Radiofrequency · Acne scars · Texture · Early laxity

RF microneedling Singapore: heat below the surface for scars and texture

A collagen treatment, not a laser and not a resurfacing peel.

RF microneedling sends radiofrequency energy into the dermis through fine needles. It targets some scars, texture and early laxity, and it has clear limits.

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In Brief

Patients in Singapore ask about RF microneedling, which uses fine needles to deliver radiofrequency heat into the dermis to prompt collagen and elastin change. It may suit rolling scars, uneven texture and early laxity. It cannot release tethered scars, clear pigment or lift deeper laxity.

At a Glance: RF microneedling Singapore

What it isFine needles that deliver radiofrequency heat into the dermis.
Device or productSecret DUO platform (ilooda, now CLASSYS), pairing RF microneedling with a 1540 nm non-ablative fractional laser.
Used forRolling scars, uneven texture and early laxity.
Who should waitActive infection, inflamed acne, open wounds, pregnancy or recent oral isotretinoin.
What it cannot doRF microneedling cannot release tethered scars, clear pigment or lift deeper laxity.
Main risksRedness and pinpoint marks; less commonly post-inflammatory pigmentation or infection.

What the Research Shows: RF microneedling Singapore

  • A 2025 systematic review of 16 studies and 481 patients with acne scars concluded fractional radiofrequency microneedling is likely effective alone, and called for further randomised trials on treatment parameters. [1]
  • A 2016 rater-reliability study with three raters found only 65% of scars classified identically across two sessions, and proposed size rather than shape as the primary criterion. [2]
  • A 2011 randomised trial of 30 patients reported scar severity improving by a mean 68.3% with needle-only collagen induction and 75.3% with 100% TCA CROSS, a non-significant difference (p=.47). [5]
  • A 2025 retrospective study of 397 Thai patients reported mean 6-month improvement of 54.89% with fractional radiofrequency versus 47.53% with laser (p=0.059), with more pain on radiofrequency. [6]

Figures describe published study groups, which may have used other devices or protocols. They do not predict your result. Updated 12 November 2026.

How does RF microneedling work?

Fine needles deliver radiofrequency heat into the dermis, in the zones that need it. It cannot release tethered scars, clear pigment or lift deeper laxity.

Simplified diagram, not to scale.
EpidermisDermisFatSMASMuscleRadiofrequency needles

What is microneedling, and is it good for your face?

Microneedling pricks the skin with fine needles, on a pen or a roller, to leave rows of tiny channels. Healing those channels is how it works, and no heat is involved. On the face it is directed at surface texture, fine lines and soft, shallow scars.

Whether it is good for your face depends on where the problem sits. Scars with a deep floor, enlarged pores and early laxity lie deeper than a channel alone is aimed at, and pigment is a laser question. RF microneedling, which this page covers, adds heat at a set depth for those dermal concerns.

About This Treatment

What does RF microneedling do in the skin?

RF microneedling is also called radiofrequency microneedling, gold RF microneedling or 黄金微针. Insulated needles pass through the outer skin and release energy only from the exposed tip, inside the dermis. Non-insulated needles warm the skin along the whole shaft.

The aim is remodelling of collagen and elastin, not resurfacing. RF has no light target, so the radiofrequency part is not a laser. Any change is gradual, over weeks to months. Results vary, and no one can promise that a scar will disappear.

Needle-only or RF microneedling: what is the difference?

They share a needle, not a job, so neither is ranked above the other. Here, needle-only microneedling is not offered as a treatment on its own. A needle alone is used only as the route for a skin booster, planned alongside RF microneedling.

PointNeedle-only microneedlingRF microneedling
How it worksChannels prompt the skin's own repairRadiofrequency heat is released at the needle tips inside the dermis
Where the effect is aimedA surface-led repair responseA depth set for each zone, about 0.5 to 3.5 mm on the device used here
Directed atSurface texture, fine lines, soft shallow scarsRolling and shallow boxcar scars, enlarged pores, texture, early laxity
Not forTethered or deep scars, laxity, pigmentTethered or ice-pick scars on their own, pigment, deeper laxity
Heat-related riskNone from heatPresent, so depth and energy are set by the doctor

Which RF microneedling device is used here?

Dr Sin Yong uses the Secret DUO platform, developed by ilooda, which is now part of CLASSYS. It pairs RF microneedling with a 1540 nm non-ablative fractional laser. Needle depth adjusts from about 0.5 to 3.5 mm. Depth and energy are set for each zone, deeper over the cheeks and jaw, and more cautious near the eyes and over bone. Needle-only microneedling with pens or rollers is a separate treatment. It is not offered by itself here, and it is used only as a route for a skin booster or sequenced with RF. Home dermarollers and pens are discouraged because of depth and sterility. Insulated needles are generally preferred in darker skin types. Evidence sits at the level of RF microneedling as a type of treatment, not at individual devices, so a device name alone tells you little.

What sits at each depth, and what is the heat there aimed at?

RF microneedling acts where the needle stops, so it helps to think layer by layer. How many millimetres down each layer lies varies by area and by person, so depth is chosen zone by zone, with more depth on the cheeks and jaw and less near the eyes and over bone.

LayerWhat is thereWhat heat there is aimed at
SurfacePigment cells and the skin barrierNot the target; insulated needles carry heat past it, while non-insulated needles also warm it
Upper dermisFine collagen and small pore wallsFine lines, crepey texture, fine pores
Mid dermisDenser collagen, oil glands and pore wallsEnlarged pores and shallow rolling scars
Deep dermisThick collagen bundles and the floor of deeper scarsRolling scars, where the collagen loss sits deeper
Where skin meets fatFibrous bands tying the skin to the layer belowEarly laxity over the cheeks and jaw
Beyond reachTethering bands, ice-pick tracts, the SMASNot RF microneedling: subcision, TCA CROSS or lifting

Who is RF microneedling suitable for?

Acne scars

Rolling and shallow boxcar scars.

Pores and congestion

Enlarged pores and oily, congested skin, as one part of a wider acne plan.

Texture and fine lines

Rough, uneven skin and static fine lines. Expression lines are a different problem.

Early laxity

Along the jaw and lower face, before jowls form.

Skin type

Fitzpatrick III to V, with settings chosen for pigment risk. Pigment history is part of the assessment.

Body

In some plans, as one part of the 4K Body Lift. Suitability depends on what the examination finds.

Who should wait or need a different plan

Better to wait

Active infection, inflamed acne or open wounds in the area. Pregnancy. Recent oral isotretinoin.

Caution

A pacemaker or other implanted electronic device. Metal or gold-thread implants in the area. Keloid or hypertrophic scarring tendency. Bleeding tendency or blood thinners. A history of cold sore flares.

Treated first or referred

Tethered scars need subcision first. Deep ice-pick scars need TCA CROSS first. Heavy skin excess needs a surgical assessment. Melasma or rosacea as the main concern is planned separately.

What it cannot do

It cannot release tethered scars or deal alone with deep ice-pick scars. It will not clear pigment or lift deeper laxity, which goes to HIFU or other lifting options. It cannot close pores, and it only targets the collagen around them. It does not replace a laser, though some plans stage the two together. See our acne scar laser page. If you expect pores to change outright, it is better to wait and talk it through.

How does Dr Sin Yong plan RF microneedling?

He performs it himself on one platform, the Secret DUO, and the plan starts from your skin, not the device.

What he decides first

His first decision is how deep each scar, pore field or patch of laxity lies. Needles, depth and energy come after that.

How scars are typed

Each scar is checked by stretching the skin and viewing it in angled light. He works across the cheeks, temples and jaw like this, because one small area often holds more than one scar type.

How settings are chosen

Insulated or non-insulated cartridges are chosen for your skin type and the target. Then depth and energy are chosen for each zone.

What he postpones or stages

Active, inflamed acne is calmed first. A tethered scar is freed with subcision, and a deep ice-pick scar is treated with TCA CROSS, before RF microneedling is added.

How progress is judged

At review, against the photographs taken at assessment. The next step depends on how each area of scarring has responded.

“The brand on the handpiece is the least important decision in RF microneedling. Depth, needle type and energy for each zone of your face are the decisions that matter, and those are made by the doctor.”

Dr Sin Yong

Where it fits in a scar plan

RF microneedling is often one step in a sequence, not a whole plan. Tethered scars are released first. Deep ice-pick scars are treated first with TCA CROSS. Where laser is also used, it is staged. If acne is still active, that comes first too. It can also be combined with a skin booster in some plans. Your doctor explains the order for your skin.

What should you do before RF microneedling?

Stay out of strong sun and avoid tanning in the weeks before. Tell the clinic about blood thinners, recent oral isotretinoin, a keloid tendency, cold sores, pregnancy or breastfeeding, and any pacemaker or implant, including metal or gold threads. Pause retinoids and exfoliating acids if you are advised to. Bring records or photographs of earlier scar, laser or microneedling treatment if you have them. Active acne is treated first.

How a treatment runs

01
Assessment and mapping
Your skin is examined and each zone is mapped.
02
Numbing
Numbing cream is applied and the settings are tailored to you.
03
Treatment
The needles work through each zone. You are likely to feel warmth and pressure.
04
Recovery and review
The plan is looked at again afterwards and changed to suit your skin's response.

What is the recovery after RF microneedling?

Expect redness and pinpoint marks at first. How much depends on depth, energy and skin type. On the first evening, use only a bland cleanser and moisturiser. Do not use actives, do not put make-up over open channels, and do not pick at scabs. Over the next days, redness fades and the marks flake. Strict sun protection matters most in Fitzpatrick III to V skin. Make-up, swimming, saunas and hard exercise wait until the pinpoint marks have closed, and you are given timing on the day. Work and event plans are discussed beforehand.

What happens in the first days and weeks?

Timings depend on depth, energy and skin type, and you are given written timing on the day. Fever, spreading redness, pus, or a red hot lump: a doctor the same day, or A&E if none can see you.

PhaseWhat is usualWhat to do
First one to two daysSunburn-like redness, warmth, mild swelling, sometimes a faint grid of pinpoint marksCleanse gently and moisturise; no make-up until the channels have closed and you are told it is safe; avoid heavy sweating
Days three to fiveTightness, dryness and fine flakingKeep moisturising, and let flakes come away without scrubbing or picking
Around a weekSkin settlesRetinoids and acids can usually restart once the skin is comfortable
The following weeksRemodelling continues out of sightStrict sun protection, because post-inflammatory darkening is more likely in darker skin

Side effects and risks

Expected

Redness, pinpoint marks, pressure and warmth, and tightness like sunburn.

Less common

Post-inflammatory pigmentation, more so without sun avoidance. Prolonged redness, small scabs or crusting, infection, cold sore or acne flares, and scarring in keloid-prone people.

Uncommon

Burns or uneven heating. Correct depth, energy and cartridge choice reduce this.

Contact us the same day

Worsening redness, rising pain, swelling or weeping, pus or spreading yellow crusts, fever, blistering, dusky or dark skin, or a cold sore flare.

Is RF microneedling worth it for you?

It can be worth considering when the problem sits in the dermis. The answer depends on your scar type, skin type and goals, so it is given after examination.

It may fit

Rolling or shallow boxcar scars, enlarged pores, rough texture or early laxity along the jaw, darker skin included, with settings adjusted for pigment risk.

It is unlikely to fit alone

Tethered or ice-pick scars before release or TCA CROSS, raised scars, pigment, melasma or deeper sagging. Pores are covered on pore treatment. Scar types are mapped on acne scar treatment.

What the evidence says

A 2025 systematic review of 16 studies and 481 patients with acne scars concluded that fractional radiofrequency microneedling is likely effective on its own, and called for more randomised trials on treatment settings. [1] Results vary.

What you accept in return

Redness and pinpoint marks at first, change that builds over weeks to months, often more than one visit, and a risk of post-inflammatory darkening without careful sun protection.

How much does RF microneedling cost in Singapore?

Fees are not published. They depend on the area, findings, cartridges and consumables, the number of zones and passes, and any combination with laser, subcision or TCA CROSS. You receive a written quote after assessment, before anything is agreed. No duration is promised. The first redness and tightness are part of healing and do not show the outcome. Progress is judged at review. How long a change holds depends on the concern, settings, skin, sun exposure, smoking and any combined treatment.

Frequently Asked Questions

It differs from person to person. Scars, pores and laxity do not change at the same pace, so the plan shifts with your response.
You and your doctor agree this at consultation. It is not set beforehand.
Numbing cream goes on first, and the doctor tailors the settings. You are likely to feel warmth and pressure.
This cannot be promised. It may help rolling and shallow boxcar scars, and tethered or deep ice-pick scars need other steps first.
It can be workable for Fitzpatrick III to V, because the energy goes in below the surface. Care with settings still matters, and pigment history is reviewed.
RF uses needles and radiofrequency heat, with no light. Lasers use light. Some plans use both, in stages.
Any remodelling develops over the following weeks and months. Results vary, and progress is checked at review.
It depends on the area, the findings, consumables, zones and passes, and any combined treatment. A written quote follows assessment.
Needle-only microneedling is not offered on its own here, so there is no standalone fee for it. RF microneedling is quoted in writing after examination, because the fee depends on the concern, the area, the needle cartridges, any step needed first, such as subcision, and the review.
It depends on the problem. Needle-only microneedling is directed at surface texture and soft, shallow scars. Scars with a deep floor, enlarged pores and early laxity sit deeper, and RF microneedling is planned for those. Tethered scars, ice-pick scars and pigment need other tools first. The examination decides which applies.
No set number of sessions is sold or quoted in advance here. The number follows your scar type, its depth, your skin type and how your skin responds at review, and each visit is planned once the last has been judged. The fee for each step is quoted in writing after assessment.
It can suit some facial concerns, such as uneven texture, fine lines and soft, shallow scars, when the plan matches the layer involved. It is not a treatment for pigment, tethered or deep scars, or sagging. Active acne, infection or open wounds are settled first. Results vary, and suitability is decided in person.
The fee follows your plan, so it is given in writing after Dr Sin Yong has examined you. It depends on the concern and the depth it sits at, the area, the cartridges and consumables, the zones and passes, any combined step such as laser, subcision or TCA CROSS, and the review.
It can be worth considering for rolling or shallow boxcar scars, enlarged pores, uneven texture and early laxity, where heat in the dermis is the aim. It is unlikely to be worth it on its own for tethered or ice-pick scars, pigment or deeper sagging. Change is gradual, and results vary.
They do different jobs. Needle-only microneedling relies on the skin repairing tiny channels and works close to the surface. RF microneedling uses the needle as a route and releases radiofrequency heat at a chosen depth in the dermis, aimed at scars, pores and early laxity. That heat brings its own risks, so the doctor sets it.
There is no usual figure, because two plans under the same name can differ a great deal. One face may need a single zone, another full-face work with subcision first. Singapore's rules restrict fee advertising, and a quote only means something once your scars, skin type and area have been examined.
Avoid tanning and strong sun beforehand. Tell the clinic about blood thinners, recent oral isotretinoin, a keloid tendency, cold sores, pregnancy, and any pacemaker or implants. Pause retinoids and exfoliating acids if you are advised to. Bring records of earlier scar, laser or microneedling treatment if you have them.
Secret DUO is the platform Dr Sin Yong uses for RF microneedling. Developed by ilooda, now part of CLASSYS, it combines RF microneedling (needle depth adjustable from about 0.5 to 3.5 mm), a 1540 nm non-ablative fractional laser and Smart Cure. The laser part uses light and the radiofrequency part does not. Settings are chosen zone by zone after examination.
There is no single depth. On the platform used here, needle depth can be adjusted from about 0.5 to 3.5 mm, and it is set for each zone: deeper over the cheeks and jaw, more cautious near the eyes and over bone. The depth follows where each scar or pore field sits.
SY
Dr Sin Yong
MBBS (NUS) · MRCS (Edinburgh)
MSc Aesthetic Medicine (QMUL) · MSc Practical Dermatology (Cardiff)
Doctor registered with the Singapore Medical Council.

Find out if RF microneedling fits your skin

Dr Sin Yong will examine you, explain your options and give any fee in writing.

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References

  1. Niaz G, et al. Fractional Radiofrequency Microneedling as a Monotherapy in Acne Scar Management: A Systematic Review of Current Evidence. Clin Cosmet Investig Dermatol. 2025;18:19-29. View source · DOI · PMID 39781098
  2. Kang S, et al. New Atrophic Acne Scar Classification: Reliability of Assessments Based on Size, Shape, and Number. J Drugs Dermatol. 2016;15(6):693-702. View source · PMID 27272075
  3. Harnchoowong S, et al. Cosmetic Considerations in Dark-Skinned Patients. Clin Cosmet Investig Dermatol. 2024;17:259-277. View source · DOI · PMID 38321987
  4. Vempati A, et al. Subcision for Atrophic Acne Scarring: A Comprehensive Review of Surgical Instruments and Combinatorial Treatments. Clin Cosmet Investig Dermatol. 2023;16:125-134. View source · DOI · PMID 36698445
  5. Leheta T, et al. Percutaneous collagen induction versus full-concentration trichloroacetic acid in the treatment of atrophic acne scars. Dermatol Surg. 2011;37(2):207-216. View source · DOI · PMID 21269351
  6. Yan C, et al. Comparative Effectiveness and Safety of Fractional Laser and Fractional Radiofrequency for Atrophic Acne Scars: A Retrospective Propensity Score Analysis. Life (Basel). 2025;15(9):1379. View source · DOI

Studies may involve other devices or protocols, and they do not predict your own result. See our evidence library and editorial policy.

Related Treatments

Last updated 12 November 2026. General information only. Results vary between individuals. Images are illustrative and do not show patients.