RF Microneedling with Cryo Cooling | Treatment Comfort & Technology Explained
Professional RF Microneedling Technology · 2026
RF Microneedling with Cryo Cooling
RF Microneedling creates a controlled treatment response within the skin. Cryo Cooling has a different job: helping to cool and soothe the treatment area around the procedure.
For clinics comparing professional RF Microneedling machines, cooling is therefore best considered as part of the patient experience and treatment protocol, rather than as the mechanism responsible for the RF Microneedling result.
Pure Tone Aesthetics provides Cryo Cooling with both Inthera and Therma Fusion Pro.
The short answer
What Does Cryo Cooling Add to RF Microneedling?
RF Microneedling involves fine needles entering the skin while radiofrequency energy creates controlled heating within the targeted tissue.
That means patients can experience both a needling sensation and warmth during treatment.
A separate Cryo Cooling handpiece can be used around the RF Microneedling procedure to cool and soothe the treatment area.
It can therefore form a useful part of patient-comfort management, but it does not replace appropriate treatment settings, practitioner technique or professional judgement.
Start with the treatment itself
What Happens During RF Microneedling?
Understanding why cooling can be useful first requires understanding what RF Microneedling is doing to the skin.
A professional RF Microneedling handpiece uses an array of fine needles which penetrate the skin to a selected depth.
Radiofrequency energy is then delivered through the needle system, creating controlled thermal zones within the targeted tissue.
The treatment therefore combines controlled microneedling with RF-generated heating. The resulting repair and remodelling response is associated with changes in collagen and elastin over time.
Because the treatment intentionally creates a controlled tissue response, temporary redness, warmth, sensitivity and swelling can occur afterwards.
A separate treatment step
How Is Cryo Cooling Used with RF Microneedling?
The Cryo Cooling handpiece is separate from the RF Microneedling handpiece and can be incorporated at different stages of the procedure.
Before · During · After
Cooling can be incorporated around the treatment according to the professional protocol and patient response.
Before
Cooling the area before RF Microneedling can help reduce skin temperature and provide a cooling sensation before the needling stage begins.
During
Cooling may be incorporated between treatment areas or stages where appropriate to help manage warmth and patient comfort.
After
Following treatment, cooling can help soothe skin that feels warm or sensitive after RF Microneedling.
Before RF delivery
Cryo Cooling Before RF Microneedling
Before the RF Microneedling handpiece is used, the Cryo Cooling handpiece can be applied to the planned treatment area.
The immediate effect is localised cooling of the skin, which can make the area feel cooler before the minimally invasive stage begins.
How cooling is incorporated should still depend on the platform protocol, treatment area and individual patient.
Cooling Should Not Be Used to Justify Excessive Treatment Settings
The purpose of Cryo Cooling is to support the treatment experience. It should never be used as a reason to work at inappropriate needle depths or RF energy levels simply because the patient can tolerate more sensation.
Managing the treatment response
Cryo Cooling During & After RF Microneedling
During Treatment
The cooling handpiece may be incorporated into the treatment sequence where appropriate, particularly if an area feels warm or sensitive.
Immediately Afterwards
RF Microneedling commonly leaves temporary warmth and redness. Cooling provides a straightforward way to soothe the area following treatment.
Patient Experience
Providing a cooling stage can make the treatment process feel more considered, particularly for patients who are apprehensive about needling or RF heat.
Recovery
Cooling may help calm the immediate post-treatment sensation, but normal RF Microneedling recovery and aftercare guidance still apply.
Different roles
Is Cryo Cooling the Same as Topical Anaesthetic?
No. They should not be treated as interchangeable simply because both may form part of comfort management.
Cryo Cooling works by lowering the temperature of the treatment area and providing a cooling and soothing sensation.
Topical anaesthetic works through a different mechanism and may be used according to the treatment protocol, practitioner assessment and relevant professional guidance.
Where topical anaesthetic is appropriate, Cryo Cooling should be considered an additional treatment feature rather than automatically a replacement for it.
Another part of treatment delivery
What Does Vacuum Technology Add?
Cryo Cooling manages a different part of the procedure from the vacuum system incorporated into the RF Microneedling handpiece.
When the RF Microneedling handpiece is placed against the skin, vacuum gently draws the tissue towards the microneedle cartridge.
This is designed to support consistent skin contact and penetration at the selected depth.
Vacuum technology does not create the RF Microneedling result by itself. It supports the practical delivery of the needle and RF treatment.
Three Different Jobs
Microneedles: position the treatment at the selected depth.
RF energy: creates controlled thermal zones within the targeted tissue.
Cryo Cooling: cools and soothes the treatment area around the procedure.
Two Pure Tone options
Inthera or Therma Fusion Pro?
Both provide RF Microneedling and Cryo Cooling. The decision comes down to whether RF Microneedling is the main treatment capability you need or whether you also want Monopolar RF.
Inthera
The dedicated RF Microneedling option.
Inthera combines professional Bipolar RF Microneedling with vacuum-assisted treatment and a dedicated Cryo Cooling handpiece.
It provides adjustable needle depth, RF control and insulated and non-insulated cartridge options for adapting treatment to different areas and concerns.
Choose Inthera where RF Microneedling itself is the professional treatment capability you want to introduce.
Therma Fusion Pro
RF Microneedling, Cryo Cooling and Monopolar RF.
Therma Fusion Pro provides RF Microneedling and Cryo Cooling but adds a separate Monopolar RF handpiece for non-invasive skin tightening.
That gives the clinic two different ways of using RF: needle-delivered RF Microneedling for texture and remodelling, and surface-delivered Monopolar RF for non-invasive firmness and tightening.
Choose Therma Fusion Pro where offering those additional treatments from one platform is useful to your clinic.
Side-by-side
Inthera vs Therma Fusion Pro
| Feature | Inthera | Therma Fusion Pro |
|---|---|---|
| RF Microneedling | Yes | Yes |
| Vacuum-assisted treatment | Yes | Yes |
| Cryo Cooling | Yes | Yes |
| Insulated / non-insulated needles | Yes | Yes |
| Dedicated Monopolar RF | No | Yes |
| Non-invasive RF tightening | No separate mode | Yes |
| Best suited to | Clinics specifically adding professional RF Microneedling | Clinics wanting RF Microneedling plus a separate non-invasive RF treatment from one platform |
← Swipe sideways to view the full comparison →
Buying a professional system
How Important Is Cryo Cooling When Choosing an RF Microneedling Machine?
It is useful, but it should not be the only factor driving the equipment decision.
Cryo Cooling can improve the treatment experience by giving practitioners another way to cool and soothe the skin around a minimally invasive RF procedure.
But the performance and usability of an RF Microneedling machine also depend on factors such as:
- RF delivery and treatment control
- Available needle depths
- Insulated and non-insulated cartridge options
- Cartridge sizes
- Vacuum-assisted treatment
- Consistency of skin contact
- Treatment protocols
- Practitioner training
- Availability of consumables
- Technical and clinical support
- Warranty and servicing
Cryo Cooling is therefore best viewed as a valuable patient-comfort and treatment-support feature within a wider professional RF Microneedling system.
Professional use
Why Training Still Matters
Adding a cooling handpiece does not make RF Microneedling a simple one-setting treatment.
Practitioners still need to understand consultation, contraindications, skin anatomy, needle depth, cartridge selection, RF settings, treatment technique, expected skin response and aftercare.
Training should also explain when and how Cryo Cooling is incorporated rather than leaving practitioners to assume that more cooling is automatically better.
Pure Tone Aesthetics provides professional training alongside personal delivery and installation, with ongoing clinical and technical support after purchase.
Common questions
RF Microneedling & Cryo Cooling FAQs
What is Cryo Cooling in RF Microneedling?
Cryo Cooling uses a separate cooling handpiece that can be applied around the RF Microneedling procedure to cool and soothe the treatment area and support patient comfort.
Is Cryo Cooling part of the RF Microneedling handpiece?
On Inthera and Therma Fusion Pro, Cryo Cooling is provided through a separate dedicated handpiece rather than through the microneedle cartridge itself.
When can Cryo Cooling be used?
Cryo Cooling can be incorporated before, during or after RF Microneedling according to the treatment protocol, area being treated and individual patient response.
Does Cryo Cooling replace topical anaesthetic?
Not automatically. Cryo Cooling and topical anaesthetic work in different ways. Anaesthetic use should follow the relevant professional protocol and practitioner assessment, while cooling can provide an additional comfort and soothing step.
Does Cryo Cooling remove RF Microneedling downtime?
No. RF Microneedling intentionally creates controlled microchannels and thermal stimulation. Temporary redness, warmth, swelling, sensitivity or pinpoint marks can still occur after treatment. Cooling can soothe the immediate treatment area but does not remove the normal healing response.
What does vacuum-assisted RF Microneedling mean?
Vacuum gently draws the skin towards the microneedle cartridge as the handpiece is applied, helping support consistent contact and controlled penetration at the selected depth.
Does Inthera include Cryo Cooling?
Yes. Inthera combines professional Bipolar RF Microneedling, vacuum-assisted treatment and a dedicated Cryo Cooling handpiece.
Does Therma Fusion Pro include Cryo Cooling?
Yes. Therma Fusion Pro includes RF Microneedling and Cryo Cooling, and also adds a dedicated Monopolar RF handpiece for non-invasive skin tightening.
Should I choose Inthera or Therma Fusion Pro?
Inthera is the more focused option if your clinic specifically wants professional RF Microneedling with Cryo Cooling. Therma Fusion Pro is designed for clinics that also want to provide non-invasive Monopolar RF skin tightening from the same platform.
Is Cryo Cooling the most important feature of an RF Microneedling machine?
It is useful for treatment comfort, but machine selection should also consider RF control, needle depth, cartridge design, vacuum-assisted delivery, training, consumables, warranty and ongoing support.
Final Thoughts
Cryo Cooling Has a Simple but Useful Role
Cryo Cooling does not replace the RF Microneedling treatment and it is not responsible for the collagen-remodelling effect.
Its value is much more straightforward: it gives the practitioner a dedicated way to cool and soothe the treatment area around a minimally invasive RF procedure.
Inthera combines that functionality with a focused professional RF Microneedling platform. Therma Fusion Pro provides the same broader RF Microneedling and cooling approach while adding Monopolar RF for clinics that also want to offer a separate non-invasive tightening treatment.
For clinics comparing machines, Cryo Cooling is therefore a useful feature to consider alongside the RF technology, cartridge options, vacuum delivery, training and longer-term support.
Professional RF Microneedling
Compare Inthera & Therma Fusion Pro
Explore our two professional RF Microneedling platforms or speak to the Pure Tone Aesthetics clinic team about treatment capability, training and support.