What is the difference between RF (radiofrequency) microneedling and microneedling?

How do you get rid of “smokers lines?” I have tried Botox, Juvederm and Restylane. Did not work. Would RF Microneedling get rid of the lines? I do not smoke, etc. Aging (I guess) is the culprit. Also is the treatment of “threading and/or threads” good for the face? What exactly is this treatment? Could there be scar tissue due to having this procedure?

Okay……so in nonsmokers, I call these “kissing lines” from all the kissing and living that we’ve done.  😉

I’ll do another post or email tip soon on how to get rid of these, but first, I want to clarify the above because there is a BIG DIFFERENCE!

Microneedling – the regular version.

These are the silly rollers that you can buy off the web.  They come in different depths, but without numbing only the most stoic can tolerate them, if they are deeper ones.  Generally, they are poor performers, without much or any long term effect.  You may get a short term effect just from the puffiness for a few days or a week.  The ones done in salons by aestheticians are a little better usually, but still, don’t give much effect that’s permanent. The skin needs to be cleaned and sterilized well first to avoid infections.

As of this writing, there is one FDA approved device called the Collagen P.I.N.  This device allows precise depth in the dermis and is mostly used in dermatologist’s offices.

Here’s the danger!  Don’t let anyone use microneedling with topical infusions or products that were not specifically formulated for injection.  Some aestheticians and doctors were using these with regular skincare products. Consequently contributing to allergic reactions and long term skincare product allergies.

RF Microneedling

RF Microneedling is done with topical and injectable numbing, and sometimes general anesthesia if a surgery is being performed at the same time.  Tiny, real-time temperature-controlled needles/pins, they are inserted into the dermis (deeper layer) at a certain depth, with a specific temperature for a precise length of time, usually 3-4 seconds.

When done with injectable numbing (as opposed to general anesthesia) you will have much LESS bruising or minimal bruising because the injectable numbing helps to constrict the blood vessels.

They are much more effective and used  (FDA approved) usually on the cheeks and upper neck.  Fairly new, more data will be coming in the next few years.  They are NOT generally used on the upper lip.  If not used correctly, as with almost any device, scarring and infections are possible.

Hope this helps,
Dr. Brandith Irwin
Founder, SkinTour
Director, Madison Skin & Laser Center
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Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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