What is radiofrequency microneedling?

Radiofrequency microneedling is a cosmetic procedure. It uses tiny needles and radiofrequency waves to rejuvenate facial skin.

The treatment is a form of controlled skin injury. The damage stimulates the growth of healthy new skin, which can benefit common skin issues like acne scars and wrinkles.

Compared with treatments like chemical peels and dermabrasion, radiofrequency microneedling is minimally invasive. Read on to learn about the procedure, side effects, and benefits.

What is radiofrequency microneedling?

Microneedling uses a fine needle to create microwounds, or channels, in the skin. This triggers the production of capillaries, elastin, and collagen. It’s also called skin needling or collagen induction therapy.

If the procedure also uses radiofrequency waves, it’s called radiofrequency microneedling. The needle releases radiofrequency into the channels, causing additional damage. This enhances the effects of standard microneedling.

The skin that grows back is thicker and smoother. This can target:

  • fine lines
  • wrinkles
  • stretch marks
  • appearance of large pores
  • acne scars
  • scars from injury or surgery
  • hyperpigmentation
  • loose, sagging skin
  • cellulite
  • hyperhidrosis


You can also get radiofrequency microneedling with platelet-rich plasma (PRP).

In this procedure, your provider draws blood from your arm and uses a machine to separate the platelets.

After a microneedling session, your provider injects or applies the platelets to the treated area. This may maximize the results of your treatment.

Who’s an ideal candidate for radiofrequency microneedling?

Radiofrequency microneedling is considered safe, but it isn’t appropriate for everyone.

You may be an ideal candidate if you:

  • are in good health
  • have early signs of aging
  • have realistic expectations

Alternatively, you should avoid the treatment if you:

  • currently or recently used Accutane
  • have an active cold sore breakout
  • have a skin infection
  • have a moderate to severe skin disease (like psoriasis)
  • are receiving chemotherapy or radiation therapy
  • are pregnant
  • are taking anticoagulants
  • have a history of keloids, hypertrophic scarring, or poor wound healing

What’s the radiofrequency microneedling procedure like?

If you’re interested in the procedure, you’ll need to meet with a healthcare provider, such as a cosmetic surgeon.

Prior to the procedure
At your initial appointment, your provider will ask questions about your medical history and expectations. They’ll also take photos of your face to determine the best technique for your condition, as well as provide instructions on how to prepare for the procedure.

If you have active acne breakouts, you may be asked to take oral antibiotics. If you have a history of cold sores, you might need to take oral antiviral medication.

During the procedure

Your actual procedure will take place in your healthcare provider’s office. Generally, here’s what you can expect:

A healthcare provider cleans your skin with alcohol to prevent infection.

They apply a topical anesthetic to the treatment area about 1 hour before the procedure. In some cases, they might inject a local anesthetic instead. The anesthetic numbs the area so you won’t feel pain.

The microneedling device makes tiny wounds in the skin. Simultaneously, the tip of the needle releases radiofrequency waves into the wounds.

The procedure takes 10 to 20 minutes. The exact duration depends on what you’re treating.

A healthcare provider applies a growth solution to support cell regeneration. They finish with a soothing solution to minimize any discomfort.

After the procedure

  • You can go home after the treatment and return to your normal activities.
  • What’s the best way to take care of your skin post-radiofrequency microneedling?
  • After your procedure, your doctor will explain how to care for your skin. This will include the following aftercare tips:
  • Apply ice packs to reduce swelling and discomfort.
  • Wear SPF for several weeks after your treatment. Your skin will be extra sensitive to the sun during this time.
  • Use antibiotic creams or emollients if your doctor prescribed them.
  • Use a gentle cleanser after your treatment.
  • Avoid wearing makeup until the next day. After 24 hours, you can return to your normal makeup and skin care routine.
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