At The Heights Plastic Surgery Med Spa in San Antonio, microneedling treatments are designed to rejuvenate skin with precision and minimal downtime. Guided by board-certified plastic surgeons and performed by medically licensed specialists, our team offers three options to target lines, texture, scars, and laxity. Choose from Genius® RF or SkinPen® microneedling based on your goals and comfort.


What Is Microneedling?

Microneedling is a non-surgical treatment that stimulates the body’s natural healing process to rejuvenate the skin from within. Using ultrafine needles, it creates controlled micro-injuries on the skin’s surface, prompting the production of collagen and elastin, the essential proteins responsible for smooth, firm, and youthful-looking skin. 

As new collagen forms, the skin becomes stronger, more resilient, and noticeably refreshed. Microneedling can improve fine lines, wrinkles, acne scars, enlarged pores, uneven tone, and texture, giving the complexion a healthier and more radiant appearance over time.

Microneedling vs. RF Microneedling

Traditional microneedling focuses on mechanical stimulation at the surface level to promote collagen remodeling. In contrast, radiofrequency (RF) microneedling adds an advanced layer of technology that delivers thermal energy into the deeper dermal tissues through the same microchannels. This combination not only enhances collagen and elastin production but also tightens and firms the skin from within. 

The result is a more dramatic improvement in skin laxity, tone, and texture compared to traditional microneedling alone. At The Heights Plastic Surgery Med Spa, both options are available and customized based on your skin type, goals, and desired results.


What Are the Benefits of Microneedling?

Microneedling can effectively address:

  • Fine lines and wrinkles
  • Sun damage and age spots
  • Acne scars and other scars
  • Uneven texture and large pores
  • Skin laxity and mild sagging
  • Excessive sweating in select areas

Other Benefits of Microneedling

  • Minimal downtime
  • Comfortable treatment with topical numbing
  • Suitable for all skin types
  • Natural-looking results that enhance your features

Compare Your Microneedling Options

Genius RF Microneedling

  • Combines microneedling with radiofrequency energy to improve texture and elasticity
  • Delivers major results with minimal downtime
  • Intelligent RF delivery adapts to your skin for customized treatments.

SkinPen Microneedling

  • First FDA-approved microneedling device in aesthetics
  • Works without chemicals, heat, or stress for a comfortable experience
  • Little to no downtime and effective for acne scarring and overall skin smoothing

Genius RF Microneedling

Genius RF merges microneedling with radiofrequency energy, which generates heat in the deeper layers of the skin. This dual action encourages collagen and elastin production. Genius RF adapts energy output based on your unique skin characteristics. It supports consistent results on delicate facial areas and thicker body skin.

How Genius RF Works

  1. Microneedles create micro-channels to trigger the healing response.
  2. RF energy is delivered through these channels to boost collagen and elastin.
  3. Intelligent RF delivery customizes energy in real time for precision and safety.

Popular Areas

Face, neck, décolleté, arms and underarms, front and back of legs, stomach. It can tighten skin more than other technologies and can address crepey skin and scars.

Treatment Course

A series of three treatments is suggested for best results. Many patients then choose yearly maintenance care based on their concerns.

How Genius Boosts Skin Volume

By encouraging collagen production and initiating new collagen formation, skin appears smoother and healthier.


SkinPen Microneedling

SkinPen is a simple, non-surgical procedure that works beneath the surface to reduce acne scarring and create smoother skin. It is FDA-cleared and uses a handheld device that is safe, effective, and associated with little to no downtime.

How SkinPen Works

  • Inflammation stimulates an immune response with tiny needles that initiate healing.
  • Proliferation promotes new skin cell creation and increased collagen production.
  • Remodeling replaces damaged tissue with new dermal tissue rich in structural proteins for a more youthful look.

Who Benefits

Adults and teens seeking smoother, more even complexions. SkinPen remains a popular option for acne scarring in teenagers.


What to Expect During Microneedling

Microneedling at The Heights Plastic Surgery Med Spa is a comfortable and precise treatment that delivers visible results.

During your visit:

  • A topical numbing cream is applied for comfort.
  • Your medical provider gently moves a handheld device across the skin to create microchannels that trigger collagen production.
  • For RF microneedling, controlled heat is delivered into deeper layers to boost tightening and elasticity.
  • Sessions typically last 45 to 60 minutes, depending on the treatment area.

After treatment:

  • Mild redness or warmth may occur and usually fades within 24 to 48 hours.
  • Skin may feel tighter and smoother as new collagen develops over the next few weeks.
  • Results continue to improve with each session, revealing a firmer, more radiant complexion.

How to Prepare for Microneedling

Proper preparation helps your skin respond beautifully to treatment.

Before your appointment:

  • Cleanse your skin with a gentle, non-exfoliating cleanser.
  • Avoid makeup, lotions, or topical products on the day of treatment.
  • Discontinue retinoids, exfoliating acids, and other active skincare products 4–5 days before your session.
  • Limit sun exposure and apply sunscreen daily in the weeks leading up to treatment.
  • Stay hydrated and maintain a consistent skincare routine for the best results.

Your medical skincare specialist will:

  • Review your current skincare habits.
  • Provide personalized instructions based on your skin type and goals.

Your Safety. Our Priority.

At The Heights Plastic Surgery Med Spa, we’re more than a med spa—we’re a medically guided, results-driven destination for confidence, care, and natural beauty. Locally operated and provider-led, we proudly serve the San Antonio and Boerne communities with a full-scope approach to aesthetics. Every treatment combines the safety of clinical protocols with the comfort of a luxury spa environment, ensuring your experience is both effective and deeply personalized.

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Discover Your Inner Glow at Our San Antonio Med Spa

Whether you want collagen remodeling, targeted tightening, or a comfortable path to smoother skin, our team can help you choose the option that fits your goals. Schedule your consultation in San Antonio or Boerne and discover which microneedling treatment is the best path to clearer, firmer, more even skin.