First-Timer Guide
First Time RF Microneedling: What to Expect
Expert guidance from Dr. Alexander Landfield, Board-Certified Neurologist
RF microneedling combines the collagen-boosting power of microneedling with radiofrequency energy for skin renewal that works from the inside out. It's one of our most transformative treatments — and your first session marks the beginning of noticeably firmer, smoother skin. Here's what to expect at every stage.
Pain Level
With topical numbing, most patients rate discomfort at 3–4 out of 10 — a warm, prickling sensation rather than sharp pain
Duration
45–75 minutes including numbing time (treatment itself is 20–30 minutes)
Downtime
2–3 days of redness and mild swelling, with most patients feeling comfortable returning to social activities by day 3
Sessions
A series of 3–4 sessions spaced 4–6 weeks apart for optimal results, with annual maintenance sessions
Before Your Appointment
- 1Discontinue retinoids, AHAs, BHAs, and vitamin C serums for 5–7 days before your appointment
- 2Avoid sun exposure, tanning beds, and self-tanners for at least 2 weeks prior to treatment
- 3Do not wax, use depilatory creams, or undergo any other skin treatments on the area for 1 week prior
- 4Arrive with a clean face — no makeup, lotions, or sunscreen on the treatment area
- 5If you have a history of cold sores, notify your provider in advance — antiviral medication may be prescribed as a precaution
During Your Treatment
Consultation & Assessment
Your provider evaluates your skin concerns, texture, and laxity to determine the optimal needle depth and radiofrequency energy settings for your treatment goals.
Numbing
A professional-grade topical numbing cream is applied and allowed to take effect for 20–30 minutes. This step ensures your comfort throughout the procedure.
Treatment
The RF microneedling device delivers ultra-fine needles that create controlled micro-channels in the skin while simultaneously emitting radiofrequency energy into the deeper layers. This dual action stimulates collagen and elastin production at multiple depths.
Serum Application
Immediately following treatment, your provider applies targeted serums that penetrate deeply through the micro-channels for enhanced absorption and efficacy.
Cooling & Recovery
A soothing recovery mask or cooling gel is applied to calm the skin and reduce redness. Your provider reviews detailed aftercare instructions.
After Your Treatment
- Expect redness and mild swelling similar to a sunburn for 24–72 hours — this is a normal part of the healing response
- Avoid makeup, active skincare (retinoids, AHAs, vitamin C), and fragranced products for 48–72 hours
- Use only gentle, fragrance-free cleanser and moisturizer for the first 3–5 days
- Apply broad-spectrum SPF 30+ daily — your skin is particularly photosensitive during the healing process
- Avoid strenuous exercise, saunas, hot tubs, and swimming for 48–72 hours
When Will I See Results?
Initial improvement visible in 2–4 weeks as collagen remodeling begins, with progressive results over 3–6 months
Frequently Asked Questions
Does RF microneedling hurt?
With the professional-grade numbing cream we apply before treatment, most patients find RF microneedling very tolerable. The sensation is typically described as a warm, prickling feeling — like tiny heat points on the skin. The radiofrequency energy creates a gentle warming sensation beneath the surface. Most patients rate their discomfort at 3–4 out of 10.
What's the difference between regular microneedling and RF microneedling?
Traditional microneedling creates micro-channels to stimulate collagen production in the upper layers of skin. RF microneedling goes further by delivering radiofrequency energy through those channels into the deeper dermal layers, heating tissue to stimulate collagen and elastin production at multiple depths. The result is more significant skin tightening, texture improvement, and scar reduction.
How long does redness last after RF microneedling?
Most patients experience redness similar to a moderate sunburn for 24–72 hours. Swelling typically peaks on day 1 and subsides by day 2–3. By day 3–4, most patients feel comfortable going makeup-free in public. The intensity varies based on the treatment settings your provider selects for your specific concerns.
Can RF microneedling help with acne scars?
RF microneedling is one of the most effective treatments for acne scars, particularly ice pick and boxcar scars. The combination of mechanical micro-channels and radiofrequency-induced collagen remodeling helps fill and smooth depressed scars over a series of treatments. Most patients see significant improvement after 3–4 sessions.
When will I see results from RF microneedling?
You may notice improved skin texture and a subtle glow within 1–2 weeks as your skin heals. The real transformation happens over 3–6 months as new collagen and elastin fibers build and remodel beneath the surface. Results are cumulative — each session builds on the last, which is why we recommend a series of 3–4 treatments.
Related Guides
RF Microneedling Aftercare
Post-treatment care instructions
How to Prepare for RF Microneedling
Pre-treatment preparation guide
RF Microneedling Side Effects
What to expect after treatment
Is RF Microneedling Worth It?
Honest assessment and cost breakdown
How Long Does RF Microneedling Last?
Results timeline and maintenance
Ready for Your First RF Microneedling?
Our team will guide you through every step. Book your consultation today.