Non Surgical Skin Tightening Greenwich Village & Lower Manhattan

The Tightener

RF Microneedling to Improve Texture

Using Virtue RF, a next-generation microneedling device, the Tightener treatment combines the benefits of traditional microneedling with controlled RF energy to stimulate collagen production at multiple skin depths.

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+1-332-241-6782

What is it?

The Tightener is an advanced radiofrequency (RF) microneedling treatment designed to firm, smooth, and rejuvenate the skin. Microneedling is a treatment where fine needles are used to penetrate the skin and encourage the formation of collagen and elastin. Our device, Virtue RF, takes it a step further by emitting radiofrequency energy at various depths within the skin to enhance the benefits of microneedling while reducing patient discomfort.

What it Treats

By staying precisely in the epidermis and dermis layers of the skin, the Tightener protects the fat pads of the face from damage. This treatment also significantly reduces patient discomfort by sub-pulsing the radio-frequency energy. Designed to improve skin texture, firmness, and elasticity, the Tightener is well-equipped to handle numerous concerns, including:

Wrinkles

Excess skin

Acne scars and blemishes

Cellulite

Stretch marks

Sagging skin on both face and body

Where it treats

This treatment is highly versatile and can be customized to target multiple areas of the face and body, including:

Face (forehead & cheeks)
Neck
Décolletage
Arms
Jawline
Abdomen
Thighs
Knees

What it Costs

Starting at $900 ($800 for members)

Pre-Treatment Instructions

Stop retinols/retinoids/active ingredients one week prior.
Avoid extended sun exposure or tanning salon/lotion for at least three weeks prior.
Inform your provider of any medical conditions or medications that may affect wound healing or bleeding or make you sun sensitive.
Notify your provider if you have an active cold sore or fever blister or are prone to either.

Post-Treatment Instructions

Expect about 2 days of downtime. The healing sequence may include redness, swelling, and bruising which can extend for a few days, but you can wear makeup after 24 hours.
Avoid sun exposure, hot showers, intense workouts and sweating the first 24-48 hours.
Sleep with a clean pillow case and head slightly elevated to reduce swelling.
Your goal is to maintain a clean, hydrated and protected skin barrier. In the morning, use a gentle cleanser. Afterwards, apply moisturizer and sunscreen generously with frequent reapplication throughout the day. At night, cleanse your face and apply your moisturizer. Repeat this regimen daily for one week for proper wound healing.
It is best recommended to leave your skin without any make-up for at least 24 to 48 hours. Mineral makeup is preferred to allow your skin to breathe and heal properly.
Avoid active topicals, such as vitamin C and retinol/retinoic acid products or mechanical exfoliation while your skin is healing for at least 5-7 days.
You may take Tylenol for any discomfort or pain.
Please call the office if you are experiencing pain that is not relieved by Tylenol, excessive itching, redness, swelling, oozing accompanied by a fever.
Avoid active topicals, such as vitamin C and retinol/retinoid acid products, or mechanical exfoliation while your skin is healing for at least one week.

Frequently Asked Questions

How Much Downtime is Typically Expected?

Most patients experience mild redness and swelling for 24 to 72 hours, but expect about 5 to 7 days of downtime.

How Many Sessions Are Recommended?

We recommend 3 to 5 treatments spaced 4 to 6 weeks apart for optimal results.

How Long Are Tightener Treatment Sessions?

A typical session lasts 30 to 45 minutes, but numbing beforehand for patient's comfort can add another 45 minutes to this.

When Can I Expect Results?

Initial improvements can be seen within a week, with full results developing over 4 to 6 weeks as collagen production increases.

Is Rf Microneedling Painful?

Virtue RF uses sub-pulsed energy delivery, significantly reducing discomfort compared to other RF microneedling treatments. A topical numbing cream is applied before the procedure to ensure a comfortable experience.

Is Rf Microneedling Safe For All Skin Types?

Virtue RF is safe for most skin types and tones. During your consultation, your provider will assess your skin to determine if it’s the right treatment for you.

What is RF microneedling with exosomes, and how does it work?

RF microneedling with exosomes is an advanced dermatologic treatment that combines radiofrequency (RF) energy with microneedling and topical application of exosomes; cell-derived vesicles rich in growth factors, cytokines, and genetic material. The procedure involves creating controlled micro-injuries in the skin using ultrafine needles while simultaneously delivering RF energy into the dermis to stimulate collagen remodeling.

How do exosomes improve collagen production during RF microneedling?

When used in conjunction with RF microneedling, exosomes penetrate the dermis through the microchannels created by the needles. Once absorbed, they deliver bioactive molecules—such as transforming growth factor-beta (TGF-β), vascular endothelial growth factor (VEGF), and fibroblast growth factor (FGF)—which upregulate collagen synthesis and enhance fibroblast activity.

What are the benefits of combining RF energy with exosome therapy?

RF energy thermally stimulates collagen denaturation, creating an optimal environment for tissue regeneration. Exosomes, in turn, supply molecular signals that direct stem cell activation, angiogenesis, and anti-inflammatory responses. Together, they enhance dermal remodeling, reduce downtime, and accelerate post-procedural healing.

How is RF microneedling with exosomes different from traditional microneedling?

Traditional microneedling relies solely on mechanical stimulation of the dermis to induce collagen production through wound healing. RF microneedling, however, adds thermal energy to the process, delivering heat through the needles to deeper dermal layers, which intensifies collagen remodeling and tissue tightening.

Can RF microneedling with exosomes help with acne scars or hyperpigmentation?

The mechanical and thermal stimulation provided by RF microneedling disrupts fibrotic scar tissue and initiates neocollagenesis, effectively softening the appearance of atrophic scars. Exosomes contribute to this reparative process by evening skin tone and reducing post-inflammatory hyperpigmentation.

How soon after treatment will I notice improvements in my skin?

Initial improvements in skin texture and hydration can be observed within 7 to 10 days following treatment, as early wound healing begins. However, optimal results related to collagen remodeling and dermal regeneration typically manifest over a period of 4 to 12 weeks, with continued enhancement for up to six months.

Are there any risks or side effects associated with RF microneedling using exosomes?

RF microneedling with exosomes is generally well-tolerated, with a favorable safety profile when performed by trained professionals. Common side effects are mild and transient, including erythema, edema, pinpoint bleeding, and slight tenderness at the treatment site. These effects typically resolve within 24 to 72 hours.

How often should I schedule RF microneedling with exosomes for best results?

For optimal clinical outcomes, RF microneedling with exosomes is typically performed in a series of 3 to 4 sessions, spaced approximately 4 to 6 weeks apart. Maintenance sessions, every 6 to 12 months, may be recommended based on individual skin conditions, aging concerns, and the response to treatment.

What should I do to prepare my skin before RF microneedling with exosomes?

To ensure optimal results and minimize complications, patients should avoid sun exposure, retinoids, and exfoliating agents for at least 5 to 7 days before treatment. Patients with active acne, skin infections, or open wounds may need to postpone the procedure until these conditions resolve.

How does Telo's RF Microneedling device compare to the Morpheus8?

We use the VirtueRF, which subpulses the energy as compared to the Morpheus8, making the heat delivery a lot more tolerable and comfortable for the patient. In addition, the Virtue does not go as deep, which greatly reduces any risk of affecting facial fat pads that keep your face looking young.