Pennsylvania Centre for Dermatology


Microneedling has become a very popular procedure that stimulates collagen and elastic tissue remodeling, resulting in smoother and tighter skin.  An innovative procedure called “RF Microneedling”, which combines traditional microneedling with radiofrequency (RF) energy, has become the latest go-to skin rejuvenation option.  There are currently several available RF microneedling devices. However, the InMode Morpheus 8 device allows your provider to have the widest selection of treatment parameters to customize your treatment for the desired effect.   In fact, with this device, microneedle depth can be delivered up to 4 millimeters into the skin, deeper than any other RF microneedling device to date.  Additionally, the Morpheus 8 is FDA approved as a Subdermal Adipose Remodeling Device (SARD) – a crucial difference between this device and standard microneedling.

What is the difference between RF Microneedling and Traditional Microneedling?

Traditional microneedling uses a special device that creates micro-injuries in the skin, stimulating the body’s own natural wound repair cells to remodel collagen and elastic tissue. This results in smoother, tighter skin and can reduce fine lines and improve acne scarring. Traditional microneedling can also be combined with platelet rich plasma (PRP) therapy. Platelet Rich Plasma utilizes your own natural platelets to instruct the body to create new collagen to reduce the appearance of scarring and stretch marks, refine fine lines and wrinkles, and improve skin tone and texture with no downtime.

RF microneedling adds the element of radiofrequency energy to the traditional microneedling procedure. By delivering the RF energy under the skin, RF microneedling allows for safe targeting of the deep dermis (or even the fat layer in some body areas) without the risk of damaging the skin surface.  This allows for effective tightening of the skin and remodeling of scar tissue (such as in acne scars).  Prior to this innovative technology, heating of the deep tissue required energy delivery through the skin surface, which limits the amount of therapeutic energy that could be delivered to the deeper tissues.  Too much energy could damage or burn the skin surface.  RF microneedling delivers the energy from the tips of the needles, after they have fully penetrated through the skin surface.

Who is it for?

RF microneedling is appropriate for nearly all skin types.  This minimally-invasive technique may be ideal for you if you wish to reduce the appearance of:

  • Acne or acne scars
  • Poor skin texture
  • Sun damage
  • Deep lines and creases
  • Mild sagging or jowls
  • Enlarged pores
  • Stretch marks
  • Skin Tightening

How many treatments are needed?

Most patients will need 2-3 treatments for full benefit, spaced about 3-4 weeks apart.  However, results can vary from patient to patient depending on a variety of factors and severity of the underlying condition being treated.

What are the potential benefits of RF Microneedling versus other treatment modalities?

RF microneedling can result in many of the same benefits as traditional ablative resurfacing laser and skin tightening devices; however, RF microneedling can be performed with significantly less discomfort, downtime and risk.  

What can I expect during the treatment?

After application of topical anesthetic, most patients are able to tolerate the relatively quick procedure with little to no discomfort.  Treatment times vary, but usually 15 minutes for smaller areas and up to 60 minutes for larger treatment areas.

What can I expect after the treatment?

The skin is typically red and perhaps slightly swollen for the first day or two after the treatment; the redness is usually mild and less than what is typically seen after ablative laser procedures (such as fractionated laser resurfacing).  There is little or no discomfort after the procedure, and most patients can return to regular activity on the day after the treatment.   Given that the procedure involves the creation of small microchannels in the skin, we recommend avoiding any makeup for at least 3 days after the treatment session. 

Can RF microneedling be combined with other modalities?

Your provider can further enhance the results of the RF Microneedling treatment by adding platelet rich plasma (PRP) therapy.  Delivering your own stimulatory platelet growth factors into the skin during the RF microneedling procedure allows for synergistic effects on skin rejuvenation results.  In addition, your provider may design a customized protocol that incorporates RF microneedling with other laser devices or physical treatments (such as in our acne scar treatment regimen).