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Sylfirm X
RF Microneedling
Sylfirm X RF Microneedling
What’s the secret to looking your best at any age? The answer is beautiful, glowing skin. As you grow older, the cellular regrowth and collagen production processes begin to slow down which inevitably gives way to fine lines, wrinkles, and a dull, lackluster complexion. Sylfirm X RF Microneedling is a simple, noninvasive treatment that is intended to help renew your skin’s youthfulness and combat the signs of aging.
At Eastern Shore Cosmetic Surgery, our experienced staff are committed to providing individualized treatment to each and every person who walks through our door.
Are You a Candidate?
Sylfirm X can be an excellent option for men and women who want to address a variety of skin concerns without the need for invasive procedures or extensive downtime. Sylfirm X treatment can be beneficial for people with acne scars, skin laxity, sun damage, large pores and many other skin imperfections.
Although results differ from person to person, many men and women who use the Sylfirm X RF microneedling treatment experience healthy-looking skin that looks more vibrant, youthful and healthy. Sylfirm X can be adjusted for use on most all skin types.
A good candidate should be in good overall health and have realistic expectations for treatment and results. A consultation with our med spa staff can help you decide if Sylfirm X is right for you.
Dr. Koehler
Educated at the University of Alabama and in practice for over 20 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.
Dr. Gardner
A triple-board-certified surgeon specializing in both cosmetic and venous procedures, Dr. Gardner brings a depth of expertise, compassion, and innovation to our practice.
About Sylfirm X
Sylfirm X is FDA cleared for safety and efficacy. It combines the latest generation of microneedling technology with radio frequency and LED therapy. This minimally invasive treatment works by stimulating your body’s natural collagen production to help:
- Alleviate fine lines and wrinkles
- Tighten and tone skin on the face, neck, hands and body
- Minimize pore size
- Improve skin’s texture
Microneedles are used to create microscopic channels deep within the dermis layer of the skin without damaging the outer layer of skin known as the epidermis. RF thermal energy is then precisely applied at varying depths for optimal stimulation of collagen production as well as to enhance skin laxity.
The LED Therapy uses pulses of blue and red light to encourage collagen production, increase moisture levels, improve skin tone and texture and disrupt acne bacteria.
We are excited to offer Pro-Nox pain relief that can be added to any of the in-office procedures we perform. Pro-Nox is an inhaled analgesic that gives our patients 100% control through self-administration. Get short-term pain, anxiety, and stress relief without having to “go under.”
Before and After Photos
What to Expect
Sylfirm X RF microneedling treatment uses a revolutionary device with a precision robotic motor design intended to create the greatest results with the least amount of discomfort. Although it is virtually painless, we may apply a numbing cream prior to your treatment to ensure a more comfortable experience.
During your treatment, our highly qualified specialists will use the Sylfirm X handpiece to safely treat the targeted area of skin. The head of the handpiece has several microneedles that will be placed on the skin’s surface. The microneedles will penetrate the skin, creating tiny channels which can help to activate the skin’s response system to produce new collagen, elastin and cellular repair. Depending on the size of the area being treated, each session takes about 45 minutes, with an additional 30 to 45 minutes needed for the numbing cream to take effect.
Risks and Complications
Sylfirm X is minimally invasive, so the likelihood of complications is much lower compared to other surgical procedures. However, as with all cosmetic procedures, microneedling is not without risk. Most complications arise if there is already an active infection on the skin’s surface at the time of treatment. The most common side effect is minor skin irritation immediately following the procedure.
Your New Look
Feel free to return to your daily activities if you feel comfortable, just be sure you follow our guidelines for post-treatment care. While the results are often immediate for skin tone and texture, there is also an improvement over a 3-month period as the process of collagen regeneration increases over time.
You may experience some mild redness and swelling for a few days following treatment. Wait around 6 hours after treatment to apply makeup, and stay out of the sun as much as possible as your skin will be more sensitive.
Although you may experience a noticeable improvement following your first treatment, your skin will continue to work to rejuvenate new tissue in the following weeks and months. As your body continues to produce more collagen, you can continue to see improvements for up to 6 months following your final treatment.
Although individual results vary, most people find that 2 to 3 treatments, spaced 4 to 6 weeks apart, provide the best outcomes. We will advise you on the best plan of action to help achieve your aesthetic goals.
Treatment Serums & Recovery Care
Following your RF microneedling treatment, we may suggest supplementing your treatment with a serum like SkinMedica TNS Recovery to support optimal results and faster recovery.
Written By: Dr. James Koehler
A board-certified cosmetic surgeon in Fairhope, AL, Dr. James Koehler earned his MD from the University of Alabama and completed several post-doctoral residencies, internships and fellowships. He returned to Alabama to be closer to family and serve patients in the local community with a full range of cosmetic surgery procedures for the face, breast and body.
More about Dr. James Koehler | Last Reviewed: October 14th, 2025
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