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Sandia Skin + Face is proud to offer Secret RF®, a new microneedling treatment that improves signs of aging skin, fine lines, wrinkles, and scars with little to no downtime.

Secret RF uses microneedles to deliver fractional Radio Frequency (RF) energy into varying levels of the skin, including the deeper layers where treatment is most beneficial.

This unique delivery of energy allows us to achieve optimal results on all skin types. Secret RF is an easy, safe and effective procedure performed in a quick, 20-minute treatment session.

We recommend 3-4 Secret RF treatments to achieve the optimal effect. You’ll start to notice results after your second treatment, but optimal results appear three months after the last treatment.

Your Secret RF treatment consultant can provide all the details you need to make an informed decision about the procedure.

Contact us today to schedule a free consultation with our Secret RF treatment specialist!



Secret RF Microneedling is a novel approach to deliver fractional radiofrequency (RF) energy to all layers of the skin with minimal damage to the skin’s surface. The multi-layered treatment is tailored to each individual and addresses their unique skin concern during each customized treatment.

The Secret RF treatment is ideal for improving aging skin, photodamage, fine lines and wrinkles on the face and neck, scars, acne scars, skin quality, and striae. The treatment is safe and effective, and suitable for all skin types and patients seeking skin revitalization.

Secret RF uses microneedles to deliver radiofrequency energy into varying levels of the skin, including the deeper layers where treatment is most beneficial.

Unlike other devices which only deposit energy in the upper layer of the skin, Secret RF delivers RF energy below the surface where it’s needed most to help revitalize and regenerate the tissue.

This unique energy delivery allows us to achieve optimal results with little to no downtime on all skin types.

Secret RF is an easy, safe and effective procedure performed in a quick, 15-minute treatment session. During the treatment, you will feel a slight heat and some pressure on the treatment area.

For most patients, the treatment is tolerable, but your physician will work with you to maximize your comfort level. Before the procedure, your provider will apply a numbing cream to the treatment area to increase comfort during the treatment.

Patients typically need 3-4 treatments spaced 4-6 weeks apart to achieve optimal results. Most patients report seeing improvement after the second treatment. However, results are optimized 3 months after the last treatment.

Results vary based on the individual. To maintain results, maintenance treatments are recommended every 12-18 months.

  • After the treatment, an ointment will be applied to the skin, and you will be asked to refrain from wearing makeup for several hours.
  • Any minor redness or swelling resulting from treatment will subside within 12-24 hours.
  • After the treatment, you can expect to return to normal activities.

Microneedling with radiofrequency waves can also improve the look of your skin. In a 2014 study, for example, the procedure reduced wrinkles around the eyes. The effects lasted longer than Botox injections. A 2020 case report also shares that the treatment can reduce loose facial skin.

Secret RF costs start at $900. the number of sessions can vary, but most people need three to six sessions for optimal results. Make an appointment with us and after reviewing your skin condition and targeting outcome, we can quote you a price.

You can wear makeup 24 hours after the Secret RF procedure to mask any residual redness and return to your normal skincare routine in 1-2 days. We recommend that you take the evening off from social activities on the day of the treatment.

Usually, a Secret RF procedure shows results as soon as a few days, but further results develop as your body begins to produce collagen. The tightening effect and final results will appear gradually over six months – which is the time taken by the skin to rebuild fully.

After your Secret RF treatment, you will have carefully outlined aftercare instructions. You will need to avoid washing the treated area until any redness or irritation is gone. Once this side effect has disappeared, you are free to clean your skin with cool water and dry carefully by patting the skin lightly.

Some possibilities can lead to increased wrinkling after Secret RF treatment. After the microneedling procedure, your skin loses water due to needles pricking your skin and damaging the cells. Your skin can appear extremely dry, and the lines can appear worse for the first few days after treatment.

Radiofrequency in FDA-cleared non-surgical tissue tightening is highly controlled for your safety. Clinical studies have demonstrated an excellent safety profile on RF procedures for skin tightening, whether it be for vaginal rejuvenation, facial skin tightening, or body contouring.

Use a gentle cleanser and tepid water to cleanse the face for 72 hours post-treatment and gently dry the treated skin. Always make sure your hands are clean when touching the treated area. Do not use Clarisonic or other powered cleansing brushes for at least one week after your treatment.

While Secret RF is a non-invasive treatment with no downtime, some preparation and aftercare are associated. Among the things you should avoid before treatment are Accutane, heat-based cosmetic treatments, and UV damage. Among the things you should avoid after treatment are alcohol, tobacco, and NSAIDs.

RF therapy may help tighten loose skin on your body by stimulating the production of collagen. A 2017 study found that 24 of the 25 people who underwent 5 to 8 sessions of RF therapy sessions saw an improvement in their body shape. Twenty-three people were happy with their results.

Yes. When done by a professional dermatologist, “microneedling can be effective at boosting the penetration of topical skincare and plumping skin, and there is data to show its efficacy in reducing fine lines and wrinkles,” The skin responds by making new collagen, filling in the broken dermal layer.

Hyaluronic acid can be used following Secret RF, and it’s even recommended in some cases to help stimulate collagen production after your procedure. If your skin is feeling dry, it’s generally safe to apply coconut oil as an emollient to lock in moisture and hydrate your face after Secret RF.

If this is the case, Secret RF may cause more inflammation. Following this, your body will send white blood cells to fight off bacteria and infection. This can trigger the production of more melanin, which can then form dark spots or worsen those that are already there.

Secret RF Post Treatment Care: Once washed, we recommend patting the face dry with a washcloth, then applying a thin layer of Aquaphor or Vaseline. The day after Secret RF, patients may go back to their normal daily moisturizer. You will notice products tend to penetrate deeper after a Secret RF procedure.

Some dermatologists are on the fence about whether you should introduce a vitamin C serum into a Secret RF regime. Always patch test any vitamin C treatment you intend to use in conjunction with Secret RF well in advance.

Secret RF Microneedling Post-Treatment Instructions:

  • Do not take any anti-inflammatory medications for one week after the procedure.
  • Do not use ice on your face, and avoid using arnica/bromelain.
  • Avoid sun tanning and prolonged exposure to direct sunlight for at least 2 weeks.
  • Use a painkiller, such as Tylenol, if you experience any soreness.

Clean your skin with a gentle pH-balanced cleanser, and then cleanse it again. Gently wipe 70 percent isopropyl alcohol directly on your face before you start rolling. If you’re sensitive to pain, consider a numbing cream after washing your face.

The combination of Secret RF with PRP is more effective than microneedling alone or applying PRP alone. While both are effective individually, combining the two treatments provides a vital foundation for maximum absorption, reduced healing time, and optimal results.

The miraculous healing properties of Aloe Vera are known to benefit your skin at home for Secret RF aftercare. Aloe Vera is a safe and effective way to treat many sensitivity symptoms to your skin; it has a soothing sensation and calming effect for inflammation or irritation.

You can use a gentle facial moisturizer (Cetaphil, Cerave, Aveeno, Eucerin, etcetera) or the hyaluronic acid solution given in the office (PRP procedure only) after cleansing once a day for the next 5 days.

Generally, the effects of the initial round of Secret RF treatments last between four to six weeks. However long your results last, the effects of microneedling are not permanent, so you will need to continue taking treatments to maintain those effects.

Almost anyone can have the Secret RF procedure performed as long as they do not have any active infections, lesions, or known wound healing problems. If you have active acne or tender acne cysts, do not microneedle over those areas. It will irritate the area, make them more inflamed and potentially spread bacteria.






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    Karen Avatar Karen

    Tonya is amazing!! She made me feel so comfortable and really listened to my concerns about my skin. She really cares and knows what she is doing. I wouldn’t go anywhere else!! I was concerned my first appointment but I just had my third and I can say it’s so worth it!!! Botox has been an incredible experience and I’m so happy to have tried it, I’m so much happier with my appearance and it looks incredibly natural. I’ve included before and after photos, neither photo is filtered or edited, you can see how makeup would collect in my forehead, and how the after it’s smooth and looks so lovely. It doesn’t feel weird or like I can’t move my muscles at all, it feels super natural. One of my biggest concerns was that I wouldn’t be able to emote with Botox but that’s just not true at all. I feel so confident and that is thanks to Tonya!

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  • The office staff is super accommodating and helpful, and Dr. Tuggle and Tonya Tuggle are both wonderful at what they do. I have had multiple procedures/treatments here over the years and highly recommend them. I never feel uncomfortable or judged, which is huge when deciding on cosmetic procedures. I also never felt pressured into anything and always felt informed about all of my decisions. They have great seasonal specials on fillers, etc!

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Read Up on Secret RF® Microneedling

  • Regardless of what procedure you’re having done, it would be best if you didn’t go into it without a wealth of knowledge about what it entails. That’s why, before you go in for your first Secret RF Microneedling appointment, you need to read up on Secret RF Microneedling.
  • Read about its benefits. Would you please read about the way that it’s administered? Read about any possible dangers it might cause.
  • Watch out for over-exfoliation or anything a little bit harsher. You want to have your skin in its most calm state before the procedure.
  • You will be asked to discontinue the use of Retin A, Retinols, Vitamin A creams, and other topical medications for 3-5 days before your Secret RF Microneedling treatment. It is required that you wear sunscreen daily and use the appropriate home care topical products. Examples are Urban Skin Rx Even Tone Cream or Retinol Pads.
  • While Secret RF Microneedling is a primarily helpful procedure, it’s not without its downsides. Several potential side effects accompany Secret RF Microneedling, including pain, redness, drooping eyelids, and headaches.

By garnering information such as this, you can ensure that you’re sure about going through the procedure.

Schedule Your Appointment at an Appropriate Time

  • Getting Secret RF Microneedling can sometimes be an anxiety-inducing and stressful experience.
  • Schedule your procedure on a fairly laid-back day that allows plenty of “downtime” both before it begins and after.
  • It’s a good idea for new patients to schedule their first appointments in the morning. By doing so, you don’t have to endure a long, potentially anxious wait.

Ask Your Doctor About Your Medications

  • The fact of the matter is that some medications don’t mix well with Secret RF Microneedling. If you’re on medications, you need to discuss them with your doctor. In some cases, you’ll be advised to stay on them; in other cases, you’ll be advised to stop taking them for the time being.
  • Some medications don’t go well with Secret RF Microneedling, including aspirin, ibuprofen, blood thinners, muscle relaxers, and allergy meds. If you’re taking these medications, you’ll need to be off of them in the days leading up to and the days following your appointment. Again, please consult your doctor before this or any procedure.


The goal of Secret RF Microneedling Aftercare is to encourage optimal treatment results. It can also minimize the risk of bruising and spreading to other areas.

After you’ve had microneedling, your skin is like a sponge — it will soak up whatever you want it to soak up, but it also soaks it up pretty quickly, so you want to keep it very moist and hydrated.

To take advantage of your skin’s increased rate of absorbance, put on a single layer of the best vitamin C in the world, SkinCeuticals’ CE Ferulic, and then let it sink in for a bit.

Generally, after the procedure, on the day you get Secret RF Microneedling, it’s a good idea to:

  • Gently exercise your face
  • Relax for the rest of the day
  • Maintain a normal heart rate (no exercise)
  • Avoid touching, rubbing, or physical pressure on the affected area
  • No sunscreen OR makeup for 12 hours following treatment.
  • Wash your face a few hours after treatment or before bed time. Use gentle cleanser such as the one provided in our Urban Skin Rx Post Procedure kit. Gently massage the face with tepid water (a shower can provide an easier ability to massage the face while washing at the same time), and remove all serum and dried blood.This will improve the appearance of the skin and also allow for better subsequent absorption of HydraFirm Serum.
  • 12-72 hours post-treatment mineral makeup can be applied, but continue to use the Urban Skin Rx Post Procedure kit or a gentle cleanser, hyaluronic acid serum, and physical sunblock with an SPF of 25 or higher. If a more aggressive treatment was performed they should also be instructed to use a more occlusive balm such as Aquaphor.
  • After 48 to 72 hours following treatment client can return to regular skin care regimen. Retinol products are strongly suggested to use for optimal results.
  • Avoid alcohol-based toners for 10-14 days as well as excessive sun exposure for 10 days.
  • For at least 2 hours post treatment, do NOT use any Alpha Hydroxy Acids, Beta Hydroxy Acid, Retinol (Vitamin A), Vitamin C (in a low pH formula) or anything perceived as ‘active’ skincare.
  • Avoid intentional and direct sunlight for 24 hours. No tanning beds.
  • Do not go swimming for at least 24 hours post-treatment.
  • No exercising or strenuous activity for the first 24 hours post-treatment. Sweating and gym environments are harmful, rife with bacteria, and may cause adverse reactions.

You can also follow the best practices for Secret RF Microneedling aftercare below.

Return to your Normal Activities

  • Secret RF Microneedling procedures don’t require any recovery time. Therefore, you won’t have to take off work or school. You can resume your usual activities right after.

Wait 24 Hours to Exercise

  • If exercise is part of your daily routine, wait at least 24 hours to work out. Your doctor might suggest waiting for several days.

Go Makeup-Free

  • If you received a Secret RF Microneedling procedure on your face, take a break from makeup for 24 hours.

Sit Up

  • Sit up for the first 4 hours after getting Secret RF Microneedling.

Ask your Doctor about Medications

  • Some medications might increase your risk of bruising. Be sure to ask your doctor when it’s safe to start retaking them.




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Registered Nurse Practitioner Tonya Tuggle is Albuquerque’s choice for those who want to keep their youthful appearance and healthy glow. Tonya is passionate about educating patients on preventative skin care and providing non-surgical maintenance for graceful aging. We can’t wait to meet you!

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