RF Microneedling (Secret RF)

Neinstein Plastic Surgery offers Secret RF, a fractional radiofrequency microneedling device that combines the collagen-stimulating depth of microneedles with the tissue-remodelling energy of radiofrequency, delivered in a single treatment session. Treatment zones are available for the face alone, face and neck, or face, neck, and chest. Published package pricing makes multi-session treatment planning straightforward. Secret RF can be combined with CO2 laser resurfacing in the same session for patients targeting both dermal remodelling and surface texture improvement.

Secret RF Microneedling at Neinstein Plastic Surgery uses the Cutera Secret RF fractional radiofrequency microneedling system to deliver simultaneous mechanical and thermal stimulation to the dermis and subdermal tissue. The device uses an array of insulated gold-tipped microneedles that penetrate the skin to a precisely controlled depth — adjustable between 0.5 mm and 3.5 mm depending on treatment zone and target tissue — and deliver bipolar radiofrequency energy directly at the tip of each needle. Because the needles are fully insulated along their shaft, the RF energy is deposited at the needle tip in the mid-to-deep dermis, with minimal energy dispersion through the superficial epidermis. This deep dermal targeting creates zones of controlled thermal coagulation within the dermis — micro-injuries that trigger a wound-healing cascade characterised by fibroblast activation, collagen and elastin synthesis, and tissue contraction. Over a series of treatments, this progressive collagen remodelling results in measurable improvement in skin laxity, pore size, surface texture, acne scarring, and fine line depth. The insulated needle design also allows Secret RF to be used safely across skin phototypes I–VI, with a lower risk of post-inflammatory hyperpigmentation than ablative laser resurfacing, making it suitable for a wider demographic within the diverse New York City patient population. Treatment can be delivered at variable depths within a single session — shallower passes for superficial texture concerns and deeper passes for laxity and structural remodelling — enabling a customised multi-depth protocol in one appointment. The face-only treatment at $900 targets the full facial surface including the periorbital area, cheeks, nasolabial folds, and chin. The face-and-neck package at $1,200 extends coverage to the platysmal skin and anterior neck. The full face, neck, and chest (decolletage) protocol at $1,800 addresses the complete anatomical region commonly affected by photoageing and skin laxity. Package pricing for three-session courses provides a meaningful discount over single sessions and reflects the clinical reality that optimal results for laxity and scarring typically require a series of three to four treatments spaced four to six weeks apart. Combination treatment with CO2 laser in the same session is offered at $1,899 per session, leveraging ablative resurfacing for surface-level texture and pigmentation improvement alongside the deep dermal remodelling of RF microneedling.