RF MICRONEEDLING
Radio Frequency Microneedling Skin Tightening Treatment in San Antonio, Texas

WHAT IS RF MICRONEEDLING?
Radio Frequency (RF) Microneedling is an advanced skin rejuvenation treatment that combines traditional microneedling with radiofrequency (RF) energy to stimulate collagen production and improve overall skin quality.
At The Lotus Medspa in Helotes, Texas, we use the Secret RF microneedling system by Cutera, a state-of-the-art device designed to deliver controlled RF energy deep into the skin while creating microscopic channels with ultra-fine needles.
These tiny micro-injuries trigger the body’s natural healing response, stimulating new collagen and elastin production. At the same time, radiofrequency energy gently heats the deeper layers of the skin, helping tighten tissue and improve skin structure. This combination makes RF microneedling highly effective for treating skin laxity, acne scars, fine lines, wrinkles, enlarged pores, and uneven skin texture.
PRICING
From: $650/treatment
BENEFITS OF RF MICRONEEDLING
RF Microneedling helps rejuvenate the skin by stimulating natural collagen production and improving skin structure.
Benefits may include:
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Improved skin texture and tone
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Minimal downtime compared to more aggressive resurfacing treatments
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Improved skin elasticityImprovement in stretch marks
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Smaller appearing pores
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Reduction in acne scars and other scars
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Skin tightening and improved firmness
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Reduction in fine lines and wrinkles
Because collagen remodeling continues over time, results often continue improving for several weeks to months following treatment.
WHAT TO EXPECT
Before Your Treatment
Before your RF Microneedling treatment, your provider will evaluate your skin and health history and discuss your treatment goals to create a customized plan.
To prepare for treatment, we typically recommend:
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Avoiding excessive sun exposure for 5–7 days prior
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Avoiding retinoids, exfoliating acids, or active skincare products for 3–5 days before treatment
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Arriving with clean skin free of makeup or skincare products
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Informing your provider of any recent procedures or skin sensitivities
A topical numbing cream is applied before treatment to ensure patient comfort.
During the Treatment
During a Secret RF treatment, a handheld device containing ultra-fine needles creates tiny channels in the skin while delivering radiofrequency energy beneath the surface. Patients typically feel pressure and warmth during treatment, but the numbing cream helps make the procedure comfortable.
The treatment typically takes 30–60 minutes depending on the areas being treated.
After the Treatment
After RF Microneedling, patients may experience redness and mild swelling similar to a sunburn for the first 24–48 hours. The skin may feel slightly tight or rough for several days as it begins to heal.
Following treatment, patients are typically advised to:
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Avoid strenuous exercise for 24 hours
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Avoid heat, saunas, and hot tubs for 48 hours
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Avoid direct sun exposure and wear broad-spectrum SPF daily
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Follow post-treatment skincare instructions provided by your provider
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Most patients notice improvements in skin texture and tone within a few weeks, with continued collagen production and tightening developing over the following months.
RF MICRONEEDLING vs XERF SKIN TIGHTENING
Both RF Microneedling and XERF use radiofrequency energy to stimulate collagen production and improve skin quality, but they work in slightly different ways and can be used to treat different concerns.
RF Microneedling (Secret RF) combines microneedles with radiofrequency energy to deliver heat deeper into the skin. The tiny needles create controlled micro-injuries that stimulate the body’s natural healing response, while the RF energy further promotes collagen remodeling and skin tightening. This treatment is especially effective for improving skin texture, acne scars, enlarged pores, and fine lines.
XERF, on the other hand, delivers radiofrequency energy without needles. The device gently heats the deeper layers of the skin to stimulate collagen and tighten tissue without creating microchannels in the skin. Because it does not involve needles, XERF is an excellent option for patients who want skin tightening and collagen stimulation with minimal downtime.
When We Recommend Each Treatment
RF Microneedling is best for:
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Acne scars
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Skin texture concerns
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Enlarged pores
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Fine lines and wrinkles
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Stretch marks
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Deeper skin rejuvenation
XERF is best for:
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Mild to moderate skin laxity
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Structural skin tightening
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Under-eye tightening
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Jawline and jowl tightening
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Neck tightening
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Patients who prefer a treatment without needles
In many cases, these treatments can also complement each other as part of a comprehensive skin rejuvenation plan. During your consultation, our providers will evaluate your skin and recommend the treatment that will best address your specific concerns and goals.
BEFORE AND AFTER
WE WANT THE BEST FOR YOU
The best way to determine if any treatment is right for you is through a complimentary consultation with one of our experienced Physician Assistants.
During your visit, we’ll evaluate your skin, discuss your concerns and goals, and create a personalized treatment plan designed to achieve the best possible results.
Every patient’s skin is different, and our team is here to guide you toward the treatments that will work best for you.














