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This 63-year-old female patient pursued RF Microneedling (Genius) to help improve the appearance of uneven texture, fine lines, and mild skin laxity on her neck while maintaining a refreshed, natural look. Victoria A. Cirillo-Hyland, MD developed a customized treatment plan using targeted radiofrequency energy and precise microneedling depth to support collagen remodeling in key areas. Before-and-after photos show a smoother, more even complexion and subtle tightening consistent with gradual healing and skin renewal. Individual results and downtime can vary.