Meet Agnes, your acne-fighting, anti-aging ally
Meet Agnes – your non-surgical, minimally invasive solution for a stubborn double chin, under-eye bags, wrinkles, scars, enlarged pores, acne breakouts, and more. These treatments can “do it all” by harnessing the power of two proven technologies: radiofrequency energy (RF) and microneedling.

How does Agnes RF work?
During treatment at Pua Manu Med Spa in Kapolei, Hawaii, RF energy is delivered to targeted areas through insulated microneedles. These ultra-fine needles help the energy penetrate deeply and precisely into trouble areas, such as stubborn fat under the chin or fat pads under the eyes. This combination of RF and microneedling heats deeply to stimulate firming collagen and destroy resistant fat, while also stimulating the tissue repair and skin rejuvenation process. It also targets the sebaceous glands that make sebum/oil and contribute to breakouts. With oil production under control, we can combat clogged pores and minimize the frequency of acne breakouts.
Where can you use Agnes RF?
Agnes RF is a great option to improve the appearance and texture of your “trouble spots.” A few possibilities include:
- Under the eyes – Until Agnes RF, nonsurgical options to treat under-eye bags were limited. We can effectively remove fat and tighten skin in this delicate area by using RF energy to heat the tissue. This process melts the fat pads and triggers collagen production to firm wrinkled or saggy skin.
- The jawline and chin – Due to its collagen-boosting and fat-busting capabilities, Agnes RF is appropriate for both tightening loose skin along the jaw and treating jowls, as well as for eliminating fat in the “submental area” (double chin).
- Around the mouth – Agnes RF is a refined treatment, which works particularly well on small, delicate areas that require precision sculpting. These areas include the “smoker’s lines” around the lips.
- Around the eyes – Saggy, wrinkled skin around the eyes can be improved, too. In addition to promoting collagen production, Agnes RF treatment also stimulates your body to produce more elastin. This fiber contributes to your skin’s flexibility, helping us effectively smooth and contour the upper eye area and common concerns like crow’s feet.
Of course, we target specific concerns wherever they may be, from the sebaceous glands at the root of your breakouts to scars caused by past acne. While versatile, treatment with Agnes RF may not be advised for larger or more extensive areas such as the full face or neck. Instead, Scarlet RF microneedling may be a more comprehensive and appropriate option.
How does Agnes RF help with scars?
Agnes RF effectively softens scars (and other depressions) by encouraging a controlled, wound-healing response. As the treated tissues heal, more collagen and elastin are produced to “fill in” these depressions. The thermal energy produced during treatment also helps to break down scar tissue. Lastly, Agnes RF prevents future scarring by targeting and inhibiting sebaceous gland activity. By keeping your acne under control, you avoid long-term and often painful complications that can persist well after your last breakout.
What is treatment like?
As a nonsurgical procedure, Agnes RF is tolerated well and allows you to get back to your schedule and lifestyle faster than more aggressive treatment alternatives (such as blepharoplasty or an “eye lift”). Treatment generally starts with one of our providers cleansing the marked areas to be treated. Agnes RF is often performed with a numbing cream for your comfort. After the cream has taken effect, the microneedles are inserted, and RF energy is delivered to the target areas. Most of our patients report a warm sensation and pressure as treatment progresses. You should feel little to no discomfort. Aftercare and downtime depend on factors such as the intensity of treatment and the sites treated. For instance, the areas under the eyes are delicate and may be more prone to persistent swelling and bruising. To support fast healing, be sure to follow all instructions provided by our team, which may include activity/exercise restrictions and skincare recommendations.
When will I see results?
It’s possible to see some immediate improvements; however, many of the changes triggered by Agnes RF take time to yield significant or complete results. Remember, this treatment is rebuilding your skin from within. As fat cells are eliminated and collagen is produced, you will notice smoother, tighter, more lifted skin in the weeks following treatment. Agnes RF is generally a long-lasting solution for stubborn fat, as treated cells won’t return. Other age-related conditions may require maintenance treatments because, while we can hit the reset button on aging, we can’t stop the clock entirely. As collagen naturally breaks down over time, you may need a “touch-up” treatment to help protect your skin’s youthful smoothness and contour.
To learn more about this multi-talented technology performed by our team, request a consultation at Pua Manu Med Spa. Call our office in Kapolei, HI, today at (808) 900-4351.

