RefinedMD
800 Pollard Road, Building A
Los Gatos, CA 95032
Phone: (408) 688-2082
Office Hours:
Monday–Friday: 9 a.m.–6 p.m.
Saturday: Please call for availability
Closed Sundays & Holidays
Microneedling is a customized treatment because every patient is unique. The dermatology and aesthetic experts at RefinedMD control the settings, allowing for deeper or shallower punctures into the dermis. How many treatments will you need? It depends, but you’ll see results after just one treatment. However, most patients require 3 to 5 treatments for optimal results and long-term benefits. During the healing process, which is typically minor (you can often return to non-taxing tasks such as office work immediately), you can try out skincare product samples from the goodie bag we provide.
RefinedMD also offers Genius® RF (radiofrequency) microneedling at our Los Gatos, California, practice.
I’m so glad I found RefinedMD! I have been here for two procedures; had some facial moles removed and just had Microneedling done. I am very pleased with the results of both. Dr. Swengel is very professional and very nice. He took the time to talk about the condition of my skin and skin care overall.
Karen, 5-Star Google review
Since establishing RefinedMD in 2012, Dr. Swengel has earned a reputation throughout the South Bay as one of the area’s top cosmetic and medical dermatologists. He is sought out for his expertise as a Mohs micrographic surgeon and laser treatment specialist, as well as his warm, attentive style of patient care.
Meet Dr. Steven SwengelAquaGold caters to those seeking a multi-faceted approach to youthful, glowing skin. This treatment offers a personalized blend of ingredients for optimal results. Similar to microneedling, it uses a professional-grade tool that painlessly pierces the skin, allowing maximum absorption. However, unlike microneedling, AquaGold gently scratches the skin’s surface for a more comfortable experience—neither an injection nor a puncture, just a gentle scratching technique that guarantees excellent results. Merging the benefits of Dermalinfusion® and microneedling ensures clients achieve maximum results without downtime, delivering profound advantages from a superficial application to the dermis and epidermis.
AquaGold effectively addresses mild skin texture irregularities, fine lines and wrinkles, enlarged pores, and mild to moderate uneven pigmentation. Discover what it’s like to inject life back into tired, dull skin with this indulgent treatment. AquaGold chambers are single-use and equipped with tiny needles for exact penetration and delivery capabilities, meaning fast results you deserve.
You and your skincare expert will fully customize the ingredients for your unique “cocktail,” which is then placed into a specialized vial. Popular ingredients include hyaluronic acid (the same component found in dermal fillers and present in the body), peptides, micro-dose neurotoxins (such as BOTOX®), and vitamin C. We apply an anesthetic to ensure comfort, followed by a quick application of the one-of-a-kind serum combination. The entire process takes only 30 minutes and is always administered by a registered nurse (RN) or an equally skilled skin expert.
If you are seeking quick results without open wounds or a recovery period, AquaGold is the solution. Thanks to a shallow delivery of micro-droplets rich with skin-rejuvenating serum, you can turn back the clock and boost your glow. AquaGold serums are packed with micro-nutrients for the skin, and the craft of the (skin) cocktail is so advanced that it will make bartenders envious.
Want to double down on your collagen stimulators? Combine microneedling with selective additives. It’s another means of using your body’s boosters for healthier skin. Discuss options with our team tailored to your skin type and areas of concern. You may also want to add a skin tightening treatment, dermal fillers for semi-permanent added plumpness, or BOTOX to ward off future lines and wrinkles.
You must balance the importance of exfoliation as part of your skincare routine against the need for your skin to heal after microneedling. That means being patient, so you don’t compromise your microneedling results. We recommend waiting about 5 days before exfoliating your skin.
The microneedling devices used at med spas have needles that penetrate deep into the skin. Microneedling rollers used at home barely penetrate the skin, so they can be safe in certain circumstances, but they can’t produce noticeable results.
When performed by an experienced and qualified provider, microneedling is a safe and effective skin rejuvenation treatment. Because it creates micro-injuries that trigger the skin’s healing response, it’s important not to get microneedling treatments too often. At-home microneedling is the most common reason for skin damage.
Some patients, especially those with oily or acne-prone skin, may notice whiteheads after microneedling. These are usually temporary flare-ups that arise because microneedling causes inflammation, which can trigger breakouts. Additionally, bacteria may be introduced into the skin after a treatment, making skin hygiene particularly important.
After a microneedling treatment, the accelerated turnover of skin cells brings impurities to the surface, which may look like an acne breakout. It’s actually a good sign that the skin is “detoxifying.”
If you plan to get a chemical peel after microneedling, you should wait at least 2 weeks. Many patients get a chemical peel before a microneedling treatment because it removes dead skin cells and makes the serums used after microneedling more effective.
At RefinedMD we believe in treatments that deliver real transformation, and microneedling is a standout option that blends minimal downtime with powerful results. As we head into the winter months and approach a new year, …
Microneedling—also known as collagen induction therapy—is a minimally invasive procedure at RefinedMD that uses fine needles to create controlled microchannels in the skin. This stimulates the body’s natural healing cascade, promoting collagen and elastin remodeling. …
Microneedling has become one of the most in-demand treatments for patients seeking natural-looking skin rejuvenation without the need for lasers or invasive surgery. At RefinedMD, this procedure is often chosen by patients who want to …
RefinedMD offers microneedling as a time-tested and trusted method to reawaken your skin’s natural vitality through controlled micro-injuries that stimulate collagen and elastin. Also known as collagen induction therapy, this minimally invasive treatment uses fine …
Consider this your invitation to give the end of your week a little boost. Book IV Therapy with Nurse Denise on a Thursday or Friday and receive 20% off your choice of one of RefinedMD’s five most popular IV options. Whether your goals include hydration, recovery, or supporting your overall wellness routine, our team can help you choose the IV that best aligns with what you’re looking for. If you’ve been curious about IV Therapy but haven’t tried it yet, this introductory offer is an easy way to get started—and save while you do it. Nurse Denise will walk you through your options and help make your appointment comfortable, personalized, and straightforward. Your Thursday or Friday plans could use a little more self-care. Book your appointment, choose your IV, and enjoy 20% off as you head into the weekend feeling refreshed and ready for whatever comes next.
Give your recovery and vitality routine an oxygen boost with special package pricing on Hyperbaric Oxygen Therapy at RefinedMD. For a limited time, receive four hyperbaric oxygen treatments for just $1,200—a $1,800 regular value. Hyperbaric Oxygen Therapy takes place in a pressurized environment where patients breathe concentrated oxygen, and it may be incorporated into an individualized wellness or recovery plan when medically appropriate. This four-treatment package offers an opportunity to experience a series of sessions while saving $600 off regular pricing. Whether you’re already familiar with hyperbaric therapy or have been curious about adding it to your wellness routine, our team can help determine whether treatment is appropriate for you and answer your questions before you begin. Take advantage of the Oxygen Boost Package and make space in your schedule for four sessions focused on recovery, restoration, and your personal wellness goals.
Reviewed for clinical accuracy by a RefinedMD Medical Editor on August 26th, 2026.
