Secret DUO (SecretRF Microneedling + Erbium Glass fractional Laser)

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Secret DUO (SecretRF Microneedling + Erbium Glass fractional Laser)

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Content

Radiofrequency microneedling and erbium laser treatment in singapore
SecretDUO combines RF microneedling and non-ablative fractional laser treatment to rejuvenate your skin. 

SecretRF needs no introduction (the irony!) and immediately comes to mind in any discussion of RF microneedling. Secret RF is a skin rejuvenation and resurfacing treatment combining microneedling and radiofrequency energy to improve skin tone and texture, with minimal downtime. SecretRF treatments can address fine lines, wrinkles, acne scars, pores, loose skin on the face and neck, and improve stretch marks (striae), cellulite and loose skin on the body. For the delicate eye area, SecretRF treatments can improve droopy eyelids, crows feet wrinkles, eye bags and fine lines. SecretRF radiofrequency microneedling works by remodeling existing collagen and boosting collagen production, resulting in rejuvenated skin. During the SecretRF treatment, microneedles penetrate the dermis and deliver fractional radiofrequency energy at precise depths. This triggers a controlled wound healing process resulting in skin regeneration and new collagen deposition. 

What is SecretDUO?

SecretDUO builds upon the legacy of SecretRF technology to combines two types of skin rejuvenating treatments: SecretRF radiofrequency microneedling and a 1540nm fractional non-ablative Erbium Glass laser. These two treatments work together to stimulate new collagen and elastin production in the deeper layers of the skin. 

Above: SecretRF microneedling tips for different indications

Above- technical specifications of SecretDUO system

How does SecretDUO  work?

  • Radiofrequency microneedling (RFM)
    Simply put, microneedling works by pricking the skin to create controlled microscopic wounds , which trigger the body’s natural healing process, encouraging collagen and elastin production. This, in turn, tightens the skin and reduces fine lines, acne scars, pores and wrinkles. 

    RF microneedling is the “big brother” of microneedling- with  the addition of radiofrequency technology, fine gold-tipped needles, with accurate depth control of up to 3.5mm, emit radiofrequency energy into the skin. These waves of energy produce heat, reaching up to 65 – 70 °C, which is the critical level for collagen remodeling. This process will then stimulate the skin to produce new collagen, gradually improving skin elasticity and appearance [1]. RF microneedling treatments are able to target deeper layers of the skin up to 3.5mm, as compared to microneedling which is max ~1mm.
  • 1540 nm non-ablative Erbium Glass laser
    The 1540 nm fractional non-ablative Erbium Glass laser emits pulses of laser energy to create columns of controlled heat injury, stimulating new collagen production and dermal remodelling. Erbium lasers operate at a particular wavelength that is well-absorbed by water and biological tissue, increasing its efficacy. It is also safe for all skin types, including darker skin tones.

    Unlike ablative lasers, non-ablative lasers do not harm the epidermis, which results in fewer side effects with a shorter downtime between procedures [2].

    SecretDUO: Two clinically proven technologies working in synergy
    To quote Taylor Swift… “Two is better than one”

    So it is with SecretDUO, with the SecretRF microneedling component targeting the deeper layer of skin (deep dermis) and the 1540 nm fractional non-ablative Erbium Glass laser focusing on the superficial layer of the skin (epidermis and superficial dermis) for comprehensive skin rejuvenation.
SecretDUO reverses signs of aging by combining two effective skin rejuvenating technologies.
SecretDUO treatment stimulates natural collagen and elastin production in the skin, improving the appearance of fine lines, scars, and skin laxity.

What concerns can SecretDUO treat?

SecretDUO treatment can be done for a variety of skin concerns including:

What is Radiofrequency(RF)? What are the different types of RF used in aesthetics?

Radiofrequency is type of technology utilising an oscillating electrical current (millions of cycles per second) that causes charged molecules to collide in order to generates tissue heating. Following Ohm’s law, electrical energy converted to thermal energy as tissue resistance is met. RF has been in medical use for decades, RF cautery and tissue destruction has been used to tighten pharyngeal tissues in sleep apnea, reduce nasal congestion in allergic rhinitis, ablate abnormal cardiac conduction pathways, ablate tumours in the lungs and liver

RF has been used in medical aesthetics for over 20 years- in 2002 the first monopolar RF device Thermage was US FDA approved for treatment of wrinkles and sagging skin.

Earlier RF devices relied on monopolar or bipolar RF to generate bulk heating of tissues. In monopolar RF, energy flows from an active electrode on the operators handpiece to a grounding pad on the patient’s body, hence energy penetrates deeper. 

With bipolar RF energy flows between 2 adjacent electrodes both contained on the operator handpiece- resulting in a more superficial treatment. Monopolar and bipolar RF carried a high risk of epidermal burns and post inflammatory hyperpigmentation (42C for neocollagenesis, 45C for burns). In addition, heating to 70C is required for significant neocollagenesis in the dermis- skin biopsies show that at lower temperatures only collagen contraction occurs, while higher temperatures are required achieve a wound healing response with increased cellularity, fibroblast proliferation and new collagen deposition. Hence, monopolar and bipolar RF devices were only modestly effective in skin tightening and had a risk of epidermal burns. In comparison, RF microneedling delivers energy through needles that target a predetermined depth, targeting the dermis effectively while sparing the epidermis, this translated into better results with lower risk of burns/post inflammatory hyperpigmentation.

What can I expect from a SecretDUO procedure?

A detailed medical consultation is performed to better understand the your concerns and assess your suitability for the treatment. 

Topical anaesthetic is applied for 20-30 minutes, thereafter, the SecretDUO procedure takes about 20 to 30 minutes. Expect some skin redness and sensitivity for 1-2 days after the procedure, it is possible to return to normal activity the next day. Results can be seen 1-2 weeks after the treatment, it is recommended to do 4-6 treatments a month apart with maintainence treatment every 3-4 months thereafter.

Frequently asked questions

SecretDUO is well-tolerated and safe when performed by an experienced and well trained doctor. SecretDUO treatments can be performed in all skin types including darker skin, with low risk of hyperpigmentation.
No, SecretDUO treatment is not painful with application of topical anaesthetic, and is generally well tolerated by clients.
Generally, clients will require 4-6 sessions of SecretDUO, with sessions a month apart, to see results. Thereafter, sessions are spaced 3-4 months apart. Additionally, you can book a Hydrafacial session before your SecretDUO treatment to improve overall results!
There is no downtime and clients can resume normal activity the next day. Expect mild redness for 1-2 days, followed by mild sandpapery sensation for another 1-2 days.
Results from a series of SecretDUO treatments can last up 12 months after treatment [2 - 4].
Patients are advised to avoid sun exposure post-treatment and apply post-treatment skincare as instructed.
Skincare with irritating ingredients such as retinols, AHAs, BHAs, exfoliating products, and vitamin C should be stopped 3 days before treatment and a week after treatment.

Patients are recommended not to undergo a SecretDUO treatment if they have:

  • Open wounds or active infections on the face or neck

SecretDUO at Bay Aesthetics Clinic

SecretDUO is one of the most commonly requested treatments at Bay Aesthetics Clinic with the doctors performing a high volume of cases regularly and achieving good outcomes. Designated a training center, Bay Aesthetics Clinic conducts training workshops for medical professionals to instruct them in the proper usage of the SecretDUO device. The proprietary treatment protocols for SecretDUO developed at Bay Aesthetics Clinic are used by medical professionals across Asia Pacific region.

Price of SecretDUO at Bay Aesthetics Clinic

Face $800 nett
Face and neck $1200 nett
Body (eg abdominal stretch marks) $1200 nett
*Prices are in SGD and are for first time treatments
Book your consultation with Dr Hoe at Bay Aesthetics Clinic and Medispa today and explore our range of SecretDuo treatment solutions. 

References

  1. Weiner SF. Radiofrequency Microneedling: Overview of Technology, Advantages, Differences in Devices, Studies, and Indications. Facial Plast Surg Clin North Am. 2019 Aug;27(3):291-303. doi: 10.1016/j.fsc.2019.03.002. Epub 2019 May 22. PMID: 31280844.
  2. Solomon-Cohen E, Lapidoth M, Mimouni D, Akerman L, Slodownik D, Hodak E, Levi A. 1540-nm fractional erbium: Glass laser is a safe and effective modality for nonablative facial rejuvenation. J Cosmet Dermatol. 2021 Jun;20(6):1679-1683. doi: 10.1111/jocd.13958. Epub 2021 Feb 1. PMID: 33522710.
  3. Naranjo P, Llamas M, Ifrach H, Andrino R. Visible and Quantifiable Improvement in Skin Roughness and Texture Using a High Power Non-ablative 1540-nm Fractional Erbium: Glass Laser. J Clin Aesthet Dermatol. 2022 Oct;15(10):32-35. PMID: 36312824; PMCID: PMC9586531.
  4. Tan MG, Jo CE, Chapas A, Khetarpal S, Dover JS. Radiofrequency Microneedling: A Comprehensive and Critical Review. Dermatol Surg. 2021 Jun 1;47(6):755-761. doi: 10.1097/DSS.0000000000002972. PMID: 33577211.

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