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Microneedling (Regular and RF)

Your Skin, Renewed. Clearer, Smoother, and Healthier Looking.
Doctor-led microneedling treatments for acne scars, skin texture, tone, and laxity.

Microneedling (Regular and RF)
Aesthetic medical consultation between a doctor and a patient at PI Aesthetics Medical Spa in Mill Creek, WA.

Your Consultation Is Where It All Starts

Before any treatment is discussed, your doctor sits down with you. Not a coordinator, not a patient intake manager. Your doctor.

Your doctor will begin by taking the time to understand what brought you in and what you are hoping to achieve. From there they will perform a comprehensive facial assessment, evaluating your unique anatomy, facial profile, skin condition, and movement patterns. They will share their findings, walk you through what they are seeing, and make sure you leave with a clear understanding of your options. This is not a formality. It is the foundation of everything that follows, because a plan that is right for someone else may not be right for you. We do not rush this part.

From there we walk you through your options honestly, discuss what we believe is appropriate, and build a personalized plan around your goals. We only recommend what we genuinely believe in, and we hold ourselves to the same standard we would expect for our own family.

You will leave with clarity, a plan you feel confident in, and every question answered. Whether you proceed with a treatment that day or not, you will leave informed.

Book Appointment

BEFORE & AFTER

Every Result Has a Story

Before and after micro needling treatment results at PI Aesthetics Medical Spa in Mill Creek, WA.

Treatment type: Regular microneedling

Patient Concerns: After years of dealing with active acne, our patient had finally reached a point of control, only to be left with facial scarring that had become a daily reminder of that chapter. The scars were affecting their confidence in ways that showed up in everyday interactions, from how they carried themselves to how comfortable they felt being seen.

Treatment Plan: We designed a personalized microneedling plan based on the specific type and depth of the scars. Because not all acne scars respond the same way, the approach was built around what the skin actually needed rather than a standard protocol.

Results: The improvement in scar appearance was meaningful and visible. More importantly, our patient felt it, showing up in how they engaged with the world around them. Acne scarring responds best to a series of treatments, and we are continuing to build on these results together. The progress so far speaks for itself.

FAQs

Frequently asked questions

What is microneedling?

Microneedling is a treatment that uses a device with fine needles to create controlled micro-injuries in the skin. This activates your skin's own healing pathways, stimulating collagen production and leading to smoother, more rejuvenated skin over time.

What skin concerns can microneedling treat?

Microneedling is effective for a range of skin concerns including acne scars, fine lines and wrinkles, uneven skin tone and texture, enlarged pores, and mild skin laxity. RF microneedling offers additional skin tightening benefits.

What is the difference between standard microneedling and RF microneedling?

Standard microneedling creates controlled mechanical micro-injuries to stimulate your skin's natural healing response. RF microneedling combines this with radiofrequency energy, delivering gentle heat into the deeper layers of the skin. Your doctor will help you determine which option is best suited to your goals and skin concerns.

How many sessions will I need?

Results from microneedling are cumulative, meaning that a series of treatments delivers the best outcome. Most patients benefit from 3 to 4 sessions spaced 4 to 6 weeks apart, though this depends on your skin concerns and goals. Your doctor will recommend a personalized treatment plan during your consultation.

What is the cost?

Cost depends on the type of microneedling treatment and the number of sessions recommended for your specific goals. Individual treatments at PI Aesthetics start at $450. We typically recommend bundling treatment sessions. Your doctor will provide you with an accurate estimate during your consultation once your treatment plan is established.

What are the risks and how do you manage them?

Like all medical treatments, microneedling carries known risks. We address these thoroughly during your consultation so you can make a fully informed decision. Our team is specifically trained to manage possible complications, and we approach every treatment with a high degree of clinical care and thoughtfulness.

What should I avoid before and after my appointment?

In the days before your treatment, we recommend avoiding alcohol and, if medically able, NSAIDs such as ibuprofen and other medications that can increase bleeding. Certain skincare ingredients such as retinoids and acids (AHA, BHA) should also be paused before treatment. Your doctor will review your specific medications and skincare routine during your consultation and advise accordingly.

What should I expect after treatment and is there any downtime?

Most patients experience redness and mild swelling after microneedling, similar in appearance to a mild sunburn. This typically resolves within 24 to 72 hours. There is minimal downtime (if any) expected with microneedling.

When will I see my results?

Some improvement may be visible within the first few weeks, but the most significant results develop gradually over 3 to 6 months as collagen production increases. Because results are cumulative, continued improvement is typically seen with each additional session in your treatment series.

What is microneedling?

Microneedling is a treatment that uses a device with fine needles to create controlled micro-injuries in the skin. This activates your skin's own healing pathways, stimulating collagen production and leading to smoother, more rejuvenated skin over time.

What skin concerns can microneedling treat?

Microneedling is effective for a range of skin concerns including acne scars, fine lines and wrinkles, uneven skin tone and texture, enlarged pores, and mild skin laxity. RF microneedling offers additional skin tightening benefits.

What is the difference between standard microneedling and RF microneedling?

Standard microneedling creates controlled mechanical micro-injuries to stimulate your skin's natural healing response. RF microneedling combines this with radiofrequency energy, delivering gentle heat into the deeper layers of the skin. Your doctor will help you determine which option is best suited to your goals and skin concerns.

How many sessions will I need?

Results from microneedling are cumulative, meaning that a series of treatments delivers the best outcome. Most patients benefit from 3 to 4 sessions spaced 4 to 6 weeks apart, though this depends on your skin concerns and goals. Your doctor will recommend a personalized treatment plan during your consultation.

What is the cost?

Cost depends on the type of microneedling treatment and the number of sessions recommended for your specific goals. Individual treatments at PI Aesthetics start at $450. We typically recommend bundling treatment sessions. Your doctor will provide you with an accurate estimate during your consultation once your treatment plan is established.

What are the risks and how do you manage them?

Like all medical treatments, microneedling carries known risks. We address these thoroughly during your consultation so you can make a fully informed decision. Our team is specifically trained to manage possible complications, and we approach every treatment with a high degree of clinical care and thoughtfulness.

What should I avoid before and after my appointment?

In the days before your treatment, we recommend avoiding alcohol and, if medically able, NSAIDs such as ibuprofen and other medications that can increase bleeding. Certain skincare ingredients such as retinoids and acids (AHA, BHA) should also be paused before treatment. Your doctor will review your specific medications and skincare routine during your consultation and advise accordingly.

What should I expect after treatment and is there any downtime?

Most patients experience redness and mild swelling after microneedling, similar in appearance to a mild sunburn. This typically resolves within 24 to 72 hours. There is minimal downtime (if any) expected with microneedling.

When will I see my results?

Some improvement may be visible within the first few weeks, but the most significant results develop gradually over 3 to 6 months as collagen production increases. Because results are cumulative, continued improvement is typically seen with each additional session in your treatment series.

When will I see my results?

Results typically begin to appear within 3 to 5 days and continue to develop over the following two weeks, by which time the full effect can be appreciated. We schedule your follow-up appointment after that point to assess your results once they have fully settled.

Patient Testimonials

Our Patients, In Their Own Words

Before and after medical skin care results at PI Aesthetics Medical Spa in Mill Creek, WA.

Moustafa Ismail

average rating is 5 out of 5

via Google

I had a wonderful experience at this clinic for my hyperhidrosis and microneedling treatments. The space is beautiful, upscale, and spotlessly clean, with the bonus of a free and spacious parking lot.
From the moment I walked in, the front desk staff was incredibly warm and friendly. Dr. Thoa and Dr. Federico are true experts; they are so knowledgeable and make you feel right at home. They gave me honest, personalized advice, just like family, and it’s clear they genuinely care about building a long-term relationship with their patients. That personal touch and commitment to care are what truly set this place apart for me.
I highly recommend them!

Before and after medical skin care results at PI Aesthetics Medical Spa in Mill Creek, WA.

Rhonda B

average rating is 5 out of 5

via Google

This was the best day ever! Thoa is amazing. I had microneedling and botox - the appointment was so much fun. I've been looking for a small business that was interested in me as a person, not just a profit. Thoa is all of the things I wanted, and more - she's very careful and gentle with her work, fun to talk to, and a great hostess. Looking forward to my next visit with her!

Portrait of a smiling medical aesthetic provider at PI Aesthetics Medical Spa in Mill Creek, WA.

"Microneedling is one of the most versatile treatments we offer, and it consistently surprises patients with how much of a difference it makes. It can address so many concerns at once, but where it truly stands out is acne scarring. Medical grade microneedling is in a different category from what most people imagine when they hear the word. It is precise, it is effective, and the fact that it is virtually painless with minimal downtime makes it one of those treatments I genuinely love recommending."

- Federico Fenton, MD

Provider & Co-Founder

"Some of my patients have been living with acne scars for years, sometimes decades, convinced that this was simply how their skin would always look. Being able to tell them that it does not have to be that way, and then walking alongside them as their skin improves and their confidence grows, is deeply meaningful to me. Watching someone who once felt defined by their scars start to feel free from them brings me so much joy."

- Thoa Fenton, DNP

Medical Director, Provider & Co-Founder

Portrait of a smiling medical aesthetic provider at PI Aesthetics Medical Spa in Mill Creek, WA.

What our doctors have to say about microneedling

Overview

Microneedling works by activating your skin's own renewal process, stimulating collagen and elastin production in a way that produces real, visible improvements over time. For patients dealing with acne scarring, it is one of the most effective tools available. For those noticing changes in skin texture, tone, or laxity, it offers a path to skin that looks and feels genuinely healthier.


At PI Aesthetics we offer both standard microneedling and RF microneedling, two technologies that share the same foundational approach but differ in depth, intensity, and the specific concerns they address most effectively. You do not need to arrive knowing which one is right for you. That is exactly what your consultation is for. Your doctor will assess your skin, understand your goals, and recommend the approach that fits your specific situation.


Every treatment is planned with clinical precision and personalized to your skin. Because microneedling done well is not a one-size-fits-all procedure. The parameters, the depth, the number of sessions, and the technology all depend on what your skin actually needs, and getting that right is what separates results you notice from results that change how you feel about your skin.

Starting from

$450

Book Appointment

Comprehensive consultation with an aesthetic-trained doctor

Personalized treatment plan tailored to your anatomy and goals

​Treatment on the same visit if appropriate

Follow-up appointment to assess results

What Makes Us Different

Results You Can

See Microneedling stimulates your own skin's natural healing process, producing real, measurable improvements in acne scars, texture, tone, and skin laxity over time.

Minimal Discomfort, Minimal Downtime

We apply a topical anesthetic before every treatment. Most patients experience little to no discomfort during the procedure and return to their normal routine within a day or two.

The Right Technology for Your Skin

We offer both standard and RF microneedling. During your consultation your doctor will assess your skin and recommend the approach that is right for your specific concerns and goals.

Physician Guided, Expert Delivered

Your treatment parameters are established by our aesthetic-trained doctors, ensuring every session is grounded in clinical expertise and personalized to your skin.

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