A REVIEW OF THE XB-49 TIP: A NEW AND IMPROVED TOOL FOR MICRONEEDLING

Gee Bum Kim, MD, discusses the benefits of the new XB-49 Tip for the SYLFIRM X microneedling device

SYLFIRM X HAS LONG been a solution for improving a range of skin issues. However, the use of a linear step motor in pursuit of precise procedure results can often lead to a reduction in treatment speed. With the release of the new XB-49 Tip, I would like to discuss its benefits based on my experience.

The indications for the XB-49 Tip are not significantly different from that of existing Sylfirm X tips, including melasma, rosacea, postinflammatory hyperpigmentation (PIH), skin tightening and lifting, and more. Notably, the XB-49 Tip can treat a bigger area in a single shot, reducing treatment time.

Compared to the commonly used XE-25 Tip, the XB-49 Tip has a reduced distance between the needles, maximising the delivery of drugs when used in conjunction with microneedling and lowfrequency ultrasound equipment. Additionally, compared to the old treatment, the pain experienced during the procedure has been reduced, resulting in an increase in patient satisfaction.

Shorter treatment time

With the XB-49 Tip, a full-face treatment can be performed in approximately 5 minutes. With the increased treatment area per needling, significantly less time is required for the same procedure. Shortened treatment time is a major advantage for both users and patients,

Minimised pain

Another advantage of the XB-49 Tip is that it causes less pain than previous treatments, allowing patients to be more comfortable during the procedure. This benefit is expected to make the procedure approachable for more patients.

Enhanced microneedling and drug delivery effects

Recently, more clinics have been combining RF micro-needling with skin boosters. Our clinic also uses various skin boosters combined with the new XB-49 Tip, resulting in reduced pain and treatment time and maximising drug delivery effects. The additional number of needles for the radiofrequency needling procedure creates numerous micro-holes, increasing the absorption rate of the skin boosters. When combined with lowfrequency ultrasound procedures, more effective skin regeneration and remodelling effects can be achieved.

While I already have been consistently using SYLFIRM X, the three additional benefits through XB-49 Tip have increased the usage of the device even more.

When using the XB-49 Tip, there is an adjustment in the depth setting. I set the target depth slightly deeper and use the same power setting as the provided parameter. For melasma treatments with the XB-49 Tip, I use PW2, 5-Level, 0.5mm, and 2 Passes (Provided parameter for melasma treatment is PW2, 5-Level, 0.3mm, and 2 Passes). With the

XB-49 Tip, applying less physical force and increasing depth makes performing the procedure easier. Also, even with deeper depth settings, patients did not experience any increase in pain during the procedure in comparison to the old procedure. The same power parameter is used as before. In particular, I recommend not adjusting the power during melasma treatment, as tissue reactions can change.

The launch of the XB-49 Tip is expected to increase satisfaction not only for existing SYLFIRM X users but also for new users with shortened treatment times and higher efficacy. I look forward to discovering better treatment methods through continuous parameter exploration and sharing new findings with other users.

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