RF microneedling can improve skin texture, tone, and elasticity by stimulating collagen production deep within the skin. This treatment can help with fine lines, wrinkles, and mild skin laxity and is a practical option for those looking to address early signs of aging. The combination of microneedles and radiofrequency energy allows for controlled heating, which encourages skin remodeling without much downtime. At Facial Cosmetic Surgery Associates in Sacramento, CA, we use the Rohrer Aesthetics PiXel8-RF device to help our patients get the skin they want.

What Is RF Microneedling?

RF microneedling combines traditional microneedling, also called collagen induction therapy, with radiofrequency energy to promote collagen production and skin remodeling. The treatment involves fine needles that create controlled perforations in the skin while delivering heat to the tissues. The two technologies work together to improve skin texture, firmness, and overall tone.

How Does RF Microneedling Work?

The treatment uses ultrafine needles to penetrate the skin and deliver radiofrequency energy at precise depths. The heat stimulates collagen and elastin production, leading to gradual improvements in skin structure. Because the energy reaches deeper layers without damaging the surface, the skin can repair itself more efficiently while maintaining its natural barrier.

What Does RF Microneedling Treat? 

Sagging or Loose Skin

Sagging and loose skin are treated in two stages with RF needling. During your non-surgical skin tightening treatment, the radiofrequency energy promotes immediate tissue contraction which leaves the skin looking a little tighter right after the treatment. The microchannels and heat energy also promote continued tightening through the stimulation of collagen and elastin. Skin tightening microneedling works well on the face, jawline, and other areas where the skin has lost some of its elasticity.

Wrinkles and Lines

Fine lines and deeper wrinkles can form as collagen levels decrease with age. The controlled thermal energy from radiofrequency can support the skin’s ability to rebuild its structure, leading to smoother, more resilient skin. RF microneedling for wrinkles can be adjusted to focus on specific areas, such as around the eyes, mouth, or forehead.

Rough-Textured Skin

Uneven skin texture often develops due to a buildup of dead skin cells, slowed cellular turnover, or past sun exposure. The combination of microneedling and radio frequency energy encourages new skin formation and refines rough patches while improving overall smoothness.

Acne Scars

Textural scars left behind by acne can be difficult to treat with topical products alone. By creating microchannels in the skin and delivering heat to targeted depths, this acne scar treatment can help remodel scarred tissue and promote a more even surface. In the months after RF microneedling for acne scars, the skin replaces damaged areas with new collagen and softens the appearance of scars.

Stretch Marks

Skin that has stretched too quickly can develop visible bands where collagen fibers have broken down. This treatment encourages new collagen production, which may help reduce the contrast between stretch marks and the surrounding skin. Sessions can be customized to treat areas such as the abdomen, thighs, or hips where stretch marks are common.

Enlarged Pores

Excess oil production and reduced skin elasticity can make pores appear more noticeable. RF needling strengthens the skin’s structure and tightens the skin around the pores to reduce their appearance.

Why Choose RF Microneedling? 

Collagen Production Means Long-Lasting Results

Collagen is the foundation of firm, healthy skin, but its production slows down over time. By triggering a natural healing response, this treatment encourages the skin to build new collagen and elastin long after the session is over. The effects develop gradually, improving skin quality over the following months and providing results that can last longer than many surface-level treatments.

Suitable for All Skin Types and Tones

Many resurfacing treatments rely on methods that aren’t ideal for darker skin tones due to the risk of pigmentation changes. Anti-aging microneedling delivers energy deeper into the skin and can be a suitable option for patients of all skin types. Settings can be adjusted based on individual circumstances, and we always go through a detailed consultation process to make sure the treatment is right for you.

Customizable Treatment Depth and Intensity

With radio frequency microneedling, we can adjust the depth of the needles and the intensity of the thermal energy based on your skin’s needs. Areas with deeper wrinkles or scars may benefit from more aggressive settings, while delicate areas like under the eyes require a gentler approach. This level of precision allows for targeted improvements without unnecessary discomfort or extended RF microneedling downtime.

Improved Absorption of Topical Products

When the skin’s surface is intact, many topical products struggle to penetrate beyond the outermost layers. The microchannels created during treatment provide a temporary pathway that allows serums and growth factors to reach deeper layers of the skin. Applying medical-grade skincare immediately after a session can enhance hydration, support healing, and improve the overall outcome of the treatment.

Microneedling RF Results

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RF Microneedling Treatment Areas

  • Face: This treatment can improve fine lines, uneven texture, and skin laxity across the forehead, cheeks, and jawline.
  • Neck and Décolletage: The skin in these areas is thinner and more prone to creasing. By delivering controlled heat beneath the surface, we can help smooth lines and improve overall skin quality.
  • Body: Areas such as the abdomen, thighs, and arms can benefit from microneedling with RF to address stretch marks, mild laxity, and textural irregularities. The depth and intensity can be adjusted to match the thickness of the skin in different regions.
  • Hands: The loss of collagen on the hands can lead to a crepey appearance and more prominent veins. Strengthening the skin’s support structure through collagen stimulation can help restore a firmer, more youthful look.

Why We Use Rohrer Aesthetics PiXel8-RF

The Rohrer Aesthetics PiXel8-RF system offers precision, flexibility, and reliable results and is our preferred choice for RF microneedling treatments. This device allows for adjustable needle depths so that energy reaches the optimal layers of the skin for collagen remodeling. Its built-in cooling system enhances patient comfort while minimizing unnecessary heat at the surface. With a design that delivers controlled radiofrequency energy, PiXel8-RF can treat fine lines, wrinkles, acne scars, and skin laxity with accuracy. The ability to customize intensity and depth makes it effective for different areas of the face and body.

What to Expect During Your RF Microneedling Process

Determining Your Candidacy

Before starting treatment, we assess your skin type, concerns, and overall goals to determine if RF microneedling is the right option. This treatment works well for mild to moderate skin laxity, wrinkles, acne scars, and textural irregularities. Patients with active infections, certain skin conditions, or a history of poor wound healing may need to explore alternative options. We also review any recent cosmetic treatments or medications that could affect your results.

Comfort Measures During Treatment

A topical numbing cream can be applied before the session to minimize discomfort, and it typically takes 30 minutes to take full effect. In addition, we offer a handheld chiller that patients can use during the procedure if they prefer extra cooling. These measures help keep the experience as comfortable as possible. Most patients describe the sensation as mild pressure and prickling with some warmth.

Treating the Skin With the RF Microneedling Device

Once the skin is numb, we begin the treatment by pressing the PiXel8-RF device gently onto the skin a small section at a time. Each time we place the device down, the needles and RF energy are activated. Each pulse lasts a fraction of a second, which allows for uniform heating without damage to surrounding tissue. The entire process typically takes 30 to 60 minutes, depending on the size of the treatment area.

What to Expect After the Treatment

Mild redness and slight pinpoint bleeding are normal right after the session. These effects usually subside within a few hours, though some pinkness may linger for a day or two. The skin might feel warm or slightly tight, similar to a mild sunburn, but this is also a natural part of the healing process.

Caring for Your Skin After Treatment

Keeping the skin clean and hydrated is the priority in the first 24 to 48 hours. Harsh products, exfoliants, and direct sun exposure should be avoided while the skin heals. Since microneedling with RF creates microchannels, applying a gentle, hydrating serum can enhance the skin’s recovery. We recommend medical-grade skincare to support healing and maximize the treatment’s benefits. Sunscreen is essential since the skin will be more sensitive to UV rays during the initial healing phase.

Frequently Asked Questions About RF Microneedling

Many patients see noticeable improvement after a single session, but a series of three to four treatments spaced four to six weeks apart is often recommended for optimal results. The number of treatments depends on the condition of your skin and the concerns being addressed. Deeper wrinkles, scars, or skin laxity may require additional sessions.
Initial improvements, such as a brighter complexion and smoother texture, can be seen within a week or two. The most significant changes can be seen over the next three to six months as collagen production increases. The gradual nature of the process allows for natural-looking skin rejuvenation.
You should wait at least 24 hours before applying makeup to allow the microchannels to close and the skin barrier to recover. Using mineral-based or non-comedogenic formulas is best to reduce the risk of irritation. If there is any lingering redness, a gentle, tinted sunscreen can provide coverage while also protecting the skin. RF microneedling treatment temporarily increases skin sensitivity, so harsh makeup products should be avoided for the first few days.
The results from radio frequency microneedling develop gradually and can last for several months to a year, depending on skin type, age, and skincare routine. Maintenance sessions every six to twelve months help extend the benefits by continuously supporting collagen production. Protecting the skin from sun exposure and using medical-grade skincare can also help preserve results over time.

About Our Practice

At Facial Cosmetic Surgery Associates, we provide clear, realistic information to help patients make informed decisions about their care. Dr. Thomas E. Kaniff, a double board-certified facial plastic surgeon, has performed over 25,000 procedures and personally administers non-surgical treatments like injectables and laser therapies.

With extensive experience in facial plastic and reconstructive surgery, Dr. Kaniff combines technical precision with an artistic approach. He is also involved with WEAVE (Women Escaping a Violent Environment), offering reconstructive procedures for survivors of domestic violence. Our practice is built on expertise, transparency, and a commitment to patient education.

Tighten and Tone Your Skin With RF Microneedling in Sacramento, CA

RF microneedling at Facial Cosmetic Surgery Associates offers a convenient, non-surgical way to improve skin texture, firmness, and overall tone with minimal downtime. Using the Rohrer Aesthetics PiXel8-RF, we provide precise treatments that stimulate collagen production for long-lasting results. Patients across Sacramento, CA, from Tahoe to Modesto and beyond, have access to this advanced skin-rejuvenation treatment.

To learn more about our radiofrequency microneedling treatments, or schedule a consultation, call (916) 480-9080. You can also contact us through the form on our website.