![](https://entera.med.br/wp-content/uploads/2024/02/BANNERS-SITE-ENTERA-WEB-12.png)
![](https://entera.med.br/wp-content/uploads/2024/02/BANNERS-SITE-ENTERA-MOBILE-14.png)
The world's first and only radiofrequency microneedling with pulsed wave and continuous wave
![](https://entera.med.br/wp-content/uploads/2023/10/Sylfirm-X_white-768x320.png)
The revolutionary new microneedling with radiofrequency
- Depth from 300 to 4,000 microns (4 mm) – Ideal depth for revitalization
- Pulsed Wave
- Continuous wave for skin revitalization
- Non-insulated electrodes – minimal downtime and little or no pain
- Adjustable settings for each skin type and application
- Safe and effective for face and body
![](https://entera.med.br/wp-content/uploads/2023/10/IMG_5608.png)
Main Differentials
- Little or no pain and treatment without anesthesia
300 microns deep - Maximum depth of 4,000 microns (4 mm)
- Covers all dermal layers with a uniform electric field
- Minimally invasive
- Safe and fast treatment
![](https://entera.med.br/wp-content/uploads/2023/10/363832511_687693333400765_3897780021981353254_n.jpg)
![](https://entera.med.br/wp-content/uploads/2023/10/363303853_325203529842170_2663188400395060827_n-1-300x300.jpg)
- Minimal downtime
- Non-insulated electrodes
- Complete coagulation in the total dermal layer
- No noticeable thermal damage to the epidermis
- Strong immediate contraction of old collagen fibers and long-term neocollagenesis in the total dermal layer
The 300 micron depth is the only treatment capable of treating three layers at the same time: epidermis, basal membrane and papillary dermis.
ECM (Extracellular Matrix)
– Provides a physical environment for cell growth
– Performs the function of connecting cells
– The function of storing and supplying the necessary biochemical factors
– Composition: collagen, elastin, structural proteins, GAG (glycosaminoglycan), growth factors
BM (BASEMENT MEMBRANE)
– ECM composition
– Type IV collagen is located in the lamina densa of the basement membrane
– Support for epidermal stem cells
– Connects the epidermis to the dermis
![](https://entera.med.br/wp-content/uploads/2023/10/Asset-1_3x.webp)
![](https://entera.med.br/wp-content/uploads/2023/10/pw1.gif)
PW1
30 msec (75% Duty Cyle)
![](https://entera.med.br/wp-content/uploads/2023/10/BA-PW1.png)
![](https://entera.med.br/wp-content/uploads/2023/10/pw2.gif)
PW2
40 msec (80% Duty Cyle)
![](https://entera.med.br/wp-content/uploads/2023/10/BA-PW2.png)
![](https://entera.med.br/wp-content/uploads/2023/10/pw3.gif)
PW3
50 msec (83.3% Duty Cyle)
![](https://entera.med.br/wp-content/uploads/2023/10/BA-PW3.png)
![](https://entera.med.br/wp-content/uploads/2023/10/pw4.gif)
PW4
60 msec (85.7% Duty Cyle)
![](https://entera.med.br/wp-content/uploads/2023/10/BA-PW4.png)
Selective coagulation in the basement membrane and blood vessels
![](https://entera.med.br/wp-content/uploads/2023/10/Coagulacao-seletiva-na-membrana-basal-e-nos-vasos-sanguineos.png)
Effectiveness of pulsed-wave needle RF on the skin
![](https://entera.med.br/wp-content/uploads/2023/10/Eficacia-da-RF-com-agulha-de-onda-pulsada-na-pele.png)
CONTINUOUS WAVE MODES
The skin revitalization treatment¹ targets the dermal layers of the skin to increase collagen and elastin fibres
- CW mode creates broad, independent coagulation around each electrode
- The coagulation area continues from the deepest dermis to the upper dermis with a single penetration
- Promoting optimal skin revitalization¹, for a firmer, more youthful appearance
- Provides more stable radiofrequency energy
![](https://entera.med.br/wp-content/uploads/2023/10/cw1.gif)
CW1
120msec
![](https://entera.med.br/wp-content/uploads/2023/10/BA-CW1.png)
![](https://entera.med.br/wp-content/uploads/2023/10/cw2.gif)
CW2
160msec
![](https://entera.med.br/wp-content/uploads/2023/10/BA-CW2.png)
![](https://entera.med.br/wp-content/uploads/2023/10/cw3.gif)
CW3
200sec
![](https://entera.med.br/wp-content/uploads/2023/10/BA-CW3.png)
![](https://entera.med.br/wp-content/uploads/2023/10/cw4.gif)
CW4
300msec
![](https://entera.med.br/wp-content/uploads/2023/10/BA-CW4.png)
Electrodes are inserted into the dermal tissue with a 55~60° short pulse RF trigger. Thermal energy is delivered along the electrodes in the dermal layer
![](https://entera.med.br/wp-content/uploads/2023/10/energia-termica.webp)
Thermal coagulation at target depth.
![](https://entera.med.br/wp-content/uploads/2023/10/Coagulacao-termica-na-profundidade-do-alvo.png)
![](https://entera.med.br/wp-content/uploads/2023/10/SylfirmX-Treatment01-black.png)
Eletrodos não isolados
![](https://entera.med.br/wp-content/uploads/2023/10/non-insulated.webp)
- Complete coagulation in the total dermal layer
Strong immediate contraction of old collagen fibers - Long-term neocollagenesis in the total dermal layer
- No noticeable thermal damage found in the epidermis
- Little or no bleeding
- Minimal downtime and little or no pain
OUTRAS TECNOLOGIAS
Eletrodos isolados
![](https://entera.med.br/wp-content/uploads/2023/10/insuated.webp)
- Partial coagulation in the total dermal layer
- Neocollagenesis in the partial dermal layer
- Causes bleeding
- Relatively longer downtime