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Radio Frequency Microneedling (GENIUS™) city, state

San Francisco facial plastic surgeon Dr. Evan Ransom is extremely excited to offer GENIUS™ for the face and neck. He is one of a very small number of providers in Northern California with this groundbreaking device. The GENIUS™ technology pairs two of the latest non-surgical, minimally-invasive treatments – radiofrequency energy (RF) and microneedling – to stimulate collagen growth and tighten the skin. GENIUS™ is performed in the office and does not require general anesthesia, making it a great alternative for those who are not able undergo or are uninterested in cosmetic surgery.

GENIUS™ is the only RF technology that is designed to deliver energy inside the dermis using tiny, insulated microneedles. The depth of penetration is precisely calibrated to the skin being treated and your individual needs. This targeted treatment means that the skin surface is spared and deeper structures, like nerves, are kept safe. In addition, greater focus of the energy in the area where collagen is produced means greater effect per treatment – and overall less work for the patient. GENIUS™ is safe and effective for ALL SKIN TYPES while minimizing risk of pigment change. This includes thicker skin and patients with acne scarring.

How Genius works graphics

Acne scar reduction

Genius treatment is very effective in treating the surface and texture irregularities that result from acne scarring. This technology provides a combination of mechanical (needle penetration) and thermal (radiofrequency energy delivery, which dissipates as heat in the skin) stimulation of your body’s wound healing response. The overall effect is an increase in the production of collagen and elastin fibers in your skin, and an increase in the rate of cell turnover. The depth of the microneedle penetration is determined by your individual skin thickness and varies throughout the face and neck (e.g., the cheek region skin is thicker than the forehead skin). Energy levels and the time of each radiorequency pulse are also varied with the depth of the needles. More energy is delivered on the deepest pass, with less energy on subsequent intermediate and superficial passes. Most treatments involve three passes over the treated area, though in some cases two or four passes may be used. Patients typically require four or five treatment sessions, depending on acne scar severity. These are generally spaced about six weeks apart to allow for skin recovery but to avoid losing treatment momentum.

Face and neck tightening

Genius RF can also be used effectively alone or in combination with ThermiTight for skin tightening, texture improvement, and even fat reduction or contouring in the submentum and neck. In the cheeks and around the mouth, reduction in fine lines and improvements in the skin surface are achieved with relatively superficial application. Using deeper microneedle penetration, the Genius can shrink the subcutaneous fat in the jowl and “double chin” areas. Dr. Ransom has used the Genius concurrently with ThermiRF for a significant contour improvement of the jawline and upper neck in patients who are not ready or not able to undergo surgical enhancements such as mini-facelift, facelift, or neck lift.

Who is a candidate?

Anyone who is seeking improvements in the tone and texture of the facial skin, or non-surgical approaches to address moderate facial and neck aging may be a candidate. GENIUS™ is used to lift and tighten the cheeks, brow, eyelids, and neck. In addition, GENIUS™ is a fantastic solution for acne scarring in patients with all skin types and colors. This device can be used in patients who are not candidates for laser treatment due to inflammatory hyperpigmentation concerns. Patients with significant excess skin or fatty deposits may be better served with different techniques (e.g., browlift, face or neck lift, or neck liposuction). Dr. Ransom can help you decide if GENIUS™ is right for you during your comprehensive consultation.

unparalelled results for genius graphics

Frequently Asked Questions

Question: What areas can be treated?
Answer: Many areas can be treated with GENIUS™ using different settings for the energy and depth of penetration, including the forehead, brow, eyelids, cheeks, jowls, upper lip, chin, neck, and décolletage.
Question: How long does the treatment take?
Answer: Each session takes about one hour. This involves application of the topical numbing cream, preparing the skin surface, and delivering the treatment. The specific time required for the GENIUS™ energy delivery depends on the number of areas being treated, but typically is about 20 minutes.
Question: How many treatments are there?
Answer: The total number of treatment sessions depends on your unique skin characteristics and the desired endpoint. Most patients will undergo three to five treatments, typically one to two months apart.
Question: Does it hurt?
Answer: Dr. Ransom uses a topical numbing cream that dramatically reduces the sensation of the skin during the treatment. Most patients are fine with just this application. For some areas, a small nerve block can be performed using an injectable local anesthetic. Finally, for patients with anxiety, we offer oral sedation in the office. Please note that you cannot drive home if you have had sedation; you will need a driver to accompany you.
Question: What is the downtime? Can I go back to work afterward?
Answer: There is minimal downtime from GENIUS™ treatments. The treated area will be swollen and inflamed or irritated in appearance for about 48 hours. No specific post-treatment medication, measures, or restrictions are required. The application of moisturizer and sunscreen is recommended. Tylenol is sufficient for discomfort in almost all cases. Many patients will go back to work the day after their treatment session, though this varies according to personal preference.
Question: When do I see results?
Answer: Most patients will see some improvement even after their first session of GENIUS™. The full results of the treatment, however, are typically seen between 4 and 6 months. This is because the body takes time to create new collagen in the skin and to contract and remodel the connective tissue fibers. Benefits of the GENIUS™ technology are permanent and can be enhanced by a comprehensive skin care program.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.