These days, it seems that a new “game-changing” energy device or treatment modality is released every other month. Each new launch is often lauded with claims of being able to treat a multitude of conditions with the ability to tighten/lift/tone/erase pigments or scars with fantastic results. Naturally, patients can often be caught up with the hype and have difficulty differentiating between the trending treatment of the month against treatments with actual effective results.
As aesthetic physicians – we at Mizu pride ourselves on doing the due diligence for you to ensure that the patients under our care receive safe, effective and tangible results.
Sylfirm X is a radiofrequency microneedling energy device that uniquely combines and improves upon the traditional benefits of both radiofrequency therapy and microneedling into one treatment.
RF devices operate via the use of radiofrequency energy to heat the skin at specific depths. The heat allows for immediate collagen contraction to produce a tightening effect whilst simultaneously engaging the skin’s natural repair process to ensure more collagen production is stimulated. The radiofrequency energy is usually unfocused in these devices and this means that a large bulk of the skin is heated each time in a process known as “bulk heating”.
Instead of using heat, microneedling relies on the mechanical act of micro-injuries to the skin (via the use of tiny needles injected into the skin) to break down existing scar tissue and to engage the skin’s natural repair process.
As a combination treatment – Sylfirm X consists of the release of radiofrequency energy via tiny needles delivered into the skin. This improves on the existing standalone radiofrequency and microneedling technologies by:
1. Enabling radiofrequency energy to be delivered in a localized manner instead of a widespread area and
2. Allowing controlled injuries to the skin via the mechanical act of microneedles to stimulate rejuvenation via the skin’s natural healing process
In order to understand why Sylfirm X would be effective in treating acne scars, we need to understand how acne scars are formed.
Acne scars are formed due to 3 main reasons:
Fibrotic scarring, volume loss, and uneven skin texture
Inflammation and infection under the skin causes fibrous-like bands to form under the skin. These bands are called fibrotic scars which tether and pull the skin inwards, resulting in scarring and an uneven skin texture.
Inflammation under the skin also causes tissue and collagen destruction, resulting in volume loss within the skin structure. This creates a ‘hole’ under the skin and causes the skin to sink inwards.
Uneven Skin Texture
Infection from acne also causes the surface of the skin to become uneven due to the damage to the superficial skin layer. This damage creates superficial potholes on the skin, and at the same time causes pores to become bigger.
Sylfirm X achieves subcision with microneedles that can be calibrated to specific depths where different scars are situated. Microneedles (25 needles in each handpiece) are slowly ‘injected’ into the skin, reaching up to 4mm depth (deeper than any laser can reach).
These microneedles are able to break down the fibrous bands more effectively and quickly as they cover a larger surface area than just 1 needle used during subcision, and ensure that no areas are being missed out because of the close arrangement of the microneedles. Due to the very small diameter of the microneedles, it also is much more tolerable and less painful than traditional subcision.
This radiofrequency remodels the skin to produce collagen and increases volume from within, thus ‘pushing’ the scars upwards without the need for injectables. Best of all, this volume stimulated by Sylfirm X is permanent and does not disappear like fillers after a period of time.
Faster and Effective Results
Sylfirm X can treat all causes of acne scarring with 1 procedure, thus resulting in faster and more effective results.
Because of the smaller microneedles, Sylfirm X is much less painful than traditional subcision. It is also less painful than most fractional lasers such as the fractional pico laser as it does not cause as much ‘explosive’ damage to the skin as the radiofrequency energy can be adjustable and controlled to match different depths of the skin and different scar types.
Due to the effectiveness and reduced number of treatments, Sylfirm X can be more cost effective at treating scars compared to traditional treatments.
Surprisingly, one of the BIGGEST advantages of Sylfirm X is the reduced downtime. Traditional procedures such as subcision and fractional CO2 lasers require about 1-2 weeks of downtime such as redness and scabbing. Sylfirm X, because of its controlled energy and very small needles, has a much reduced downtime of 1-3 days.
Sylfirm X not only treats acne scarring, but at the same time minimises pores, reduces fine lines, and leaves the skin glowy and softer.
Once your treatment has been discussed and agreed upon, a topical anaesthetic will be applied to reduce discomfort during the procedure. The numbing cream may be reapplied depending on treatment and pain tolerance. The topical anaesthetic is then removed after an adequate time has passed before the procedure is carried out.
Our doctor will then ensure that your skin is clean before carrying out the treatment. The Sylfirm tip will be firmly rested upon your skin firmly before every shot. Each shot sends radiofrequency energy via the microneedles that will be pushed into your skin. Treatments typically last for 20 – 30 minutes depending on the size and complexity of the area treated.
As each person’s skin type and scarring is different, the number of sessions needed and the improvements seen in each session do depend on how your skin reacts to Sylfirm X.
The depth, power settings and the frequency between treatments would generally determine how quick or visible the improvements are.
On average, the number of treatments are 2 or 3 times lesser than what other traditional procedures will require.
A topical cream is usually prescribed to patients to reduce the chance of hyperpigmentation and infection. This should be applied diligently for the first few days. Adequate sun protection and moisturisation are also key for faster recovery and to reduce the chances of side effects.
Most definitely! However, not all treatments can be done together on the same day.
Sylfirm X can be combined with other energy based devices or injectables for better or enhanced results, such as: