Vlad Bunoan

A new non-invasive skin treatment is making its way to Manila, with dermatologist Dr. Kei George Rebolledo rolling out Sylfirm X across his Kutis by Kei clinics in a bid to offer faster, low-downtime solutions for melasma and pigmentation.

Article (news)

Leah C. Salterio

A new non-invasive skin treatment is making its way to Manila, with dermatologist Dr. Kei George Rebolledo rolling out Sylfirm X across his Kutis by Kei clinics in a bid to offer faster, low-downtime solutions for melasma and pigmentation.Rebolledo recently acquired four Sylfirm X machines for his branches in Parañaque, Makati, Mandaluyong and Quezon City, making him among the early adopters of the radiofrequency microneedling technology in the country. The device is designed to target both pigmentation and vascular components of skin conditions — an approach he said can improve treatment outcomes when combined with oral medication and topical care.Rebolledo said one of his clinics&#x27; best-selling products are the Juvelook injectables, distributed by Elodio.“We started our relationship with Elodio two years ago. Juvelook is one of the best-selling injectables in our clinic because it is not a filler. More of a bio-stimulator that produces very natural-looking results. From then on, I got another machine, 10 Therm, more affordable for the patients but gives the same effect,&quot; Rebolledo told ABS-CBN News.&quot;Then they offered Sylfirm X to me. We already have a partnership. Sylfirm X is the third machine that I got from Elodio.&quot;While Sylfirm X is not exclusive to Kutis by Kei clinics, Rebolledo is among the first in the country to use the technology.“The treatment should me synergistic,” according to Rebolledo. “We also give oral for melasma. Then topical for skincare, oral and the procedure. If the patient will tell me, ‘I can only do topical for now,’ then I can lower the expectation. If she does not want to do oral and does not want to do procedure, it will take quite a while. Medyo mabagal, although there are results just the same.“But when you do all three, that’s more effective. For melasma, as long as you finish three to five sessions, you can achieve 80 to 90 percent clearance. Assuming that you do proper skin care, with sun protection. Melasma is very irritable. Maarawan lang ng konti or maiinitan.“Of course, you don’t go to the beach. You don’t cook, don’t do sauna. I always tell my patients, nothing can beat sun avoidance. Don’t go under the sun. Even if there’s protection, sun avoidance is more effective.”<div><img src="https://od2-image-api.abs-cbn.com/prod/editorImage/1775778243401IMG_3418.jpeg" style="width:655px" class="fr-fic fr-dib" width="655"/>Dermatologist Dr. Kei George Rebolledo </div>Thankfully, the down time of Sylfirm X is minimal. “A lot of patients do not like peeling, takot na sila na may down time,” noyed Rebolledo. “This Sylfirm X, barely noticeable. The skin turns little red, but it just looks like the face is simply covered with light foundation. It wasn’t obvious that something is done to your face. So patients love it.”The patient needs a minimum of three Sylfirm sessions and maximum of five. “It’s a very quick procedure,” said Rebolledo. “It’s a lunchtime procedure. With anesthesia, the procedure can take one hour. The patients can go back to work on the same day. The procedure is minimally invasive. After a month or two, the patient can do the next treatment”“It’s RF [radio frequency] micro-needling. It has fine needles and it delivers heat to the dermis to induce collagen production. I’m more strict with the after care, since there might be bruising. After the five sessions, the patient can do Sylfirm X bi-annually, every after six months.”Sylfirm X is helpful to hyper-pigmentation, as disclosed by Korean dermatologist Arim Min, a first-time Manila visitor. “If you get burn, using Sylfirm X in various levels and depths, you can do many things with the machine,” said Min. “This machine can be helpful to melasma or PIH [post inflammatory hyperpigmentation] or any other pigmentation problem like redness.”“It can also be helpful to pores, acne scars and other skin problems depending on the skin type and age. I recommend a treatment three times, one month apart. But as people get older, the skin never stays the same.”<div><img src="https://od2-image-api.abs-cbn.com/prod/editorImage/1775778316723IMG_3420.jpeg" style="width:655px" class="fr-fic fr-dib fr-dragging" width="655"/>Sylfirm X non-invasive machines </div>Patients are usually given a recovery cream after the procedure and are advised to apply sunscreen the next day.There are patients, however, who are not good candidates for Sylfirm X. “Melasma also has a vascular component,” Rebolledo explained. “The patient might think it’s only pigmentation. With the skin, the pigment is on top and there are blood vessels, so no other modality helps with the vascular side of melasma because it doesn’t reach that deep.“So the RF micro-needling of melasma, the skin can also turn red, not just blackish. Chemical peels which are the standard treatments, Sylfirm X is more superior because it also targets the blood vessels.”Rebolledo, who has personally tried Sylfirm X, said the procedure can feel slightly heat-induced and mildly piercing. “It should really be performed by doctors,” he added.“The pain tolerance of patients need not be high. With the RF micro-needling device which has nine pins, most people think melasma is just pigmentation. Three to five sessions are needed. The procedure can be done not just on the face, but even on the neck or body. Sylfirm X can remove stretch marks from the body, spider veins on the legs. It’s also good for tightening for loose skin.”Melasma is a chronic skin condition, stressed Rebolledo. “We are just making the condition lighter,” he said. “We cannot say Sylfirm is ‘best’ for melasma, but it’s definitely one of the best.”

A new non-invasive skin treatment is making its way to Manila, with dermatologist Dr. Kei George Rebolledo rolling out Sylfirm X across his Kutis by Kei clinics in a bid to offer faster, low-downtime solutions for melasma and pigmentation.

Sylfirm X debuts in Manila, expands options for non-invasive skin care

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Sylfirm X debuts in Manila, expands options for non-invasive skin care

Leah C. Salterio

Published April 11, 2026 09:13 AM PHT

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Updated April 11, 2026 10:00 AM PHT

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