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FREQUENTLY ASKED QUESTIONS ABOUT RF Micro-needling
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What does the device look like?
The device is portable. it is lightweight and it comprise of lightweight touchscreen, the main body and handpiece. The power cord. The handle with its
What are the dimensions of the device?
How does the device work?
- Vacuum/Suction.The device uses a vacuum (suction) to induce a good grip on the skin. The vacuum (suction) level can be regulated using the user interface in the device.
- Then once the hand-piece is placed on the skin the user only needs to press the button on the handpiece. The device will release the needles into the skin at the predetermined depth, timing and delivers amount of power.
What is the principle of operation which allows the skin rejuvenation results?
What is the difference between microneedling and Fractionated (or Fractional) Radio Frequency microneedling? What is the advantage of RF Microneedling Vs
The principle is very similar however the main difference is the release of the RF enery into the skin. While micronnedling alone works by inflicting micro-traumas into the skin the RF fractional micro-needling also delivers a certain anount of energy ito the skin. Therefore the collagen stimulation is further enhanced. The main difference is the relese of RF energy into the skin.
How does it compare with other units on the market?
This is one of the few compact and affordable units on the market. It emcopassed all the functions of most highly proced bulky units at a much more accessible prices. IT also guarantees the same if not better user friendly user interface while matcheds the delivery power and the results of larger units.
With the Areton Ultra Fractional RF Microneddler we have taken the best of the large bulky expensive RF microneding units and compacted the design to make this new unit really affordable and adding value to of large unit.
Therefore this unit has all the advantages of highly priced and bulky units, with a better compact design, more user friendly user interface, same power delivery at more affordable prices.
We encourage all our prospective customers to market their own market comparison.
Why does your unit have no foot switch (or activation pedal)?
Very simple, this is a redundant component which was historically placed in medical instrumentation due to the fact that in the 70s and 80s technology did not allow the introduction of small electronics which permitted small buttons to be placed on the hand piece.
The absence of the pedal activator makes the unit more compact, simpler to assemble and to operate.
What are the consumables?
The consumables are online the three different heads:
- Body headpiece 64 microneedles
- Face headpiece 25 microneedles
- Eye and crows-feet headpiece 10 microneedles
You are required to use new sterile heads on each individual client.
What downtime or recovery should I expect with RF MicroNeedling?
Most people feel comfortable to return to normal social activities no more than 24-48 hours post-treatment and makeup should only be applied after the area healed completely, generally 4 to 5 days after the treatment.
Fractional RadioFrequency works to minimize your downtime and maximise the speed at which you achieve results in two ways:
Fractionated Energy: “fractional” energy treatments deliver energy to a portion of the skin. The percentage of skin treated during Fractional Radio Frequency MicroNeedling can be adjusted during each treatment. Treating the entire skin at once would lead to a very long recovery with high risk for infection and complication (think intense chemical peels and fully ablative laser therapy). Treating a portion of the skin means the skin is able to recover quicker and keep risks and complications at a minimum. Using a series of treatments, Fractional Radio Frequency treats each cell at least once during the series. This way you can achieve the same effectiveness as an invasive treatment, with fewer risks and a shorter downtime.
Minimised Damage to the skin surface: Unlike laser skin resurfacing, Fractional Radio Frequency is able to deliver the energy where its needed most, in the lower dermis, while minimising the damage to the skin’s surface. This means you will experience the absolute minimum in visible downtime, without sacrificing results.
Fractional RadioFrequency does have the potential to create bleeding, due to the microneedles. We have seen this vary from patient-to-patient. Typically bleeding is minimal and resolves immediately without any additional side effects or required action. Most patients elect to take the evening off from social activities. You should feel comfortable to return to normal social activities no later than 48 hours post-treatment, without the risk of anyone knowing you’ve had a procedure.
Does RF MicroNeedling hurt?
Generally RF Micro needling Treatments are tolerated quite well. To ensure comfort during treatment, a topical numbing cream is applied, local aneastetics are not generally required for this type of aesthetic treatment.
When will I start to see results from a RF MicroNeedling treatment?
Fractional RadioFrequency works by causing your skin to rebuild old and damaged cells, thus the results are not immediate and depend upon the speed at which your body responds. typically, improvements are noticed 6-8 weeks after a session. Each patient typically wants to have 3 or more sessions to see significant results. However, the number of sessions recommended for your acne scars will be included in your customized treatment plan, provided during your consultation.
Is RF MicroNeedling safe? Can RadioFrequency Microneedling be dangerous?
RF MicroNeedling is very safe. Because the energy spares the most superficial layer of the skin, most of the risks of side effects seen with aggressive lasers or deep chemical peels can be minimized or completely avoided. The two devices we use most often are the Intensif made by Endymed 3Deep and the INFINI made by Lutronic. Both have been FDA cleared for their safety and effectiveness. Infini is unique in that it insulates the tiny microneedles. This is an added safety measure to protect the very top layer of the skin, which is the area most prone to damage with laser treatments, especially in patients with darker skin. (epidemis not treated)
Is RF MicroNeedling safe for my skin tone or type?
The range of treatment settings in these two devices allow our physicians to create treatments which are safe for all skin types, including darker skin tones and skin which is prone to hyperpigmentation. This makes RF MicroNeedling a better alternative than laser skin resurfacing for the majority of patients with dark skin or skin which is prone to scarring or pigmentation. This also means those with lighter skin tones no longer have to post-pone laser therapies during the summer – Fractional RadioFrequency doesn’t have to wait for your tan to fade.
New York City dermatologist Judith Hellman, M.D., says she used the pulsed dye laser since about 2003, day in and day out, to treat acne. But for the last few years, Dr. Hellman says she has largely replaced that technology with a radiofrequency (RF) microneedling device called Fractora (Inmode).
The impact not only on patients’ acne, but also on their scarring, makes Fractora a superior option, according to Dr. Hellman. In fact, she says the RF microneedling device is the way to go for treating axillary hyperhidrosis and is a viable option for neck tightening, stretch marks and even to treat the vertical lines some women develop on their chests.
“[Inmode] is a multiple application platform, and one of the applications that I use with this platform is called Fractora, which is a radiofrequency device. It comes with different tips and each type of tip head has a different number and different length of microneedles,” says Dr. Hellman, who is associate clinical professor of dermatology at Mt Sinai Hospital and has no conflicts of interest with Inmode or Fractora.
The technology’s 24-tip option has thin tips and a 3mm depth.
“When the pins enter the skin, simultaneously, radiofrequency goes through them and into the skin. So, you’re getting both the physical injury, as you do with all microneedling devices, and also the added heat effect. And heat creates thermal zones beyond the actual reach of the needle,” she says. “So, now you have two ways of affecting the skin. One is the physical entering of the microneedles. The other one is the effect of the heat, as would occur with the CO2 laser.”
A unique feature to the Inmode technology is that Fractora allows users of the 24-pin needles to choose between regular tips and tips with silicone coating. The silicone coating goes about two-thirds down the length of the tip, and, basically, protects the epidermis and the top layers of the dermis from heat injury.
“What that means is you can basically treat any skin type, even the darkest type VI skin without the risk of pigmentation changes,” Dr. Hellman says.
Dr. Hellman says she used Fractora initially for acne and acne scars. Her research on use of the fractional radiofrequency device on acne and related scars has been published in the Journal of Cosmetics, Dermatological Sciences and Applications.1,2 In one study, Dr. Hellman took skin biopsies of patients undergoing Fractora treatment and pathology results suggested there was an approximately 50 percent decrease in scar depth, three months after the fourth monthly treatment, she says.
The followup article showed further improvement in scarring, up to 75 percent or 80 percent, she says, despite patients’ having no additional treatments. She credits this remarkable outcome with the unusually abundant collagen production following the treatments, for many months after the last treatment is over.
Success in one area led her to try Fractora in another.
“I started using it in patients with axillary hyperhidrosis. There are other treatments, like Miradry (Miramar Labs). But Miradry has potential side effects, such as potential nerve damage and some other issues,” Dr. Hellman says. “What the Fractora does is it just basically enters the skin, 3 mm or so, and it concentrates the heat in the deep layers with coated tips. You can kind of heat and damage the sweat glands. We have seen a great improvement in the amount of sweat, as well as the odor.”
Downtime for acne patients is minimal and lasts between 24 to 48 hours before the redness subsides. Tiny brown dots at the entry site of the microneedles may last another 24 hours. For the underarms, there is no downtime, being that it’s not a cosmetically visible area.
Dr. Hellman says she’ll still use the pulsed dye laser for acne patients with no signs of scarring because it’s easy and there’s no need for topical numbing. But the downtime for even those patients, where they walk around for five to seven days with visible black and blue marks, makes many want prefer Fractora instead.
Dr. Hellman says her patients have reported no complications from Fractora treatment, and she has been using the device for three years. Dermatologists should ask patients about their sensitivity to pain and recommend over-the-counter or stronger pain relievers. Dr. Hellman has all her patients take an antiviral, regardless of their histories with the herpes virus.
She recommends dermatologists use the regular 24-pin device without the coating when possible for the treatment of acne and acne scars. That’s because of the increase in collagen stimulation will be accompanied by actual ablation of the scarring on the skin surface.
“If somebody has superficial scars, the Fractora also has a 60-pin tip, which is much shorter and is totally ablative–it doesn’t go down deep. So, it’s not so much for collagen stimulation but to smooth out the surface,” Dr. Hellman says.
She’ll combine the 24- and 60-pin tips for patients who have deeper scarring in some areas.
The dermatologist also uses Fractora for neck skin tightening.
“I use the coated tips in the neck for neck tightening because they concentrate the heat effect, so you get more collagen stimulation. And also you don’t need the resurfacing on the neck,” she says.
And she has been using it with some success on a limited number of patients with chest acne, vertical lines on the chest and for stretch marks.
“I have had significant improvements in stretch marks after just one treatment,” she says.
Fractional RF Microneedle (FRM)
The procedure involves penetration of insulated microneedles into the dermis to deliver high-tensioned radiofrequency pulse into the targeted tissue. This results in the body’s own production of elastin and collagen fibres, making skin firmer and healthier.
Our machine – RF combines with the microneedling, so the RF heat is not on the outside layer of the skin, it penetrates much deeper, leaving the top skin layer cool.
The microneedles are driven directly into the skin at a certain depth, and radiofrequency energy is then released inside of the skin. This gives a more uniformed deep tissue warming that will then stimulate the collagen and new collagen fibers are produced. The needle tip contains 25 very small gold needles acting as an internal conductor:
The face is numbed for 40 minutes before starting. The whole face would take approximately 20-30 minutes to do depending on the area and pain threshold. Immediately after the procedure, the face is warm, red and swollen. After 4 days the needle marks will disappear, and your face will start to feel tighter and more lifted.
After a few treatments you will see a noticeable difference, it will help both with wrinkles, skin tightening, rejuvenation, reduce pore size etc.
The combination of microneedles and radiofrequency leads to a more substantial improvement in skin quality and texture. This combination also allows the procedure to treat a variety of concerns such as skin tightening and brightening, pore size reduction and stretch marks. It is also effective in scar treatment such as deep acne scars, ice pick scars, atrophic scars, burn and operation scars.
Shorter procedure time and downtime
Lower risks such as post-inflammatory hyperpigmentation and scarring
Included in this treatment is a collagen mask, plus Cocoon’s 4 step skin treatment: aloe vera for soothing, hyaluronic acid for nourishing, aquaphor for moisturising and SPF 30 for protection.
By delivering the majority of the energy to the mid-level dermis, RF MicroNeedling targets the skin’s underlying support system of collagen fibres and restructures any areas that have damage due to acne scarring. Rebuilding the skin’s support system allows the epidermis, the top-most layer of the skin, to be smooth and strong. This is this as similar to rebuilding a cracked foundation in a house, allowing all of the layers above that foundation to be stronger, stabilised, and in their proper place. In the skin, this often means replacing the support “holes” in the dermis, which cause sunken-in scars, like ice pick and box car scars to form.
Post Treatment Care
Mild redness and swelling may occur a few hours and up to 24 hours after treatment. Massage and excessive sun exposure should be avoided at this time. More aggressive treatments may result in skin flaking as the new skin layer regenerates. Moisturisers and broad spectrum sunscreens are highly recommended during this recovery phase.
What To Expect
Once RF energy is penetrated into the dermis, target tissue in dermis processes to regenerate the skin. For best results on deep wrinkle folds and acne scars, a combination treatment of microneedling and Fractional laser serves to flatten uneven skin.