Radiofrequency Microneedling

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What is Radiofrequency Microneedling?

Radiofrequency (RF) microneedling is a synergistic treatment that fuses the collagen-boosting benefits of radiofrequency energy with the regenerative effects of microneedling.

RF devices work by delivering radiofrequency energy to heat the skin at controlled depths. This heating leads to collagen contraction for visible tightening, while simultaneously activating the skin’s natural repair mechanisms to promote long-term collagen production.  Traditional RF therapy involves “bulk heating”, meaning that heat is diffused across a wide skin area and may be unfocused.

Microneedling, on the other hand, relies on the creation of micro-injuries using fine needles to break down scar tissue and stimulate the skin’s repair response. This helps to improve texture, scarring, and pore size.

By combining both modalities, RF microneedling addresses a broad range of skin concerns, including fine lines, wrinkles, acne scars, enlarged pores, and overall skin dullness.

What is Radiofrequency Microneedling?

Radiofrequency (RF) microneedling is a synergistic treatment that fuses the collagen-boosting benefits of radiofrequency energy with the regenerative effects of microneedling.

RF devices work by delivering radiofrequency energy to heat the skin at controlled depths. This heating leads to collagen contraction for visible tightening, while simultaneously activating the skin’s natural repair mechanisms to promote long-term collagen production.  Traditional RF therapy involves “bulk heating”, meaning that heat is diffused across a wide skin area and may be unfocused.

Microneedling, on the other hand, relies on the creation of micro-injuries using fine needles to break down scar tissue and stimulate the skin’s repair response. This helps to improve texture, scarring, and pore size.

By combining both modalities, RF microneedling addresses a broad range of skin concerns, including fine lines, wrinkles, acne scars, enlarged pores, and overall skin dullness.

Radiofrequency Microneedling - Needle | Mizu

How does Radiofrequency Microneedling work?

Acne Scarring Treatment: Radiofrequency (RF), Microneedling & RF Miconeedling | Mizu

RF microneedling delivers radiofrequency energy through ultrafine needles that penetrate the skin at precise depths. This treatment builds upon the individual strengths of RF and microneedling by:

Together, this dual-action approach allows for safe and effective treatment of various concerns, from textural irregularities and scars to skin laxity, pigmentation, and dullness.

Benefits of Radiofrequency Microneedling

Facial and Body Rejuvenation

Acne & acne scar reduction

Decreased oil production and acne-causing bacteria

Brighter, more even skin tone

Reduction in pigmentation issues including:

How does Radiofrequency Microneedling improve acne scarring?

Understanding Acne Scarring

Acne scars develop due to three key factors:

Radiofrequency Microneedling - Fibrotic Scarring vs Volume Loss | Mizu

Volume Loss

Inflammatory damage to collagen and tissue results in internal volume loss, leading to sunken, pitted scars.

Uneven Skin Texture

Damage to the superficial skin layer and enlarged pores caused by breakouts contribute to a rough, irregular texture.

Fibrotic Scarring

Post-acne inflammation and infection can cause fibrous bands to form under the skin. These bands tether the skin downwards, creating uneven depressions and texture.

While these are typically addressed with separate treatments, RF microneedling can target all three simultaneously, reducing the number of sessions required for visible improvement.

How does RF Microneedling treat acne scarring?

1. Fibrotic Scarring

Traditionally treated via subcision, where a needle is used to manually break fibrous bands, RF microneedling achieves a similar effect using 25 precisely spaced microneedles in each cartridge.

These microneedles penetrate up to 4mm (deeper than most lasers) to break scar bands more efficiently across a broader surface area. The finer needle diameter also results in less discomfort and downtime compared to manual subcision.

Radiofrequency Microneedling - Traditional Subcision vs Sylfirm Subcision | Mizu

2. Volume Loss

While dermal fillers or regenerative injectables using polynucleotides are often used to restore lost volume, RF microneedling promotes natural collagen remodelling by delivering controlled RF energy into deeper skin layers. This helps to ‘push’ the scars upwards from within. This volumisation is gradual, natural-looking, and long-lasting, unlike temporary fillers.

3. Uneven Texture

Textural scarring is typically managed with fractional lasers. RF microneedling offers a more versatile alternative, with adjustable needle depths allowing precise targeting of superficial and deeper layers. This smooths texture, refines pores, and enhances skin tone, all while reducing the risk of post-inflammatory side effects.

Why is RF Microneedling effective for acne scarring?

Cost-effective

Fewer sessions may be needed compared to traditional scar treatments, reducing overall cost.

Low downtime

Redness and mild swelling usually resolve within 1 to 3 days. In contrast, subcision or ablative lasers may require up to 1 to 2 weeks of recovery.

Added skin benefits

Beyond scarring, patients may also enjoy smoother skin, smaller pores, and a brighter complexion.

Minimal discomfort

The fine gauge of the microneedles results in less pain compared to subcision or aggressive laser treatments. It does not cause ‘explosive’ damage to the skin as the radiofrequency energy can be adjusted and controlled to match different depths of the skin and scar types.

Fast and comprehensive results

By addressing all three causes of acne scarring in one procedure, patients may experience quicker and more complete improvement.

How does Radiofrequency Microneedling improve texture and enlarged pores?

Radiofrequency Microneeding - Before & After Treatment | Mizu

Enlarged pores are typically caused by:

1. Clogged skin

Oily or acne-prone skin tends to trap impurities. This may develop into acne pustules and papules, stretching pores over time. Left untreated, these blockages can lead to permanent pore enlargement and tougher, less elastic skin.

2. Skin laxity

With age, collagen depletion causes the skin to loosen, making pores appear wider.

Treatment Mechanism

The treatment mechanism for enlarged pores is similar to that of acne scarring.

RF microneedling improves pores and skin texture by:

Shallower Depths

Resurfacing of the skin surface to smooth texture and stimulate skin renewal for glowy skin.

Middle Depths

Collagen stimulation to tighten skin and minimise pores.

Deeper Depths

Skin volumisation to give the skin a soft, dewy feel.

How does Radiofrequency Microneedling improve dull & pigmented skin?

Melanin, produced by melanocytes, gives our skin its pigment. When overactive, due to genetics, sun exposure, or hormonal changes, these cells can cause pigmentation concerns such as melasma, freckles, and post-inflammatory hyperpigmentation. Redness can also arise from dilated capillaries or vascular disorders.

With its unique Pulsed Wave setting, RF microneedling delivers energy in controlled pulses to reshape skin from within.

Fillers - Logo | Mizu

Regulates and reduces melanocyte activity to prevent hyperpigmentation

Fillers - Logo | Mizu

Strengthens the basal layer of the skin, reducing melanin transfer and hyperactivity

Fillers - Logo | Mizu

Targets abnormal vessels responsible for redness, melasma, and rosacea

This leads to clearer, more radiant skin with reduced blotchiness and dullness.

Can Radiofrequency Microneedling be combined with other treatments?

Absolutely! RF microneedling can be paired with other treatments to boost results. While some treatments can be done on the same day, others may need to be spaced apart.

Recommended combinations include:

Frequently Asked Questions

What happens during a Radiofrequency Microneedling procedure?
  1. Consultation & Analysis – your skin is first cleansed and assessed using VISIA skin analysis. A thorough consultation is conducted by a medical professional.

  2. Preparation – a topical numbing cream is applied for comfort. It may be reapplied depending on your skin’s sensitivity and treatment area.

  3. Treatment – the microneedling handpiece is pressed against the skin to deliver RF energy through the needles. Each session takes approximately 20–30 minutes, depending on the treatment area.
  1. Post-Treatment Care – a soothing gel and yellow light therapy may be applied to reduce redness and support recovery.

The number of sessions varies depending on skin condition, severity of scarring, and treatment settings. Most patients see visible improvement after fewer sessions compared to traditional treatments, often requiring 2–3 fewer treatments on average.

What are the side effects and downtime of radiofrequency microneedling?

In general, side effects are minimal and are usually limited to:

  • Mild redness (erythema)
  • Minimal swelling (more common with higher settings)
  • Post-inflammatory hyperpigmentation (uncommon)

Downtime is usually minimal, around 1 to 3 days. Those undergoing deeper treatments for acne scarring may experience a slightly longer recovery due to the treatment depth.

As collagen remodelling takes time, visible improvements typically emerge around 4 weeks post-treatment.

You may use soothing skincare with healing benefits, like hydrating sheet masks or stem cell serums. A topical cream is usually prescribed to patients to prevent infection and hyperpigmentation. This should be applied diligently for the first few days. Strict adherence to sun protection and moisturisation is key for faster recovery and to reduce the chances of side effects.