Secret RF is a skin rejuvenation treatment that combines microneedling and radiofrequency energy to improve skin tone and texture, with minimal downtime.
Developed by Cutera, it can address fine lines, mild wrinkles, stretch marks (striae), acne scars, hyperpigmentation, and other skin concerns on the face, neck, chest, and body.

Secret RF radiofrequency microneedling works by remodeling existing collagen and kick-starting your skin's natural development of new collagen, for firmer, more supple, and more evenly toned
skin over time.

During a treatment, microneedles penetrate the dermis and deliver fractional radiofrequency energy into the lower layers of subdermal tissue, at various depths. This triggers a natural wound-healing response, which stimulates new collagen production and accelerates cell regeneration.

A single treatment session takes about 20 minutes. First, your provider will apply a topical numbing cream to the skin's surface, to minimize the pain of the needle pricks and heat.

Once the treatment area is numb, your provider will move the Secret RF handpiece and single- use needle tip across your skin, pressing in the tip to create microinjuries. As the needles deliver the RF energy, you may feel some pressure and zapping. Some people say it's painful, even with the numbing cream.

After your treatment, you might have a little pinpoint bleeding, as well as redness and swelling that can last a day or two. Your provider will give you specific skincare instructions after your Secret RF procedure. It's crucial to avoid excess sun exposure and apply adequate sunscreen with an SPF 30+. This will help avoid new hyperpigmentation as your skin heals.

Some RealSelf members report seeing an improvement in their skin quality after their first treatment, with continued improvements after each successive session.

Results vary, but you may not see optimal results until three to six months after your last treatment, since it can take that long for new collagen to form.

While RF microneedling devices are considered safe, they do have the potential to do long-term damage to your skin in inexperienced hands. A number of RealSelf members report pinpoint marks or grid marks that remained on their skin long after their treatments.

For the most part, RF microneedling is safe for the majority of skin tones. “It bypasses the epidermis, and radiofrequency energy is pigment blind, which means that RF targets the skin structures deep in the tissue while not interacting with pigment in the skin, unlike other devices and lasers,” says Dr. Alexiades. However, if your skin tone is very dark or tends to be reactive, you’ll want to use a device that has insulated microneedles, like Matrix Pro, which is designed to be safe for most skin types, does.

“Other devices may spread a small amount of energy to the superficial skin,” warns Dr. Talei.

Yes. This is one of the most important characteristics of microneedling.

Matrix Pro microneedling distinguishes itself through the use of ultrafine needles with a unique design and taper, ensuring a gentler treatment on the skin. The needles glide smoothly instead of causing a stabbing sensation, minimizing the need for extensive numbing. The proprietary gentle gliding mechanism prevents vessel trauma, reducing bruising under the eyes compared to other RF microneedling devices.

Additionally, Matrix Pro features impedance monitoring, enabling the machine to adjust its power output based on tissue feedback. This adaptive capability ensures that the RF energy pulse duration is modified if resistance is too high, preventing damage to tissues. This technology ensures a consistent and transformative outcome in every treatment.

When booking aesthetic treatments, especially with advanced devices like the Matrix system, it is crucial to consult with a board-certified dermatologist, plastic surgeon, or qualified and licensed provider. Dr. Talei emphasizes that practitioners should be not only licensed in their working state but also trained in facial or body anatomy to determine appropriate treatment depths.

Matrix Pro minimizes risks and side effects by using short-pulse energy, unlike other RF microneedling devices with longer pulses. This design, where each needle stamp takes only milliseconds to work, results in less damage and a shorter recovery time. The device's capability to target three different depths with one pulse allows for a single pass of the microneedles, further reducing risks. Despite the advanced technology, the key to achieving excellent results lies in entrusting the treatment to skilled professionals rather than seeking deals on microneedling treatments—prioritizing quality over cost.

If you’re using powerful active ingredients like retinoids, alpha hydroxy acids, or beta hydroxy acids, stop using them for at least two to four weeks before your treatment, as the combo of these potent formulas and microneedling could sensitize your skin. Adds Dr. Levine, “avoid supplements that increase bleeding, such as NSAIDs like ibuprofen and aspirin.” Makes sense —RF microneedling creates controlled wounds, and these medications thin the blood, which could lead to bleeding or bruising. (This is also true of taking fish oil supplements and drinking alcohol, so skip happy hour a few nights before your appointment.) If you take prescribed blood thinners, talk to your doctor before booking your RF microneedling appointment, to get the best recommendation for your needs.

You’ll also want to consider how you time your appointment seasonally. “The skin is always less reactive when recent tanning and UV sun exposure is avoided,” explains Dr. Talei. If you’re religious about your sunscreen use, then you should be A-OK, but if you’re a sun worshiper, schedule your RF microneedling for the winter months. This could also help protect you from cold sores, which are often triggered by hot sun; having an active flare-up will mean you can’t book your session. Flares can also be triggered by professional treatments like microneedling, so let your provider know if you’ve had cold sores in the past. “If you have a history of cold sores, [an antiviral like] Valtrex may be indicated prior to treatment,” says Dr. Levine.

The downtime after RF microneedling varies depending on the individual and the device used by the provider. Some devices may necessitate a week of downtime, especially if they penetrate the skin deeply or require multiple passes. Matrix Pro, however, offers a deeper treatment than most while maintaining minimal downtime, typically just a few days.

Results with Matrix Pro are often noticeable within the first few weeks. Dr. Talei highlights its effectiveness in improving overall skin and pore quality, with patients experiencing these results after just one treatment. Further enhancements are observed after three treatments performed four to six weeks apart. Matrix Pro is particularly effective in addressing malar bags, reducing fluid accumulation under the eyes. With continued use, the skin becomes more even, slightly tauter, and radiantly fresh, contributing to an improved complexion.

After Matrix Pro treatment:

1. Cold Compresses: Use as needed for swelling and discomfort.
2. Skincare Routine: Adjust, avoiding harsh products. Use gentle, dermatologist-approved cleansers and moisturizers like Cetaphil or CeraVe.
3. Arnica Gel: Consider for bruising.
4. Avoid Pore-Blocking Products: Prevent breakouts by avoiding these products.
5. Sun Protection: Wear SPF 30+ daily for at least a month post-treatment and ongoing.
6. Swelling: Minor swelling is normal; elevate the treated area for the first 48-72 hours.

Results and recovery may vary; consult a qualified healthcare professional.