The Distinction Between RF Microneedling and Conventional Microneedling


In 1995, plastic surgeon Dr. Des Fernandes (he is additionally the founding father of skincare model Environ) used hypodermic needles to assist decrease wrinkles and scars. Quickly after, he developed a stamp-like software with surgical-grade needles that might quickly puncture the pores and skin to advertise wound therapeutic, and finally, collagen synthesis. Immediately, everybody from celebrities to soccer mothers are choosing microneedling because the demand continues to develop.

The Advantages

Prospect, KY dermatologist Tami Buss Cassis, MD says, “The simplest option to clarify microneedling is that ‘micro’ dimension needles create tiny holes, or wounds, within the higher layers of the pores and skin, which then promote wound therapeutic and stimulates the manufacturing of collagen and elastin fibers. Because the pores and skin heals, wonderful strains, pore dimension and general texture enhance to rejuvenate the pores and skin’s look.” The therapy can also be used to easy out quite a lot of scars, together with these from zits and stretch marks.

One other main advantage of the therapy is that the open wounds function supply channels for any merchandise utilized afterwards. “As a result of microneedling creates microchannels within the pores and skin, we will benefit from this by making use of substances reminiscent of platelet-rich plasma (PRP) or exosomes to ship progress elements and peptides deep into the pores and skin for extra radiant outcomes,” explains Beverly Hills, CA facial. plastic surgeon Kimberly J. Lee, MD. “Even after the microneedling therapy is finished, the PRP and exosomes proceed to work to stimulate collagen manufacturing to boost longer-lasting outcomes.”


The Totally different Sorts

There are three most important varieties of microneedling therapies: “Electrical, hand-held units that transfer over the pores and skin with the needle going out and in like a pen; guide units that require pushing the needle in, reminiscent of a stamp, or by rolling it on the pores and skin; and radiofrequency (RF) microneedling, the place RF power is launched by means of the ideas of microneedle electrodes,” explains New York dermatologist Macrene Alexiades, MD.

Dr. Cassis favors a therapy known as SkinPen, which is within the first class (with out RF power), and may be very standard for skin-plumping and short-term brightness. “We numb the pores and skin for the topical, after which the process takes about quarter-hour,” she says, noting that there could also be some discomfort throughout, particularly on the brow. “The pores and skin appears to be like uncooked and crimson proper after, after which it peels off for a number of days. It takes a couple of week to heal fully, however then you definitely’ll have a tremendous glow. I attempt to get it accomplished at the very least twice a yr now I turned 50! Dr. Lee can also be a fan of SkinPen, which she says was “the primary FDA-approved microneedling gadget,” and is clinically confirmed to enhance the looks of zits scars with a number of therapies.

Chapel Hill, NC dermatologist Beth Goldstein, MD makes use of a tool known as Rejuvapen NXT, which is one other non-RF choice. “It’s FDA accepted to deal with facial wrinkles with little or no downtime, and I’ve seen nice outcomes, not solely with the softening of wonderful strains and wrinkles, but additionally zits scars, enlarged pores and stretch marks .”

The RF issue

What’s it:

For the previous 15 years, Dr. Alexiades has labored to assist create and launch the design prototype for radio frequency microneedling as we all know it at present. “As my analysis has proven, you must mix microneedles with radio frequencies to realize long-term discount of wrinkles and scars, and enhance the standard of the pores and skin,” he says. RF microneedling can also be a number one therapy for skintightening. “Utilizing radio frequency provides the ingredient of warmth to additional tighten the pores and skin,” provides Dr. Goldstein. “Nonetheless, because of this, a better ache degree and longer durations of inactivity could also be required.”

The current paper by Dr. Alexiades within the journal Dermatologic Surgical procedure reveals that RF microneedling can also have a task to play in fats discount. “We’ve proven that when RF microneedling is distributed deep into the subcutis, it additionally remodels the fats whereas tightening the overlying pores and skin. This may be provided as a single therapy and is efficient for lax pores and skin above the knee and deposits of localized fats”.

What to anticipate:

A topical numbing cream is utilized, which might take as much as 45 minutes to kick in, however then the therapy itself is comparatively fast. Dr. Goldstein says {that a} wholesome face could be accomplished in about half-hour. Though there may be numbing beforehand, there should be some ache and discomfort. You might have seen Kim Okay.’s viral Instagram publish about her Morpheus8 therapy “to tighten her abdomen,” which she described as “painful however price it.” Put up-treatment, moisturizing serums and different merchandise are utilized, and the pores and skin will seem like it has been burned by the solar.


“Because of the inconsistencies of penetration, it’s best to keep away from the usage of exfoliating merchandise reminiscent of retinoids and topical acids for per week earlier than therapy,” says Dr. Goldstein, noting that sufferers must also keep away from aspirin, ibuprofen and naproxen right now. as they skinny the blood and improve the danger of bruising or bleeding. “If these medicines are required, any interruption ought to be mentioned with the prescription supplier.”

Three Vivace Extremely therapies 4 to 6 weeks aside have been carried out to enhance the deep wrinkles on this affected person’s decrease face.

The time of inactivity

This is dependent upon which gadget was used, however is often minimal with a day or two of redness and superficial swelling. “Inside per week, it is best to discover enchancment in pores and skin tone and texture,” says Dr. Alexiades. Sufferers must preserve their pores and skin dry and clear for 12 hours post-treatment to permit the microchannels or micro-wounds to shut and heal correctly, provides Dr. Goldstein.

Variety of Periods Required:

It varies by gadget, however for a lot of, it’s endorsed to have one to 3 therapies spaced 4 weeks aside.

Manufacturers to know:

Vivace, VirtueRF, Matrix Professional, Profound, Genius, Morpheus8, Intensif, SmoothGlo, INTRAcel, Secret, and VoluDerm. Profound debuted in 2018 and remains to be thought of the strongest of the group with the power to induce extra collagen and elastin, however with this comes extra discomfort and a better worth (even when just one therapy is required).

To enhance pores and skin laxity and the uneven texture of her arms, this affected person obtained a Advantage DeepRF therapy. The “after” image right here was taken two months after the therapy.

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