Sylfirm X RF Microneedling in Richmond, BC
Dual-wave radiofrequency microneedling for patients across Greater Vancouver
Sylfirm X is a dual-wave RF microneedling treatment that sends radiofrequency energy through insulated microneedles to treat pigmentation such as melasma, redness, enlarged pores, acne scars and mild laxity. At our Richmond clinic Dr. Charles Jiang plans each course; most people need 3-6 sessions, 4-6 weeks apart. Results vary.
- 45–60 min
- Typical Session, Plus Numbing Time
- 24–48 h
- Typical Time to Resume Normal Activities
- 3-6 sessions
- Typical Course
- 45–60 min
- Typical Session, Plus Numbing Time
- 24–48 h
- Typical Time to Resume Normal Activities
- 3-6 sessions
- Typical Course
What is Sylfirm X RF microneedling, and how does it work?
Sylfirm X utilizes two distinct radiofrequency wavelengths (Na effect for vascular lesions and PW effect for tissue remodeling) delivered through ultra-fine microneedles. This dual-action approach provides comprehensive treatment for various skin concerns.
Sylfirm X is a radiofrequency microneedling device that combines two radiofrequency wavelengths delivered through ultra-fine insulated microneedles. The Na effect is designed to target abnormal blood vessels linked to redness and rosacea, while the PW effect stimulates tissue remodelling and collagen production. This dual-action approach addresses both vascular and structural skin concerns in one session. Plans are often framed by goal: pigment and redness lean mainly on the pulsed mode, firmness and pores mainly on the continuous mode, and acne scars can use both. Session count and spacing are set at your assessment, commonly 3-6 sessions about 4-6 weeks apart.
Precise Vascular Targeting
Na effect selectively targets abnormal blood vessels causing redness and rosacea.
Tissue Remodeling
PW effect stimulates collagen production and tissue tightening.
Comprehensive Treatment
Addresses multiple skin concerns in a single treatment session.

Na effect vs PW effect: what does each wave do?
Sylfirm X delivers two complementary radiofrequency energies through insulated microneedles. The Na effect (the pulsed mode) targets vascular components, while the PW effect (the continuous mode) promotes tissue regeneration and collagen remodelling.
Na Effect Technology
Narrow pulse width targeting abnormal blood vessels and vascular lesions.
PW Effect Technology
Continuous pulse width for tissue coagulation and collagen stimulation.
Insulated Microneedles
Precise energy delivery to target depths while protecting surface tissue.
Customizable Parameters
Adjustable settings for different skin types and treatment areas.
Who is Sylfirm X suitable for, and who should avoid it?
Sylfirm X is suitable for individuals seeking comprehensive skin improvement including redness reduction, texture refinement, and overall rejuvenation. Our team will assess your skin concerns and goals to determine if this treatment is right for you.
Good Candidates Include
- +Individuals with facial redness or rosacea
- +Those with enlarged pores or acne scars
- +People seeking skin tightening and rejuvenation
- +Individuals with melasma or other pigmentation (results vary and recurrence is possible)
- +Those with fine lines and early signs of aging
Not Recommended For
- –Pregnant or breastfeeding women
- –People with active skin infections or cold sores
- –Those with pacemaker or metal implants in treatment area
- –People with uncontrolled diabetes
- –Individuals taking blood-thinning medications
- –Recent oral acne medication (isotretinoin), or dermal filler in the area within the past two weeks; tell us at booking
Why have Sylfirm X at our Richmond clinic?
Sylfirm X treatment at Richmond Anti-Aging Clinic is planned and supervised by Dr. Charles Jiang, with consultations in English, Mandarin and Cantonese.
Physician-Led Technology
A genuine Sylfirm X system, operated under physician supervision.
Dual-Action Treatment
An approach that addresses both vascular and structural skin concerns.
Minimal Downtime
Most people resume normal activities within 24-48 hours; temporary redness and swelling are possible.
Individual Treatment Planning
Dr. Jiang sets treatment parameters for your skin type and concern.
What can Sylfirm X treat on the face?
Sylfirm X is used for a range of facial skin concerns. For stretch marks and loose skin on the body, see our Sylfirm X Body page.
Facial Redness & Rosacea
Target abnormal blood vessels and reduce persistent facial redness.
Acne Scars & Enlarged Pores
Stimulate collagen remodeling to improve skin texture and pore size.
Skin Tightening
Enhance skin elasticity and firmness through tissue coagulation.
Melasma & Pigmentation
May help with the vascular component that contributes to some pigmentation; results vary.
Fine Lines & Wrinkles
Stimulate collagen production for smoother, more youthful skin.
Skin Rejuvenation
Comprehensive improvement of skin tone, texture, and overall appearance.
What happens during a Sylfirm X session?
A typical session takes about 45–60 minutes, plus time for the numbing cream to take effect. It covers assessment, numbing, treatment and aftercare, followed by gradual improvement over several weeks.
Pre-Treatment Preparation
Comprehensive skin assessment and treatment planning
Avoid blood-thinning medications for 5-7 days prior
Discontinue retinoids and exfoliants 3-5 days before
Arrive with clean, makeup-free skin
Discuss expectations and post-treatment care plan
Treatment Session
Skin Preparation
Cleansing and application of topical numbing cream for comfort.
Treatment Mapping
Precise planning of treatment zones based on skin analysis.
RF Microneedling
Systematic application of Sylfirm X technology to target areas.
Post-Treatment Care
Application of soothing products and immediate aftercare instructions.
Recovery & Results
Gentle skincare routine for the first 24-48 hours
Avoid harsh products, exfoliants, and sun exposure
Use the moisturizer and sun protection recommended by your clinician
Results improve progressively over 4-6 weeks; pinpoint marks usually settle within a few days, and makeup can resume once your clinician says the skin is ready
Maintenance treatments every 6-12 months
**Individual results vary. Multiple treatment sessions are typically recommended; the number depends on the concern.
Sylfirm X Questions Answered
How does Sylfirm X differ from other RF microneedling treatments?+
Sylfirm X delivers two radiofrequency modes through the same insulated microneedles: a pulsed mode (the Na effect) used mainly for abnormal blood vessels and pigment concerns, and a continuous mode (the PW effect) used mainly for tightening and collagen remodelling. Some RF microneedling devices use a single energy pattern. With Sylfirm X, Dr. Jiang chooses the balance of the two for your concern. Results vary.
Does Sylfirm X hurt?+
Most people feel warmth and mild pricking. We apply topical numbing cream beforehand; comfort varies from person to person.
How many treatments are needed?+
Many people have 3-6 sessions spaced 4-6 weeks apart, then occasional maintenance. The number depends on your concern and goals, and Dr. Jiang confirms the plan at your assessment. Results vary.
What is the downtime after Sylfirm X, and what are the side effects?+
Most people resume normal activities within 24-48 hours. Temporary redness, swelling or pinpoint marks for 1-3 days are possible, and makeup can resume once your clinician says the skin is ready. Pigment changes (PIH) are also possible, particularly in darker skin, which is why settings are chosen for your skin. Dr. Jiang reviews risks at your assessment.
Can Sylfirm X be combined with other treatments?+
Yes. Sylfirm X can be planned alongside injectables, laser treatments or other skin rejuvenation procedures, following appropriate timing, and Dr. Jiang assesses the sequence for your skin. Results vary.
How much does Sylfirm X cost in Richmond, BC?+
Fees are not published online. Pricing depends on the area treated and the number of sessions, and is confirmed after an assessment with Dr. Jiang.
Does Sylfirm X help melasma?+
Some people with melasma see lightening, but melasma tends to recur and results vary. Sun protection is essential, and we suggest checking with your family doctor if you suspect hormonal or medication triggers.
How long do Sylfirm X results last, and when will I see them?+
Change is usually gradual: some people notice early improvement within days to weeks, and clearer differences build across a full course. How long results last varies with the concern, sun exposure and home care; maintenance treatments every 6-12 months are sometimes suggested. Individual results vary, so photos online should not be read as a promise.
Where can I get Sylfirm X near Vancouver?+
We are at Unit 110, 5580 No. 3 Rd, Richmond, BC, about a 3-minute walk from Lansdowne Station on the Canada Line. Open daily 9:00-18:00; English, Mandarin and Cantonese.
How is Sylfirm X different from Sylfirm X Body?+
The face treatment uses finer settings for facial skin. The body version uses longer needles and longer sessions for stretch marks and loose skin on the abdomen, thighs and arms.
Does Sylfirm X help acne scars?+
Sylfirm X is used for acne scars and enlarged-looking pores, because the radiofrequency energy delivered through the microneedles supports collagen remodelling over a course of sessions. Both modes can be used. How much a scar softens depends on its type and depth, so Dr. Jiang assesses your scars first and sets the plan. Results vary.
Is Sylfirm X suitable for darker or Asian skin tones?+
Often yes, with careful settings. Insulated needles keep the energy at the needle tip, and Dr. Jiang chooses mode, depth and energy with the risk of pigment rebound (PIH) in mind. No treatment is risk-free, and an active flare, recent sun exposure or certain medications may mean waiting. Strict daily sun protection afterwards is important.
Concerns this treatment is used for
Each of these has its own page explaining the cause, the options, and what recovery looks like:
Experience Dual-Wave RF Technology
Book a consultation with Dr. Charles Jiang to assess your skin and build a personalised Sylfirm X plan.
Related treatments
What our clinical team has written about this
How it works, who it suits, and what recovery looks like:
- Sylfirm X vs Microneedling: Mechanism, Evidence and Who Benefits
A physician-authored deep dive into how Sylfirm X RF microneedling works, what the clinical evidence shows, and who makes an ideal candidate for treatment.
- Sylfirm X RF Microneedling for Melasma, Rosacea and Acne Scars
Sylfirm X has two RF modes: pulsed wave for melasma and redness, continuous wave for scars and pores. How each works on the face, what treatment feels like and how many sessions are usual.
- Sylfirm X Body: Step by Step, Realistic Results and Alternatives
What a Sylfirm X Body session involves from numbing to follow-up, what results are realistic for stretch marks, laxity and pigment, and how it compares with other body skin treatments.
- Sylfirm X for Stretch Marks, Body Acne Scars and Loose Skin in Richmond, BC
Sylfirm X RF microneedling is also used on the body: stretch marks, body acne scars and loose skin on the abdomen, thighs and arms. How treatment works, downtime and how many sessions are usual.
Also offered at our Burnaby location
SkinArt MD offers the same treatment. If Burnaby is more convenient, our sister clinic can help.
#101 - 4378 Beresford St, Burnaby, BC V5H 0H6 · +1 (604) 639-2581


