SYLFIRM X^® RF MICRONEEDLING TREATMENTS PRE AND POST CARE INSTRUCTIONS
(Dual-Wave RF Microneedling System by Viol)

Sylfirm X® is one of the most powerful technologies available for superficial skin lifting and skin quality improvement.

It does not replace a surgical facelift, but it is truly incredible for:

• Improving skin firmness
• Refining texture
• Reducing pigmentation and redness
• Strengthening fragile vascular skin
• Enhancing overall skin quality

It delivers controlled radiofrequency (RF) energy through microneedles into the dermis to stimulate collagen remodeling and vascular correction.

Sylfirm X® utilizes two RF modes:

• Pulsed Wave (PW) – targets abnormal vessels and melasma
• Continuous Wave (CW) – stimulates collagen and improves laxity

It is especially effective for:

• Early skin laxity
• Rosacea/redness
• Acne scars
• Fine lines
• Melasma

Patient response varies depending on:

• Treatment intensity
• Needle depth
• RF energy level
• Individual healing capacity

Immediately After Treatment

Expected and desired responses include:

• Redness (similar to moderate sunburn)
• Mild to moderate swelling
• Grid-like or pinpoint marks
• Warm sensation
• Mild tenderness

Mild to Moderate Treatment:

• Redness: 24-72 hours
• Swelling: 1-3 days
• Mild dryness or flaking: Days 3-5

More Aggressive Treatment:

• Redness: 1-5 days
• Swelling: up to 5 days
• Possible bruising: 5-7 days

Most patients experience 2-5 days of social downtime.

Collagen remodeling and tightening continue for 8-12 weeks after each session.

Makeup

• Makeup may typically be applied 24-48 hours after treatment, once skin is intact and there are no signs of infection.

5-7 Days Before Treatment

Discontinue (if medically appropriate and approved by your provider):

• NSAIDs (Ibuprofen, Aspirin, etc.)
• Magnesium
• Vitamin D
• Fish oil
• Flaxseed oil

This reduces:

• Bruising
• Petechiae
• Excess inflammation

3-5 Days Before Treatment

• Discontinue retinoids (Retin-A, tretinoin).
• Avoid exfoliating acids (AHA/BHA).
• Avoid waxing or aggressive treatments in treatment area.

Medication Disclosure (Very Important)

Inform your provider about all medications and supplements, especially:

• Antibiotics
• Blood thinners
• Biological infusions/injections
• Steroids
• Hormone therapy

If you have active acne, infection, or cold sores, notify the office.

Antiviral prophylaxis may be prescribed if indicated.

Pain & Swelling Prevention Protocol

For comfort:

• Take 2 tablets of Extra Strength Tylenol (1000 mg total) 1 hour prior to treatment.

For swelling prevention:

• Take 1 tablet of non-drowsy antihistamine 2-3 hours prior to treatment.

Day of Treatment

• Arrive with clean skin (no makeup, lotions, sunscreen).
• Stay well hydrated.
• Avoid alcohol 24 hours prior.

First 24 Hours

• Expect redness and warmth.
• Do not apply makeup for at least 24 hours.
• Avoid touching or rubbing treated area.
• Sleep with head slightly elevated if swollen.
• Avoid strenuous exercise for 24-48 hours.

Cleansing

Beginning the evening of treatment or next morning:

• Cleanse gently with lukewarm water and mild cleanser.
• Use hands only.
• Pat dry gently.
• Do not scrub.

Skincare

For 3-5 days:

Avoid:

• Retinoids
• Exfoliants
• Acids
• Active serums unless directed
• Oils

Use:

• Gentle moisturizer
• Barrier-repair cream
• Hyaluronic acid

Activity Restrictions

For 48 hours:

• Avoid heavy sweating.
• Avoid saunas, steam rooms, hot tubs.
• Avoid swimming pools.
• Avoid hot yoga.

Sun protection is critical, especially when treating melasma.

• Avoid direct sun exposure for at least 2 weeks.
• Wear broad-spectrum SPF daily.
• Use tinted sunscreen if prone to melasma or diffuse pigmentation.
• Be especially cautious during boating, beach, or pool exposure.

Do NOT use self-tanners on treated areas.

Self-tanners may worsen pigment irregularities.

We recommend a follow-up appointment 1-2 weeks after treatment to:

• Evaluate healing
• Assess pigmentation response
• Adjust skincare
• Plan next session

Sylfirm X treatments are typically performed in a series of 3-5 sessions, spaced approximately 4 weeks apart.

• Increasing pain after 48 hours
• Drainage resembling pus
• Excessive swelling
• Fever of 101.5°F or higher
• Spreading redness
• Signs of infection

Prompt evaluation ensures safe recovery.

Sylfirm X^® delivers exceptional improvement in skin quality, vascular correction, and superficial tightening. While it does not replace surgical lifting, it is a powerful option for patients seeking visible skin rejuvenation with minimal downtime.