We proudly offer the Sylfirm X, the most extensively researched and clinically proven system in radiofrequency and bio-stimulatory energy delivery.

Our proprietary technology is minimally invasive, combining the natural stimulation and benefits of microneedling with simultaneous energy delivery. This powerful combination, often referred to as RF microneedling, effectively treats aging skin, rejuvenates collagen and elastin, and improves overall texture and skin health. It also reduces the appearance of scars and sun damage.

Furthermore, we are excited to introduce the newly released and FDA-cleared Sylfirm X. This groundbreaking dual-wave device is the world’s first and only system capable of effectively treating pigmented and vascular lesions, including melasma, diffuse redness, and rosacea.

THE PROCEDURE

What It Is

Sylfirm X, developed by BENEV, is a cutting-edge technology that combines microneedling and collagen induction with radiofrequency (RF) energy stimulation. This advanced RF microneedling treatment effectively reduces skin aging, sun damage, wrinkles, laxity, and scars, and improves skin texture in Toledo.

These minimally invasive, research-proven technologies safely deliver bio-stimulatory energy to targeted areas of the skin. When combined with bioactive growth factors and topicals, RF microneedling stimulates the body’s natural wound healing and growth potential, resulting in brighter and more youthful overall skin health.

Sylfirm X’s dual wave and higher speed energy delivery offer additional benefits such as reduced downtime, improved comfort, and the potential to reduce excessive pigmentation, rosacea, and redness.

How It Works

RF Microneedling combines the use of small surgical-grade micro-needles to create controlled microdamage, activating the natural healing process of the skin and stimulating collagen production. This treatment also incorporates Radiofrequency (RF) technology, delivering controlled heat energy to the deep layers of the skin for enhanced collagen and elastin synthesis. Leading this technique is Sylfirm X, an advanced RF microneedling device that ensures optimal results with minimal downtime.

What It Treats

  • Aging and Damaged Skin
  • Skin Texture
  • Fine Lines and Wrinkles
  • Skin Laxity
  • Acne or other Scarring
  • Excessive Sweating (Hyperhidrosis)
  • Hyperpigmentation, Melasma, and Redness (Rosacea)

Benefits

  • Minimally Invasive: Comfortable treatments with less downtime.
  • Treats Both Face & Body: Both devices can improve scars, skin texture, wrinkles, and laxity anywhere on the body including face, neck, upper chest, arms, and knees.
  • Safe, Comfortable, and Effective Skin Rejuvenation: More youthful overall skin tone and quality, reduce large pores and improve general skin texture.
  • State-of-the-Art Technology: FDA tested and cleared with published clinical research studies.

OVERVIEW

Treatment Time

60 – 120 minutes

The procedure takes approximately 60 to 120 minutes depending on the area treated.

Recovery Time

5 – 10 days

Recovery lasts 5-10 days or longer, depending on the level of treatment.

Side Effects
  • Redness
  • Swelling
  • Grid markings
Anesthetic Type

Topical

A topical anesthetic is recommended.

Your Safety Matters.

Patient safety and natural appearance results are the major priorities for every procedure at EVOLV Plastic Surgery and Medical Aesthetics.

In addition to plastic surgery residency and achieving board certification, Dr. Barone completed advanced fellowship specialty training and research in cosmetic and aesthetic surgery and medicine. Dr. Barone is an active member of the American Society for Aesthetic Plastic Surgery (ASAPS), which admits only board-certified plastic surgeons who have achieved recognition and expertise in aesthetic surgery and medicine. Dr. Barone has conducted clinical research, published numerous articles, and served as a lecturer and instructor for other plastic surgeons and companies.

Frequently Asked Questions

What makes Genius® and Sylfirm X different than other radio frequency devices?

The state-of-the-art proprietary hand piece, motor, and surgical grade needles are designed for safe and precise needle insertion for an optimal treatment. This allows for a very safe treatment for all skin types that is also very effective.

How long does a treatment take?

With an experienced provider, microneedling in Toledo can take anywhere from 45 minutes up to 2 hours, depending upon the areas being treated.

What are the restrictions after RF Microneedling?

You will be advised to avoid makeup, saunas, and working out for 24 hours. Also, you will need to avoid washing or drying the skin with a towel or washcloth, as they can harbor bacteria.

How many RF treatments are needed?

To get the maximum benefit, three or more Sylfirm X or Genius® treatments are typically recommended. Depending upon the patient’s skin and their cosmetic goals, some patients are happy with 1 to 2 treatments. Patients with acne scarring should consider at least 3 treatments and might be more satisfied with 5 or 6.

Do Sylfirm X or Genius® treatments affect fillers?

If the fillers are injected deeply below the skin, the fillers should not be affected. However, we typically recommend waiting approximately 2-3 weeks after receiving filler before having an RF Microneedling treatment.

How long should I wait between treatments?

RF Microneedling treatments can be done as close as 3 or 4 weeks.

How painful are RF Microneedling treatments?

Most patients state that the microneedling in Toledo is mildly to moderately uncomfortable, but very tolerable. At EVOLV, we have pain management tools such as topical numbing cream, Frozen C Cryotherapy, and Pro Nox nitrous oxide. All patients report no discomfort when the procedure is complete.

Can the Sylfirm X or Genius® be used on other parts of the body besides the face?

We routinely treat the neck and chest in conjunction with the face. We also treat arm laxity, knees, and scars from abdominal surgery. Stretch marks have been treated, but results are variable. We have successfully treated hyperhidrosis with the Infini as well. Bottom line is that when appropriate depths and settings are used, the Sylfirm X and Genius® can be used on all areas of the body.

Is anyone not a candidate?

Very few patients would not be candidates. Patients with pacemakers should not be treated. If there is metal in an area of the face, the skin overlying this area cannot be treated. Patients on blood thinners can be treated but will experience bruising.

Are Sylfirm X and Genius® safe for darker skin patients?

The Genius® is protective of the epidermis because its needles are insulated. Also, the depth can be adjusted so the heat from the RF stays in the dermis, below the most superficial layer. Other devices are either not insulated, or try to push heat through the skin, potentially damaging the pigment cells.

The SylfirmX has non-insulated needles but because of the proprietary and unique ways the energy is dispensed, and because of the pulsed mode option and lower energy needed, it is not only safe for darker skin patients, but can be used to treat and reduce excess pigmentation as well as blood vessels, redness, and rosacea.

How does the Genius® and Sylfirm X compare to lasers for treating acne scars?

The Genius® and Sylfirm X are safer than a laser and require less downtime. With laser treatments, it is also possible to get excess pigment after treatment if the skin is not appropriately prepped.

How long do RF microneedling results last?

Unfortunately, results vary from person to person, so it is impossible to give a definitive answer. The collagen created will last at least 7 years; however, the amount of collagen is variable and depends on the overall skin health, patient’s health, smoking habits, age, tanning, sun exposure, and lifestyle. It is usually recommended to have a “touch up” performed every 12-18 months.

Testimonials

What our patients are saying

My experience with all the staff at EVOLV, including Dr. Barone, the coordinator Sandy, nurses Angie and Kayle, and Amy, has been amazing, whether I’m in person or over the phone speaking to the receptionists. I’m only 5 days post-op, and I’m very satisfied with my results so far.

I had two deep scars on my face following an injury. I started seeing Amanda for Microneedling treatments shortly after. I felt comfortable with our evidence-based treatment plan, and I learned a lot from her throughout the process. I cannot thank Amanda enough for helping me through such a difficult time. Thanks to her, I can now feel confident on my wedding day!

I have been going to Dr. Barone’s Evolv for my facials for quite a while and definitely notice an improvement in my skin. Amy is amazing, and I highly recommend her… she’s very knowledgeable and friendly. I highly recommend Evolv!

My skin has NEVER looked this good! I had the Sciton BBL and Halo Laser treatment 5 days ago and am amazed at how smooth and even-toned my skin is… all the spider veins and brown spots are gone! I actually went shopping today with no makeup on, only sunscreen… something I have never done. Payton was wonderful. She explained the procedure as she went and made sure I was comfortable throughout the entire process. I am extremely satisfied and would definitely recommend Evolv. Thank you so much!

Payton is a very friendly and awesome person! I enjoy talking to her. She is honest and helps with what I need. I definitely recommend her!!

Payton is a first-class professional with the expertise to provide the very best results!

It’s very hard to find the right person for your skin whom you can fully trust! But Payton is the one to go to! She is awesome and has great knowledge!

Amy always does a wonderful job. She spends a lot of time talking to me and finding out what the best treatment is for me. She is a very warm and personable person. The entire staff at Evolv is very pleasant and helpful.

Amanda is amazing. We’ve done Emsculpt Neo and Glo 2 Facial. Everything has always been great! She’s an absolute sweetheart.

I love going to Amy for different facial treatments. She is easy to talk to and always does a great job.

Everyone there is extremely accommodating and friendly. The services are wonderful!

Professional, friendly staff. Beautiful environment and great treatment options. Amy and Payton are very knowledgeable and helpful in providing individual attention to my needs. Check out the monthly specials!

Caring, friendly, and knowledgeable staff. Every experience I have with this office is above and beyond!

My first experience here was amazing! I saw April; she was so great about going over every step of the process—from what the products we used were, to pros and cons, to what to expect for results. She was the best! She’s very knowledgeable, and you can tell she gives it her all. I am 1000% satisfied with the service and will definitely be going back (:

Very friendly and knowledgeable staff. I highly recommend this office to everyone!

Everyone is so nice. I saw Amanda, and she really helped me. She suggested some face creams I should use, and what a difference in 2 months! All my age spots and freckles are gone, and I think it even made some of my wrinkles not look as deep. I love the result, and Amanda did not mislead me. Thank you for truly caring.

Always a wonderful experience with EVOLV. The team called to let me know that an appointment had been canceled and created an opening, so I was able to go in prior to my scheduled appointment. As always, I’m thrilled with my treatment results. Every visit and treatment is top-notch, and I always look forward to returning.

I’ve been a client for years, and I wouldn’t go anywhere else but EVOLV. The office staff is always incredibly kind and helpful, and the nurses are the BEST. Simply put, it’s the best place to feel your personal best ❤️

Very gentle, professional, and informative. Best doctor for face care.

Dr. Barone and his colleagues are extremely impressive. Dr. Barone is all about educating his patients.

Dr. Barone is honestly the best in the business. He explains everything clearly and makes you feel comfortable from consultation until you’re healed. He also has a great team of nurses who are knowledgeable and caring. I wouldn’t recommend anyone else for a surgical procedure!

I’m a long-time patient of Dr. Barone’s and appreciate the professionalism and elevated experience provided by him and his fantastic staff. I have recommended this office to my friends for years, and I’ll continue to do so. Thank you for always taking such great care of me.

Everyone was wonderful at Dr. Barone’s office. They took care of me when I couldn’t take care of myself. The staff was extremely helpful. I should’ve done this sooner.

I’ve just completed my second surgical procedure with Dr. Barone and his team. Treatment has been top-notch all the way, and I could not be more pleased with the results ☺️

The minute you walk in the door, you’re treated with kindness by the entire staff. Dr. Barone is a very caring, attentive person with the best staff. You will always feel at ease and comfortable with any procedure you decide on. I look forward to my visits and love the results I have received.

My entire experience with Dr. Barone and his team was great, from my initial phone inquiry all the way through my surgery. They were very friendly, helpful, knowledgeable, and always available to answer any questions that I had. They treated me as if I’d been a client for years! I will confidently recommend Evolv Plastic Surgery & Medical Aesthetics!

I had the best experience with Evolv and Dr. Barone! They took all my concerns into consideration and made sure they knew exactly what I wanted and expected from my breast augmentation! Everyone is very personable and kind! They care a lot and make a great effort before and after to make sure you’re completely comfortable with everything. Not to even mention, my results are absolutely amazing!

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