Treatment
Radiofrequency Microneedling in Spokane Valley
Radiofrequency microneedling is a skin treatment that combines two things: fine needles that create controlled micro-injuries in the skin, and radiofrequency energy delivered through those needles into the deeper layer of the skin. The needles create the injury; the energy adds to it. The change you see afterward does not come from the device alone — it comes from your skin's own healing response to that controlled injury, and it happens gradually, over time, not at the moment you are treated.
The platform used at this practice is called Exion. That is what the practice calls it, and it is what you will hear if you ask about the equipment by name. What matters more than the name of the platform is whether this kind of treatment is the right approach for your skin and what you are trying to change — and that is a decision made at your evaluation, not from a product page.
What it is generally used for
Radiofrequency microneedling is generally used for skin texture, fine lines, and the appearance of laxity — the sense that the skin has loosened rather than sitting where it used to. Those are qualitative concerns, and the way this treatment addresses them is gradual. It works through the body's own response to a controlled injury, which means the skin changes over a period of time rather than immediately after the appointment.
Whether it is the right tool for what you are seeing in the mirror is a different question from whether it is offered here. It is offered here, and whether it suits you is decided at the evaluation with Keanna — not booked off a menu.
What this does not do
Radiofrequency microneedling is not a substitute for surgery. It does not remove deep folds, and it does not address volume loss — the kind of hollowing that comes from fat or bone structure changing over time. Volume loss is what dermal filler is for. The two are different tools for different problems, and being told which one applies to you — or that neither does — is part of what the consultation is for.
If what you are seeing is loose skin that has nowhere to go back to, or a fold that needs support rather than texture work, this is not the treatment that addresses it. Being told that honestly is part of what an evaluation is for.
Who this is and isn't for
Radiofrequency microneedling is not appropriate for everyone. It is not appropriate over an active infection or inflamed skin at the treatment site. It is not appropriate during pregnancy. It requires an individual assessment for anyone with a history of keloid or hypertrophic scarring, because the way your skin heals from the controlled injury is part of whether this is a good idea for you. And it requires an individual assessment for anyone on certain medications, which is something covered at the evaluation rather than guessed at from a list.
This may not be right for you if:
- You have an active infection or inflamed skin where the treatment would be done.
- You are pregnant.
- You have a history of keloid or hypertrophic scarring.
- You are on a medication that affects how your skin heals.
- What you are seeing is volume loss or loose skin rather than texture and laxity.
What to expect at the appointment and afterward
Keanna evaluates you first. She examines your skin, takes your history, and decides whether radiofrequency microneedling is the right approach for what you are trying to change. If it is, the treatment is done at points chosen for your skin, and you are told what to expect afterward before it starts — not after.
Redness and a sensation like sunburn are normal afterward. The skin can feel rough or gritty for a few days as it responds to the treatment. Those are expected, not signs that something has gone wrong. You are given aftercare instructions — including how to protect the treated skin from the sun — and a way to reach the practice if something concerns you. If you have a question or something does not feel right, you call or text, and the person you reach is the person responsible for your care.
When Keanna treats you herself, she evaluates you as part of your care. When a registered nurse performs your treatment, Keanna completes a good faith exam first — in person or via face-to-face telehealth, whichever suits you — to meet Washington’s safety guidelines. Either way, the person responsible for your care is the one who decides whether the treatment is appropriate for you.
Questions and answers
What does radiofrequency microneedling actually do?
Fine needles create controlled micro-injuries in the skin while radiofrequency energy is delivered through the needles into the deeper layer. The change comes from the skin's own healing response to that controlled injury, and it happens gradually — not at the moment of treatment.
Is it instant?
No. The skin responds over time to the controlled injury the treatment creates. Anyone telling you the change is immediate is describing the redness, not the result. The reason this treatment is done in a series is that the skin's response accumulates over more than one session.
Does it replace filler or surgery?
No. Radiofrequency microneedling works on skin texture and the appearance of laxity. It does not add volume — that is what dermal filler is for — and it is not a substitute for a surgical result. They are different tools for different problems, and which one applies to you is part of the evaluation.
Can I have this done if I am pregnant?
No. Radiofrequency microneedling is not appropriate during pregnancy. It is also not appropriate over active infection or inflamed skin at the treatment site, and anyone with a history of keloid or hypertrophic scarring or who is on certain medications needs an individual assessment first.
What does recovery look like?
Redness and a sensation like sunburn are normal afterward. The skin can feel rough or gritty for a few days. You are given aftercare instructions, including how to protect the treated skin from the sun, and a way to reach the practice if something concerns you.
How do I know if this is the right treatment for me?
By being evaluated. Keanna examines your skin, takes your history, and tells you whether radiofrequency microneedling is the right approach — including when the honest answer is that it is not, or that it is not the only thing that would help.
Book your appointment
Every treatment starts with an evaluation with Keanna. Book online, or call or text the practice.