Step 1
Complete a skin assessment
Review your concerns, medical history, recent procedures, and preparation guidance before treatment.
EXION combines microneedling with controlled radiofrequency energy to support collagen remodeling, firmness, and improved skin texture.

EXION Fractional RF Microneedling is a non-surgical treatment that delivers controlled RF energy into the dermis through fine microneedles. The combined treatment supports collagen remodeling and skin tightening beyond the surface.
It can be used on the face, neck, décolleté, hands, and selected body areas for concerns such as fine lines, mild to moderate laxity, non-ice-pick acne scarring, enlarged pores, uneven or crepey texture, and selected stretch marks.
Treatment begins with a skin assessment, cleansing, topical numbing, and mapping of the area. Microneedles then penetrate at precise depths while RF energy is delivered; mild pressure, warmth, or slight discomfort may be felt.
Sessions take about 30–60 minutes. Temporary redness, swelling, warmth, pinpoint bleeding, dryness, or crusting may occur, with expected redness or sensitivity for 24–72 hours. Results develop gradually over weeks to months.


Microchannels and dermal RF heating stimulate collagen and elastin production and longer-term structural remodeling.
A personalized skin assessment guides treatment depth, preparation, aftercare, and the timing of your recommended series.
Step 1
Review your concerns, medical history, recent procedures, and preparation guidance before treatment.
Step 2
After cleansing, numbing, and mapping, microneedles deliver RF energy at customized depths for about 30–60 minutes.
Step 3
Follow sun and skincare precautions while temporary redness or sensitivity settles, then review progressive results with your provider.
Maryland clinics · In-person care only
Treatment may suit adults seeking improvement in mild to moderate skin laxity, uneven texture, enlarged pores, or non-ice-pick acne scarring. A provider screens your skin and medical history first.
Rivas does not publish a set EXION Fractional RF Microneedling price. Cost varies by treatment area, number of sessions, and personalized plan; exact pricing is provided during a provider consultation.

One medical team, seven ways to care for the body you are building.
Hear what they have to say about us.
Rated 4.9 across our Maryland locations.
The staff from the time I walked thru the door until I walked out was simply amazing! Excellent customer service, seamless intake process.
This staff are very friendly and professional. The pricing is AMAZING, and I love it even more that I'm able to get my prescriptions in house.
I had a wonderful experience here!! The front desk staff Alexys and Gabrielle were very helpful and friendly. 10/10 would recommend.
Every week I drive 30 minutes to Bowie and 30 minutes home again. I keep coming back, week after week, for one reason: I love this staff.
Excellent staff, advice and overall consideration for patients.
Everyone is so kind and encouraging.
The staff from the time I walked thru the door until I walked out was simply amazing! Excellent customer service, seamless intake process.
This staff are very friendly and professional. The pricing is AMAZING, and I love it even more that I'm able to get my prescriptions in house.
I had a wonderful experience here!! The front desk staff Alexys and Gabrielle were very helpful and friendly. 10/10 would recommend.
Every week I drive 30 minutes to Bowie and 30 minutes home again. I keep coming back, week after week, for one reason: I love this staff.
Excellent staff, advice and overall consideration for patients.
Everyone is so kind and encouraging.
I've had a great experience with Rivas Medical Weight Loss. The staff has been friendly, professional, and supportive.
I was very happy with finding this gem. Very fast and efficient service. Great service, friendly staff. Highly recommend!!!
Great service! I felt welcomed from the start of the door. The doctor was efficient and very knowledgeable.
Really appreciate the folks that work here; very friendly and efficient. Appointments are typically always on time.
Great customer service, answered my questions with detail and allowed me to guide the pace of my treatment.
Very knowledgeable staff! They made the process very easy and comfortable.
Rivas Medical Weight-Loss Clinic is the right place to be for your weight-loss journey.
The staff is amazing. I enjoy the encouragement they give.
The staff is amazing, they are quick to attend to clients, service is reliable.
Always clean. The staff are always professional. I love it there.
I've had a great experience with Rivas Medical Weight Loss. The staff has been friendly, professional, and supportive.
I was very happy with finding this gem. Very fast and efficient service. Great service, friendly staff. Highly recommend!!!
Great service! I felt welcomed from the start of the door. The doctor was efficient and very knowledgeable.
Really appreciate the folks that work here; very friendly and efficient. Appointments are typically always on time.
Great customer service, answered my questions with detail and allowed me to guide the pace of my treatment.
Very knowledgeable staff! They made the process very easy and comfortable.
Rivas Medical Weight-Loss Clinic is the right place to be for your weight-loss journey.
The staff is amazing. I enjoy the encouragement they give.
The staff is amazing, they are quick to attend to clients, service is reliable.
Always clean. The staff are always professional. I love it there.
15 clinic locations across Maryland and Virginia — plus telehealth in MD, VA & FL.

55 Kensington Pkwy, Abingdon, MD 21009
(410) 205-1371

134 Holiday Court #312, Annapolis, MD 21401
(410) 405-7639

6915 Laurel Bowie Rd #300, Bowie, MD 20715
(240) 200-0265

9055 Chevrolet Dr #100, Ellicott City, MD 21042
(410) 424-5041

10301 Democracy Lane #203, Fairfax, VA 22030
(571) 281-0359

2018 Rock Spring Rd #A6, Forest Hill, MD 21050
(410) 429-7900

2100 Old Farm Dr Ste C, Frederick, MD 21702
(301) 264-8700

408 Crain Highway S #7, Glen Burnie, MD 21061
(410) 449-4412

13424 Pennsylvania Ave #204, Hagerstown, MD 21742
(240) 200-5170

9199 Reisterstown Rd #203B, Owings Mills, MD 21117
(410) 497-8251

8817 Belair Rd #200, Nottingham, MD 21236
(410) 497-8666

15201 Shady Grove Rd #103, Rockville, MD 20850
(240) 203-9857

8555 16th St #405, Silver Spring, MD 20910
(301) 284-8329

7801 York Rd #350, Towson, MD 21204
(410) 583-5677

3500 Old Washington Rd #201, Waldorf, MD 20602
(301) 302-7979
EXION combines microneedling with controlled radiofrequency energy to support collagen remodeling, firmness, and improved skin texture.
Answers about treatment, candidacy, recovery, and your personalized care plan.