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RF Microneedling

Eterna Vein & Medical Aesthetics in Puyallup, WA

What is RF Microneedling?

RF Microneedling is short for Radio Frequency Microneedling.


It is an advanced microneedling technique developed as a minimally invasive approach to improving skin quality and appearance. Radio frequency energy is delivered through small needles into the dermal layer of the skin. The energy is deposited in a tear drop shape. This intentional design deposits the majority of the energy deep into the dermal layer, stimulating collagen and restructuring elastin. This restructuring reconnects depleted and broken down collagen and elastin, restoring your youthful skin.

How it works
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What are the benefits of RF Microneedling?

The benefits of RF Microneedling include:

  • Lifts, tightens and firms the skin

  • Rebuilds collagen and elastin

  • Shrinks pores

  • Softens and minimizes scarring

  • Reduces hyperpigmentation from sun damage

At Eterna, we use the Scarlet SRF™ (short pulse radio frequency) as we believe this technology works best to stimulate collagen and elastin to restructure and renew the firmness and density associated with youthful skin. With a series of treatments to the face, neck and chest being our most popular approach, patients can see dramatic results!

When do I see results & how often should I have RF Microneedling?

An initial series of three (3) treatments is recommended for optimal results (individual patient needs may vary). Results may be seen soon after your procedure and will continue to improve over time. The first three treatments should be spaced 4 to 6 weeks apart. Follow up treatments can be performed every six months to a year to maintain your results, depending upon individual skin quality and lifestyle choices.

What are the risks and complications RF Microneedling?

RF Microneedling is safe for most patients! It works for all skin types and colors. After treatment, patients can experience dryness of the skin. Treatment around the mouth, jawline and eyes can be especially tender during treatment. We use topical numbing cream to help with discomfort. If you are concerned about your comfort level during treatment, please talk to your provider about your options, as we have PRO-NOX (Nitrous Oxide) available in the office, at a nominal fee.


RF Microneedling may not be safe for the following patients: (Please discuss this with your provider before considering treatment.) 

  • Pregnant or lactating women

  • Patients with poor wound healing or a history of keloids

  • Patients with active skin conditions (psoriasis, eczema, infection, or skin cancer)

  • Patients with pacemakers or implanted electrical devices

  • Patients with a weakened immune system (HIV/AIDS) or patients with poorly controlled diabetes

  • Patients using Accutane or chronic oral steroids

Preparing for your RF Microneedling appointment


blood thinning medications (NSAIDS) 1 week before your appointment.


chemicals (perm or coloring) 1 week before your appointment (if you are having a scalp treatment).


topical acids, retinols, Retin-A, or any exfoliating treatment 2 weeks prior to your appointment.


invasive laser treatments 6-12 weeks before & AVOID non-invasive laser treatments 3-6 weeks before.

If you have a history of cold sores, let us know so we can prescribe you medication to avoid an out break.

USE a mineral based (zinc oxide) SPF of 30 or higher sunscreen to protect your skin from sun damage before your appointment.

Preparing for your RF Microneedling Treatment

  • Avoid use of Retinol or Retin A products for 1 month prior to treatment

  • Avoid use of blood thinning agents such as NSAIDS (non-steroidal anti-inflammatory drugs like Aspirin, Motrin, Advil, Ibuprofen or any other non—Tylenol, non-acetaminophen product) or Fish Oil capsules for 1 week prior to your appointment.

  • If you have a history of fever blisters (cold sores), we recommend taking an anti-viral medication starting 1 day prior to your treatment. Follow your prescription instructions post procedure. See your provider if you require a prescription.

  • Avoid scheduling your RF microneedling treatment until you are 6-12 weeks after any invasive laser treatment (i.e. CO2, Fraxel, Erbium, Halo)

  • For patient receiving a scalp treatment (for a brow lift), avoid coloring or perming your hair one week before your treatment.

  • Avoid tanning beds or prolonged sun exposure 4 days prior to treatment.

  • It is safe to exercise prior to your appointment. You may eat and drink as normal.

During your RF Microneedling Treatment

A topical numbing agent will be applied to your skin to help with any discomfort. If you find during treatment that the numbing agent is not strong enough and you experience discomfort stronger than you are able to bare, PRO-NOX (laughing gas) will be made available to you.

After your Radio Frequency Microneedling Treatment

There is little to no down time for this treatment! Most patients will experience redness and some swelling for a few hours after treatment. These symptoms should be mild and resolve fully after 24 hours. The treated area may feel warm as if you have had a mild sunburn.

Avoid applying anything to your skin for the next 6 hours, unless you are directed otherwise. Use a gentle cleanser for the days following your treatment. Protect your skin with SPF 30 or higher. We recommend using a zinc oxide/titanium oxide based sunscreen (mineral-based) for best protection. Avoid exercise, saunas and hot showers for 24 to 48 hours after your treatment. Do not use exfoliating products or use retinol for 7 to 10 days after your treatment.

Complete written instructions will be given to you at your appointment. If you have any questions, please feel free to call the office or talk to your aesthetician during your appointment!

Pre and Post Care Instructions

Ready to schedule with us?

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