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Radiofrequency (RF) Microneedling

Radiofrequency (RF) Microneedling

Rebuild & Restore

Rejuvenate the skin you’re in with radiofrequency (RF) microneedling, a cosmetic procedure that enhances the power of traditional microneedling. This revolutionary cosmetic treatment uses a microneedling device to kickstart your skin’s natural healing process through controlled pinpricks to areas of concern. Once they break through the skin, those tiny needles kick your skin’s collagen production into gear, leaving your skin with a more vibrant, healthier appearance.

The added benefit here is RF energy which is delivered into deeper layers of the skin. Collagen production is increased, and your body’s healing response is improved, allowing for a greater overall level of accuracy and effectiveness in targeted areas of the skin. 

Reduce fine lines and wrinkles, tighten up loose skin and improve skin imperfections like stretch marks, sun damage, acne scarring or surgery scars that certainly haven’t brought you joy. Reduce the appearance of your pores, and improve an uneven skin tone. Restore your skin to a more youthful you.

If you’re ready to explore what RF microneedling in Orange County can do for you, contact our experts at the Med Lounge. We can develop a treatment plan for you to help get your skin to where you’d like it to be.

Benefits of RF Microneedling


Boost in collagen production

Minimized acne scarring

Improved skin tone

Treat hyperpigmentation

Reduced fine lines and wrinkles

Improved skin texture

Tighten loose skin

Improvement over time

Minimal downtime, if any

Watch the video below to learn more and to see if Microneedling is right for you:

Frequently Asked Questions

Microneedling, also known as skin needling or collagen induction therapy, is a cosmetic treatment that uses your body’s natural healing response to boost collagen production. Tiny needles penetrate the surface of the skin to get your body’s healing response started, a process that allows your skin to repair and restore in a targeted way.

RF microneedling is an improvement on the traditional microneedling process. Waves of energy are sent deeper into the skin, promoting not only a warming effect but improving your body’s collagen production and healing response.

Yes, microneedling with radiofrequency works and is extremely effective. The addition of radiofrequency energy to microneedling treatments improves the procedure’s efficiency, allowing for your provider to penetrate deeper into the skin. 

Ideal candidates for RF microneedling are looking to reduce the appearance of minor skin imperfections where other methods have failed. The treatment is suitable for all skin types.

RF microneedling uses your body’s natural healing processes to your advantage. Using a form of controlled skin injury and the power of RF energy to penetrate beyond the skin’s surface, the treatment has various applications to improve your skin’s appearance including:  

  • Reduces the appearance of aging with the treatment’s skin tightening effects.
  • Reverses damage to your skin from years of acne, sun exposure or surgical scarring.
  • Restores brightness to your skin and improves skin discoloration or an uneven skin texture. 

Patience is key with RF microneedling. While you may see some immediate results following your first treatment, complete results are usually expected around the 12-week mark after your last treatment. You want to give your body time to not only heal but to benefit from that triggered collagen production. 

Your course of treatment will depend on your skin goals. Younger patients may only schedule a treatment or two to improve the appearance of minor skin imperfections. Most benefit from 3-4 sessions spaced 4-6 weeks apart for optimal results. Our Med Lounge staff can work with you on a treatment plan that will address your unique skin goals and leave your skin looking rejuvenated and refreshed. 

How long your results will last depends on your treatment program. Many patients see results lasting upwards of a year, with touchup treatments scheduled beyond that point to maintain results. 

A more intense treatment program may lead to longer-lasting results. Treating your skin well — that means wearing sunscreen whenever you head outside, for starters — will also help maintain results and prevent further damage to your skin.

What to Expect With RF Microneedling

For the best results and to reduce the chance of any side effects after your treatment, our experts at the Med Lounge have a few tips around what to expect with RF microneedling before and after your procedure.


  • Let your doctor know if you have a history of cold sores. You’ll need a prescription to get rid of any active infection or prevent an infection after your treatment. 
  • Anyone with active skin infections should not be considering RF microneedling treatments until that infection has completely cleared up.
  • Let your doctor know if you are taking any blood-thinning medications before your treatment. You should avoid any anti-inflammatories or blood-thinning medications for up to three days ahead of your RF microneedling procedure, as you could be putting yourself at risk for an increase in bleeding or bruising.
  • Try to avoid too much sun in the two weeks before your treatment. You don’t want to come to your appointment with a sunburn, which would leave your skin more sensitive.
  • Avoid any topical treatments — that includes retinoids, exfoliants, topical antibiotics and acids — that may leave your skin more sensitive in the week before your RF microneedling procedure. 
  • Come to your appointment fresh-faced. Your provider will be cleansing your skin before applying a topical numbing agent regardless.
  • Drink plenty of water in the days leading up to your RF microneedling treatment. Hydrated skin is healthy skin.


  • Bump up the hydration for at least three days post-treatment. Well-hydrated skin is healthier skin, and keeping yourself hydrated will boost your body’s healing processes.
  • Avoid intense exercise or exposure to extreme heat, like in saunas or hot tubs, in the 48 hours after treatment.
  • Avoid any direct sun exposure or lengthy time in the sun in the week after your treatment. You shouldn’t wear sunscreen at all in the 24 hours post-treatment but can apply it after that point if you must spend any time outside. 
  • Stay fresh-faced in the 48 hours after your treatment. That means no makeup and no additional serums, lotions or astringents that your provider doesn’t recommend.
  • Some redness and swelling is normal post-procedure. It may feel like a sunburn. This is normal and should go away within three days. Cool packs can help reduce some of that discomfort in the first day or so after your RF microneedling procedure.
  • Dry, tight skin is normal after your treatment as well. Acne breakouts may happen as your skin begins to heal and purge toxins. Ask your provider about skincare products that can help provide some relief in the days after your treatment. 
  • Talk to your provider immediately if you’re experiencing more severe side effects like excessive bruising or signs of infection.

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BOTOX® Cosmetic (onabotulinumtoxinA) Important Information



BOTOX® Cosmetic (onabotulinumtoxinA) is indicated in adult patients for the temporary improvement in the appearance of:

– Moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity

– Moderate to severe lateral canthal lines associated with orbicularis oculi activity


– Moderate to severe forehead lines associated with frontalis activity





Postmarketing reports indicate that the effects of BOTOX® Cosmetic and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have an underlying condition that would predispose them to these symptoms. In unapproved uses and approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and spasticity and at lower doses.


BOTOX® Cosmetic is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.


Lack of Interchangeability Between Botulinum Toxin Products

The potency units of BOTOX® Cosmetic are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, units of biological activity of BOTOX® Cosmetic cannot be compared to nor converted into units of any other botulinum toxin products assessed with any other specific assay method.

Spread of Toxin Effect

Please refer to Boxed Warning for Distant Spread of Toxin Effect.

No definitive serious adverse event reports of distant spread of toxin effect associated with dermatologic use of BOTOX® Cosmetic at the labeled dose of 20 Units (for glabellar lines), 24 Units (for lateral canthal lines), 40 Units (for forehead lines with glabellar lines), 44 Units (for simultaneous treatment of lateral canthal lines and glabellar lines), and 64 Units (for simultaneous treatment of lateral canthal lines, glabellar lines, and forehead lines) have been reported. Patients or caregivers should be advised to seek immediate medical care if swallowing, speech, or respiratory disorders occur.

Serious Adverse Reactions With Unapproved Use

Serious adverse reactions, including excessive weakness, dysphagia, and aspiration pneumonia, with some adverse reactions associated with fatal outcomes, have been reported in patients who received BOTOX® injections for unapproved uses. In these cases, the adverse reactions were not necessarily related to distant spread of toxin, but may have resulted from the administration of BOTOX® to the site of injection and/or adjacent structures. In several of the cases, patients had pre-existing dysphagia or other significant disabilities. There is insufficient information to identify factors associated with an increased risk for adverse reactions associated with the unapproved uses of BOTOX®. The safety and effectiveness of BOTOX® for unapproved uses have not been established.

Hypersensitivity Reactions

Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, serum sickness, urticaria, soft-tissue edema, and dyspnea. If such reactions occur, further injection of BOTOX® Cosmetic should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent and, consequently, the causal agent cannot be reliably determined.

Cardiovascular System

There have been reports following administration of BOTOX® of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including pre-existing cardiovascular disease. Use caution when administering to patients with pre-existing cardiovascular disease.

Increased Risk of Clinically Significant Effects With Pre-existing Neuromuscular Disorders

Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from onabotulinumtoxinA (see Warnings and Precautions).

Dysphagia and Breathing Difficulties

Treatment with BOTOX® and other botulinum toxin products can result in swallowing or breathing difficulties. Patients with pre-existing swallowing or breathing difficulties may be more susceptible to these complications. In most cases, this is a consequence of weakening of muscles in the area of injection that are involved in breathing or oropharyngeal muscles that control swallowing or breathing (see Boxed Warning).

Pre-existing Conditions at the Injection Site

Caution should be used when BOTOX® Cosmetic treatment is used in the presence of inflammation at the proposed injection site(s) or when excessive weakness or atrophy is present in the target muscle(s).

Dry Eye in Patients Treated With BOTOX® Cosmetic

There have been reports of dry eye associated with BOTOX® Cosmetic injection in or near the orbicularis oculi muscle. If symptoms of dry eye (eg, eye irritation, photophobia, or visual changes) persist, consider referring patients to an ophthalmologist.

Human Albumin and Transmission of Viral Diseases

This product contains albumin, a derivative of human blood. Based on effective donor screening and product manufacturing processes, it carries an extremely remote risk for transmission of viral diseases and variant Creutzfeldt-Jakob disease (vCJD). There is a theoretical risk for transmission of Creutzfeldt-Jakob disease (CJD), but if that risk actually exists, the risk of transmission would also be considered extremely remote. No cases of transmission of viral diseases, CJD or vCJD have ever been identified for licensed albumin or albumin contained in other licensed products.


The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for glabellar lines were eyelid ptosis (3%), facial pain (1%), facial paresis (1%), and muscular weakness (1%).

The most frequently reported adverse reaction following injection of BOTOX® Cosmetic for lateral canthal lines was eyelid edema (1%).

The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for forehead lines with glabellar lines were headache (9%), brow ptosis (2%), and eyelid ptosis (2%).


Co-administration of BOTOX® Cosmetic and aminoglycosides or other agents interfering with neuromuscular transmission (eg, curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated. Use of anticholinergic drugs after administration of BOTOX® Cosmetic may potentiate systemic anticholinergic effects.

The effect of administering different botulinum neurotoxin products at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by

administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin.

Excessive weakness may also be exaggerated by administration of a muscle relaxant before or after administration of BOTOX® Cosmetic.


There are no studies or adequate data from postmarketing surveillance on the developmental risk associated with use of BOTOX® Cosmetic in pregnant women. There are no data on the presence of BOTOX® Cosmetic in human or animal milk, the effects on the breastfed child, or the effects on milk production.


Please see BOTOX® Cosmetic full Prescribing Information including Boxed Warning and Medication Guide.



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