyperpigmentation while delivering effective results. Choosing devices with these advanced features ensures safer treatments with better outcomes for individuals with darker skin.
Secret RF: Safest for Skin of Color
Insulated Needles + 2MHz energy (exact heat) reduce the risk of post-inflammatory hyperpigmentation by protecting melanocytes.
Radiofrequency Microneedling FAQs
What Is Vivace?
Vivace is a type of RF microneedling treatment that combines microneedling with radiofrequency energy and LED light therapy. It’s designed to improve skin texture, reduce wrinkles, and tighten the skin with minimal downtime.
How Much Is RF Microneedling?
RF microneedling is generally more expensive than traditional microneedling, with costs ranging from $500 to $1,500 per session. The price varies based on the provider, the technology used, and the area being treated.
Does RF Microneedling Work?
Yes, RF microneedling is effective for improving skin texture, reducing wrinkles, and tightening the skin. By combining microneedling with radiofrequency energy, it provides deeper skin rejuvenation and can be more effective than traditional microneedling alone.
What is the Difference Between RF Microneedling and Traditional Microneedling?
Traditional microneedling uses needles to create micro-injuries, which stimulate skin healing and collagen production. RF microneedling adds radiofrequency energy to the process, enhancing collagen production and delivering more significant skin tightening and rejuvenation.
How Long Until You See Results from RF Microneedling?
Results from RF microneedling can be seen as early as a few weeks post-treatment, with continued improvement over several months as collagen builds up in the skin.
Is RF Microneedling Painful?
The procedure is generally well-tolerated, but a topical anesthetic is applied to minimize discomfort. Some patients may experience mild redness and swelling after the treatment.
How Does RF Microneedling Compare to Other Treatments Like Morpheus8 or Subcision?
RF microneedling and Morpheus8 are similar in that they both combine microneedling with radiofrequency energy. Subcision, on the other hand, is a different technique primarily used for treating deep acne scars by breaking up fibrous scar tissue. Morpheus8 is known for its skin tightening effects, while subcision is more targeted for specific scar revision.
How Much Does RF Microneedling Cost?
The cost of RF microneedling varies depending on the provider, the area being treated, and the number of sessions required. On average, it can range from $500 to $2,500 per session.
What are the Side Effects of RF Microneedling?
Common side effects include redness, swelling, and mild irritation, which typically subside within a few days. There is also a minimal risk of infection or pigmentation changes.
How Many RF Microneedling Sessions Are Needed?
Typically, a series of 3 to 4 sessions spaced about 4 to 6 weeks apart is recommended for optimal results, although the exact number may vary based on individual needs.
How Long Until You See Morpheus8 Results?
You can typically see initial results within a few days after treatment, with continued improvement over the following weeks. Full results are usually visible after about 3 months.
What is Morpheus8?
Morpheus8 is a non-surgical, minimally invasive treatment that combines microneedling with radiofrequency energy to stimulate collagen production, tighten skin, and improve skin texture.
Is Morpheus8 Fractional Laser Resurfacing?
No, Morpheus8 is not fractional laser resurfacing. It is a microneedling treatment that uses radiofrequency energy to achieve skin rejuvenation.
Does Morpheus8 Age You?
No, Morpheus8 does not age you. In fact, it is designed to promote collagen production and improve skin quality, which can have an anti-aging effect. However, if you go to an unexperienced provider, there can be loss of fat, leading to an aged appearance. Always choose a reputable clinic for Morpheus8.
How Much is Morpheus8?
The cost of Morpheus8 can vary depending on the provider and the area being treated, but it generally ranges from $600 to $2,000 per session.
How Long Does Morpheus8 Last?
The results from Morpheus8 can last for 1 to 3 years, depending on individual skin characteristics and maintenance treatments.
Does Morpheus8 Work?
Yes, Morpheus8 is effective for tightening skin, reducing wrinkles, and improving overall skin texture. Many patients report noticeable improvements after a series of treatments.
Does Morpheus8 Hurt?
Morpheus8 is generally well-tolerated, but some patients may experience mild discomfort during the procedure. A topical anesthetic is often applied to minimize any pain.
Is Morpheus8 Worth It?
For many people looking to improve skin texture, tighten loose skin, and reduce signs of aging without surgery, Morpheus8 is considered worth the investment.
How Does Morpheus8 Work?
Morpheus8 works by using microneedles to deliver radiofrequency energy deep into the skin, stimulating collagen and elastin production, which leads to firmer, smoother skin.