Key takeaways
Secret RF is a fractional radiofrequency microneedling device by Cutera that stimulates collagen and elastin production across all Fitzpatrick skin types (I-VI).
Standard treatment protocol requires 3-4 sessions spaced 4-6 weeks apart, with minimal downtime of 1-2 days of mild redness.
Clinics must provide structured consent forms, aftercare instructions, and risk disclosures to ensure informed patient decision-making and compliance.
Pabau’s digital forms, patient records, and automated workflows streamline Secret RF documentation, follow-up scheduling, and outcome tracking.
Download your free Secret RF aftercare instructions template
A ready-to-use aftercare guide covering post-treatment recovery protocols, contraindication screening, risk disclosures, and follow-up appointment scheduling for Secret RF microneedling treatments.
Download templateSecret RF microneedling is a fractional radiofrequency treatment that demands precise clinical documentation. This guide gives aesthetic practices ready-to-deploy templates for patient consent, treatment protocols, and aftercare instructions. Integrating these resources into your practice workflow supports compliance, patient safety, and consistent treatment outcomes.
What is Secret RF?
Secret RF is a Cutera-manufactured fractional radiofrequency device that combines insulated gold-tipped microneedles with radiofrequency energy delivery. The microneedles penetrate the skin at adjustable depths (0.5mm-3.5mm), delivering RF energy to the dermis while fully protecting the epidermis. This mechanism stimulates collagen and elastin remodeling, addressing acne scars, fine lines, wrinkles, skin laxity, stretch marks, and hyperpigmentation.
Available in 25-needle and 64-needle tip configurations, Secret RF pairs with digital consent forms and structured clinical documentation. The device is cleared for use across all Fitzpatrick skin types (I-VI), making it a versatile treatment option for diverse patient populations.

How to use this documentation template
Effective Secret RF documentation follows a structured five-step workflow designed for practice efficiency and patient clarity.
- Pre-treatment consultation: Clinicians complete a comprehensive intake form covering skin type, treatment history, and realistic expectations. They screen for contraindications, including active infection, immunosuppression, or Accutane use within the past 6 months. They also document Fitzpatrick type and relative contraindications like keloid history or sensitive skin.
- Consent and disclosure: Present the patient with a detailed consent form covering the treatment mechanism and expected results, including collagen remodeling over 8-12 weeks. The form should also cover downtime (1-2 days of redness, occasional swelling) and potential side effects like temporary hyperpigmentation or post-inflammatory erythema. Use before-and-after photo documentation to set visual expectations.
- Treatment protocol execution: Record session details: needle depth (typically 2.5mm-3.0mm for most indications), energy settings in watts, and needle configuration (25 or 64 pins). Also log treatment duration, anatomical areas treated, and any patient tolerance observations.
- Post-treatment instructions: Provide written aftercare guidance: avoid direct sun exposure for 4 weeks and use broad-spectrum SPF 30+ daily. Also tell patients to skip exfoliants and retinoids for 5-7 days, and to schedule follow-up appointments at 4-6 week intervals. Automate aftercare reminders via SMS and email to improve compliance.
- Outcome tracking: At each subsequent session, photograph treatment areas using standardized positioning and lighting. Compare images to baseline and prior sessions to document clinical progression and communicate results to the patient.
Who needs this documentation template?
Secret RF documentation templates are essential for any aesthetic practice offering fractional RF microneedling. Primary users include:
- Medical spas and aesthetic practices performing cosmetic RF treatments under physician, NP, or PA supervision
- Dermatology practices integrating Secret RF into acne scar and skin rejuvenation treatment menus
- Plastic surgery practices combining Secret RF with other procedures for combined scar revision protocols
- Laser and skin practices expanding service offerings to include fractional RF modalities
- Multi-location aesthetic businesses requiring standardized treatment documentation across all sites
Practices running Secret RF across multiple treatment locations benefit from centralized documentation templates that keep compliance consistent across every site.
Benefits of structured documentation
Implementing standardized Secret RF templates delivers measurable operational and clinical benefits.
- Regulatory compliance: Structured consent forms and risk disclosure documents reduce regulatory exposure during compliance audits and malpractice reviews. Clear documentation of informed consent supports your practice’s defense in any adverse event inquiry.
- Clinical audit readiness: Compliance-ready documentation templates enable rapid evidence gathering for external audits, insurance investigations, and peer review processes.
- Patient safety: Standardized protocols ensure every clinician follows identical pre-treatment screening, intra-treatment parameters, and post-treatment care sequences. This reduces variability and prevents treatment-related complications.
- Treatment outcome documentation: Systematic before-and-after photography and session-by-session clinical notes support evidence-based treatment planning. Centralized patient records make prior treatment details instantly accessible to any team member.
- Patient confidence and retention: A shared patient portal displaying aftercare instructions and follow-up schedules increases treatment compliance and reduces cancellations. Clear communication about downtime and results timeline improves satisfaction scores.
Pro Tip
Document Secret RF parameters at the time of treatment, not retrospectively. Record needle depth, energy settings (watts), treatment duration (in minutes), and anatomical zones treated. This contemporaneous documentation is critical evidence if a complication arises and demonstrates professional standard of care.
Secret RF treatment protocol overview
Most aesthetic practices follow a standardized three-to-four session protocol for optimal collagen remodeling.
Automated workflow scheduling can alert staff to book follow-up appointments at optimal 4-6 week intervals, ensuring treatment spacing aligns with collagen remodeling biology.

Patient safety and risk documentation
Every Secret RF consent template must address both absolute and relative contraindications with clear screening language.
- Absolute contraindications (treatment must be postponed):
- Active skin infection or viral lesions, including herpes simplex
- Immunosuppression from systemic steroids or chemotherapy
- Isotretinoin (Accutane) use within the past 6 months
- Active inflammatory skin conditions, such as a severe rosacea flare or eczema in the treatment zone
- Severe keloid history
- Relative contraindications (require documented discussion and signed acknowledgment):
- Fitzpatrick type V-VI skin, which carries a higher post-inflammatory hyperpigmentation risk
- Recent sun exposure or an active tan
- History of keloids
- Sensitive skin or known contact dermatitis
- Concurrent use of photosensitizing medications, such as doxycycline or certain NSAIDs
- Post-treatment risks (must be disclosed before treatment):
- Temporary erythema lasting 1-2 days, which resolves with SPF
- Potential mild edema for 24-48 hours
- Rare post-inflammatory hyperpigmentation, especially in Fitzpatrick V-VI skin
- Extremely rare hypertrophic scar formation in keloid-prone individuals
- Possibility of incomplete scar improvement after the first treatment course
Document patient acknowledgment of downtime expectations. Many adverse reactions stem from unmanaged patient expectations about recovery timeline, not treatment failure. Explicit written confirmation that the patient understands and accepts 1-2 days of redness is protective documentation.
Streamline Secret RF documentation with Pabau
Automate consent forms, schedule follow-up appointments, and track before-and-after outcomes using Pabau’s integrated clinical documentation system.
Conclusion
Secret RF delivers consistent results only when the documentation behind it holds up. Structured consent forms, treatment protocols, and aftercare instructions protect your practice legally and support patient safety. They also give you the session-by-session record needed to show measurable outcomes.
Download the template above and put it to use at your next Secret RF consultation. Book a demo to see how Pabau keeps consent forms, treatment protocols, and aftercare instructions organized for every aesthetic treatment you offer.
Continue your research
Need a complete aesthetic consultation framework? Performing Consultations That Convert walks clinicians through structuring a consultation that addresses patient concerns and drives treatment bookings.
Looking for before-and-after photo best practices? Med Spa Before and After Photos covers photography protocols, consent for image use, and outcome documentation standards.
Want a broader resource for aesthetic practice compliance? Medical Spa Compliance Checklist addresses regulatory requirements across CQC, GDPR, and professional liability across all aesthetic treatments.
Frequently asked questions
What is Secret RF microneedling?
Secret RF is a fractional radiofrequency microneedling device that combines insulated microneedles with radiofrequency energy to stimulate collagen and elastin production. The fully insulated needles protect the epidermis while delivering RF energy to the dermis at adjustable depths of 0.5mm-3.5mm. This makes it suitable for all Fitzpatrick skin types.
How many Secret RF sessions do patients typically need?
Most patients benefit from 3-4 sessions spaced 4-6 weeks apart. Initial collagen remodeling becomes visible within 8-12 weeks, with continued improvement over 6 months. Some patients with severe scars or laxity may require additional sessions, discussed during the initial consultation.
What is the downtime after Secret RF treatment?
Downtime is minimal, typically 1-2 days of mild redness and occasional mild swelling. Patients can resume normal activities within 24 hours. Post-inflammatory hyperpigmentation is rare but more common in Fitzpatrick type V-VI skin, requiring rigorous sun protection (SPF 30+ daily) for 4 weeks post-treatment.
Is Secret RF safe for all skin types?
Yes, Secret RF is cleared for use on Fitzpatrick skin types I-VI. However, relative contraindications apply, including recent tan, active sun exposure, and keloid history. Patients with Fitzpatrick type V-VI skin require more aggressive sun protection post-treatment to minimize hyperpigmentation risk.
What conditions does Secret RF treat?
Secret RF treats acne scars, fine lines, wrinkles, skin laxity, stretch marks, and hyperpigmentation. It is particularly effective for atrophic acne scars and texture irregularities. Treatment protocols are customized based on the condition addressed and the patient’s skin type and tolerance.
What documentation should clinics retain after Secret RF treatment?
Clinics must retain signed informed consent with risk acknowledgment, along with pre-treatment photographs showing Fitzpatrick type. Session notes should record needle depth, energy settings, treatment duration, and anatomical zones treated. Post-treatment photographs (at 1 week, 4 weeks, and final baseline) provide clinical evidence of outcomes for audit and malpractice defense.
Can patients use retinoids after Secret RF treatment?
No. Patients should avoid retinoids, exfoliants, and vitamin C serums for 5-7 days post-treatment to allow the epidermis to recover. Resume gentle skincare after this period. Sun protection (SPF 30+) is mandatory for 4 weeks post-treatment regardless of patient skin type.