
Sylfirm X is a dual-wave RF microneedling system that may improve texture, visible pores, redness, selected pigment concerns, and some acne scars. Suitability and settings depend on skin type, treatment area, and candidacy review. At SOM Aesthetics in Encinitas, treatment plans follow the SOM Method.
Sylfirm X at SOM Aesthetics in Encinitas typically costs about $600–$900 per session, confirmed in consultation, with many plans using a series of approximately three treatments. Adjustable depth and energy settings are selected for the treatment area, skin type, concern, and candidacy review. Downtime is often about one to three days but can vary with settings and individual healing. Treatment plans follow the SOM Method.
~$600–$900
Typically 3
45–60 min
1–3 days
2–3 months
Many · review required
45–60 minutes
2–3 months
Typically 3 sessions
1–3 days
Dual-wave RF
Dermatologist-trained provider
Every case is documented by SOM Aesthetics. Sylfirm X may improve texture, visible redness, and some acne scars over a personalized treatment series.
Sylfirm X combines microneedling with adjustable radiofrequency energy. Continuous- and pulsed-wave modes allow providers to tailor treatment depth and energy to the concern. It may improve texture, visible pores, redness, selected pigment concerns, and some acne scars.
Sylfirm X can be considered for many skin tones because depth and energy are adjustable. Suitability, pigment risk, and settings depend on skin type, treatment area, medical history, and candidacy review.
Dermatologist-trained providers follow the SOM Method for every Sylfirm X treatment.
Depth and energy are selected for your skin type, concern, and treatment area.
Dermatologist-trained providers follow the SOM Method.
The pulsed-wave mode may be considered for selected redness and pigment concerns.
May improve texture, visible pores, and some acne scars over a series.
• Uneven texture, large pores, or mild scars
• Redness, flushing, or rosacea-prone skin
• Melasma or stubborn pigment
• Acne scars (rolling or boxcar)
• A wide range of skin tones, after candidacy review
• Want collagen remodeling with little downtime
• Active infection or breakout in the area
• Pregnant or breastfeeding
• Recently on isotretinoin (Accutane)
• Active, severe cystic acne (treat first)
• A pacemaker or implanted device (ask first)
• History of keloid scarring
A consultation with a dermatologist-trained SOM provider confirms candidacy and maps your Sylfirm X depth and settings.

Dermatologist-trained SOM providers plan and deliver SylfirmX through the SOM Method, with consultation, candidacy review, individualized treatment planning, documentation, and follow-up.
New patient rate
Available after first visit
Treatment plan and package pricing are confirmed in consultation.
Final pricing is confirmed in consultation. 0% APR financing through Cherry and CareCredit for qualifying patients.
Your SOM provider reviews your skin, tone, and concerns and sets depth and energy.
Your skin is cleansed and numbing cream is applied before Sylfirm X microneedling.
Treatment itself often takes about 20 to 30 minutes after numbing.
One to three days of redness; results build over a series spaced about a month apart.
Avoid sun and self-tanner before your session. Pause retinoids a few days prior if advised. Arrive with clean skin and tell us about cold-sore history, implanted devices, or recent breakouts.
• Avoid sun and self-tanner before treatment
• Pause retinoids a few days before if advised
• Tell us about cold-sore history or implanted devices
• Clean skin, no makeup
• Plan a series for best results

After numbing for about 30 minutes, treatment takes 20 to 30 minutes. A dermatologist-trained SOM provider glides the Sylfirm X handpiece across the skin, delivering tiny RF-powered microneedles at a tailored depth. You will feel warmth and light pressure. Soothing care follows.
• ~30 min numbing, 20–30 min treatment
• RF microneedles at tailored depth
• Warmth and light pressure
• Glided across the area
• Soothing care after

Skin looks pink and feels warm for a day or so, sometimes with light pinpoint marks. Avoid makeup for 24 hours, avoid sun and heat, and use SPF. Tightening and texture improve over weeks; a series of three or more gives the best result.
• Pink/warm ~1 day
• Possible light pinpoint marks
• No makeup 24h, avoid sun/heat
• Daily SPF
• Series of 3+ for best result

• Apply sunscreen daily and reapply outdoors
• Keep skin cool and hydrated for 24 hours
• Use a gentle, fragrance-free cleanser the first days
• Let redness settle over 1 to 3 days
• Follow your personalized treatment schedule
• Call us right away with any unusual symptoms
• Do not sun-tan or use self-tanner before or after
• Do not pick or scrub treated skin
• No saunas, hot yoga, or intense heat for 24 hours
• Avoid retinoids and exfoliants for a few days
• Do not skip telling us about implanted devices
• Do not replace medical review with online advice
Sylfirm X combines microneedles with adjustable RF energy and may be considered for selected texture, scar, and overlapping skin concerns. Redness and pigment conditions require diagnosis first because they do not all benefit from the same treatment or settings.
Sylfirm X and Morpheus8 are RF microneedling platforms with different energy delivery and treatment protocols. Neither is universally better; SOM selects an approach based on the concern, skin history, anatomy, and acceptable recovery.
The existing SOM estimate is about $600–$900 per Sylfirm X session, with some plans built around roughly three visits. Your treatment area, protocol, and any additional procedures determine the exact quote.
A series of approximately three sessions may be discussed, with spacing tailored to healing and response. Changes can develop over weeks to months, so the provider reassesses progress before recommending further treatment.
Sylfirm X can cause redness, warmth, swelling, tenderness, or pinpoint crusting for several days, sometimes longer with stronger settings. Use gentle skincare and sun protection, follow instructions for makeup and exercise, and report worsening pain or blistering promptly.
Sylfirm X may be considered for several skin tones, but RF microneedling can cause pigment changes, burns, scarring, fat loss, and nerve injury. Active skin disease, healing problems, medications, pregnancy, and implanted devices need review before a protocol is selected.
Compare other RF and microneedling treatments.
SOM Aesthetics is located at 25 East E Street in Encinitas, serving patients from Del Mar, La Jolla, Carlsbad, Solana Beach, Rancho Santa Fe, and across North County San Diego. Call (760) 766-7546.