Sylfirm X RF Microneedling

Sylfirm X RF Microneedling Overview

Treats: Wrinkles, rosacea, melasma, stretch marks, scarring, acne, and mild skin laxity

Length: 20-45 minutes

Anesthesia: Topical numbing cream used before the procedure

In/Outpatient: Outpatient

Side Effects: Redness, swelling, bruising, and skin peeling

Risks: Minimal when this treatment is performed by an experienced provider

Recovery: 3-5 days

Duration of Results: 2-5 years

Remarkable Care, Exceptional Results

sylfirm rf microneedling results for wrinkles


“I’ve been seeing Heather for several years now, and she’s not only unbelievably skilled at her craft, but she’s one of the kindest, most gentle & caring people I know- first class. A++++ recommendation!”

-KNUCF, RealSelf

Radiofrequency (RF) microneedling is a minimally-invasive cosmetic procedure that uses a device with specially insulated needles to deliver high-intensity radiofrequency (RF) energy into the targeted tissue. The combination of the needles and gentle radiofrequency heating stimulates the body to produce more collagen and elastic fibers. Collagen renewal restores health to the skin, improving texture and tone while minimizing aging symptoms and other skin imperfections.

At Carolina Facial Plastics, we also offer Profound® RF and VirtueRF devices in addition to the brand new Sylfirm X RF.

sylfirm rf microneedling device

Sylfirm X is an advanced microneedling treatment that features the latest innovation in RP (repeated ultra-short pulse) microneedling technology. It is the world’s first and only FDA-approved dual-wave radio frequency microneedling system that combines traditional microneedling with repeated, ultra-short pulses of radiofrequency energy to stimulate collagen and elastin production.

Unlike other RF treatments, Sylfirm X only targets visible blood vessels and select tissue to address pigmentation and vascular lesions. With this advanced technology, the device can safely treat neovascular concerns, including hard-to-treat conditions like rosacea and melasma, without causing damage to surrounding healthy tissue. The high-precision treatment can treat multiple skin concerns with little discomfort and no significant downtime.



sylfirm rf microneedling before and after melasma treatment

Sylfirm X is a safe and effective treatment for the following skin concerns:

  • Lines and wrinkles
  • Enlarged pores
  • Acne and acne scars
  • Other types of scars
  • Stretch marks
  • Skin tone and texture
  • Mild skin laxity
  • Double chin
  • Eye bags
  • Sagging eyelids
  • Hand wrinkles
  • Facial flushing/redness
  • Melasma
  • Rosacea

facial redness treatment with sylfirm rf microneedling

Many patients enjoy these benefits after their Sylfirm treatment:

  • Reduces fine lines and wrinkles
  • Lifts and tightens skin
  • Produces firmer and younger-looking skin
  • Improves acne scarring
  • Creates smoother and clearer skin
  • Offers a minimally invasive, non-surgical treatment
  • Requires little time to complete
  • Involves little discomfort and almost no recovery time
  • Provides a safe option for all skin types and tones


Numbing cream is applied to the treatment area to ensure a more comfortable experience. The Sylfirm X device is passed over the treatment area to create controlled micro-injuries to the skin. The needles that penetrate the skin deliver RF energy and RP (repeated ultra-short pulse) energy to the tissues to target skin concerns and trigger collagen and elastin production. Over time, skin becomes smoother, softer, and more supple.

The treatment takes about 20-30 minutes to complete.

After your treatment, you may experience mild redness and warmth in the treatment area. These should resolve within 24 hours. For 3-5 days, expect dry, peeling patches in your treatment areas as your skin heals and renews.

After 24 hours, you can wear makeup and return to your normal skincare routine.

Carolina Facial Plastics is a boutique facial plastic surgery practice in Charlotte that is solely focused on face and neck treatments. We believe our focus and experience allow us to provide our patients with the best results while minimizing downtime.

Courtney Whitley, FNC-P, Heather Bryant, MPAS, PA-C, and Amanda Piligian, PA-C, perform all our skin rejuvenation treatments, including the Sylfirm X treatment. They have extensive training and experience with the aesthetics of the face and neck, are considered experts in their fields, and provide customized treatments to patients.

To learn more about our skin rejuvenation options, contact our office today.


Frequently asked questions

Suitable candidates are those who are in good general health, have early signs of aging, and would like to:

  • Address pigmentation issues
  • Rejuvenate the skin (reduce wrinkles, enlarged pores, and skin laxity)
  • Improve the appearance of scars and stretch marks
  • Tighten the skin (double chin, turkey neck, and decolletage)

The most common treatment areas are the face, neck, and decolletage.

The Sylfirm X treatment is a well-tolerated procedure. Many patients describe the experience as a slight tingling sensation with light pressure and rate the procedure a 2-3 out of 10 on the pain scale. We also use topical numbing cream before the treatment to ensure a more comfortable experience.

The procedure itself lasts 20 to 45 minutes (excluding the time to numb the treatment area). The total time required to perform the procedure depends on the treatment area’s size and the specific concerns to address.

Similar to a traditional microneedling treatment, you may experience pinpoint bleeding, swelling, redness, and skin sensitivity. Although rare, patients may experience some temporary swelling around the eyes. These should all resolve within a day or two.

You will notice skin tightening immediately after treatment, but you will gradually see results improve over the following 2-3 months, as collagen remodeling takes effect. The exact timeframe for results depends on the type and severity of your skin issue being treated.

Results generally last 1-2 years. The longevity of your results depends on the skin issue being treated, your lifestyle, and your skincare habits. We recommend yearly Sylfirm X treatments to extend your results indefinitely.

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