Is RF Microneedling very painful?

Because numbing cream is applied beforehand, most patients feel only mild warmth and a slight sting. The pain level is about 3–4 out of 10.

How does RF Microneedling differ from Fractional CO2 laser?

Both stimulate collagen, but RF Microneedling has shorter downtime and suits all skin tones, while Fractional CO2 gives stronger results but needs a longer recovery.

Who should not have RF Microneedling?

People with severe inflamed acne, pacemaker users, pregnant women, and those with open wounds or skin infections should consult a doctor first.

When will I see results?

Early results can be seen about 2–4 weeks after the first session, and full results about 3–6 months after completing the course.

Microneedling collagen induction therapy skin

Two RF Microneedling Programs: How ELLISYS SENSE and Sylfirm X Differ, and How a Dermatologist Chooses by Skin Concern

6 days ago

2 min read

RF Microneedling delivers radiofrequency (RF) energy through fine needles into the dermis to stimulate new collagen. Each RF Microneedling device is designed to excel at different things. Siam Dermatology has 2 devices: the ELLISYS SENSE program and the Sylfirm X program. The doctor chooses between them based on each person's skin concerns.

In brief

ELLISYS SENSE program — focuses on repairing skin structure: acne scars, other scars, uneven texture and stretch marks. The needle depth is adjustable over a wide range (about 0.5–3.5 mm), and a vacuum system helps the needles reach the intended depth.
Sylfirm X program — focuses on pigment and blood vessels: vascular melasma, redness, easily flushed skin and pores. It offers a Pulsed Wave mode and a Continuous Wave mode.

Which concern usually suits which device

Acne scars, scars from acne, rough skin texture — the doctor will usually consider the ELLISYS SENSE program.
Vascular melasma, stubborn melasma — the doctor will usually consider the Sylfirm X program, together with medication and sun protection.
Post-acne redness, easily flushed skin, fine visible blood vessels — the Sylfirm X program or a laser for redness, depending on the assessment.
Enlarged pores, uneven skin — either device can be used, depending on the other concerns present.
Both acne scars and redness or melasma — the two devices may be used together as a course, and the doctor will plan the order.

How RF Microneedling works

Fine needles pass through the upper layers of the skin and release radiofrequency energy in the dermis. The controlled heat tightens the existing collagen and stimulates the formation of new collagen and elastin, so the skin gradually becomes firmer and smoother. Results are gradual, over several weeks, and treatment is usually done as a course of several sessions.

Limitations to know about

Results improve to a degree and vary from person to person. They do not change the skin immediately.
Melasma is a chronic condition that can come back. It needs ongoing care and constant sun protection.
After treatment there may be temporary redness, swelling and small needle-mark dots.
People who are pregnant, have metal implants or a pacemaker, have an infection in the treatment area, or have a history of keloids should tell the doctor beforehand.

Why a dermatologist should choose

At Siam Dermatology, every procedure is assessed and performed by a specialist dermatologist. The doctor first examines what the main problem is, then chooses the device, mode, depth and number of sessions to suit it, rather than choosing by the name of the machine.

Not sure which option suits your skin? Consult a doctor via LINE @siamderm

Two RF Microneedling Programs: How ELLISYS SENSE and Sylfirm X Differ, and How a Dermatologist Chooses by Skin Concern

In brief

Which concern usually suits which device

How RF Microneedling works

Limitations to know about

Why a dermatologist should choose

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