• Anesthesia: A topical numbing cream is applied 45 minutes before the procedure to ensure comfort. Additionally, we offer Pro-Nox™, a patient-controlled nitrous oxide (laughing gas) system, which helps reduce discomfort and anxiety during the treatment. Pro-Nox provides immediate pain relief and relaxation, wears off quickly, and allows patients to resume normal activities immediately after the procedure.
• Procedure Length: Treatments typically last 30-50 minutes, depending on the area being treated.
• Recommended Sessions: For optimal results, a series of 3-5 treatments spaced 4-6 weeks apart is recommended.
• Downtime & Recovery:
  • Mild redness, swelling, and scabbing may occur for 1-2 days post-procedure.
  • Makeup can be applied 24 hours after treatment to cover any temporary redness.
  • Avoid direct sun exposure and strenuous activities for a few days to support proper healing.

Enhancing RF Microneedling Results with Radiesse or Sculptra:

For optimal skin rejuvenation and tightening, Dr. Olga Zilberstein often recommends a combination approach by injecting the skin with biostimulatory fillers such as Radiesse or Sculptra before RF micro-needling. These treatments work synergistically to boost collagen production, enhance skin elasticity, and improve overall treatment outcomes.

• Radiesse: A calcium hydroxylapatite (CaHA) filler that not only provides immediate volumizing effects but also acts as a powerful collagen stimulator. When injected into the skin, Radiesse encourages natural collagen production, making the skin firmer, thicker, and more youthful over time. It is particularly effective for treating loose skin on the face, neck, and hands. It also improves skin tone and texture. 

• Sculptra: A poly-L-lactic acid (PLLA) injectable that works deep within the skin to gradually rebuild lost collagen and restore volume. Unlike traditional fillers that add volume instantly, Sculptra stimulates collagen over time, improving skin density, texture, and elasticity for a more natural, long-lasting rejuvenation.

By using Radiesse or Sculptra before RF microneedling, we prime the skin for enhanced collagen remodeling, leading to superior firming, smoothing, and tightening effects. This approach is ideal for patients seeking a more intensive anti-aging solution.

Maximizing Results with Platelet-Rich Fibrin (PRF) or Exosome Therapy Post-Treatment:

To further enhance the benefits of RF microneedling, we apply Platelet-Rich Fibrin (PRF) or Exosomes immediately after the procedure. These healing agents accelerate skin regeneration, improve recovery, and maximize collagen and elastin stimulation for long-lasting results.

• Platelet-Rich Fibrin (PRF): PRF is derived from the patient’s own blood plasma and is packed with growth factors, white blood cells, and fibrin, which stimulate natural healing and collagen formation. Unlike PRP (Platelet-Rich Plasma), PRF contains a higher concentration of regenerative cells and releases growth factors over time, promoting faster healing, improved skin texture, and enhanced skin tightening.

• Exosome Therapy for Skin Regeneration: Exosome therapy is an advanced regenerative treatment that utilizes cellular messengers derived from stem cells to promote skin repair and rejuvenation. Exosomes play a crucial role in cell communication and tissue regeneration, delivering a concentrated blend of growth factors, proteins, and RNA to stimulate collagen and elastin production, accelerate healing, and reduce inflammation.

  When applied after RF Micro-Needling, exosomes provide instant cooling and deep hydration, strengthen the skin barrier, improve overall skin texture, and help diminish the appearance of age-related pigmentation. By enhancing the skin’s natural healing process, exosome therapy maximizes the benefits of microneedling, resulting in faster recovery, improved skin elasticity, and a more youthful, radiant complexion.

Applying PRF or Exosomes post-treatment ensures faster recovery, deeper collagen production, and long-term skin improvements, making RF Micro-Needling results even more transformative.

In addition, we incorporate Red Light Therapy (RLT) as part of our post-procedure care. Red light therapy utilizes low-level wavelengths of red and near-infrared light to reduce redness and inflammation.

Frequently Asked Questions

When will I start seeing results from RF microneedling?

Results develop gradually as your skin produces new collagen and elastin. Some patients begin noticing changes within a few weeks, with continued improvement over the next several months.

How long do RF microneedling results last?

Results can be long-lasting, but the natural aging process and gradual collagen loss will continue. Maintenance treatments may be recommended periodically depending on your skin, age, concerns, and treatment goals.

How should I prepare for RF microneedling?

Before your appointment, you may be advised to temporarily stop retinoids, exfoliating acids, or other potentially irritating skincare products. Avoid arriving with sunburned or irritated skin, and let your provider know about any medications, supplements, or recent aesthetic treatments before your procedure.

Can I have RF microneedling if I have active acne?

RF microneedling can help with acne scarring; it is helpful for inflammatory or comedonal acne in selected patients. RF microneedling should be avoided for pustular lesions or other active infection.

Can I get RF microneedling before an event?

Because temporary redness, swelling, dryness, or small areas of scabbing can occur, we recommend planning your treatment at least 1-2 weeks before the important event to allow complete healingof your skin. 

When can I restart my regular skincare routine?

You should use moisturizes and special post treatment skin care for 1-2 weeks Strong active ingredients such as retinoids and exfoliating acids should generally be avoided until the skin has healed. 

Can I combine RF microneedling with Botox or fillers?

Yes, RF microneedling can be incorporated into a treatment plan that also includes injectables. However, the order and timing of treatments matter. We usually start with RF micronnedling and 2 weeks after last session we can do fillers. Botox and biostimulators like Radiesse and Sculptra can be done in between RF Microneedling sessions.

Do I need maintenance treatments after completing my initial series?

Because collagen naturally decreases with age, we may recommend periodic treatments to help maintain improvements in skin quality and firmness over time. We recommend maintenance session in 1 year after initial series of treatments.

Can I exercise after RF microneedling?

It is generally best to avoid strenuous exercise immediately after treatment because heat and sweating can further irritate freshly treated skin. We recommend not exercising for 48-72 hours. 

Can RF microneedling cause facial fat loss?

Unwanted fat loss has been reported as a potential complication with certain uses of radiofrequency microneedling. Treatment depth, energy settings, treatment area, and proper patient selection are important, which is why RF microneedling should be performed by an experienced medical provider using settings appropriate for your anatomy and treatment goals.

Can I get RF microneedling in the summer?

RF microneedling can be performed year-round, but protecting your skin from the sun before and after treatment is important. 

When can I wear makeup after RF microneedling?

We recommend avoid makeup for at least 24 hours while your skin is freshly treated and the microchannels are healing.