Conveniently located to serve Beverly Hills, Hollywood, Los Angeles, NYC, and Miami.

Dr. Jason Emer is a board-certified cosmetic dermatologist who is internationally recognized as a leading authority in skin rejuvenation. Every treatment he offers at his prestigious medical practice undergoes a lengthy evaluation process before it is recommended to one of his patients. Sylfirm X is one of the latest devices to meet Dr. Emer’s high standards.

This innovative RF microneedling system allows Dr. Emer to perform precisely-tailored skin treatments for many men and women, and he is proud to be a top provider of Sylfirm X in Beverly Hills.


Sylfirm X is an advanced radiofrequency (RF) microneedling device. RF microneedling triggers natural collagen synthesis by transmitting RF energy into the skin via tiny needles. A range of improvements in the texture and tone of the skin can be accomplished with RF microneedling treatments.

The Sylfirm X device has made RF microneedling accessible to a greater number of patients, due to its unique delivery system and its adjustability. Sylfirm X can be used on the face and body to treat a broad spectrum of skin conditions. Dr. Emer often performs Sylfirm X treatments to:

  • Minimize acne scars
  • Reduce the visibility of wrinkles and fine lines
  • Tighten and firm skin
  • Shrink large pores
  • Treat hyperpigmentation caused by melasma
  • Address rosacea and other conditions involving discoloration caused by damaged blood vessels



Candidates need to be in good physical health and free of medical issues that interfere with blood clotting and/or compromise the immune system. Patients who are prone to keloid scars may be better candidates for alternative treatments.

Men and women who want to achieve more youthful-looking skin and correct skin discoloration due to pigmentation or broken blood vessels can be good candidates for Sylfirm X. Unlike other RF microneedling systems, Sylfirm X can be used to treat patients of darker skin tones, as well as patients with lighter skin.

Skin irritation and unhealed wounds in the treatment area must be resolved before undergoing RF microneedling. Sylfirm X may not be advisable for patients with chronic skin conditions like eczema, psoriasis, or severe acne.



Sylfirm X employs microneedling and RF heat therapy to stimulate the body’s wound-healing processes. Both microneedling and RF skin rejuvenation are effective collagen-stimulators on their own, but combining these techniques can provide improvements beyond what either could accomplish as a stand-alone procedure.

The Sylfirm X tip contains tiny needles, which are stamped into the skin’s surface, creating microchannels into the deeper layers of the skin. RF energy is transferred through the needles into these channels, causing controlled thermal damage.

The micro-injuries caused by puncturing the skin and exposing it to RF heat are minor. However, they are sufficient to trigger the body’s healing response and accelerate the production of essential skin proteins like collagen and elastin.

Dr. Emer performs RF microneedling as an in-office procedure at his state-of-the-art medical practice in Beverly Hills. First, a topical numbing solution will be applied to the treatment area. Dr. Emer will wait until it has taken effect before he begins the procedure.

Next, the Sylfirm X handpiece will be passed across the surface of the targeted skin. Tiny needles will puncture the skin, and RF energy will travel into the channels created in this process. To mitigate discomfort and to control the extent of thermal damage from the RF heat, Dr. Emer incorporates a cold air device to chill the skin throughout the procedure.

Dr. Emer applies exosome serums to the treated area right after completing the Sylfirm X procedure to ensure maximum absorption via the microchannels. Exosome serums can be derived from platelets or stem cells and help to minimize inflammation and support an expedient recovery.

Though noticeable skin rejuvenation can be expected, how soon you see results will depend on the natural rate at which your body responds and reacts to the treatment. Multiple Sylfirm X sessions may be necessary to accomplish your desired results.

To enjoy the benefits of optimal collagen production long-term, maintenance treatments are recommended. Dr. Emer can advise you when to schedule your next treatment based on your cosmetic goals and your unique response to Sylfirm X.

Since Sylfirm X (like all RF microneedling treatments) works by damaging the treated tissue, patients should not expect the procedure to be completely painless. However, Sylfirm X includes two key features that translate into a more comfortable patient experience.

Robotics technology in the Sylfirm X handpiece facilitates a smoother, gentler treatment than the pressurized systems of other RF microneedling devices. Pressurized delivery causes a “snapping” sensation that Sylfirm X does not.

Sylfirm X also provides the advantage of uninsulated electrodes. Other devices have coated needles and only emit RF energy at the very tip. With non-coated needles, RF energy is distributed along the length of the needle. Dispersing the energy rather than concentrating it at the tip helps to minimize discomfort.

The procedure is well-tolerated with the use of local anesthesia. Discomfort is further reduced with the use of the cold air device.

Downtime after Sylfirm X is often unnecessary. Some patients choose to take a day or two away from their normal routine to allow any post-treatment redness to subside.

Proper post-treatment skincare is essential after Sylfirm X to accelerate healing and encourage optimal improvements. Dr. Emer will recommend specific products for you based on your skin type and the condition(s) being treated.

The ideal way for most patients to enhance and maintain Sylfirm X results is with Emerage Cosmetics products, which can be found in Dr. Emer’s skincare website Emerage Cosmetics includes everything your skin needs in the two weeks following Sylfirm X. With one-of-a-kind, at-home protocols consisting of medical-grade products that brighten, hydrate, and protect your skin to deliver results you’d expect from an in-office peel.



Melasma is a type of hyperpigmentation that has historically been challenging to treat. Inflammation and exposure to heat can aggravate this type of hyperpigmentation, so lasers and other light treatments must be recommended and performed with extreme caution.

Treatment options are further limited for patients with darker skin tones, who comprise a high percentage of patients affected by this skin condition. Patients with darker skin have a higher risk of adverse reactions to treatments that heat the skin.

Until Sylfirm X, RF microneedling was only considered to be advisable for some melasma patients with lighter skin. However, the Sylfirm X device has a Selective Regional Regeneration Radio Repeated Pulse wave setting that has changed this.

The pulse wave mode zeros in on hyperpigmentation, leaving the surrounding skin unaffected. This allows Dr. Emer to target melasma patches in patients of all skin colors, making effective treatment available to many more patients.

Melasma treatments with Sylfirm X are less painful and require less downtime than many alternatives. Additionally, Sylfirm X supports healthy tissue formation, which helps reduce the likelihood of future pigmentation issues.


Enlarged pores, acne scarring, wrinkles, and hyperpigmentation are not exactly new problems faced by men and women who strive to have a healthy, glowing complexion. While there are numerous ways to approach the resolution of these and other skin concerns, Dr. Emer is always after the most efficient and comprehensive method of refreshing a patient’s skin.

Just as the introduction of devices that incorporated RF energy therapy into the standard microneedling procedure allowed for more dramatic skin rejuvenation results, Sylfirm X is taking RF microneedling to a new level. With Sylfirm X, Dr. Emer now has a gentler, more versatile option for achieving the skin remodeling results his patients desire.


This device has quickly become one of Dr. Emer’s top choices for many of the most common skin issues affecting his patients. Some advantages Sylfirm X provides over other RF microneedling devices are:

  • Robotic technology – The Sylfirm X handpiece has a robotic element, which facilitates smoother delivery and more even coverage of the treatment area compared to other systems.
  • Dual mode capability – Sylfirm X can function in two different ways to transmit RF energy. The option to choose between continuous wave or pulsed wave settings makes Sylfirm X safe and effective for a wide range of skin types, skin tones, and skin conditions.
  • Adjustable penetration depth – Dr. Emer can set the device to penetrate the skin at various depths. When adjusted to minimal penetration settings, Sylfirm X can be used to treat highly sensitive skin, including the eyelids.
  • Non-coated needles – The use of non-coated needles helps to minimize discomfort during treatment and also makes Sylfirm X incredibly efficient. While other devices require multiple passes over the treatment area, Sylfirm X typically only involves a single pass.



Dr. Emer’s signature approach to achieving maximum improvements is characterized by patient-tailored treatments designed for comprehensive results. Dr. Emer has long been an advocate for multi-faceted treatments, and he uses Sylfirm X in conjunction with a variety of other modalities, depending on the individual’s needs. He regularly combines Sylfirm X with non-surgical treatments like:

  • Chemical peels
  • Dermal fillers
  • Lasers
  • PRP (platelet-rich plasma)
  • Medical-grade skincare products


Several factors affect the price of a Sylfirm X treatment, such as the size of the treatment area. Your personalized treatment plan will be created by Dr. Emer during your consultation. Complete cost details for your procedure will be provided at this time, as well.


Dr. Emer offers highly customized treatments with Sylfirm X in Beverly Hills. If you are considering treatment for aging skin, rosacea, acne scars, melasma, or other skin concerns, contact our office today to schedule a consultation.