Differences between the most popular radiofrequency microneedling treatments

Promising the reduction of lines and wrinkles, the minimization of age spots, and skin firming and toning, radiofrequency microneedling is a popular procedure that addresses multiple signs of aging at once. There are different treatment options, but the basic function is the same: an applicator with tiny needles penetrates the skin at various depths, delivering radiofrequency energy waves and creating micro-injuries. This stimulates the body’s response to produce more collagen, resulting in smoother skin with a fresh glow.

You may see different “microneedling RF” treatments that remodel the skin in the same way, but they are not all the same. Here, we asked top estheticians to share what microneedle RF treatments they rely on and what sets them apart.

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According to New York dermatologist Jody Levine, MD Morpheus8 is one of the deepest sub-treatments available: “It penetrates the subcutaneous tissue up to 8 millimeters deep to improve the appearance of the skin without damaging the surrounding area.”

Instagram @inmodeaesthetics

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Vivace Ultra

Beverly Hills, CA, dermatologist Ava Shamban, MD, says the combination of ultrasound imaging, an updated needle set and new options for radiofrequency pulses allow Vivace Ultra to be more customizable during treatment. “Information based on individualized data gives providers more patient-centered opportunities to achieve the highest level of outcomes,” he explains.

Instagram @vivaceexperience

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Genius RF

Not just for the face, neck and décolletage, Miami medical esthetician Amy Peterson also uses her Genius device to treat the abdomen, arms and legs. “It has the ability to analyze the skin during treatment and adjust needle depth and penetration to accommodate different textures. It’s really great for treating various problems on the face and body.”

Instagram @skincarebyamyp

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Secret RF

For acne scars, discolored skin, sun damage, and general signs of aging, Centerville, VA dermatologist Abraham Kazemi, MD considers Secret RF to be his not-so-secret weapon. “It’s the only device that has a CO2 handpiece that gives it the ability to perform more advanced treatments that combine CO2 laser energy with RF microneedling to treat an incredible array of skin issues at once.”

Instagram @secretbycutera

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Deep RF

“Profound, like Morpheus8, penetrates deeper into the skin and delivers radio frequency through the tip of the applicator to tighten in a very precise manner,” says Campbell, CA plastic surgeon Kamakshi R. Zeidler, MD. “The radiofrequency then remodels the collagen in the deeper layers of the skin to achieve firming.” The system is getting a major upgrade with the new Profound Matrix device coming soon.


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New York dermatologist Elaine Kung, MD, likes the SmoothGlo treatment for treating darker skin tones. “It’s my favorite choice for skin discoloration, volume loss and sagging. I combine the synergistic energies of Intense Pulse Light (IPL) SmoothGlo to target red areas of the skin and Radio Frequency Microneedling. Patients usually need three sessions once a week.’