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    SecretDUO Radiofrequency Microneedling & Erbium Glass Laser Rejuvenation

    Discover Cutera Secret DUO, combining RF microneedling and Erbium Glass laser to improve skin glow, acne scars, skin texture, fine lines and firmness.

    The Cutera Secret DUO combines two complementary technologies (radiofrequency (RF) microneedling and a 1540 nm non-ablative Erbium Glass laser) to improve skin texture, stimulate collagen production and support natural skin rejuvenation.

    Whether you are concerned about acne scarring, enlarged pores, fine lines, skin laxity or simply wish to achieve smoother skin and the “Korean Glass Skin Glow”, Secret DUO offers a versatile, personalised approach to skin rejuvenation.

    A key advantage of this treatment is it can be performed singly, or in combination to work at different levels of the skin.

    RF Microneedling – Skin Firming & Collagen Stimulation

    RF microneedling uses fine needles to deliver controlled radiofrequency energy into the skin.

    This creates targeted thermal stimulation within the dermis, encouraging collagen and elastin remodelling.

    RF microneedling may help improve:

    – Fine lines and wrinkles

    – Mild skin laxity and loss of firmness

    – Acne scars and uneven skin texture

    – Enlarged pores

    – Overall skin quality and smoothness

    By delivering energy beneath the skin’s surface, RF microneedling helps promote gradual improvements in firmness and texture without adding facial volume.

    Erbium Glass Laser – Skin Resurfacing & Radiance

    The Secret DUO 1540 nm Erbium Glass laser is a non-ablative fractional laser designed to stimulate collagen remodelling while preserving the skin’s surface.

    Unlike traditional ablative resurfacing lasers, which remove layers of skin, non-ablative Erbium Glass laser treatment creates controlled thermal effects beneath the surface to encourage skin renewal. This is particularly attractive to those who want skin rejuvenation with little to no downtime.

    It may help improve:

    – Uneven skin texture

    – Fine lines

    – Mild acne scarring

    – Enlarged pores

    – Dull-looking skin

    – Overall skin smoothness and radiance

    Want Korean glass skin without fillers?

    The Korean glass skin aesthetic focuses on achieving smooth, refined, radiant and healthy-looking skin.

    Secret DUO offers an approach to this aesthetic by addressing skin texture, pores and collagen remodelling rather than adding volume.

    The Erbium Glass laser helps improve skin smoothness and texture, while RF microneedling provides deeper collagen stimulation to improve skin firmness.

    Together, these technologies can help achieve a more refined, smoother and naturally rejuvenated appearance.

    Our philosophy is simple: improve skin quality, not change the way you look.

    What can Cutera SecretDUO treat?

    What Can Secret DUO Treat?

    Acne Scars

    Secret DUO can help improve the appearance of certain atrophic acne scars by stimulating collagen remodelling and improving uneven skin texture. Treatment may be combined with other scar procedures where appropriate.

    Fine Lines & Wrinkles

    Both technologies stimulate collagen remodelling, helping soften the appearance of fine lines and improve overall skin texture.

    Skin Laxity & Loss of Firmness

    RF microneedling delivers energy into the dermis to support collagen remodelling and may improve mild skin laxity, particularly around the cheeks, jawline and lower face.

    Enlarged Pores & Irregular Skin Texture

    Secret DUO can improve the appearance of enlarged pores and irregular skin texture, creating a smoother and more refined appearance.

    Dull Skin

    Erbium Glass laser treatment may improve skin texture and radiance, making it an option for patients seeking subtle, natural-looking rejuvenation.

    RF Microneedling vs Erbium Glass Laser – Which Is Right for You?

    Can treatments be performed singly or combined?
    Yes. One of the advantages of Secret DUO is the ability to combine RF microneedling and Erbium Glass laser treatment within a personalised treatment plan.

    This allows different skin concerns to be addressed using complementary technologies.

    The most appropriate approach will depend on your skin type, treatment goals, medical history and tolerance for downtime.

    Is Secret DUO Suitable for All Skin Types?

    Secret DUO offers adjustable treatment parameters that can be tailored to different skin concerns and all skin types.

    Individuals with darker skin tones, a tendency towards post-inflammatory hyperpigmentation, active skin infections, certain inflammatory skin conditions or a history of abnormal scarring may require additional precautions with radio frequency microneedling.

    A professional assessment is important to establish suitability and minimise the risk of complications.

    CO2 Laser Resurfacing SecretTM PRO Gallery

      • Dr Nicole Dermatology | Manchester | Warrington | Cheshire
      • Dr Nicole Dermatology | Manchester | Warrington | Cheshire
      • 2 Treatments (Photos courtesy of J.T.S. Hsu)
      • Dr Nicole Dermatology | Manchester | Warrington | Cheshire
      • Dr Nicole Dermatology | Manchester | Warrington | Cheshire
      • 3 Treatments (Photos courtesy of Evren Gökeșme)
      • Dr Nicole Dermatology | Manchester | Warrington | Cheshire
      • Dr Nicole Dermatology | Manchester | Warrington | Cheshire
      • 3 Treatments (Photos courtesy of Evren Gökeșme)

    (individual results may vary)

    About Dr Nicole

    Find Out More About Your Experienced Consultant Dermatologist

    Frequently Asked Questions

    About CO2 Laser Resurfacing SecretTM PRO
      • How many treatments will I need?

        The number of sessions depends on your skin concerns and treatment goals. One treatment tends to offer skin radiance and glow.

        For general skin rejuvenation, a course of approximately 3 treatments may be recommended.

        Patients with acne scarring or more significant textural concerns may benefit from additional sessions or combination treatments.

        Collagen remodelling is gradual, and improvements may continue to develop over the following weeks and months.

        Maintenance treatments may be considered depending on your skin’s response and long-term goals.

      • Is the treatment painful?

        Most patients tolerate this treatment without the need for topical anaesthetic. Radiofrequency microneedling generally causes more prickling sensation and discomfort than Erbium Glass laser. Discomfort varies between individuals and treatment settings.

      • How much downtime should I expect?

        Redness and mild swelling commonly occur after treatment. They can resolve within a few hours to a few days. Recovery can take longer with more intensive or combined treatments. You can resume your daily activities the following day.

      • Radiofrequency microneedling combines mechanical needling with controlled radiofrequency energy, providing additional thermal stimulation within the dermis. This technology can potentially improve the effectiveness of traditional microneedling and speeds the treatment effect.

      • When will I see results?

        Glow, radiance and smoothness may become noticeable within a few days to a few weeks. Collagen remodelling takes longer, and results generally develop gradually over a few months.

      • Can Secret DUO replace dermal fillers?

        Secret DUO focuses on skin quality and collagen remodelling rather than restoring significant lost facial volume. It may be suitable for patients who prefer a non-filler approach to improving skin texture and mild laxity, but it does not produce the same effects as dermal fillers.

    1 Consultation

    Your journey begins with a comprehensive consultation, where your skin is carefully assessed and your concerns and treatment goals are discussed in detail. We evaluate factors such as skin type, medical history, and suitability for radiofrequency microneedling and erbium glass laser rejuvenation to ensure the treatment is appropriate for you. We will assess if you need either radiofrequency microneedling or erbium glass laser rejuvenation, or both to achieve your desired effects. During this appointment, we will explain how the treatment works, outline expected results and downtime, and create a personalised treatment plan tailored specifically to your skin. If you have darker skin types, we may prepare your skin first before undertaking this treatment.

    2 The Treatment

    On the day of your treatment, please ensure that you do not have a fake tan, suntan or make up on your skin. Treatment typically takes around 20-30 minutes, depending on the area being treated. Most patients experience a warm or tingling sensation during the procedure, but discomfort is generally well tolerated. The treatment can be customised in intensity and depth to suit your individual skin concerns, tolerability and desired level of downtime.

    3 Aftercare

    Following your treatment, your skin will begin its natural healing and regeneration process. You may experience redness, swelling, and a sensation similar to sunburn in the first few days. It is essential to follow a tailored aftercare routine, including gentle skincare, regular use of barrier-repair moisturisers, and strict daily SPF50 protection to support healing and reduce the risk of pigmentation. Most patients can resume normal activities the following day. Ongoing skincare and sun protection are key to maintaining and enhancing your results.