I had Microneedling with PRP recently. Can I do radio frequencies treatment after the microneedling and if so, how soon after?

Hello,
I would suggest completing your series of microneedling with PRP first. Typically 3 or more are suggested for best results. Professional Radiofrequency devices can be beneficial for skin tightening and collagen stimulation. As a rule I would wait 4 weeks between your microneedling and radiofrequency. If you are only using an at home device, 2 weeks should be enough time from your microneedling/PRP treatment. Although, I am not sure if there will be much benefit with an over the counter device. 
Best of luck & well wishes,
Dr Rosy Sandhu

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I'm not sure that these at home devices do much. I would just complete the series of microneedling treatments and then maintain your results using good skincare (including lots of sun protection). 

Wait 4-5 days then start. OK, that depends on the depth of microneedling, the density or passes, the PRP concentration and application, your dermatologist or plastics who performed or wrote that program will know your healing times. Most specialist now combine all 3 in one session, namely microneedling, RF and PRP. You can trial your home device, no harm in that. Just giving you my thoughts on clinical studies and how specialists approach this procedure. Microneedling has come a long way over the past few years and can help skin via several methods. Firstly it releases cytokines and growth factors in the epidermis and dermis- the top and bottom layers of your skin. This in turn remodels scars and the dermal layer of the skin. Additionally needles can break up scars themselves. This leads to new collagen formation, and in practice can provide limited skin rejuvenation. 



Microneedling is both user dependent and method driven. Simple needles can be used, growth factors can be added after the procedure, including PRP, or controlled heating during the procedure. This controlled heating is delivered via RF, and is called RF microneedling. RF can then be delivered via insulated or insulated needles. Even the energy level, depths, density, pulse duration and so many other variables can be controlled. This together with the added benefits of growth factor infusion makes this one of the most complex procedures in procedural dermatology. I use everything from Dermapen, though to newer generation insulated and non-insulated devices including INFINI micro-needling radiofrequency, Intensif and others. Newer generation devices can provide an added advantage in some, but not all patients. In my practice, I combine microneedling with many different forms of energy devices, depending on the expectations of the patient. Tailored microneedling combination will always give the best results. 



Like most procedures, its 80% skill level of the specialist and 20% dependent on the brand of the energy device- microneedling system. All the best, Dr Davin Lim. Brisbane. Australia. Realself Advisory Board Member