What Is Sylfirm X Plus?
Sylfirm X Plus on this page refers to a skin treatment program using SYLFIRM X RF Microneedling, which combines very fine microneedles with radiofrequency (RF) energy to deliver controlled energy at specific depths beneath the skin.
The system offers two RF delivery modes: Pulsed Wave (PW) and Continuous Wave (CW). These modes allow the doctor to customize treatment for different concerns, including melasma, redness, enlarged pores, acne scars, fine lines, and early skin laxity.
The needle depth can be adjusted from 0.3 to 4.0 mm, allowing the treatment depth, RF mode, and energy level to be selected according to the treatment area and individual skin condition.
How Does Sylfirm X Plus Work?
SYLFIRM X is a 2 MHz bipolar RF microneedling system. Very fine needles enter the skin at a selected depth and deliver RF energy directly into the targeted tissue.
Pulsed Wave (PW)
Pulsed Wave delivers RF energy in short pulses. It may be selected for certain pigmentary and vascular-related concerns, including melasma and facial redness, depending on the doctor’s assessment.
Continuous Wave (CW)
Continuous Wave delivers RF energy continuously to generate controlled heat within the tissue. This stimulates collagen remodeling and may be used for concerns such as enlarged pores, acne scars, fine lines, uneven skin texture, and early skin laxity.
Adjustable Depth from 0.3–4.0 mm
The doctor can adjust the needle depth according to the treatment area and skin concern rather than using the same depth across the entire face.
For example, relatively superficial settings may be considered for some pigment-related concerns, while deeper settings may be selected when targeting acne scars or collagen remodeling.
How Is Sylfirm X Plus Different from Other RF Microneedling Treatments?
Sylfirm X Plus belongs to the RF Microneedling category, but SYLFIRM X offers both PW and CW modes with adjustable needle depths from 0.3–4.0 mm.
This gives the doctor flexibility to create different treatment plans for skin texture, collagen remodeling, pigmentation, and redness-related concerns.
| Feature | RF Microneedling in General | SYLFIRM X |
|---|---|---|
| Technology | RF Microneedling | 2 MHz Bipolar RF Microneedling |
| RF Modes | Depends on the device | Pulsed Wave (PW) + Continuous Wave (CW) |
| Needle Depth | Varies by device | Adjustable from 0.3–4.0 mm |
| Treatment Planning | Often focused on collagen remodeling | PW / CW can be selected according to the treatment goal |
What Can Sylfirm X Plus Help With, and Who Is It Suitable For?
Sylfirm X Plus can be used for several skin concerns. The doctor selects the appropriate PW or CW mode, needle depth, and RF energy according to the main concern and individual skin condition.
Melasma and Uneven Pigmentation
RF Microneedling, including pulsed RF protocols, has been studied as an adjunctive treatment for melasma.
It may be considered for patients with persistent melasma or uneven pigmentation who require a broader treatment plan that also addresses the underlying skin structure.
Melasma is a chronic and relapsing condition, so RF Microneedling should generally be considered part of a treatment plan that may also include sun protection, topical medication, or other therapies.
Redness and Rosacea
Pulsed RF Microneedling has also been studied in patients with rosacea and certain forms of persistent facial redness.
However, facial redness can have many causes. A doctor should first determine whether it is related to rosacea, visible blood vessels, acne inflammation, irritation, or another skin condition.
Enlarged Pores and Uneven Skin Texture
Microneedling combined with RF stimulates collagen remodeling within the skin. This may help improve skin texture and make enlarged pores appear less noticeable over time.
Acne Scars
RF Microneedling can stimulate collagen remodeling and may improve certain types of acne scars.
However, different scar types such as ice pick, boxcar, and rolling scars respond differently. Some patients may require subcision, laser treatment, or other procedures as part of a combined treatment plan.
Fine Lines and Skin Firmness
Continuous RF produces controlled heat within the skin and stimulates collagen remodeling, which may help improve fine lines and early loss of skin firmness.
Overall, Sylfirm X Plus may be considered for people concerned about melasma, redness, enlarged pores, acne scars, fine lines, uneven texture, or early skin laxity.
Suitability should be based on the main skin concern and individual skin condition rather than age alone.
What Should I Know Before Sylfirm X Plus?
Before treatment, the doctor should assess your skin condition, medical history, previous procedures, and treatment goals before selecting the RF mode, needle depth, and energy level.
Who Should Tell Their Doctor Before Treatment?
Inform your doctor if you:
- Are pregnant or breastfeeding.
- Have an active wound, infection, herpes outbreak, or significant skin inflammation in the treatment area.
- Have a bleeding disorder or abnormal blood clotting.
- Take anticoagulants or other regular prescription medication.
- Have a pacemaker or another implanted electronic device.
- Are currently taking acne medication or medication that may affect wound healing.
- Recently had laser treatment, fillers, Botox, thread lifting, or another procedure in the same area.
Do not stop prescribed medication on your own. Discuss your medication with the treating doctor first.
How Should I Prepare Before Treatment?
- Tell the doctor about your medical conditions, medications, supplements, and previous aesthetic procedures.
- Avoid AHA, BHA, retinoids, or other irritating skincare products if advised before treatment.
- Avoid scrubs, aggressive exfoliation, or procedures that cause skin irritation shortly before your appointment.
- Contact the clinic if you have sunburn, a rash, an open wound, or severe active acne in the treatment area.
- Get adequate rest and maintain your usual skin hydration.
What Happens During a Sylfirm X Plus Treatment?
- Consultation and Skin Assessment – The doctor evaluates your main concerns and selects the appropriate RF mode, depth, and energy level.
- Skin Cleansing – Makeup, oil, and skincare products are removed.
- Topical Numbing – Numbing cream is usually applied for approximately 30–45 minutes to improve comfort.
- RF Microneedling Treatment – The doctor adjusts needle depth and RF settings according to the treatment area and skin concern.
- Post-Treatment Skin Care – A soothing product or cool compress may be applied if appropriate.
- Aftercare Instructions – You will receive instructions regarding cleansing, skincare, makeup, sun protection, and activities after treatment.
The total appointment time varies depending on the treatment area and program and includes consultation, numbing, and skin preparation.
Does Sylfirm X Plus Hurt?
Because the treatment involves microneedles and RF energy, you may feel small pinpricks together with warmth or brief tingling during treatment.
The level of discomfort depends on:
- The treatment area
- Needle depth
- RF energy level
- Your individual sensitivity
Topical numbing cream is generally applied for approximately 30–45 minutes beforehand, and the doctor can adjust the treatment settings when appropriate.
What Should I Expect After Sylfirm X Plus?
How Much Downtime Is There?
Downtime is generally relatively short, but this does not mean that there will be no visible skin reaction after treatment.
Temporary effects may include:
- Redness
- Mild swelling
- Small needle marks
- Temporary dryness or tightness
- Warmth or tenderness
Recovery time varies according to your skin condition, needle depth, energy settings, and treatment area.
What Side Effects Can Occur?
Most side effects are temporary and may include redness, swelling, itching, burning, dryness, or mild sensitivity.
Post-inflammatory hyperpigmentation (PIH) can also occur, particularly if the skin becomes significantly inflamed or is exposed to strong sunlight during recovery.
If you experience significant pain, severe swelling, blistering, discharge, unusual skin discoloration, or symptoms that do not improve as expected, contact your doctor.
How Should I Care for My Skin After Treatment?
- Avoid unnecessarily touching, scratching, or picking the treated skin.
- Avoid AHA, BHA, retinoids, scrubs, and irritating skincare products until the skin has recovered.
- Avoid saunas, steam rooms, and strenuous exercise during the early recovery period.
- Use a gentle moisturizer to support the skin barrier.
- Use broad-spectrum SPF 50+ and minimize strong sun exposure.
- Resume makeup when there are no open areas or significant irritation and follow your doctor’s instructions.
When Will I See Results, and How Many Sylfirm X Plus Treatments Do I Need?
The timeline and number of treatments depend on the concern being treated.
- Pores / Texture / Firmness – Changes usually develop gradually over several weeks as collagen remodeling occurs.
- Melasma and Pigmentation – Results generally need to be assessed over several treatment sessions and alongside an appropriate melasma management plan.
- Redness / Rosacea – Improvements reported in studies generally develop gradually after multiple treatments.
- Acne Scars – Collagen remodeling takes time, and more than one treatment is usually required.
There is no standard number of sessions that is suitable for everyone.
Clinical studies of RF Microneedling have used different treatment numbers and intervals depending on the condition being treated. The doctor should therefore create an individual treatment plan and reassess the response after each session.
Can Sylfirm X Plus Be Combined with Other Treatments?
Sylfirm X Plus may be included in a broader aesthetic or dermatologic treatment plan alongside procedures such as:
- Ultherapy Prime or Ultraformer III
- Thermage or other monopolar RF treatments
- Pico laser or pigment-focused laser treatments
- Botox or fillers
- PRP or selected skin-quality treatments
However, there is no single treatment sequence or waiting period that is appropriate for everyone.
The timing depends on the type of procedure, treatment area, energy settings, current skin condition, and individual treatment goals.
Your doctor should plan the treatment sequence to avoid excessive irritation or interference between procedures.
Sylfirm X Plus vs. HIFU vs. Thermage
Sylfirm X Plus, HIFU, and Thermage are all non-surgical aesthetic treatments, but they use different forms of energy and target different types of concerns.
| Feature | Sylfirm X Plus | HIFU / Ultraformer III | Thermage / Monopolar RF |
|---|---|---|---|
| Technology | RF Microneedling PW + CW | Focused Ultrasound | Monopolar RF |
| Energy Delivery | Microneedles deliver RF at selected depths | Focused ultrasound creates treatment points at selected tissue depths | Creates broader controlled heating within the tissue |
| Common Treatment Goals | Texture, pores, acne scars, and selected pigment/redness concerns | Skin laxity and facial contour | Overall firmness and collagen remodeling |
| Uses Needles | Yes | No | No |
| Downtime | Temporary redness, swelling, or needle marks may occur | Generally minimal | Generally minimal |
These treatments are not direct substitutes for one another because they work differently and are commonly selected for different treatment goals.
The appropriate treatment depends on your main skin concern, facial anatomy, previous procedures, expected result, and doctor’s assessment.
How Much Does Sylfirm X Plus Cost in Thailand?
The price of Sylfirm X Plus depends on the treatment area, treatment plan, and whether it is combined with another procedure.
Sylfirm X Plus Price at Smooth Clinic
| Treatment Area | Price |
|---|---|
| Full Face and Neck | 16,990 THB / session |
*Prices and promotions may change. The final price may also vary depending on the treatment plan and any additional procedures. Please confirm the current price with the clinic before booking.
Is SYLFIRM X FDA-Cleared?
SYLFIRM X by VIOL has received U.S. FDA 510(k) clearance as an electrosurgical device for dermatologic procedures under the indications listed in its FDA documentation.
However, FDA clearance should not be interpreted as direct FDA approval for treating melasma, rosacea, acne scars, or every skin condition discussed on this page.
The use of RF Microneedling for individual skin concerns should be considered together with clinical evidence and the doctor’s assessment.
Where Should I Get Sylfirm X Plus in Bangkok?
When choosing a clinic for Sylfirm X Plus in Bangkok, price should not be the only consideration.
Look for a clinic that:
- Uses an authentic SYLFIRM X device and treatment tips from a verifiable source.
- Provides a doctor consultation before treatment.
- Selects PW / CW mode, needle depth, and RF energy according to the individual skin concern.
- Clearly explains the expected number of treatments, realistic results, and limitations.
- Provides clear pre-treatment and aftercare instructions.
- Offers a way to contact the clinic if you have concerns after treatment.
For international patients, it is also useful to confirm the total treatment price, what is included, whether consultation and follow-up are included, and whether English-language support is available before booking.
Conclusion
Sylfirm X Plus is an RF Microneedling treatment program using SYLFIRM X technology, which combines Pulsed Wave (PW) and Continuous Wave (CW) RF with adjustable needle depths from 0.3–4.0 mm.
This allows the treatment to be customized for concerns such as melasma, facial redness, enlarged pores, acne scars, fine lines, uneven texture, and early loss of firmness.
Results and the appropriate number of sessions vary depending on the condition being treated. This is particularly important for chronic conditions such as melasma and rosacea, which usually require ongoing management rather than a one-time treatment.
Sylfirm X Plus FAQs
Does Sylfirm X Plus Use Needles?
Yes. It is an RF Microneedling treatment that uses very fine needles to deliver RF energy at selected depths beneath the skin.
Does Sylfirm X Plus Hurt?
You may feel small pinpricks together with warmth or brief tingling. Topical numbing cream is generally applied beforehand to improve comfort.
How Much Downtime Is There?
Downtime varies between patients. Temporary redness, swelling, dryness, sensitivity, or small needle marks may occur after treatment.
How Many Sylfirm X Plus Treatments Do I Need?
There is no fixed number for everyone. Pores, acne scars, melasma, and redness may require different treatment numbers and intervals, so the treatment plan should be individualized.
Can Sylfirm X Plus Help with Melasma?
RF Microneedling has been studied as an adjunctive treatment for melasma. However, melasma is chronic and may recur, so treatment should be combined with appropriate sun protection and other therapies when indicated.
Can Sylfirm X Plus Help with Facial Redness?
Fractional RF Microneedling has been studied in patients with rosacea and certain types of facial redness. A doctor should first determine the cause of the redness before treatment.
Can Sylfirm X Plus Help with Acne Scars?
RF Microneedling can stimulate collagen remodeling and may improve certain types of acne scars. Deeper scars may require other procedures such as subcision or laser treatment.
Can I Wear Makeup After Sylfirm X Plus?
It is best to wait until the skin has no open areas or significant irritation and follow your doctor’s aftercare instructions, particularly during the first 24 hours.
Can Men Have Sylfirm X Plus?
Yes. Suitability depends on the skin concern and treatment plan rather than gender.
References
- VIOL Medical — SYLFIRM X Official Product Information. Information on the 2 MHz bipolar RF microneedling system, PW/CW modes, and adjustable needle depth from 0.3–4.0 mm. VIOL Medical
- U.S. Food & Drug Administration (FDA). SYLFIRM X — 510(k) Premarket Notification K213612. FDA 510(k) Database
- Han HJ, Kim JC, Park YJ, Kang HY. (2024). Targeting the dermis for melasma maintenance treatment. Scientific Reports. PubMed
- Gulfan MCB, Wanitphakdeedecha R, et al. (2022). Efficacy and Safety of Using Noninsulated Microneedle Radiofrequency Alone Versus in Combination with Polynucleotides for the Treatment of Melasma: A Pilot Study. PubMed
- Park BJ, Jung YJ, Ro YS, Chang SE, Kim JE. (2022). Therapeutic Effects of New Pulsed-Type Microneedling Radiofrequency for Refractory Facial Pigmentary Disorders. Dermatologic Surgery. PubMed
- Park SY, Kwon HH, Yoon JY, Min S, Suh DH. (2016). Clinical and Histologic Effects of Fractional Microneedling Radiofrequency Treatment on Rosacea. Dermatologic Surgery. PubMed
- Efficacy and Safety of Non-Insulated Fractional Microneedle Radiofrequency for Treating Difficult-to-Treat Rosacea: A 48-Week Prospective Observational Study. PubMed