Profound RF Microneedling

Profound RF Microneedling, At A Glance

  • Best Results1 sessions, 6-12 weeks
  • Treatment Recovery7 to 10 days
  • Procedure Time30 min
  • Skin SpecialistDavin Lim
  • Duration of ResultsVariable
  • AnaestheticNumbing, blocks, sedation
  • Back to Work7+ Days
  • CostNot currently performed (see below)

Profound RF Microneedling

Profound RF microneedling was my very first skin tightening device. It uses insulated needles to heat the deeper dermal layer of skin, causing collagen tightening & stimulation. Though I still have this system, I have largely replaced it with more efficient energy delivery devices including Ultherapy, Ultraformer III, Genius RFM, & RF Bipolar devices. Newer systems have much less downtime & seem to work better, at least in my hands.

FactsFacts on Profound RF Microneedling

  • Radiofrequency is an efficient method of dermal heating
  • Profound uses a computer controlled system to obtain safe & effecient heating of the dermal layer of skin
  • Controlled heating results in collagen contraction & stimulation
  • Profound is a radiofrequency microneedling device
  • Radiofrequency microneedling devices can treat skin taxity, moderate wrinkles & also acne scars
  • I have largely replaced this device with newer RF microneedling including Genius, Infini RFM as well as Bipolar RF & Ultrasound devices including Ultherapy & Untraformer III

What is Profound RFM?

The Profound treatment is a nonsurgical alternative for treating facial wrinkles & skin laxity. It has also been reported to reduce the appearance of cellulite. It combines radiofrequency (RF) energy with microneedles to renew your skin from within.

I have used Profound for five years, before replacing this system with newer devices including microfocused ultrasound (MFU, HIFU), as well as other microneedling RF devices. I do believe that newer technologies offer better results, with less downtime & cost to the patient.

RFM with the very latest Genius or Mopheus 8 provides more predictable skin tightening as compared to gen 1 devices such as Profound RF

How does Profound RF work?

The device combines two key factors in skin rejuvenation, firstly the use of long insulated needles (as compared to very fine microneedles). Secondly delivery of controlled heating via radiofrequency. Controlled and precise heating (69 degrees) is delivered to the dermal layer of skin. This heats collagen for a fraction of a second, causing immediate collagen contraction & secondary delayed collagen stimulation.

Collagen stimulation is mediated via your immune system occurring immediately after the procedure, but maximal at 3-4 months after the event.

What does treatment involve?

This procedure is promoted to be ‘minimally painful’. The majority of my cases were performed under sedation with local anesthesia to the area. This ensured patient comfort.

The device itself uses a single cartridge of insulated needles, 5 pairs in total. These needles are placed into the dermal layer of skin, at an angle. The theory behind this is to increase the surface area of contact; as opposed to vertical delivery of needles, as seen with most RFM devices like Infini, Instensif, Intracel, Genius, Secret, & Morpheus.

A computer controls the delivery of RF energy to achieve precise heating of skin; at around 68 to 69 degrees. Profound uses insulated needles to achieve heating; much like devices such as Intracel, Genius, & Infini RF. Insulation protects the upper epidermis, whilst allowing for increased dermal heating & efficiency.

Once heating is achieved, the needles are withdrawn & placed in other areas. The whole process takes about half an hour to complete.

Healing time is over a week, extended & extensive bruising was not uncommon (this is due to the oblique insertion of the needles which means increased surface area of treatment, at the expense of increased collateral bruising, as compared to vertical delivery of needles).


When will I see the results?

You will have significant bruising for the first week, after which you may notice some tightening. This may continue to improve for a few months after the procedure. 

All skin tightening devices including Profound (RF), RF microneedling, bipolar RF as well as HIFU (High Intensity Focused Ultrasound), rely on your own immune system to replenish dermal matrix, namely collagen, elastin & hyaluronic acid.

Davin’s Viewpoint on Profound RFM

This treatment can be considered generation one RFM. It has been with us for the 8 years & has undergone a few revisions with the delivery system. The old name for Profound was ePrime. 

Our approach to skin tightening is to address all layers, including the dermis, fat layer & deeper SMAS layers.

I still have the device, but I really don’t use it much. Does it actually work? Yes, we do have some satisfactory cases, however I have largely replaced this older technology with newer systems, namely Infini RF, which has been replaced with Genius RF microneedling. I have also augmented non-surgical lifting with newer tech, including RF Thermage, replaced with Pelleve, replaced with Tempsure. I also employ HIFU, namely Ultherapy and the newest Ultraformer Version 3. The thing with devices, is that they get outdated every 18 to 24 months. Newer treatments are more effective, have less side effects, less pain, faster recovery & in most cases are more cost effective. Nothing against Profound, however in my practice I do think there are more effective treatments with less downtime. This is the progression of technology over a decade.

This is the most important concept to grasp; if you have poor skin quality (sun damage), lasers are much better as we need to treat the upper layers of skin. RFM is only useful for mild to moderate skin laxity in the absence of photo damage.
Most patients require 2-4 sessions for optimal results. By combining laser, we can reduce the number of sessions to 1 or 2.

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