Sylfirm X RF Microneedling Machine Sylfirm X RF Microneedling Machine

Sylfirm X in Pittsburgh, PA

RF Microneedling, Sylfirm X

Sylfirm X combines radiofrequency energy with microneedling to treat concerns traditional microneedling can't. This advanced technology delivers heat deep into the dermis for dramatic skin tightening and rejuvenation with minimal downtime.

What is Sylfirm X?

Sylfirm X is a revolutionary radiofrequency microneedling treatment.

RF Microneedling combines the benefits of radiofrequency technology and microneedling for complete skin remodeling and facial rejuvenation. For best results, three treatments one month apart are recommended.

Sylfirm X addresses fine lines and wrinkles, acne scarring, and sun damage. Other benefits include skin tightening in areas of skin laxity and improved tone and texture.

There is minimal to no downtime and minimal discomfort with the Sylfirm X treatment.

Person wearing gloves holding a device with 'Sylfirm X' branding. Person wearing gloves holding a device with 'Sylfirm X' branding.

How Does Sylfirm X Work?

Sylfirm X RF microneedling combines the benefits of microneedling with radiofrequency energy. The microneedles create micro-injuries in the skin, triggering the body’s natural healing process. The radiofrequency energy heats the deeper layers of the skin, improving collagen production and tightening tissues. This dual action results in smoother, firmer, and more youthful-looking skin


Treatment Benefits:

  • Treats concerns traditional microneedling cannot address effectively
  • Combines microneedling benefits with deep RF energy delivery
  • Significantly improves severe acne scars and surgical scars
  • Reduces rosacea, redness, and visible blood vessels
  • Treats stubborn melasma and hyperpigmentation at the source
  • Tightens loose, sagging skin dramatically on face and body
  • Stimulates profound collagen remodeling and production
  • Smooths deep wrinkles and improves skin texture
  • Minimizes enlarged pores for refined appearance
  • Suitable for all skin types and tones safely
  • Minimal downtime compared to laser treatments
  • Results continue improving for months after treatment series
  • Can treat face, neck, chest, abdomen, hands, and body

Skin Concerns Addressed by Sylfirm X

  • Severe Acne Scars – Deep, atrophic scars and significant textural damage
  • Surgical Scars – Raised or depressed scars from surgeries or injuries
  • Rosacea – Redness, visible blood vessels, and reactive skin
  • Melasma – Stubborn hormonal pigmentation resistant to other treatments
  • Hyperpigmentation – Deep discoloration and uneven skin tone
  • Significant Skin Laxity – Moderate to severe sagging and loss of firmness
  • Deep Wrinkles – Advanced lines and folds from aging
  • Sun Damage – Severe photodamage and age spots
  • Enlarged Pores – Visible, stretched pores across face
  • Uneven Skin Texture – Rough, severely textured skin surface
  • Stretch Marks – Deep striae on abdomen, thighs, or breasts
  • Broken Capillaries – Visible blood vessels and vascular lesions
  • Post-Inflammatory Hyperpigmentation – Dark marks after injuries or acne
  • Aging, Crepey Skin – Thin, loose skin lacking structure

Target Areas for Sylfirm X:

  • Face (Full) – Comprehensive facial rejuvenation and tightening
  • Forehead – Lines, texture, and laxity across forehead
  • Around Eyes – Crow's feet and crepey eyelid skin (periorbital)
  • Cheeks – Severe scarring, pigmentation, and sagging
  • Nose – Rosacea, enlarged pores, and texture
  • Chin and Jawline – Laxity, scarring, and definition loss
  • Neck – Turkey neck, horizontal lines, and crepey texture
  • Décolletage – Chest wrinkles, sun damage, and crepey skin
  • Hands – Aging skin, texture, and sun damage on backs of hands
  • Abdomen – Stretch marks and loose skin after pregnancy or weight loss
  • Arms – Crepey skin and textural concerns on upper arms
  • Knees – Loose skin and texture around knees
  • Elbows – Rough, darkened skin and texture on elbows
  • Body Scars – Surgical or traumatic scars anywhere on body

Types of Sylfirm X Treatments

  • Sylfirm X +
    PRP Injections

    RF microneedling followed by PRP injections to amplify collagen remodeling, rejuvenate skin, and achieve dramatic tightening and renewal.
  • Sylfirm X + Exosomes
    Face & Neck

    RF stimulation with exosome infusion delivering growth factors and peptides to improve tone, texture, scarring, and tighten aging skin.
  • Person wearing gloves holding a device with 'Sylfirm X' branding. Person wearing gloves holding a device with 'Sylfirm X' branding.

    Sylfirm X RF Microneedling

    Advanced radiofrequency microneedling targeting severe scarring, laxity, rosacea, and pigmentation for transformative skin rejuvenation.

Why Our Patients Love Sylfirm X

Black and gold medical device with a cable on a white background. Sylfirm X RF Microneedling Black and gold medical device with a cable on a white background. Sylfirm X RF Microneedling

Dramatic Tightening

RF energy contracts tissue immediately while stimulating long-term collagen for lasting firmness.

Treats Stubborn Issues

Addresses rosacea, melasma, and severe scarring that traditional treatments cannot fix.

Deep Dermal Healing

Penetrates deeper layers for profound remodeling beyond surface-level microneedling alone.

All Skin Types Safe

Advanced technology allows safe treatment on all skin tones without risk of damage.

General Pre-Care:

  • Avoid Sun Exposure
    No sun exposure, tanning beds, or spray tans for at least 2 weeks before treatment. Sunburned or tanned skin cannot be treated.
  • Stop Active Ingredients
    Discontinue retinoids, glycolic acid, salicylic acid, and other exfoliating products 5-7 days prior to treatment.
  • No Blood Thinners
    Stop aspirin, ibuprofen, fish oil, and vitamin E 7 days before to minimize bruising (consult your doctor first).
  • Avoid Waxing
    No waxing, threading, or chemical depilatories for 2 weeks prior to treatment.
  • Clean Skin Required
    Arrive with clean, makeup-free skin. No lotions, serums, or products on treatment day.
  • Hydrate Well
    Drink plenty of water in the days leading up to treatment for optimal skin health.
  • Reschedule if Needed
    If you have active cold sores, infections, or open wounds, reschedule your appointment.

General Post-Care:

  • Keep Skin Clean
    Gently cleanse with lukewarm water and mild cleanser. Pat dry, don't rub.
  • Moisturize Frequently
    Apply a gentle, hydrating moisturizer multiple times daily to support healing and maintain comfort.
  • Sun Protection Critical
    Avoid direct sun exposure for at least 2 weeks. Wear broad-spectrum SPF 30+ daily and reapply every 2 hours.
  • No Makeup for 24 Hours
    Wait at least 24 hours before applying makeup to allow micro-channels to close and reduce infection risk.
  • Avoid Heat and Sweat
    Skip hot showers, saunas, hot tubs, steam rooms, and strenuous exercise for 48-72 hours.
  • Don't Pick or Scratch
    As skin begins to flake (days 3-7), do not pick, scratch, or manually remove any peeling skin.
  • Skip Active Ingredients
    Avoid retinoids, acids, and exfoliating products for 7-10 days post-treatment until fully healed.
  • Stay Hydrated
    Drink plenty of water to support your skin's healing and collagen-building process from within.
  • Expect Redness
    Redness and swelling for 2-5 days is normal. This is more intense than traditional microneedling.

Sylfirm X FAQ'S

While traditional microneedling uses needles alone to create micro-injuries at the skin's surface, Sylfirm X combines microneedling with radiofrequency energy that penetrates deep into the dermis. This dual action allows it to treat concerns that standard microneedling cannot—like rosacea, melasma, severe laxity, and deep scarring. The RF energy heats tissue at controlled depths, causing immediate collagen contraction and long-term remodeling for more dramatic, transformative results.

For optimal results, we recommend a series of 3-4 treatments spaced 4-6 weeks apart. For severe scarring, significant laxity, or stubborn pigmentation, more sessions may be needed. Results are cumulative—each treatment builds upon the last. After your initial series, maintenance treatments every 6-12 months help sustain your results. During your consultation, we'll create a personalized treatment plan based on your specific concerns.

We apply a topical numbing cream 30-45 minutes before treatment to minimize discomfort. Most patients describe the sensation as mild tingling, warmth, or slight pressure—not painful. The RF energy creates a warming sensation as it heats the deeper skin layers. Sensitivity varies by area and RF intensity used. Overall, the treatment is well-tolerated, and any discomfort is manageable and temporary.

Expect more downtime than traditional microneedling. Your skin will be red and may feel warm for 2-5 days, similar to a moderate sunburn. Mild swelling, especially around eyes, is common for 24-48 hours. Days 3-7, you may experience dryness, tightness, and light flaking as skin renews itself. Most patients can return to work after 2-3 days with mineral makeup. Avoid strenuous exercise, heat, and sun for 48-72 hours. Results are worth the brief recovery period.

Yes! Sylfirm X is safe for all skin types and tones, including darker skin that may be at higher risk for post-inflammatory hyperpigmentation with other treatments. The technology allows precise control of energy delivery, making it safer than many laser treatments. In fact, Sylfirm X is particularly effective for treating melasma and hyperpigmentation in darker skin tones. During your consultation, we'll assess your skin and customize settings for safe, effective treatment.

In addition to the face, Sylfirm X can be used on the neck, décolletage, and hands to improve skin texture and firmness.

You'll notice some immediate tightening from collagen contraction, but the real transformation happens gradually. Improvements become visible around 4-6 weeks after your first treatment as collagen production ramps up. Results continue to develop over 3-6 months following your treatment series. For pigmentation and redness, you may see fading within 2-4 weeks. For severe scarring or laxity, optimal results appear after completing 3-4 sessions and waiting 3-6 months for full collagen remodeling.

See the Results We’re Loving @radiance_fluhme

Two women shaking hands against a plain background. Radiance at Fluhme Medspa, Pittsburgh, PA Two women shaking hands against a plain background. Radiance at Fluhme Medspa, Pittsburgh, PA

Why Choose Radiance at Fluhme?

We make expert aesthetic care part of your everyday life.

Radiance at Fluhme is physician owned and led by a renowned board certified Plastic Surgeon and Tiffany Fluhme, Physician Associate, alongside a team of master injectors and aesthetic specialists.


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