Laser Skin Resurfacing

When performed with the right device and properly calibrated protocols, yes. RF microneedling's insulated needles protect the surface epidermis while delivering energy deeper into the dermis. This is critical for reducing PIH risk in melanin-rich skin. We use the Cutera Secret DUO with settings specifically calibrated for Fitzpatrick types IV–VI. A 35-article systematic review concluded that RF microneedling has a low risk of scarring or hyperpigmentation in melanin-rich skin and is safe for every skin tone when performed correctly.

Keloid-prone skin requires extra caution. During your consultation, your provider will review your scarring history to determine whether microneedling is appropriate or whether an alternative — like a chemical peel or HydraFacial — is a better fit. The NIH's StatPearls reference on microneedling lists extreme keloidal tendencies as a contraindication, which is why individualized assessment matters. When microneedling is appropriate, conservative needle depths and physician oversight are essential.

Standard microneedling creates micro-injuries that stimulate collagen production through wound healing. RF microneedling adds controlled radiofrequency heat delivered through insulated needles into deeper skin layers — triggering more significant collagen remodeling and skin tightening while protecting the epidermis at the surface. The American Society for Dermatologic Surgery has a helpful overview of how RF energy stimulates new collagen production.

HydraFacials and LED therapy have zero downtime — you can return to your day immediately. Microneedling typically involves 24 to 48 hours of redness, similar to a mild sunburn. RF microneedling may involve 2 to 3 days of redness and mild swelling. Chemical peels vary from no visible peeling (lighter peels) to 5 to 7 days of flaking (deeper peels). We will explain exactly what to expect for your specific treatment before you begin.