Aesthetic Medicine
Aesthetic Medicine


Best kept secret

Radiofrequency microneedling has seen a surge in popularity over the past few years. The technology has started to be recognised by both practitioners and patients as a safe and effective treatment option for achieving considerable improvements to the skin’s firmness, texture, and overall quality.


Microneedling is a minimally invasive treatment that involves pricking the skin with tiny, sterilised needles to initiate the wound healing response. This popular treatment has been used for many years when looking to stimulate collagen and elastin.

The first evolution in this well-recognised technology was the introduction and combination of radiofrequency, which saw controlled RF energy delivered to the deeper layers of the skin via the microneedles, making it a much more effective mechanism of action than standard microneedling.

Before and after photos courtesy of Dr Rishi Mandavia and Dr Tatiana Lapa

Before and three months after one treatment
Before and after 10 months after one treatment

Getting this energy down deeper into the dermis provides huge benefits but does struggle to target the superficial epidermis and some of the indications exhibited by the ageing process, such as elasticity of the skin, pigmented lesions, and general dyschromia.


It is common for my patients to want advanced skin resurfacing procedures without downtime.

Another advancement in microneedling is the addition of a fractional CO2 laser to provide a 360-degree approach to skin resurfacing, targeting the epidermal layers and delivering heat to the upper dermis layer.

Cutera has revolutionised skin resurfacing by combining three technologies in one device, offering a safe and effective way of treating multiple concerns while minimising downtime.

Cutera’s Secret PRO uses a safe, gentle CO2 skin-resurfacing application called Ultra-Light to solely target the epidermis while also utilising Secret RF’s microneedling technology to reach the sub-dermal layers.

This dynamic duo is designed to deliver energy exactly where required, prevent unnecessary skin tissue damage, and dramatically reduce downtime to three to four days. Combining two goldstandard energy sources within one platform allows effective treatment by working at different skin depths. The CO2 laser gently targets the epidermis and improves the skin’s surface, while the microneedles penetrate subdermal layers to promote collagen production and stimulate the body’s regenerative response.

The CO2 on the Secret PRO is programmed to optimise RF Microneedling treatments with the

‘Ultra-Light’ setting, which considers the heat generated into the deep dermis from the subsequent rf microneedling treatment. I like using the CO2 element as it is easily tunable and can be used at much lower energies compared to alternatives – it can also be used in fully ablative modes for surgical treatments if needed.

The `Ultra Smooth Motor’ mechanism and 0.1-micron needles on the RF Microneedling handpiece combined with the ‘Ultra-Light’ CO2 make this the ultimate combination for low-downtime advanced skin rejuvenation procedures.

For more information

This article appears in the May 2022 Issue of Aesthetic Medicine

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This article appears in the May 2022 Issue of Aesthetic Medicine