
What Is Tighten & Smooth RF Microneedling?
Our signature Tighten & Smooth RF Microneedling treatment utilizes the Vivace device, which seamlessly combines the benefits of traditional microneedling with the tissue-tightening effects of precisely controlled radiofrequency (RF) energy. This powerful combination provides a multi-dimensional approach to skin rejuvenation that smooths, firms and tightens treated areas.
During treatment, gold-tipped microneedles create thousands of microscopic channels in the skin at carefully calibrated depths. Simultaneously, radiofrequency energy is delivered directly into these channels, generating controlled thermal heatling that extends into the deeper dermal layers. This dual-action mechanism stimulates new collagen formation (neocollagenesis) and elastin production (neoelastogenesis) while immediately tightening existing collagen fibers.
While standard microneedling primarily addresses surface concerns, the addition of radiofrequency energy allows us to target deeper structural issues, making Tighten & Smooth RF Microneedling particularly effective for the early signs of skin laxity and more established textural irregularities. The thermal component also creates immediate tissue contraction for results you can see even before the progressive benefits of collagen remodeling develop.
The Benefits of Tighten & Smooth RF Microneedling
Our patients who experience our Tighten & Smooth RF Microneedling treatments enjoy comprehensive benefits that address multiple aspects of skin aging simultaneously, such as:
- Visible firming and tightening of mild skin laxity on any skin area
- Significant smoothing of textural irregularities and scarring
- Reduction in the appearance of enlarged pores
- Improvement in overall skin tone and evenness
- Diminished appearance of fine lines and wrinkles
- Improved tissue quality and structure
- Refined skin surface with a natural, healthy glow
This advanced treatment works effectively on the face, neck, and décolletage areas, as well as other body regions such as abdomen and above knees where skin laxity concerns are present. Many patients appreciate that RF microneedling can address multiple concerns in a single treatment session, making it an efficient solution for comprehensive skin enhancement.
Your Treatment Experience at BelleSante
Your Tighten & Smooth RF Microneedling journey begins with a thorough consultation with Kristine Romine, MD, or Sara Romine, DNP, FNP-C. This essential first step allows us to evaluate your skin concerns with advanced VISIA imaging, understand your aesthetic goals, and develop a customized treatment approach that addresses your specific needs.
On treatment day, you'll be welcomed into our beautiful treatment space, where your comfort remains our highest priority. We start by thoroughly cleansing your skin and applying a medical-grade numbing cream for a virtually pain-free experience. While the numbing cream takes effect, we'll review your treatment details and answer any questions you might have.
Once you're properly prepared, our experts will guide the Vivace handpiece across your treatment areas using precise, methodical movements. The RF energy delivery is carefully controlled and adjusted throughout the procedure based on the specific characteristics of each treatment area. Most patients describe the sensation as mild pressure or prickling with intermittent warmth that is easily tolerated with our advanced comfort measures in place.
Unlike other RF microneedling treatments, our specialized protocols help minimize discomfort and dramatically reduce downtime while maximizing your results. Treatment sessions typically take 60-90 minutes to complete, but this may vary depending on the areas being addressed.

Recovery & Results
Following your Tighten & Smooth RF Microneedling treatment, you may experience mild redness and swelling that typically subsides within 24-48 hours, longer for areas off face. Many patients are pleasantly surprised by how quickly they can return to their normal activities, often feeling comfortable in public the very next day with minimal or no makeup.
Our team will provide detailed aftercare instructions and a specialized KRMD Advanced Medical Skin Care regimen specifically formulated to enhance healing and optimize your results. Our proprietary products are applied before and after treatment to support your skin’s healing and maximize the regenerative benefits of your Tighten & Smooth RF Microneedling procedure.
You'll notice immediate improvements in skin texture and tightness, with continued enhancement as collagen and elastin remodeling progress over the following weeks and months. While visible changes appear after a single session, optimal transformation involves a series of three to four “Getting Fit” treatments spaced four to six weeks apart. Many patients then maintain their results with once or twice yearly "Maintenance of Fitness” sessions.