Microneedling / Secret RF

What Is Microneedling?


Microneedling, also known as skin needling, Skin Pen, Micro Pen or collagen induction therapy, is a minimally invasive cosmetic dermatology procedure that stimulates collagen growth and improves the appearance of skin. A small handheld facial rejuvenation device with very tiny sterile needles on its tip, is used to produce controlled micro-injuries in the skin to activate the body’s natural restorative processes to transform blemished and damaged tissue into smoother, clearer, more vibrant skin. Noticeable changes occur after each treatment, however it isn’t until the end of the series that you will see optimal results.

What Is Secret RF?


Secret RF is a new microneedling treatment with the addition of radio-frequency energy to drastically improve fine lines and wrinkles with little to no downtime. The combination of radiofrequency often results in mild skin tightening. Additionally, Secret RF tackles scars, stretch-marks, and skin laxity as well as signs of aging skin, leaving skin restored, refreshed and  rejuvenated.


Like microneedling, the controlled micro-injuries caused by the sterile Secret RF tip likely stimulate the production of collagen, elastin, and other growth factors in response to small areas of injury. By adjusting the micro-needles, Secret RF can deliver energy at various depths, so that treatments can be tailored to address each patient’s individual concerns.

What is Microneedling with PRP?


Platelet Rich Plasma (PRP) may be combined with microneedling.  Platelet Rich Plasma, made famous by Kim Kardashian as The Vampire FaceLift, contains growth factors that stimulate stem cells within your skin, activating new, healthy tissue. Microneedling creates “injury” to the skin, therefore tricking the body into healing itself while creating direct channels for PRP to be delivered.  Microneedling ensure PRP’s valuable growth factors are penetrated deep into the skin’s dermis. PRP can also be injected into areas of the face, such tear troughs and upper lip lines, producing dramatic results without increasing volume.

These very safe and effective procedure may be used to improve the following skin concerns:

  • Fine lines and moderate wrinkles
  • Stretch marks also known as striae
  • Acne scars
  • Pore size reduction
  • Neck lines or necklace lines
  • Skin tightening
  • Skin revitalization
  • Sun damaged skin and premature aging
  • Scars from injury or surgery
  • Uneven skin tone or texture
  • Mild skin laxity
  • Adding luminosity to the skin

Who is a candidate for Microneedling?


Both Secret RF and microneedling may be used safely in darker skin and those with pigmentary concerns. All skin types can be treated. In general, we recommend Secret RF for patients who desire mild tightening or who wish to have the least amount of downtime in addition to the benefits of microneedling. Men are GREAT candidates for Secret RF as their thicker skin responds well to the tightening effects of the treatment.

How Do I Know is Secret RF is Right for Me?


There are many brands for these procedures, including Vivace, Infini, MicroPen Collagen Pin, SkinPen, Eclipse MicroPen, Fractora, and Profound. Dr. Holcomb chose her microneedling devices based on results as well as minimal downtime and discomfort desired by her patients. When you are evaluated by our board certified skin dermatologists, Drs. Holcomb or Haseltine, or Cherie, our Nurse Practitioner, they will help you determine which procedure is right for you.

Is Microneedling Painful?


We take patient comfort very seriously at Pure Dermatology, so numbing cream is placed before every procedure for 20-40 minutes. The skin is prepped in a sterile manner and a thin layer of sterile topical gel will be applied to your skin. Depending on the procedure chosen, the sterile disposable tip of the vibrating microneedling pen or stamping Secret RF will be gently pressed against the skin in a uniform pattern. This process results in thousands of superficial microscopic channels throughout the entire treatment area activating the body’s natural restorative processes to transform the treated area into smoother, clearer, more vibrant skin. Patients may experience mild discomfort. With Secret RF, some patients feel heat and pressure on the areas being treated. 

How Many Treatments Do I Need?


For optimal results, 3 treatments are recommended. For maintenance, most patients opt for 1-3 treatments per year. For deeper problems such as scars, deep wrinkles, or stretch marks, 6-8 sessions may be required. Improvement to the treated area begins at 2-3 weeks and may continue for up to 6 months after the treatment. 

What Can I Expect After My Procedure?


Compared with epidermal abrasion techniques and ablative lasers, most people have little to no downtime with both microneedling and Secret RF. There is a lower risk of infection as well because the channels close shortly after the treatment. Compared with photorejuvenation lasers, IPL or other aesthetic lasers, there is rarely swelling with microneedling and Secret RF beyond the day of treatment.


Even though Secret RF is considered a stronger treatment, it has less downtime than microneedling because the heat seals up the bleeding from the micro-injuries. Patients look like they have a sunburn which can last a few minutes to a few hours. Any minor redness or swelling resulting from treatment will subside within 12-24 hours. After the treatment, you can expect to return to normal activities. You will be asked to refrain from wearing make-up for several hours and acid products or retinols for a few days. Skin may be slightly flaky, but you can safely resume normal skincare the next day and should resume your sun protection.