Most facials do one thing well. Préime DermaFacial at Cary Care Esthetics in Cary, NC, works through five steps in a single session, moving from deep cleansing and exfoliation through oxygen infusion and serum delivery to a radiofrequency finish that works on firmness rather than just the surface.
That combination is why it suits people whose skin needs more than a cleanse but who do not want downtime. A session runs about an hour; you leave without redness to hide, and the hydration change is usually visible the same day. It is a genuinely good option before an event, and a better one as a regular habit.
Préime DermaFacial is a multi-step facial treatment that combines five modalities in one session: deep cleansing, exfoliation, oxygen infusion, hydrating serum delivery, and radiofrequency. Rather than addressing one concern at a time, it works through the layers in sequence, clearing the surface first so that what follows can actually reach the skin.
Each step is adjustable, which is what makes the treatment adaptable across a wide range of skin types. Settings, serums, and intensity are selected for your skin rather than applied uniformly, so the same treatment can be dialed toward hydration for dry skin, toward clearing for congested skin, or toward firmness for skin showing early textural change.
It sits in the same family as the other Viora technologies offered at Cary Care Esthetics, which is worth knowing if you are already having radiofrequency treatments here and want a plan that fits together rather than overlapping.
Clears impurities, excess oil, and dead skin cells, which is what allows the later steps to work rather than sit on the surface.
Removes buildup and reveals smoother texture without the peeling or sensitivity that follows more aggressive resurfacing.
Serums containing hyaluronic acid, vitamins, and peptides are delivered into the skin rather than applied to it.
The final step warms the deeper layers to support collagen production, which is what separates this from a standard facial.
Most patients leave with skin that looks plumper and brighter, driven largely by the hydration step.
No peeling, no flaking, and makeup can go on immediately afterward.
Every step is adjustable, including for sensitive skin, with intensity set at your consultation.
At four- to six-week intervals, it holds skin quality rather than chasing it, which is where the real value sits.
The session runs through its steps in a deliberate order. It opens with a deep cleanse to clear the surface, followed by gentle exfoliation to lift dead skin cells and buildup. Those two steps matter more than they sound, because everything that follows depends on the skin being able to receive it.
Oxygen infusion then delivers concentrated serums rich in hyaluronic acid, vitamins, and peptides below the surface, which is the difference between hydrating the skin and hydrating what sits on top of it. This is the step most responsible for the plumpness patients notice immediately afterward.
The treatment finishes with radiofrequency energy, which warms the deeper layers of the skin to stimulate collagen production. That step works on a longer timeline than the rest: it contributes to firmness and fine line softening over a series rather than in one session. The full appointment takes about 60 minutes, and most patients find it relaxing throughout.
Treatment is most commonly performed across the full face, with additional areas added depending on your concerns:
This treatment works across surface and structure at once, which is why it suits several concerns in the same session:
Skin that has lost its brightness, often the concern that brings patients in first.
Skin lacking water rather than oil, which can affect oily and dry skin alike.
Skin lacking oil, which shows as tightness, flaking, and rough patches.
Roughness and irregularity that you can feel as much as see.
Surface buildup that makes makeup sit badly and skincare work less well.
Blocked pores across the T-zone and chin, addressed through the cleansing and extraction steps.
Pores that appear larger when full, and appear smaller once cleared and the surrounding skin firms.
Overproduction that leaves the skin looking greasy within hours of cleansing.
The layer that dulls the complexion and blocks absorption of everything you apply.
Early lines, softened over a series through the collagen-stimulating radiofrequency step.
Skin that no longer springs back the way it did, addressed by the radiofrequency rather than the surface steps.
Patchiness and irregular coloring across the face.
The flatness that comes from dehydration and surface buildup together.
The underlying change beneath several other concerns on this list.
This treatment suits most adults looking to improve skin quality without downtime, particularly those dealing with dullness, dehydration, congestion, or early textural change. It is adaptable enough for sensitive skin when settings are adjusted, and it works well both as a one-off before an event and as regular maintenance.
The radiofrequency step creates specific exclusions worth knowing. It is not used during pregnancy or for patients with a cardiac pacemaker, an implanted defibrillator, or metal implants in the treatment area. Beyond that, treatment is postponed for active skin infection, a cold sore outbreak, open lesions, or a rosacea or acne flare in the treatment area. Recent isotretinoin use, recent injectables, and sunburn all affect timing and should be raised before booking.
Your consultation at Cary Care Esthetics in Cary, NC, covers your skin history, current products, and any recent treatments, so intensity can be set appropriately. If something in your history means the treatment should wait, you will be told before you book rather than at the door.
You lie back for the duration. The session begins with a skin assessment, then moves through the cleansing and exfoliation steps, which feel like a thorough facial with a cool, slightly textured sensation.
The oxygen infusion step follows and is the part most patients describe as the most pleasant: cool, light, and pressure-free. The radiofrequency finish introduces warmth, which builds gradually and is adjusted if it becomes more than comfortable. Most patients find the whole hour relaxing enough that they lose track of the steps.
Afterward, your skin may look slightly flushed for a short while, which settles quickly. There is nothing to recover from; makeup can go straight on, and you can return to everything else immediately.
The two halves of this treatment work on different timelines. Hydration, brightness, and smoothness are usually visible the same day and typically hold for a few weeks before skin gradually returns toward its baseline. That is the nature of a hydration-led result rather than a shortcoming.
The radiofrequency contribution to firmness works differently, building across a series as collagen responds. That is why a course produces more than a single session, and why the recommended four- to six-week interval exists. Patients who treat consistently tend to notice their skin holding a better baseline over time rather than peaking and dropping after each appointment.
The question most patients ask is how this differs from a HydraFacial, and the comparison below covers that alongside the other options available here:
Treatment | What It Does | Downtime | Worth Knowing |
|---|---|---|---|
Préime DermaFacial | Cleansing, exfoliation, oxygen infusion, serums and radiofrequency | None | Offered here. The radiofrequency step works on firmness, not just the surface |
HydraFacial | Cleansing, exfoliation and serum infusion | None | Not offered here. Similar surface benefits without a radiofrequency step |
Microneedling | Controlled micro-injury to stimulate collagen | A few days | Goes deeper on texture and scarring than any facial |
V-IPL Photofacial | Light energy targeting pigment and redness | Minimal | Addresses tone and vascular concerns a facial cannot |
Viora V-ST | Focused radiofrequency skin tightening | None | For laxity specifically, rather than overall skin quality |
HydraFacial is included because patients ask about it directly. The practical difference is the radiofrequency step, which is what allows this treatment to work on firmness alongside the surface improvements both deliver.
Customized every time: Steps, serums, and intensity are selected for your skin at each visit rather than run as a fixed protocol.
A thorough consultation first: Your skin history, products, and recent treatments are reviewed before settings are chosen.
Part of a complete skin plan: This treatment sits alongside our other skin and facial treatments so a plan can be built rather than treatments sold one at a time.
A relaxing environment: A full hour in a calm setting, which is part of why patients keep the appointment rather than skipping it.
Aftercare that actually helps: You leave with specific guidance on products and timing rather than a generic handout.
Convenient Cary location: Easily accessible for patients across Cary, Raleigh, Apex, and the wider Triangle.
Every four to six weeks is the standard recommendation for maintenance, which matches the skin’s natural renewal cycle. Your provider will set an interval based on your skin and your goals, and may suggest a closer series at the start if you are addressing a specific concern.
It can be, because every step is adjustable. Intensity, serums, and the radiofrequency setting are all adapted at your consultation. Tell your provider about any sensitivity, rosacea, or reactive skin history so the treatment can be dialed appropriately, and note that treatment is postponed during an active flare.
Most patients see visible change the same day, primarily in hydration, plumpness, and brightness, driven by the oxygen infusion and serum steps. Firmness and fine line improvement come from the radiofrequency element and build across a series rather than appearing at once.
No. There is no peeling or flaking; makeup can be applied immediately, and you can return to normal activity straight away. Brief mild flushing is the only common after-effect, and it settles quickly.
Yes, and it commonly is. It pairs well with microneedling, photofacials, and injectables as part of a wider plan, though the sequencing and spacing matter. Your provider will set the order at your consultation rather than treating everything at once.
Cost depends on whether additional areas such as the neck are included and whether you book a single session or a series. Because the treatment is recommended on a four- to six-week cycle, most patients ask about package pricing, which we are happy to discuss at your consultation.
Both cleanse, exfoliate, and infuse serums, and both leave skin looking hydrated with no downtime. The difference is the radiofrequency step, which Préime includes and HydraFacial does not. That step warms the deeper layers to support collagen, which means Préime works on firmness over a series rather than only on the surface. HydraFacial is not offered at this practice.
The hydration and radiance typically hold for a few weeks before skin gradually returns toward its baseline, which is why the treatment is recommended on a four- to six-week cycle. The firmness benefit from the radiofrequency step builds cumulatively and is better judged across a series than after one session.
Beforehand, pause retinoids and exfoliating acids for a few days and avoid sunburn or fresh tanning. Afterward, keep skincare gentle for a day or two, wear daily sunscreen on freshly exfoliated skin, and hold off on strong actives until your skin feels completely normal.
The radiofrequency step means it is not used during pregnancy or for patients with a pacemaker, implanted defibrillator, or metal implants in the treatment area. Treatment is also postponed for active skin infection, cold sore outbreaks, open lesions, or a rosacea or acne flare. Recent isotretinoin use, recent injectables, and sunburn all affect timing.
If your skin looks tired despite a decent routine, the issue is often buildup and dehydration rather than the products themselves. Préime DermaFacial clears the surface, delivers hydration where it can work, and finishes with a step that supports firmness over time.
Visit us at 1150 NW Maynard Rd., Suite 140, Cary, NC 27513, call 919-500-7723, or contact us online to book your appointment.
