Facial laxity
Early to moderate skin laxity along the cheeks, forehead, and lower face — the most common concern we treat.
Sieveking/Medical Aesthetics/Skin Tightening
Skin Tightening in Nashville
RF Microneedling · Collagen-Driven · Physician-Directed
RF microneedling is among the most clinically effective non-surgical approaches to skin tightening. Where you have noticed progressive laxity, deepening texture change, or a softening of the facial contour, radiofrequency microneedling may be the precise answer — delivered under Dr. Sieveking’s medical direction.
Two proven mechanisms, one treatment. Collagen rebuilt from within. Appropriate for all skin tones.
Micro-needles and radiofrequency. One coordinated stimulus. Deeper remodeling.
RF microneedling combines two proven mechanisms of skin remodeling into a single, coordinated treatment. Precisely spaced micro-needles create controlled channels in the dermis while simultaneously delivering radiofrequency energy into the deeper layers of the skin — a concentrated thermal and mechanical stimulus that triggers the body’s own collagen production and elastin remodeling in ways traditional microneedling alone cannot achieve.
At Sieveking Plastic Surgery, the primary platform is VirtueRF, an FDA-cleared radiofrequency microneedling device that delivers customizable energy at precise depths, using robotics-assisted motion for consistent needle placement and uniform energy delivery. Because the energy is deposited below the skin’s surface rather than on it, the procedure suits all skin tones and types, with a lower risk of post-inflammatory hyperpigmentation than many laser-based alternatives.
Areas RF microneedling can address.
A versatile treatment, tailored to multiple areas of concern across the face and body.
Lines and pores
Fine lines, moderate wrinkles, enlarged pores, and uneven texture across the face.
Neck crepiness
Crepey skin and mild to moderate laxity along the anterior neck.
Décolletage damage
Sun damage, texture irregularity, and thinning skin on the upper chest.
Aging hands
Skin thinning and surface texture changes across the backs of the hands.
Abdomen and thighs
Stretch marks, skin laxity following weight changes, and surface irregularities.
The approach
How RF microneedling remodels the skin.
The clinical case for RF microneedling is grounded in measurable biology. When radiofrequency energy reaches the dermis, it creates a controlled thermal injury that stimulates fibroblast activity, encouraging the production of new collagen and elastin fibers over the weeks following treatment. Because the treatment stimulates your own biology rather than introducing a foreign substance, results tend to read as natural and proportionate.
Traditional microneedling is well suited for surface texture, tone, and mild scar revision. RF microneedling with VirtueRF builds on that foundation by adding radiofrequency energy directly into the dermis at a controlled depth — a more intensive thermal stimulus and a meaningfully deeper remodeling effect, better positioned for visible tightening, more pronounced wrinkle reduction, and structural improvement in facial contour.
The recommendation stays honest about limits. For patients with significant skin laxity, Dr. Sieveking may recommend combining RF microneedling with PDO threads — or, where appropriate, a surgical consultation for procedures such as a facelift, to achieve the degree of lifting that non-invasive technology alone cannot replicate. Ultherapy, which delivers micro-focused ultrasound at even deeper tissue planes, can also pair with VirtueRF in a layered skin tightening protocol.
Why choose this treatment
Benefits of RF microneedling treatment.
Grounded in measurable biology — new collagen and elastin, built by your own skin over the weeks following treatment.
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Firmness and elasticity
Visibly improved skin firmness and elasticity as new collagen matures, with reduction in the appearance of fine lines and moderate wrinkles.
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No surgical incisions
Measurable skin tightening in the face, neck, and décolletage — achieved through controlled energy delivery, without a single incision.
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Texture and pores
Smoother skin texture, refinement of enlarged pores, and improvement in the appearance of acne scars and mild hyperpigmentation.
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Natural, proportionate results
Because the treatment stimulates your own biology rather than introducing a foreign substance, results read as natural — the conservative philosophy of the practice.
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Surgical perspective on tap
If you are also considering a facelift or neck lift, Dr. Sieveking can advise on how RF microneedling fits a longer-term treatment plan.
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Results that deepen
Results continue to develop for 3–6 months following a course of treatment, building cumulatively with each session in a series.
For patients who want complementary lifting, Ultherapy delivers micro-focused ultrasound at even deeper tissue planes and pairs well with VirtueRF in a layered skin tightening protocol.
The treatment arc, from consultation to full result.
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Consultation
Candidacy and a personalized protocol
RF microneedling is well suited for patients with mild to moderate skin laxity, texture concerns, fine lines, or acne scarring who prefer a non-surgical approach, and it is appropriate for all skin tones. Patients with active skin infections, certain autoimmune conditions, or implanted electronic devices may not be candidates — your consultation confirms whether this treatment is appropriate for you. Most patients achieve their goals with a series of 3 treatments spaced 4–6 weeks apart; the exact protocol depends on your skin concerns, the degree of laxity, and your desired outcome. You will also receive pre-care guidance: avoid retinoids, exfoliating acids, and prolonged sun exposure for at least one week beforehand.
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Treatment
A comfortable, calibrated session
A topical numbing cream is applied 30–45 minutes before the procedure, and sessions typically take 45–60 minutes depending on the number of areas treated — plan for approximately 90 minutes total. Most patients find the treatment comfortable, describing a warm pressure or mild prickling rather than pain; the VirtueRF device is calibrated to deliver energy at depths and intensities appropriate for your skin and tolerance. Mild redness and a sensation similar to a moderate sunburn are normal immediately afterward.
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Aftercare
The first days and weeks
Redness and minor swelling subside for most patients within days 1–3, and mineral makeup is generally permissible within 24 hours. Follow your provider’s specific aftercare instructions — typically gentle cleansing, mineral SPF, and avoiding strenuous activity, direct sun exposure, and heat-generating activities such as saunas for the first 48 hours. In weeks 2–4, skin may appear temporarily drier or slightly rough as surface renewal progresses, and early improvements in texture are often visible by the end of the first month. Consistent sun protection is essential to protect and preserve your results.
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Maintenance
Collagen maturing over months
Collagen remodeling accelerates over months 1–3, when skin firmness and tone improve progressively and many patients notice the most significant visible change. Full results become apparent over months 3–6 as collagen maturation completes; for patients undergoing a series, cumulative results build with each session. Annual or biannual maintenance sessions are recommended to sustain results over time — and if you are also considering surgical options such as a facelift or neck lift, Dr. Sieveking can advise on how RF microneedling fits within a longer-term treatment plan.
Why Sieveking
Meet Dr. Sieveking
Younger, firmer skin — inside an integrated practice.
Led by Susie Cody RN, CANS, a master injector and former Galderma national trainer; and Jennifer Hammond, licensed clinical aesthetician and laser specialist; under the medical direction of Dr. Sieveking.
Sieveking Plastic Surgery at 1200 Old Hillsboro Road in Franklin is the only practice in Middle Tennessee integrating world-class plastic surgery, advanced medical aesthetics, and clinical longevity medicine under one board-certified physician. Dr. Sieveking’s credentials — Stanford training, the Pitanguy fellowship, and 25 years of surgical practice — inform the standard of care across every service offered here, including RF microneedling with VirtueRF.
When you choose this practice, your skin tightening treatment is not an isolated appointment. It is part of a considered, physician-directed aesthetic plan that can incorporate surgical options, injectable enhancements, laser treatments, and longevity medicine as your goals evolve.
That integrated perspective — combined with the clinical depth of the team and the warmth of a genuinely personal patient experience — is what distinguishes Sieveking Plastic Surgery from every other option in the Franklin and greater Nashville area.
Investment
RF microneedling cost in Franklin, TN.
The cost of RF microneedling at Sieveking Plastic Surgery varies based on the number of areas treated, the number of sessions in your recommended protocol, and any combination treatments included in your plan. Because most patients are treated in a series, the full course is mapped — and priced — before treatment begins, not discovered along the way.
As a premium medical aesthetic practice, we do not discount treatment. Pricing reflects the precision of VirtueRF technology, the clinical expertise of our team, and the individualized care every patient receives. We are happy to provide a personalized quote during your consultation, discussed transparently and without pressure.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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Most RF microneedling sessions at our Franklin practice take between 45 and 60 minutes from needle delivery to completion, not including the 30–45 minutes of topical numbing preparation beforehand. Plan for approximately 90 minutes total for your appointment, with the exact length depending on the number of areas treated during your session.
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Most patients describe the sensation as a warm pressure or mild prickling rather than pain. A topical anesthetic is applied in advance, and the VirtueRF device is calibrated to deliver energy at depths and intensities appropriate for each patient’s skin and tolerance. Discomfort is generally well managed and brief, with redness similar to a moderate sunburn immediately afterward.
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Early improvements in skin texture are often visible within the first 2–4 weeks. The most meaningful results develop over 3–6 months, as new collagen fibers mature and tissue remodeling completes. Patients who undergo a series of three treatments generally see progressive, compounding improvement throughout the course, with full results apparent once collagen maturation is complete.
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Most patients benefit from a series of three treatments spaced 4–6 weeks apart, with annual or biannual maintenance sessions recommended to sustain results over time. The exact number depends on your skin concerns, the degree of laxity present, and your desired outcome — Dr. Sieveking’s team will recommend a personalized protocol during your consultation.
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RF microneedling is well suited for patients who have mild to moderate skin laxity, texture concerns, fine lines, or acne scarring and prefer a non-surgical approach. It is appropriate for all skin tones. Patients with active skin infections, certain autoimmune conditions, or implanted electronic devices may not be candidates; a consultation with Dr. Sieveking’s team will confirm whether this treatment is appropriate for you.
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Before treatment, avoid retinoids, exfoliating acids, and prolonged sun exposure for at least one week. After treatment, follow your provider’s specific aftercare instructions, which typically include gentle cleansing, mineral SPF, and avoiding heat-generating activities such as saunas or intense exercise for 48 hours. Consistent sun protection is essential to protect and preserve your results.
More in Medical Aesthetics.
Lasers & Devices
Begin your journey
Begin younger, firmer skin with RF microneedling at Sieveking Plastic Surgery in Franklin, TN.
We invite you to contact us to schedule a consultation and discover what RF microneedling — and a truly integrated approach to aging well — can do for you. Your treatment here is part of a considered, physician-directed plan that can incorporate surgical options, injectables, laser treatments, and longevity medicine as your goals evolve, all at one address, from one team, under Dr. Sieveking’s medical direction.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment