Ice-pick acne scar microneedling RF
Deep narrow scars. Dr Sam pairs with Pico to reach depth and surface together. 6-10 sessions for visible improvement.
Ice-pick scars and stretch marks live deeper than creams and surface lasers can reach, which is why Dr Samantha layers anti-matte RF microneedling across six to ten sessions so the texture rebuilds naturally.
Full face
Eye area
Full face and neck
Microneedling patients usually arrive with one of two concerns: ice-pick acne scars that pigment lasers haven't fully corrected, or stretch marks that creams haven't touched. RF microneedling is the dermal-remodelling tool for both.
RF microneedling pricing varies by the device used and the session length, which is why a per-session figure only means something alongside those two details. Current per-session pricing at Nexus is shown in the treatment menu above. RF microneedling is not Medisave-claimable.
Anti-matte is the Korean RF microneedling device class, similar mechanism family to Genius RF microneedling (Lutronic), Morpheus8, Intensif, and Sylfirm X. The 24-pin gold needle array + RF power delivery is the shared platform across this device category.
The most common patient frustration with microneedling is the 6-10 session timeline before visible change reads. This isn't a device problem, it's a biology problem. Collagen remodelling takes weeks per session, and compounding takes multiple sessions.
Patients who quit at session 3-4 (a common drop-off point) miss the result that lands at session 6-10. Dr Sam's protocol is honest about this from session 1, with photo comparison at session 6 to show the cumulative change against baseline.
For ice-pick acne scars specifically, microneedling alone often isn't enough, and Pico (/pico-laser-treatment) alone often isn't enough either. The combined protocol is what Dr Sam recommends:
An honest filter before booking. Microneedling is a patience tool, not a fast-result tool.
If your concern is pigmentation, Pico Laser (/pico-laser-treatment) is faster. If it's deep dermal acne scars or stretch marks, microneedling RF + Pico combo is the protocol. If it's skin booster / hydration, see /skin-booster.
Numbing + skin prep
Topical anaesthetic for 30 minutes, microneedling is one of the more uncomfortable procedures without adequate numbing. Skin cleaned and marked.
Microneedling RF pulses
Dr Sam delivers the 24-gold-needle RF pulses across the treatment zone. Depth + RF power calibrated per area, face is 1-1.5mm, stretch marks 2-3mm.
Cool down + soothing
Cold compress. Mild redness + pinpoint bleeding settles within 30-60 minutes.
Aftercare brief + photo baseline
Dr Sam photographs the area for tracking. Brief on the 48-hour aftercare window. Follow-up at week 4-6 for next session.
Total chair time: 60-90 minutes including numbing. RF microneedling downtime is 1-3 days of mild redness + pinprick marks.
| Concern | Sessions | Interval between sessions | Typical review window |
|---|---|---|---|
| Ice-pick acne scars | 6-10 sessions | Every 4-6 weeks | Assess around weeks 16-24 |
| Stretch marks | 4-8 sessions | Every 4-6 weeks | Assess around weeks 12-20 |
| Fine lines | 4-6 sessions | Every 4-6 weeks | Assess around weeks 8-16 |
| Enlarged pores | 4-6 sessions | Every 4-6 weeks | Assess around weeks 8-12 |
| Pico + RF combo (scar) | 6-10 sessions | Every 4-6 weeks | Assess around weeks 12-24 |
Difficult acne scars or stretch marks may require a longer course. Dr Samantha plans a 4-10 session programme depending on scar type, depth, skin response, and whether Pico is combined. Reviews are usually scheduled during the course rather than treated as a fixed result date. Individual results vary.
Microneedling RF side effects are typically mild and short-lived. RF microneedling downtime is short for an energy-based treatment; most patients return to work the next day.
Patients on isotretinoin (Roaccutane) within 6 months are at higher risk of poor wound healing. Dr Sam will wait 6 months post-Roaccutane before treatment.
Aftercare for microneedling is about protecting the open micro-channels for 48 hours + sun-protecting the regenerating skin.
Calm the micro-channels
No makeup over treated zone for 12 hours. Saline mist or barrier cream only. No retinol, no acid actives, no harsh cleansers. Avoid sweat-heavy exercise + saunas + alcohol.
Restore the barrier
Resume gentle moisturiser + SPF 50 (non-negotiable). Skip retinol and acid actives until day 7. Hyaluronic-acid serum boosts hydration during remodelling.
Compound the result
Collagen remodelling continues for 6-12 weeks per session. Daily SPF + barrier care. Photo comparison vs baseline at session 6 to track cumulative change.
Six clinical benefits stand out:

They sit in the broader RF microneedling family, but device choice is not the main decision point. Dr Samantha assesses scar type, treatment depth, skin tone, and PIH risk first, then decides whether RF microneedling belongs in the plan at all.
Collagen remodelling is a slow biological process. Each session creates the controlled dermal injury + heat signal; the body responds across 6-12 weeks per session. Compounding across 6-10 sessions is where the visible result lands. Patients who quit at session 3-4 miss the cumulative change at session 6-10.
Depends on the scar type. For pigmented post-acne marks: Pico (/pico-laser-treatment) is faster and usually enough. For ice-pick or rolling textural scars: combination Pico + microneedling RF is the protocol. Dr Sam decides at consultation based on the scar profile.
RF microneedling price at Nexus is set by area: SGD 1,080 for full face, SGD 650 for the eye area, and SGD 1,800 for full face and neck. Final quote depends on the area treated and whether Pico is combined for acne scars.
Most patients run 6-10 sessions over 6-12 months. Maintenance: 1-2 sessions per year afterwards. Stretch marks usually 4-8 sessions per area. Dr Sam tracks cumulative change with photo comparison at session 6 to confirm progress.
Microneedling for cosmetic indications (acne scars, stretch marks, anti-ageing) is not Medisave-claimable. Some insurance policies cover scar treatment after specific medical conditions, discussed case by case.
Mild redness for 6-24 hours, pinpoint bleeding marks for 12-24 hours, mild swelling for 24-72 hours. Most patients return to work the same day or next day. No makeup over the treated zone for 12 hours; daily SPF 50 from day 1. Lower downtime than ablative laser.
Rare when depth is calibrated correctly. Dr Sam uses depth 1-1.5mm on the face for Fitzpatrick III-V skin types, deeper settings raise PIH risk. The 24-pin Anti-matte device + careful calibration is why this is uncommon at Nexus.
Wait 6 months post-Roaccutane. Isotretinoin affects skin's wound healing. Dr Sam will postpone microneedling until the 6-month clearance to avoid impaired healing or scarring.
Yes, stretch marks are a strong indication for RF microneedling. 4-8 sessions per area typical. Result reads at week 12-20 cumulative. Older white stretch marks respond more slowly than newer red/purple ones.
Twenty minutes with Dr Samantha. Consultation SGD 80, fully credited toward any treatment that follows.
111 Somerset Road, #03-19, TripleOne Somerset, Singapore 238164
Mon to Fri 11am to 8pm · Sat 11am to 3pm · Sun by appointment