Sylfirm X RF Microneedling
in Charlotte, NC

Evolve Medical Associates is proud to provide our patients with a new class of revitalizing treatment: SYLFIRM X radiofrequency microneedling, the world’s first and only pulsed-wave and continuous-wave radiofrequency device!

Sylfirm X RF Microneedling

What is SYLFIRM X RF Microneedling?

Radiofrequency (RF) microneedling uses ultrafine needles and radiofrequency waves to issue minor, controlled damage deep within the skin. These microwounds trigger natural, long-term healing processes to regenerate collagen and elastin for stronger, firmer, healthier skin.

SYLFIRM X — an FDA Approved, non-surgical RF microneedling platform — is the first and only dual wave system, featuring pulsed and continuous energy delivery. This gives us unprecedented control over where, how, and how intensely we apply treatment to rejuvenate the skin. That flexibility makes it ideal for hard-to-treat skin conditions like melasma, redness, acne, and rosacea.

We often recommend combining SYLFIRM X with topical exosomes: a cutting-edge biotech breakthrough that supercharges your skin. Exosomes use growth factors to help tissue repair and skin cell improvement, boosting the natural rejuvenation initiated by SYLFIRM X!

What Are the Benefits of SYLFIRM X RF Microneedling?

Not only can SYLFIRM X simultaneously treat multiple skin concerns for overall improvement, but its gold-plated needles allow it to target tissues with minimal damage to the epidermis. This means that the dramatic improvements brought on by this minimally invasive treatment require little to no downtime!

Additionally, SYLFIRM X refines skin texture, improves scarring, reduces eye bags, and tightens the skin for a more youthful look. And, your boosted collagen production will maintain for up to three months after your procedure, for evenly toned skin and skin laxity that continue to improve over time!

Sylfirm X RF Microneedling Technology


18:13 28 Jan 23
I’m very impressed with Dr. Sudy and his team. I’ve had some bad experiences with other Wilmington doctors but Dr. Sudy is amazing! I was extremely impressed by his results, even after telling him this he insisted that I come in for a follow up to ensure that his work was perfect. He made a slight adjustment on our follow up for something I hadn’t even noticed. I will definitely be returning and will be encouraging my family and friends to make the switch to him and his team.
Leah SingletonLeah Singleton
22:35 11 Jan 23
I don’t typically give reviews but can’t say enough good things about Dr Sudi and his staff. I’ve seen him a handful of times for fillers and Botox and I’m always more than pleased. He takes his time and listens to my concerns and always gives a natural and improved look. I’ve been to 3 other well known practices before him and he is definitely the best.
Jo-Anne NeilsonJo-Anne Neilson
17:51 21 Oct 22
I have been using this medspa for more than a dozen years and I've never experienced anything but wonderful service from Dr. Sudy and his front desk staff. Today I had a relatively new employee inject my neurotoxin (Benjamin Epstein) and he was careful and thorough. I would gladly use him again.
Denise HelmsDenise Helms
20:53 30 Sep 22
The doctors and staff at Evolve are extremely knowledgeable and professional. The level of service is the highest that I have experienced at a Med Spa. everyone is genuinely concerned about my objectives and works to ensure that I am comfortable throughout my procedures. I frequently receive compliments on my skin since I’ve started using Evolve. My results are the best advertisement! I am extremely pleased and highly recommend Evolve.
Jenny NguyenJenny Nguyen
15:34 23 Sep 22
You are in good hands no matter what service you’re getting withIsabella and Dr. Sudy. They provide the best service from A-Z.Beautiful people with wonderful personality who provide the best-top-notch service!Highly recommended Evolve! The staffs here are awesome; amazing place!
Stephanie PutalaStephanie Putala
17:10 09 Sep 22
Dr. Sudy was personable and thorough. He even had his little dog sit with me during the treatment. Very happy with the results and will be a return client!
Chelsea GriggChelsea Grigg
16:11 16 Aug 22
After doing research on coolsculpting and med spas, I found Evolve medical Associates. I scheduled a consultation with ease. The whole staff is awesome and very helpful. We scheduled the procedures and Isabella, who does the coolsculpting is so much fun, very straightforward about everything so there were no surprises. She made the experience very pleasant and I enjoyed coming in just to talk to her. It’s been a few months since the procedures and I was able to wear a bikini at the pool/beach with confidence for the first time since I’ve had my children. I even feel more confident in my clothes and I’m so thankful for her skills and her attention to detail.
Rebecca DayRebecca Day
17:32 17 Jul 22
Wonder experience! I highly recommend everyone in this practice
12:14 19 May 22
Run, don't want to get their skin care pads. The retinol pads are prescription grade and made fresh at checkout! Also loving my skin pen with PRP results!
20:00 07 Apr 22
Always the best place for honest advice and healthy treatments! Dr. Youseff and her staff are amazing!
dina zafiridina zafiri
17:38 18 Mar 22
Yesterday I had my second Halo treatment with Isabella . She is very nice she explained everything and she even texted me later to check on how I was doing .My experience with Evolve medical and Isabella was amazing thank you 😊
Lidiana SotoLidiana Soto
15:24 05 Mar 22
Evolve is Amazing! Professional, the absolute best. And sooo fun! I have been to a couple of other medical spas for some work and this was by far my favorite and most enjoyable experience. Isabella is an artist! She is thorough, and has exquisite attention to detail. I walked out feeling like my best self. Can’t wait to come back.
Stephanie HymesStephanie Hymes
19:44 29 Dec 21
Evolve medical is truly the best! Trinity and Cortney couldn’t be more accommodating! Cindy is professional, punctual and perfectly pleasant!I very much appreciate great service and they always provide it!!!
Amy SimpsonAmy Simpson
15:16 09 Dec 21
Dr Sudy is amazing. I’ve been seeing him for 11 years and he only gets better. The staff is lovely and the office comfortable. If I could give them 20 stars I would.
Melissa RachimaMelissa Rachima
21:12 04 Dec 21
I have been going to Evolve for many years and it’s always a very enjoyable experience that I recommend highly. From the moment you walk into the door the staff makes you feel welcomed and like family.The broad range of services to the vast array of products they offer are exceptional!
Lacey StephensLacey Stephens
21:36 13 Nov 21
Isabella is absolutely amazing! I got coolsculpting with her and the results are incredible. She knew exactly what she was doing and I am so happy i chose to do my treatment with her! She goes above and beyond for her patients. I couldn’t go during the day because of work and she stayed after hours for me plus gave me her number to answer all my questions!! If you are looking to do coolsculpting you must go to Isabella - trust me!
Catherine HicksCatherine Hicks
00:46 02 Nov 21
Cool sculpting treatment was as comfortable as it possibly could have been. Everything was explained very clearly, including how to prepare for it. Isabella Ayescue is excellent at what she does. Very effective after my first treatment so came back for another.
Liza DuncanLiza Duncan
18:03 28 Oct 21
Isabella is the best! She’s an excellent technician, funny and smart. I always get great results with her and I’m happy to have found her!
Gina HabibiGina Habibi
17:50 25 Sep 21
Evolve Medical is great! I’m lucky to have found this gem when I moved. Staff are always welcoming, fun and professional. Shout out to Dr. Sudy for great lip enhancement and wrinkle relaxer work! Isabella’s BBLs are always on point. Her BBL forever young always turns out fabulous. Sun damage spots removed and face has a glow that people actually stop me to comment on. Thank you Evolve team!
Sandra ToroSandra Toro
14:22 19 Aug 21
Great environment and professional staff. Very pleased with the services I received. Will definitely come back!!!
13:25 27 Jul 21
I drive 4 hours to go to Dr. Sudy. Well worth the trip! Sandra

Frequently Asked Questions

Is SYLFIRM X Right for Me?

If you’ve been struggling with hyperpigmentation, wrinkles, rosacea, or signs of aging that haven’t responded to other treatments — even other RF microneedling — SYLFIRM X is likely right for you! It’s especially useful for more sensitive areas because of how gentle it is on the skin. If you’re taking certain medications, undergoing treatments like chemotherapy, or have a condition that affects your candidacy, we’ll discuss it in a consultation to confirm SYLFIRM X will deliver the best results for you.

Does Microneedling hurt?

Most patients find that microneedling only causes a slight tingling sensation and light pressure, with little to no pain. Those who are ultra-sensitive to sensations may opt for a numbing cream.

Are There Side Effects or Downtime to SYLFIRM X RF Microneedling?

SYLFIRM X requires little to no downtime, but if you have more sensitive skin, we recommend spacing your appointment out a week prior to any events. Rare side effects include sensitivity, redness, swelling, and potential bleeding. Side effects and downtime are minimized and optimized with exosome topicals!

How Many Sessions Will I Need?

Typically, three to four treatments, spaced four to six weeks apart, produce the best results.

When Will I See Results?

Some results, like improved tone and texture, are immediate. Because collagen production is boosted over the span of three months following your treatment, you’ll notice new improvements over time and with each session.

Can I Combine Microneedling with Other Treatments?

Yes! In fact, SYLFIRM X is generally combined with exosome topicals to boost its efficacy and promote your skin’s natural rejuvenation for outstanding results. It’s also safe to use alongside other energy devices and injectables. Our team will discuss the best course of action for you during your consultation.

SYLFIRM X RF Microneedling in Charlotte, NC

We’re proud to provide RF Microneedling in its most advanced form to our community in Charlotte! SYLFIRM X is here to get your skin glowing, your way. Whether you’re seeking reduced wrinkles or relief from hard-to-treat skin conditions, SYLFIRM X can be combined with state-of-the-art exosome technology for your most youthful and radiant skin!