How does Exion work?
Fine needles on the tip enter the skin and deliver radiofrequency energy straight into the dermis, so heat is created at depth, bypassing the top layer.
Microneedling radiofrequency combines microneedling with radiofrequency. The needles create microscopic openings while the energy produces warming; as the body repairs the area, collagen production may be stimulated. Depth and energy are set according to the area and the skin.
The manufacturer's materials state that the device includes components in addition to radiofrequency; these details need to be confirmed by the doctor. The basic approach belongs to the same technology family as devices such as Morpheus8, Potenza or Scarlet, but needle design, energy distribution and protocols differ between devices.
Which concerns might Exion be considered for?
It can be discussed for mild tissue laxity, pore appearance, acne scars and surface irregularity.
Surface roughness, mild acne scars and fine lines relate to the upper and middle dermis, so microneedling radiofrequency may come up. It is not expected to be enough alone for marked sagging or volume loss; other approaches are considered in those cases.
The size of the effect varies with skin type, age and goal. Most studies are small, and there are not enough data for a direct device-to-device comparison, so no device can be said to be better than the others.
Who may not be suitable, and what are the risks?
Isotretinoin use, active infection, pregnancy, a pacemaker and a tendency to keloids call for particular caution.
If isotretinoin was used recently, the procedure is generally postponed. It is delayed if the area has an active acne infection, cold sore, eczema or open wound. Pregnancy and breastfeeding, a pacemaker and metal implants in the area, blood-thinning medicines and a tendency to scar are assessed at consultation. Recent sun exposure or tanning also affects the plan.
Redness, swelling, small crusts and bruising can occur afterwards. Infection, scarring, colour change (especially in darker skin) or burns have been reported rarely. If a problem persists, contact your doctor and do not try to manage it yourself.
What does recovery look like?
Redness and tenderness are usual in the first days; the skin settles within a few days, though this varies with the person and energy level.
On the first day there may be warmth, redness and sometimes tiny pinpoint marks. These usually fade within a few days. Sun protection, local care and when to restart active ingredients follow the doctor's guidance.
It is advisable to leave enough time before an important event; expecting a quick result is not realistic. An interval of a few weeks is usually left between sessions.
Frequently asked questions
Is numbing cream used for Exion?
Most treatments involve preparing the area; the doctor decides which comfort method is used.
Can I wear make-up after Exion?
The waiting time varies with the person and energy level. The doctor's guidance applies.
Is Exion the same as Morpheus8?
Both are in the microneedling radiofrequency class but are different devices from different manufacturers. A definitive ranking of which suits whom cannot be made.
In how many weeks are results seen?
Change usually appears gradually over weeks to a few months. No exact time or result can be promised.
Sources (4)
- U.S. FDA (510(k) Premarket Notification database): 510(k) K211639: BTL-785W (2022)
- U.S. FDA: Potential Risks with Certain Uses of Radiofrequency (RF) Microneedling – FDA Safety Communication (2025)
- American Academy of Dermatology: Statement on the FDA Safety Briefing about Radiofrequency Microneedling Risks (2025)
- Journal of Cosmetic Dermatology: Radiofrequency Microneedling for Facial Rejuvenation: A Systematic Review (2026)
This content is for general information and does not replace a personal medical assessment.