Your Essential Guide to Radiofrequency Microneedling
Doctor’s Note
Navigating the world of radiofrequency microneedling can be overwhelming, with numerous devices, treatment protocols, needle depths, and energy levels to consider. Our goal is to demystify this landscape by providing a clear breakdown of the top radiofrequency microneedling options available. For a detailed guide, click to your right, or skim 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 physicists so let's keep it simple: Radiofrequency (RF) refers to a certain section of the electromagnetic spectrum. In the context of medical treatments, RF energy is used for its heating capabilities.
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.
WARNING: OPINIONS INCOMING
Want to know what dermatologists *really* think about RF microneedling? Asked and answered! Introducing "Noted Dermatologist Opinions," where only verified Board-Certified Dermatologists say what they *really* think about these devices with the strict condition of anonymity. All have verified credentials. Remember, these are OPINIONS only. Let's go!
Let’s Get Into Devices!
Understanding the different specifications of RF microneedling devices is crucial for both practitioners and patients to make informed decisions about treatment. The effectiveness of RF microneedling largely depends on the specific characteristics of the device being used, such as needle type, penetration depth, insulation, and heating time. Each of these factors plays a significant role in determining the treatment outcomes and ensuring the safety and comfort of the patient. To help you navigate these options, we have created detailed graphics comparing various RF devices based on these key parameters. These comparisons will enable you to better understand how each device works and which might be best suited for your specific skin needs and treatment goals.
Vivace
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Vivace has a very polarizing opinions; not super loved by dermatologists but really loved by patients. 🤷🏼♀️
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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."
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I sold my Vivace to a MedSpa after many patients said it didn't do anything. I tried increasing both the depth and power. I'm not getting great results.
I don’t think you can get meaningful skin tightening with any RF device. Patients love Vivace, though, and I've never had any complaints.
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Vivace Ultra
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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.
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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
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Oops! The Vivace Ultra is so new, we don't have any contacts who use it 😣
Infini
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The oldest device we've discussed (launched in 2013). It works, but with more pain + more downtime compared to newer devices.
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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).
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Great for all skin types.
Love it for acne scars, neck, and face. Low risk of complications, though you can get gridmarks if you don't push hard enough.
Extremely reliable. One of my favorites for acne.
Genius RF
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No notes, 10/10, would recommend.
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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$ive.
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One of the best RF devices. Very powerful.
Genius is way better than Infini. I replaced my older RF devices with Genius.
It does a great job on acne scars and necks. It is painful, though.
Secret
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Best for skin of color due to insulated needles (protect melanocytes) and 2MHz (very precise) heating. This is less likely to induce pigment changes.
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Very customizable
Has 2MHz energy (meaning the heat is very precise rather than bulky). With insulated needles + very precise heat, the Secret RF is great for darker skin tones (meaning the melanocytes are very well-protected from heat). Has a very low risk of post-inflammatory hyperpigmentation (AKA dark spots).
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Secret is not very strong but a good machine.
Even with multiple sessions, results are just okay. The short downtime is great, though.
More expensive treatments work better. Secret is a good middle.
Potenza
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Potenza is a newer, innovative device. The Tiger Tip and the Fusion Tip are very unique and different from other devices. No opinions on this device, as it's relatively new and (I suspect) very expen$ive.
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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.
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Oops! The Potenza is so new, we don't have any contacts who use it 😣
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Profound
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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.
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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.
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I don't like Profound. I think newer devices offer better results with less downtime. The angled needles cause bruising that can last for weeks.
I got a treatment myself and liked the results. Topical numbing was enough to control the pain.
I didn't have great results.
I love how much it tightens.
I've never gotten great results in 3+ years of using Profound.
Morpheus8
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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.
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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
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The best on the market.
Gives good results. The pain can be managed with numbing cream.
Morpheus8 gives great results, but it hurts.
We got rid of Genius for Morpheus8.
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What do Dermatologists *Really* Think about RF Microneedling in General?
In addition to the detailed comparisons of RF microneedling devices, we also gathered insights and opinions from experienced dermatologists regarding RF microneedling as a whole. These insights provide valuable context and professional perspectives on the efficacy, safety, and overall benefits of the treatment. Our team of verified board-certified dermatologists, who have chosen to remain anonymous, shared their expert opinions based on years of clinical experience and patient outcomes.
Here's what our esteemed dermatologists anonymously had to say about RF microneedling:
I don't believe that facial lifting is achievable with RF devices.
I would not choose RF microneedling to treat skin laxity. If I had to pick, I would go with Genius.
Best around the eyes and neck.
Results pale in comparison to ablative laser.
Much better than PRP microneedling.
Better than regular microneedling. Works faster with more tightening.
I don't think RF microneedling is great for tightening. Better for texture.
If Radiofrequency Microneedling Safe for Skin of Color?
Some RF devices are better equipped than others at avoiding the epidermis and the melanocytes, significantly reducing the risk of post-inflammatory hyperpigmentation. This consideration is particularly important for individuals with darker skin types, who are more prone to developing hyperpigmentation as a result of skin treatments. To address this concern, it is crucial to select an RF microneedling device with insulated needles. These insulated needles are designed to deliver heat directly to the deeper layers of the skin, bypassing the epidermis and minimizing the risk of damaging the melanocytes.
Furthermore, the frequency of the radiofrequency energy plays a significant role in ensuring precise and localized heat delivery. Using a device that operates at 2MHz frequency allows for very precise heating, which helps to keep the heat confined to the dermis, the targeted layer of the skin. This precision reduces the likelihood of affecting the epidermis and causing unwanted side effects.
The combination of insulated needles and highly precise heat makes certain devices, such as the Secret RF, particularly suitable for darker skin tones. The Secret RF device, in particular, excels in protecting melanocytes from heat damage, thereby minimizing the risk of post-inflammatory hyperpigmentation. This makes it an excellent choice for individuals with darker skin who are seeking effective and safe RF microneedling treatments. By carefully selecting devices with these advanced features, patients with darker skin tones can achieve optimal results with minimal risk of adverse effects.
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.