What Is the ELLISYS SENSE Program? A Dermatologist Explains RF Microneedling for Acne Scars, Scars and Uneven Skin
The ELLISYS SENSE program uses a fractional RF microneedling device that delivers radiofrequency (RF) energy through very small needles into the dermis, prompting the skin to repair itself and build new collagen. At Siam Dermatology, doctors use this device mainly for acne scars, scars and uneven skin.
What makes this device suitable for acne scars is that the doctor can adjust the needle depth very precisely, because each type of acne scar has a different depth. This article explains how the ELLISYS SENSE program works, who it suits, how it differs from the Sylfirm X program and from lasers, and what its limitations are.
How does the ELLISYS SENSE program work?
Insulated needles: Energy is released at the needle tip within the dermis, so the upper layers of the skin receive less heat than with heating from the outside.
Adjustable depth: About 0.5–3.5 mm, and a single-needle tip can reach about 5 mm. The doctor chooses the depth to match the type of scar and the area being treated.
Vacuum system: Suction draws the skin firmly against the needle head before energy is released, helping the needles reach the exact depth that was set.
Several needle heads: Heads with different numbers of needles are available for different areas, on both the face and the body.
Controlled heat in the dermis stimulates collagen-producing cells (fibroblasts) to make new collagen and elastin, so the skin gradually becomes firmer and smoother over the weeks after treatment.
Why is it suitable for acne scars?
Acne scars come in several types, such as narrow deep scars (ice pick), sharply edged scars (boxcar) and broad sloping scars (rolling). Each differs in depth and in the fibrous bands that pull on the skin. Finely adjustable needle depth lets the doctor place energy at the level needed. To learn more about telling acne scar types apart, read Can acne scars really be filled in?
Some types of scars may need other procedures as well, as assessed by the doctor. Choosing a method should therefore always start with examining the type of scar.
What can the ELLISYS SENSE program be used for?
Acne scars and post-acne marks
Scars from surgery or accidents (as assessed by the doctor)
Uneven skin and enlarged pores
Stretch marks
Fine lines and skin that is starting to lose firmness
How does the ELLISYS SENSE program differ from the Sylfirm X program?
Both devices are RF microneedling, and the clinic has both, but doctors use them for different problems:
The ELLISYS SENSE program — focuses on repairing skin structure, such as acne scars, scars and uneven skin, because the needle depth can be adjusted over a wide range.
The Sylfirm X program — has a pulsed wave mode that targets blood vessels and abnormal pigment, so it is used for vascular melasma, redness and easily flushed skin.
If you have both acne scars and redness or melasma, the doctor may plan to use both devices together as a course. Read the full comparison in How do the 2 types of RF microneedling differ? and What is the Sylfirm X program?
How does it differ from lasers for acne scars?
Both RF microneedling and fractional lasers stimulate collagen. The difference is that RF microneedling delivers energy through needles beneath the skin, so the upper layers receive less heat. Doctors often consider this method for people who are prone to post-inflammatory dark marks. However, this does not mean there is no risk at all, and in some cases a laser may be more suitable. The choice depends on the type of scar, the condition of the skin and each person's skin tone.
Treatment steps
The doctor examines the type of scar or skin problem and plans the depth and number of sessions.
The skin is cleaned and a topical anesthetic cream is applied for about 30–45 minutes.
The procedure is carried out according to the plan, taking a length of time that depends on the size of the area.
You receive aftercare advice and a follow-up appointment.
What to expect after treatment
You may have redness, mild swelling and visible needle marks for about 1–3 days.
Some people develop tiny scabs within 1–5 days. Do not pick at them.
Wear sunscreen consistently, and avoid makeup or irritating products as the doctor advises.
Results are gradual as new collagen forms. A course of about 3 sessions, roughly 1 month apart, is typical. The doctor will assess the actual number of sessions according to the type and depth of the scars.
Who should tell the doctor before treatment?
People who are pregnant
People with a pacemaker or metal implants in the treatment area
People with an infection, open wound or heavy inflamed acne in the area to be treated
People with an immune deficiency, cancer or slow wound healing
People with a history of raised scars or keloids
People taking oral vitamin A-derivative acne medication, or other medication that affects wound healing
Why should a dermatologist do the assessment?
Everyone's acne scars differ in type, depth and skin tone, so choosing the right method and setting the device correctly matters. At Siam Dermatology, every procedure is assessed and performed by a dermatologist, and the clinic has both RF microneedling and several types of lasers, so the doctor can choose the method that fits the problem without being tied to any one device.
ELLISYS SENSE program price
The cost depends on the area, the size of the treatment area and the number of sessions that suits each person, so there is no fixed price. The doctor will assess first, then plan and tell you the cost that fits your case.
Frequently asked questions
Is the ELLISYS SENSE program painful?
A topical anesthetic is applied beforehand. Most people feel needle pricks and rhythmic warmth. The sensation varies from person to person and by area treated.
Will acne scars become as smooth as before?
Acne scars can usually improve to some degree, but they will not become as smooth as skin that never had scars. How much they improve depends on the type and depth of the scars. The doctor will assess and set appropriate expectations from the start.
Can it be combined with the Sylfirm X program?
In some people it can, for example if you have both acne scars and redness or melasma. The doctor will set an appropriate order and spacing.
Want to know what type of acne scars you have? Consult a doctor on LINE @siamderm
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