RF Microneedling in Southlake, TX
RF microneedling delivers radiofrequency energy at depth through insulated needles on the Lutronic Genius. It heats the dermis to remodel collagen for mild laxity, texture and scars, reaching deeper than needling alone.
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Collagen remodeling at depth
RF microneedling is the energy-based tier of microneedling. Insulated needles carry radiofrequency heat into the dermis, so it treats mild laxity as well as texture, on the face and on the body. At Medrein it runs on the Lutronic Genius, which reads tissue impedance and sets depth per area.
What RF microneedling does
The areas RF microneedling treats
RF microneedling is not a face treatment that happens to work elsewhere. The same handpiece treats the neck, the décolletage and the body, with the depth reset for each area. Individual results vary.
Face and jawline
Where most patients start, and where the Genius spends most of its time. Facial sessions run short, and the depth is reset for each area of the face.
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Fine lines and wrinkles
Stimulates deep collagen production to smooth and firm the skin.
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Skin tightening and lifting
Improves skin laxity by boosting elastin and collagen at depth.
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Acne and surgical scars
Reduces the appearance of atrophic scars, meaning the indented kind.
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Hyperpigmentation and uneven tone
Helps fade dark spots and sun damage across the treated area.
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Enlarged pores
Tightens the skin around each pore and minimizes how large they look.
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Jawline contouring
Helps define and sculpt the lower face without an incision or a filler.
Neck, décolletage and body
The same handpiece below the jaw, with the depth reset for thicker skin. RF microneedling is not a face-only treatment, and body areas are planned the same way the face is.
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Neck and décolletage rejuvenation
Firms sagging skin and reduces the crepey texture that shows first on the chest.
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Abdomen skin tightening
One of the most commonly requested body areas, treated at a depth set for it.
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Arm skin tightening
Upper arms treated over the same planned short series as the face.
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Knee skin tightening
A small, awkward area where laxity is difficult to address any other way.
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Stretch marks
Improves skin texture and elasticity in areas such as the abdomen and thighs.
The RF microneedling devices, and the one Medrein runs
Several RF microneedling platforms are in use across the industry. They differ in how the energy is delivered and how tightly the depth is controlled, which is what the choice turns on.
What an RF microneedling session looks like
The treatment runs in two phases, needles first and then radiofrequency, and the numbing goes on an hour before either of them.
Consultation and depth plan
Dr. Mikki discusses your goals, which is what determines the length and number of treatments you will need. Needle depth is customizable, so it is set per area and never off a preset.
Numbing, about an hour before
A numbing cream is applied an hour prior to the treatment to maximise comfort. Dr. Mikki will discuss the most appropriate methods to alleviate any discomfort for your skin.
Phase one, the microneedling pass
Insulated needles create microscopic, quick-healing wounds deep in the dermis. The surface layer is spared, which is what separates this from an ablative resurfacing laser.
Phase two, the radiofrequency
Radiofrequency heats the skin at the set depth, creating controlled thermal damage that expedites the production of collagen and elastin. You will feel heat and some pressure.
Aftercare
Redness and swelling substantially subside after 24 to 36 hours and most people resume normal activities within 48 hours. The treatment itself runs from 15 minutes to about an hour depending on the area.
Healite, sometimes added afterward
Medrein also uses Healite infrared light: an 830 nm LED with proven efficacy in skin rejuvenation and in enhanced wound healing, including prophylaxis against hypertrophic scar formation. Combining 830 nm LED with microneedle fractional RF gives the two an excellent synergy. Whether it is added is decided with you at consultation, and individual results vary.
Matched to how much laxity you have
RF microneedling handles mild to moderate laxity. When laxity is greater, an energy-based option like EndoTight reaches deeper. Dr. Mikki reads your skin and recommends the rung that fits, and she does not default to the strongest device in the room.
| Feature | RF Microneedling | Needle-Only Microneedling | EndoTight |
|---|---|---|---|
| Delivers energy into the dermis | Included | Not included | Included |
| Addresses mild to moderate laxity | Included | Not included | Included |
| Treats greater laxity | Not included | Not included | Included |
| Improves surface texture and pores | Included | Included | Varies |
Safety, comfort and the days after
How the treatment is kept controlled
- The needles are insulated and the energy is delivered at a set depth, so the surface layer is spared.
- The Genius reads tissue impedance in real time and adjusts energy delivery as it goes.
- Controlled depth penetration reduces the risk of burns and post-treatment pigmentation.
- Customizable needle depths make the treatment suitable across skin types and concerns.
- Numbing cream is applied an hour beforehand, and many patients find the Genius much more tolerable than a CO2 laser.
Downtime and the timeline
- Initial redness and swelling, which substantially subside after 24 to 36 hours.
- It can take up to a week for redness to resolve completely.
- Most people resume normal activities within 48 hours.
- Some change is visible as soon as a day or two, then collagen and elastin keep rebuilding for several weeks.
- Improvement continues over about six months, and individual results vary.
The day of your treatment
Dr. Mikki is direct about what you will see in the mirror that evening, because none of it is a complication:
- Expect your face to be covered in what Dr. Mikki calls point marks of blood, plus minimal scabbing. This is the needle pass and it is expected.
- Skip makeup for 24 hours so the needle wounds can close.
- In the three to five days after, some redness and a little peeling may occur.
- Keep sun off the treated area, and follow the aftercare Dr. Mikki gives you for your skin.
Who RF microneedling is for
Dr. Mikki reads how much laxity you have and recommends the rung that fits: EndoTight when the skin needs rebuilding from below, or SkinPen microneedling when texture alone is the concern.
A good fit
- Fine lines, enlarged pores, acne scars or uneven tone alongside mild to moderate laxity.
- Skin tightening on the neck, décolletage or jawline, or on the abdomen, arms and knees.
- Wanting collagen remodeling at depth without an ablative laser or an incision.
- Willing to run about three treatments spaced roughly a month apart, and to wait for the build.
Where something else fits better
- Greater laxity than mild to moderate, where a fiber under the skin reaches further.
- Wanting a same-day change, because the rebuild runs for weeks after each pass.
- Texture alone with no laxity, where needle-only microneedling is the gentler starting point.
- Unable to allow the extra hour of numbing time before the treatment starts.
Two things worth knowing before you book
Results hold for roughly 12 to 18 months depending on skin type, age and skincare routine, and annual maintenance sessions are recommended to keep them, so treat this as a plan and not a one-off. Pricing starts from $850 to $1,400 per session and varies with the area treated, so ask for a written quote at consultation covering the whole plan. Individual results vary.
Before and after
Each pair holds one concern before treatment beside the same face after a course of collagen induction run with radiofrequency at depth. Five cases, and individual results vary.
Scroll the row sideways for the rest.
Crepey lines running down the neck, with the jawline softening into it.
Laxity below the jaw is where the deep heating pass does its work.
Dense fine lines fanning across the cheek, set over standing flushing.
Collagen is remodelled at depth while the outer layer is spared.
Uneven texture with shallow depressions left across the cheek.
Needle depth and energy are set to the area rather than a preset.
Dense pitted scarring across the cheek beside the nose.
Scars and enlarged pores are reached deeper than needling alone.
Raised inflamed spots on the chin, with the skin around them uneven.
Insulated needles put the energy below the surface, not across it.
What makes Medrein the choice for RF microneedling
Dr. Mikki calls radiofrequency microneedling the go-to procedure at Medrein, and her reasoning is about value as much as result: these devices deliver very little downtime and high efficiency without putting an enormous amount of trauma through the skin. Depending on your skin she designs an individualized plan around it.
Why patients choose RF microneedling
These reflect common patient sentiment and are not verbatim quotes. Individual results vary.
My skin along the jaw had started to soften and my pores looked larger on camera. Over three RF microneedling sessions on the Genius, the texture tightened up and my skin looked firmer without looking pulled. Dr. Mikki set the depth for each area and was clear it would build over months. Results may vary, but it matched what she told me.
Deeper than the needling I had before, on a real device, with the depth set for each area of my face.
Frequently asked questions
What is RF microneedling?
RF microneedling combines traditional microneedling with radiofrequency energy. Insulated needles enter the skin and deliver RF energy at a set depth, heating the dermis to remodel collagen while protecting the surface. It is used for mild laxity, texture, enlarged pores and scars.
What device does Medrein use for RF microneedling?
RF microneedling at Medrein is performed on the Lutronic Genius. The Genius measures tissue impedance in real time and adjusts energy delivery to the area being treated, which supports consistent depth and controlled heating.
How is RF microneedling different from regular microneedling?
Regular microneedling, such as SkinPen, uses needles alone to create micro-channels near the surface. RF microneedling adds radiofrequency heat at depth through insulated needles, so it reaches further into the dermis and adds a tightening effect that needling alone does not.
Where does RF microneedling sit among skin-tightening options?
It addresses mild to moderate laxity. For greater laxity, an energy-based treatment such as EndoTight reaches deeper. Dr. Mikki reviews how much laxity you have and recommends the treatment matched to it, and she does not default to the strongest option.
What is the downtime after RF microneedling?
There is an initial redness and swelling which substantially subsides after 24 to 36 hours, and it can take up to a week for this to resolve completely. Most people resume normal activities within 48 hours. A numbing cream is applied an hour beforehand for comfort, and Dr. Mikki reviews aftercare and sun protection before you book.
How many sessions will I need, and how long does each one take?
Many patients see results after just one treatment, but it typically takes about three to reach optimal results, spaced roughly four to six weeks apart, fewer than the six many other treatments ask for. Each treatment takes as little as 15 minutes and up to an hour depending on the area, and you should allow an additional hour for numbing. Because collagen builds gradually, results appear over the following weeks and months. Results may vary.
What is the difference between the Lutronic Genius and Morpheus8?
Both devices use RF microneedling to tighten skin and improve texture. The Lutronic Genius adds real-time impedance monitoring, which adjusts energy delivery for a personalized treatment; more controlled depth penetration, which reduces the risk of burns and post-treatment pigmentation; and better collagen remodeling, which supports longer-term results. Medrein uses the Genius.
How long do RF microneedling results last?
Results from RF microneedling can last 12 to 18 months depending on your skin type, age and skincare routine, and annual maintenance sessions are recommended to keep them. Because the collagen is your own, the change is gradual on the way in and on the way out. Individual results vary.
Can RF microneedling be combined with other treatments?
Yes. RF microneedling is regularly paired with PRP or PRF, with laser resurfacing, or with dermal fillers, because each works through a different mechanism and the combination can support collagen production and healing at the same time. Dr. Mikki builds the combination and the order of treatments around your skin at consultation.
Are there any side effects?
The common ones are temporary redness, swelling and mild discomfort, and they usually settle within a few days. On the day of the treatment expect point marks of blood across the treated area and minimal scabbing, and plan to skip makeup for 24 hours so the needle wounds can close. In the three to five days after, some redness and a little peeling may occur. Call the clinic if anything worsens instead of settling.
How much does RF microneedling cost?
Pricing starts from $850 to $1,400 per session, and it varies with the treatment area. Multiple sessions are usually recommended for optimal results, so ask for a written quote at your consultation that covers the full plan and not just a single visit.
Who performs RF microneedling at Medrein?
Treatment is performed at a clinic led by Dr. Haritha Mikkilineni, MD, a board-certified physician, who sets the depth and energy for your skin and the area being treated.
Is RF microneedling right for your skin?
Dr. Mikki assesses your laxity and texture, sets the depth on the Genius, and confirms your session count.
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