Large pores, unsightly acne scars, uneven skin tone and sagging skin? Secret RF utilizes cutting edge RF energy to help restore radiant skin!

Intense collagen stimulation by radiofrequency signal leads to skin lifting, tightening and elimination of wrinkles and large pores

No downtime, no bruising

FDA approved

Fast Facts:

About: Secret RF microneedling is an advanced skin tightening procedure that combines radiofrequency and microneedling technologies to safely and effectively rejuvenate your skin. It is used to improve fine lines and wrinkles, tighten lax skin, reduce acne scars, and smooth out uneven skin tone and texture in the face, neck, decolletage, and various regions of the body.

Safety: Secret RF has been clinically tested and FDA approved as safe and effective for dermatologic purposes. Because the RF device is non-ablative and fractional, it does not cause significant damage to superficial layers of the skin, allowing for an easy and effortless recovery.

Convenience: Secret RF requires no preparation, has limited side effects, and minimal downtime. As such, this 30-minute procedure is convenient for anyone, regardless of their busy schedule.

Cost: On average, Secret RF fractional microneedling cost per 1 session ranges $800 – $1400.

Efficacy: Clinical trials and hundreds of thousands of satisfied patients have confirmed that Secret RF is effective in reversing visible signs of aging including rhytids, wrinkles, uneven texture, and skin laxity.

What is Secret RF?

Secret RF Microneedling is an advanced skin tightening procedure that combines microneedling with radiofrequency energy to cause controlled heat damage to deeper layers of the skin, stimulating collagen and elastin production as a result of the body’s natural healing response. This process returns your skin to a more youthful and radiant state by tightening the treated area, reducing fine lines and wrinkles, and improving the skin’s texture. The procedure can be administered on various regions of the face, neck, decolletage, and body.

Why is Secret RF so popular?

In this day and age, plastic surgery isn’t always necessary when it comes to facial rejuvenation. In fact, there are several minimally invasive procedures that allow you to look and feel your best without having to go under the knife. Nevertheless, many of these treatments are associated with lengthy downtimes and inconvenient side effects that not everyone can afford to deal with.

Fractional radiofrequency microneedling allows patients to get the skin lifting effect, wrinkle-reducing, and overall rejuvenating effects comparable to more invasive treatments, with only 1-2 days of downtime and minimal side effects. Because it works by causing thermal damage to the dermis in microscopic zones located in deeper layers of the skin, the procedure does not impact the entire surface, reducing recovery time and minimizing adverse effects.

Radiofrequency microneedling results are instant and long-lasting and work on nearly all skin types, whereas many other skin tightening treatments have a high risk of causing hyperpigmentation on darker complexions.

If you are struggling with beginning signs of aging, lax skin, uneven skin texture, fine lines, or wrinkles, the RF facial device may be your answer. Secret RF microneedling reviews are glowing for various purposes from skin tightening to acne scar removal.

How does Secret RF fractional microneedling work?

Secret RF is a minimally invasive tool that utilizes a hand-held microneedling device equipped with 25-64 ultrafine sterilized needles to create microscopic wounds at the superficial musculoaponeurotic (SMAS) layer of the dermis with minimal damage to the epidermis. Simultaneously, it targets the underlying support system by directing radiofrequency thermal micro-injury at approximately 60° Celcius to deep layers of the skin through radiofrequency energy. As a result, the body’s natural healing response is triggered, producing new collagen with subsequent dermal thickening and micro-scarring, which both result in skin contraction and tightening. While this does create tiny punctures in superficial layers of the skin, the focused radiofrequency wavelengths target deeper dermal layers, resulting in rapid reepithelialization and in turn, minimal side effects and downtime.

Depending on the patient’s skin and treatment goals, a microneedling depth chart is used to determine the depth and intensity of the treatment to achieve optimal results.

What areas can Secret RF treat?

This derma needling machine can treat nearly any area of the face and body. Whether it be to address visible signs of aging or irregular skin texture, this treatment can help and can be customized for each individual patient’s needs.

Secret RF can treat:

  • Fine lines and wrinkles
  • Skin texture
  • Deep acne scarring
  • Lax skin
  • Pore size
  • Stretch marks
  • Melasma

Who can benefit from Secret RF microneedling?

Secret RF system is beneficial for any healthy patient and is ideal for almost all skin types and complexions. If you are looking to treat any of the above-mentioned conditions, Radiofrequency microneedling may be your solution.

This microneedling machine is not ideal for patients who have active acne, as radiofrequency heat is involved in the procedure. The heat can cause active acne to spread, rather than help it.

How do I prepare for Secret RF?

While there is not much preparation needed for this RF facial device, you will be advised to avoid excessive sun exposure and discontinue blood thinners such as aspirin or ibuprofen for at least 10 days prior to your Secret RF treatment. If you have been taking blood-thinning medication, you should inform your provider as it may increase bleeding and bruising. In addition, taking arnica tablets the day before your treatment may help decrease potential bruising.

What is a Secret RF procedure like?

Consultation: Before your physical appointment, you will have the opportunity to have a one-on-one consultation with Dr. Schwarzburg in which you can discuss your medical history, skin, and treatment goals. This will be the time to address any questions or concerns you may have and go over your treatment plan with Dr. Schwarzburg.

How does the Secret RF process work: On the day of your Secret RF treatment, you should arrive at your appointment without any makeup. Residual makeup will be removed and topical lidocaine containing numbing ointment will be applied to your skin to reduce discomfort. The numbing cream stays on for 20 – 30 minutes and is then removed as the treatment area is sanitized. For patients sensitive to pain, ProNox (nitrous oxide and oxygen gas) may be used as well.

During the procedure, you may experience some discomfort and pricking sensations. The session itself typically lasts approximately 20 – 30 minutes.

Once complete, you will be provided with an ice pack as well as a cream that should be applied several times daily to keep the skin hydrated.

How long is a Secret RF procedure?

The numbing cream typically is left on the skin for 20 – 30 minutes, while the procedure itself may take up to 30 minutes. All together your radio frequency facial treatment will take approximately 30 minutes to 1 hour.

Are there any risks and side effects with Secret RF?

Secret RF comes with minimal side effects as it is a minimally invasive procedure. After your treatment, you can expect redness, swelling, and some discomfort. In some cases, patients may experience mild bruising. After your procedure, Dr. Schwarzburg will provide you with an ice pack to help relieve any discomfort and swelling. He will also send you home with a cream that will help keep your skin moisturized, as another common side effect of RF laser is dryness. In addition, pinpoint bleeding and slight bruising is a possibility immediately after the session, though this subsides within minutes. All of the above-mentioned side effects last up to 3 days.

Is there aftercare for Secret RF? Is there downtime?

While there is no bed rest needed after Fractional Radiofrequency microneedling, Dr. Schwarzburg recommends that you take the evening or up to 48 hours off from social events, exercise, and heat. Once 48 hours have passed you will be able to carry on with normal activities with no restrictions.

How much does the Secret RF microneedling cost?

The cost of RF microneedling varies depending on the condition of your skin prior to the treatment, the size of the treatment area, the qualifications of your physician, and the location of your Secret laser clinic. Your fractional radiofrequency facial treatment will likely cost anywhere from $800 to $1400 based on this criteria. There is no particular RF price sheet, as the cost varies based on these factors.

Can the Secret RF Microneedling Treatment be combined with other procedures?

Radiofrequency microneedling can be combined with a number of treatments to achieve different outcomes. Many patients use neurotoxin injections, such as Botox or Dysport to reduce and prevent fine lines and wrinkles in addition to their RF microneedling, or dermal fillers such as Juvederm to fill in hollow areas of the face for additional rejuvenation.

PDO thread lift is another non-surgical modality that can be used in combination with radiofrequency microneedling. PDO thread lift produces instant skin lifting results compared to gradual skin contraction induced by fractional microneedling.

Because Secret RF targets deeper layers of the skin, it does not address more superficial concerns, such as pigmentation. For this reason, Dr. Schwarzburg often recommends pairing this procedure with Fraxel laser, in order to address sun spots, sun damage, and hyperpigmentation and to add the additional benefit of fractional lasers on more superficial layers of the skin.

What Are The Advantages of RF Microneedling Over Other Skin Resurfacing Treatments?

One of the primary advantages of RF microneedling is that it offers stunning results comparable to ablative laser procedures with significantly less discomfort, downtime, or risk of hyperpigmentation and scarring. Because this device is able to bypass the epidermis, which is most prone to side effects, the risk of adverse effects is limited making the Secret RF microneedling machine an often preferred alternative to other skin resurfacing lasers.

How Are RF Microneedling and Traditional Microneedling different?

Traditional microneedling involves the use of a hand-held mechanical device equipped with several fine needles to create micro-injuries to the skin, stimulating collagen and elastin production as the body works to heal itself. This is often combined with serums to effectively deliver nutrients and growth factors to the skin.

RF microneedling works in a similar way with the added benefit of radiofrequency energy for added heat to deeper layers of the skin for a faster and more dramatic result.

Is Secret RF better than traditional microneedling?

While radiofrequency microneedling works at a higher intensity and has many added benefits, there is no one treatment that is better than the other. Secret RF is suitable for almost anyone who wants to improve the quality of their skin, however, in some cases, traditional microneedling may still be preferred. For example, if someone wants weekly sessions, rather than monthly, or for someone who has cystic acne, in which case your RF facial before and after results may not be ideal.

How many Secret RF sessions do I need?

Depending on the original quality of your skin as well as your individual response to the treatment, you may need anywhere from 1 to 4 sessions of Secret RF. While it is common for patients to see results after just one session, Dr. Schwarzburg typically recommends three treatments within a three-month time period for optimal results.

Does Secret RF hurt?

Before your treatment, Dr. Schwarzburg will sanitize the treatment area and apply a topical numbing cream to minimize pain levels. The RF machine targets deep layers of the skin, including the superficial muscular aponeurotic system, also called the SMAS layer. Because it penetrates deep and involves thermal damage from the radiofrequency delivered to the skin, many patients report relatively unpleasant sensations despite significant numbing.

While Fractional radiofrequency microneedling is often associated with more pain than traditional microneedling, it is very manageable when all steps are taken to minimize discomfort.

How long does it take to see results?

Most patients notice an immediate difference after their initial treatment. True results will be seen anywhere from 3 – 4 weeks after the Secret RF process, as collagen and elastin production is boosted. Your overall skin texture and tone will continue to improve over the course of 6 – 8 months with optimal results after 1 – 3 sessions spaced out by 4 – 6 weeks.

Can I wear makeup after Secret RF?

Yes, you may wear makeup after your Secret RF treatment, however, you should wait at least 24 hours. Because Secret RF leaves you with very tiny punctures in your skin, the last thing you want is to put makeup right over them and allow your skin to absorb the chemicals within the makeup. If you can, Dr. Schwarzburg recommends keeping the makeup off for two days following your treatment as a precaution, though this will not necessarily make or break your results.

Which is better, Fraxel laser or Fractional microneedling?

If you are comparing Fraxel to fractional microneedling, it is crucial to note the differences between these two complementary technologies. Fraxel works through non-ablative fractional resurfacing of both epidermis and dermis. The main difference is that in Fraxel the laser energy is directly applied to the epidermis and the lower skin layers, while Secret RF only emits radiofrequency thermal energy after it penetrates the epidermis, leaving it intact. Hence, Fraxel is much better at targeting skin pigmentation and superficial skin remodeling, while radiofrequency microneedling is better at skin tightening and contraction at deeper levels.

There is no one treatment that is better than the other when comparing Secret RF and Fraxel. The optimal treatment is based not on the procedure, but on the patient’s needs. During your consultation, Dr. Schwarzburg will examine your skin and your goals and will decide based on various personal factors unique to you whether Fraxel or Secret RF is a better option for you. Depending on your skin and what you would like to address, this may be Secret RF, Fraxel, or a combination of the two.

What will my Secret RF before and after results look like?

Before your RF microneedle facial, you will have uneven skin texture, fine lines, rhytids, wrinkles, lax skin, or atrophic acne scars. Your Secret RF microneedling before and after results will show significant improvement of all of the above, leaving you with tighter, more youthful-looking, and smoother skin.

How long does it last?

Depending on the overall quality of your skin and how well you maintain your results, the longevity may vary. Most patients get annual or quarterly follow-up or maintenance sessions, in which case the results will last for years. However, RF needling does not stop you from aging in the future, which is why it is important to take care of your skin by getting regular treatments and maintaining a skincare regimen even after your treatment.

Is it covered by insurance?

Cutera RF microneedling is not medically necessary and thus, not covered by insurance.

Does Secret RF work?

With Secret, you are getting an advanced microneedling procedure that involves fractionated radiofrequency waves delivered directly to the deeper epithelial skin layer. There are various treatments on the market that promise the effects that the RF device microneedling offers, that simply do not work the same way that Secret RF Cutera does.

Yes, the medical RF device works, depending on the results that you are trying to achieve as well as the baseline condition of your skin. This has been demonstrated in multiple clinical trials, which showed that fractional microneedling was superior to other similar treatments. RF microneedling can be used to eliminate fine lines and mild wrinkles, minimize the size of your pores, hydrate your skin, and even treat acne scars. Radiofrequency microneedling typically requires 2 – 3 sessions for optimal results, though you should be able to see some results after only one session.

Does Secret RF tighten skin?

Yes, Secret RF tightens the skin alongside its many other benefits. By producing micro-injuries to deep layers of the skin, this needle procedure for the face causes an increase in collagen and elastin production, creating scar tissue and overall tighter skin.

Is Secret RF safe?

RF remodeling is FDA approved as a safe and effective method to treat skin-related concerns such as visible signs of aging, radio waves for wrinkles, laxity, scarring, and overall complexion and texture. There are minimal side effects and almost no downtime associated with the treatment, making recovery a quick and easy process.

At what age should you start microneedling?

Microneedling can be used on patients of all ages. There are many benefits to microneedling and ultimately, we all share the same skin components. Teenagers may need permission from their parents depending on their age, but are absolutely able to get microneedling treatments should Dr. Schwarzburg find that they would benefit from it.

Microneedling is best to begin in your 20s or 30s, so the increase in collagen production will be more noticeable. This will train your skin to produce collagen more often and help you look younger for longer.

What are the pros and cons?


  • Minimally invasive
  • Minimal risks and side effects
  • FDA approved


  • May require more than one session
  • Does not replace a surgical facelift
  • Not ideal for acne prone skin


Secret RF is a minimally invasive skin tightening treatment that stimulates collagen production through controlled thermal damage to the SMAS layer. The procedure can be used to tighten lax skin, decrease pore size, minimize fine lines and wrinkles, and reduce scarring. One session takes no longer than 30 minutes and comes with minimal side effects or downtime. Optimal results are often observed after 2 – 3 sessions, though many patients have seen significant improvement after only one session.

How can I get started with my Secret RF treatment?

If you are looking to treat your skin with Secret RF microneedling, then Skinly Aesthetics on the Upper East Side of Manhattan may be your answer. Owned and operated by Dr. Schwarzburg, M.D., Skinly Aesthetics offers a variety of minimally invasive procedures for the face and body treatments, from skin tightening to volume enhancement and body contouring. To schedule your one on one consultation with Dr. Schwarzburg you can contact the clinic at (212) 774-4264 or email us at