Treatment comparison

Radio Frequency (Forma) vs Fractora RF Microneedling

Forma vs Fractora RF at The London Road Clinic, Newark. Compare how these InMode radiofrequency treatments work, what they treat, and which suits your skin concerns best.

Side by side

At a glance

Compare Radio Frequency (Forma) Fractora RF Microneedling
Treatment type Non-invasive external radiofrequencyFractional RF microneedling
How it works Warms the skin from the outside with radiofrequency energy to stimulate gradual collagen productionDelivers radiofrequency through 600-micron pins into the dermis, creating ablative resurfacing and deep thermal collagen remodelling in a single pulse
Main concerns Mild laxity, fine lines, skin firmnessAcne scarring, skin texture, enlarged pores, fine lines, laxity, pigmentation
Downtime None2 to 5 days
Sessions A course, typically weekly1 to 6 sessions depending on the concern
Discomfort Warm and comfortable throughoutTopical anaesthetic applied; manageable at standard settings
Results timeline Builds gradually across the course of treatmentVisible improvement typically within 2 weeks; peak results at 2 to 3 months
Price from From £100Consultation required, priced on assessment

The science

How each treatment works

Radio Frequency (Forma)

Forma delivers controlled radiofrequency energy to warm the skin and stimulate collagen production over a series of sessions. The heat is precisely managed for comfort, and the effect on the skin builds gradually rather than appearing immediately. At The London Road Clinic it is used for mild laxity and fine lines on the lower face, jawline, neck and selected body areas. Results are intentionally modest and progressive, not a facelift alternative.

Full Radio Frequency (Forma) details →

Fractora RF Microneedling

Fractora uses a handpiece containing a matrix of 600-micron pins to deliver fractional radiofrequency energy precisely into the dermis. At 1kHz, the RF current creates two simultaneous effects in a single pulse. First, ablative micro-lesions form at each pin tip, resurfacing texture, acne scarring and pigmented damage at a depth of 250 to 1000 microns depending on the energy setting selected. Second, as the current flows from the pin tips to the flat side electrodes, it exposes the entire non-ablated papillary and reticular dermis to a sub-necrotic thermal effect, reaching 2.7mm depth at 46 to 51 degrees Celsius. This heat stimulates neo-collagenesis and neo-elastosis, the formation of new collagen and new elastin, in the tissue between the ablation craters. Re-epithelialisation is complete within 48 hours; the deeper collagen remodelling continues for several months. Because the depth and energy are tunable, the treatment can be calibrated to your specific concern and Fitzpatrick skin type. The same tunable energy allows treatment on the body as well as the face, including the abdomen, where Lydia uses it to remodel stretch marks and the skin laxity that can follow pregnancy.

Full Fractora RF Microneedling details →

Clinical perspective

Which is right for you?

01

Same technology family, very different clinical tools

Forma delivers RF energy from outside the skin with no downtime. Fractora delivers it through micro-pins directly into the dermis, with 2 to 5 days of recovery. The depth of effect is the defining difference.

Forma is a non-invasive treatment. The handpiece sits on the surface and warms the tissue externally to stimulate gradual collagen production over a course of comfortable sessions. There is no recovery period. Fractora is a fractional RF microneedling treatment. A matrix of 600-micron pins penetrates the skin and delivers radiofrequency energy directly into the dermis, creating two simultaneous effects in a single pulse: fractional ablation that resurfaces texture, scarring and pigmentation at the surface, and a sub-necrotic thermal zone that drives collagen and elastin remodelling at depths Forma cannot reach. Clinical study data shows 65% average improvement in skin texture and wrinkles at six months post-treatment.

02

Mild concerns vs meaningful change

Forma is appropriate for maintenance and early, mild concerns. For acne scarring, significant texture irregularities or notable laxity, Fractora will produce results Forma cannot.

If the concern is mild, if the goal is gradual firming as part of a regular routine, or if you are building on skin that is already in good condition, Forma is the right tool. If you have a concern that warrants resurfacing, where the damage is structural and needs a more significant clinical response, Forma is not the appropriate starting point. Choosing the less intensive treatment first to avoid the recovery period tends to produce neither the comfort of Forma nor the results of Fractora. Your clinician will be straightforward about which is warranted by your skin.

03

They can play different roles in the same plan

Fractora addresses the more significant concern. Forma can then support ongoing maintenance and collagen health in the same area.

In some treatment programmes, both technologies appear at different stages. Fractora is used first to address an established concern, then Forma sessions support the skin over time. Your clinician will advise on whether this combination is appropriate and in what order, based on what your assessment shows.

Finding the right fit

Who each treatment suits

Radio Frequency (Forma)

  • Adults with mild laxity or early fine lines who want gradual firming with no recovery period
  • Those who prefer a comfortable treatment they can repeat regularly as part of a skin maintenance routine
  • Those layering radiofrequency alongside other treatments such as LED, facials or injectables

Fractora RF Microneedling

  • Adults with moderate to significant acne scarring, enlarged pores or rough skin texture who need more than surface-level support
  • Adults with fine lines, wrinkles or mild to moderate skin laxity who want clinically measurable change
  • Those who can accept 2 to 5 days of visible recovery in exchange for more impactful and longer-lasting results

Common questions

Frequently asked

What is the main difference between Forma and Fractora?
Forma is a non-invasive, no-downtime treatment that warms the skin externally to support gradual collagen and tightening over a series of sessions. Fractora uses a matrix of micro-pins to deliver radiofrequency directly into the dermis, combining ablative resurfacing with deep collagen remodelling in a single treatment. The results and recovery expectations are quite different.
Which treatment gives stronger results?
Fractora typically delivers more significant and measurable change, particularly for concerns such as acne scarring, texture and laxity, because it works at greater depth and creates a controlled injury response. Clinical data shows 65% average improvement in texture and wrinkles at six months. Forma produces more subtle, progressive improvement suited to mild concerns or ongoing maintenance.
Can Forma and Fractora be combined?
Yes. In some treatment plans, both technologies are used at different stages. Fractora addresses the more significant concern first, then Forma supports ongoing maintenance and collagen health. Your clinician will advise on the most appropriate sequence for your skin.
Is Forma a good starting point before Fractora?
It depends on your concern. Forma is not a stepping stone to Fractora for the same problem. They address different things. If your concern warrants Fractora, your clinician is likely to recommend starting there rather than Forma first.
What downtime should I plan for with each treatment?
Forma has no downtime. Fractora involves 2 to 5 days of visible recovery, with micro-lesions and redness that are a normal part of healing and typically settle within one week.
Which treatment is better for acne scarring?
Fractora is the better choice for acne scarring. Its fractional ablation and deep thermal remodelling are specifically suited to improving scar texture, depth and appearance. Forma does not resurface the skin and would not address acne scarring in the same way.
Is Forma suitable for darker skin tones?
Forma is generally suitable for most skin types as a non-invasive treatment. Fractora has been used safely across Fitzpatrick skin types I to V in clinical studies, though types IV and V require a hydroquinone preparation protocol to manage post-inflammatory hyperpigmentation risk. Suitability is assessed in full at consultation.
Can I have Forma or Fractora if I have a pacemaker?
No to either. Radiofrequency energy is an absolute contraindication for anyone with a pacemaker or an implantable cardiac device, and both Forma and Fractora are radiofrequency treatments. This applies whether or not needles are involved. If you have a pacemaker and want to address skin quality or laxity, your clinician can discuss non-radiofrequency options at consultation. Standard microneedling without radiofrequency does not carry this contraindication.
Is there a point where neither Forma nor Fractora is enough?
Yes. For advanced structural laxity with significant skin redundancy, neither surface radiofrequency nor radiofrequency microneedling is a substitute for surgical assessment. Forma suits early or mild laxity and maintenance, Fractora suits moderate laxity and skin quality decline. Where the degree of laxity is beyond what either can meaningfully change, your clinician will say so directly at consultation rather than recommend a course that will not deliver.

Explore each treatment

Read the full treatment details

65 London Road, Newark

Still not sure which is right for you?

Your clinician will assess your skin, talk through both options and give you an honest recommendation, including if neither is the right choice. No obligation to proceed.

Medically reviewed by Dr Shahe Boghossian, Medical Consultant, GMC 5204600 . Last reviewed 23 May 2026.

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