Laser

Sylfirm X

Dual-wave RF microneedling for melasma, redness & pores

Duration

30-45 min

Downtime

0-2 days

Sessions

3-5 sessions (4 wk intervals)

About This Treatment

Sylfirm X by Viol is the world's first dual-wave (pulsed + continuous) RF microneedling device. Pulsed wave mode selectively targets abnormal vasculature and pigment, while continuous wave mode promotes dermal collagen remodeling.

Featured at IMCAS 2026, it's the only RF microneedling device capable of treating melasma.

Mechanism of Action

Pulsed Wave (PW) mode: High-voltage pulsed RF selectively targets abnormal basement membrane and vessels, suppressing aberrant angiogenesis and melanocyte activation in melasma. Continuous Wave (CW) mode: Non-insulated microneedles deliver continuous RF for uniform dermal heating and collagen/elastin remodeling. Combined modes enable comprehensive treatment.

Indications

Pigmentation / dullnessAcneRedness / vascular concernsPoresSagging / contourGeneral indication (see detailed description)

Expected Results

3-5 treatments reduce melasma MASI score by 40-60%. Acne scars and pores significantly improve after 2-3 sessions. Lower rebound risk compared to laser toning. Maximum effect at 1-3 months post-treatment.

Clinical Evidence

Cho SB, Lee JH, Choi MJ (2022)

Pulsed and Continuous Wave Radiofrequency Microneedling for Melasma. Lasers Surg Med

Clinical improvement was reported in this study (see original paper for details).

IMCAS 2026 Featured Innovation (2026)

Sylfirm X: Coagulation precision for acne scars, melasma, redness, and pore refinement. IMCAS World Congress

Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Mild treatment pain (manageable with topical anesthetic). Transient redness/swelling (0-2 days). Rare PIH risk. Needle marks (resolve in 24-48 hours). Careful power settings needed during active melasma.

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