Fairfax's Radiofrequency Microneedling

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NUMBING

Before Radiofrequency (RF) Microneedling, a topical anesthetic is applied to numb the area and enhance comfort during the procedure. 

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Recovery

Recovery after RF Microneedling treatment is relatively fast. Some redness and mild swelling, indicative of the treatment’s stimulation of collagen production, might be experienced right after. 

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Results

Gradually, an improvement in skin tone, firmness, and fine wrinkle reduction is observed. The full benefits of microneedling will unfold over several weeks.

Radiofrequency Microneedling treatment (RF Microneedling) is a cosmetic procedure that combines the benefits of traditional microneedling with the use of radiofrequency energy.

Microneedling involves the use of tiny, sterile needles to create controlled micro-channels on the skin’s surface. These micro-channels stimulate the body’s natural healing response, leading to increased collagen. In an RF Microneedling treatment, radiofrequency energy is simultaneously delivered into the deeper layers of the skin. Radiofrequency energy heats the skin, promoting additional collagen and elastin production. This combination of microneedling and radiofrequency energy helps to tighten and rejuvenate the skin. It can be particularly effective in addressing concerns such as fine lines, wrinkles, acne scars, and skin laxity.

Results You Can See

WHAT OUR PATIENTS SAY

madison brantley
3 weeks ago
The whole appointment went so smoothly! From the easy consultation and booking process, to the actual procedure (ear lobe repair), I am super satisfied with Dr. Domanski’s professionalism and how knowledgeable he is as well!! Would recommend and reasonable pricing!
Response from the owner:Thank you so much for your kind review, Madison! We’re thrilled to hear that your earlobe repair experience was smooth from consultation and scheduling through the procedure. It was a pleasure taking care of you, and I truly appreciate your trust and recommendation.
Thu Nguyen
3 weeks ago
Dr. Domanski performed surgery on the broken finger for my mother. The procedure was painless and it healed very well. Dr. Domanski’s skill and his treatment plan is top notch. His team is also exceptional. Thanks Dr. Domanski and his team.
Response from the owner:Thank you so much for your kind words and for trusting us with your mother’s care. I’m very glad to hear that she healed well and that you had a positive experience with our team. It was truly our pleasure to care for her!
Grace Mercer
4 weeks ago
I had an earlobe repair done for a stretched earring hole and the procedure was quick and painless! Dr. Domanski was great and answered all my questions. I highly recommend Bluemont Plastic Surgery!
Response from the owner:Thank you for taking the time to write your review! We were happy to help with your earlobe repair procedure and are glad to hear that the experience was fast and comfortable.
Grace Valle
1 month ago
We used Bluemont’s services for otoplasty surgery for two members of our family, and from start to finish, Dr. Domanski and his entire team were exceptional. We received the utmost care and attention throughout the entire process—from the pre-op consultation and surgery to the post-op care and every follow-up visit. Everyone was professional, compassionate, attentive, and genuinely committed to making sure we felt comfortable and well cared for. Most importantly, the results have been magnificent, and we could not be happier with the outcome of both surgeries. We are truly grateful to Dr. Domanski and his team for their expertise and the wonderful care they provided to our family. Dr. Domanski was originally referred to us by a friend who had used his services during an emergency situation, and that personal recommendation meant a lot to us. We are so thankful we followed it, and we would confidently recommend Dr. Domanski and his team 100 times over. If you are considering otoplasty, we highly recommend Dr. Domanski. He is an outstanding professional, and we could not be happier with our experience and results!
Response from the owner:Grace, thank you for sharing your experience with otoplasty at our office and for your recommendation. We are thrilled that the process was smooth and that you are thrilled with the results! I truly appreciate your kind words about our team!
Kasey Card
1 month ago
I had an excellent experience with Bluemont Plastic Surgery and Dr. Domanski. He removed a relatively large lipoma on my arm near my armpit that I’ve had for many years. From start to finish, the entire experience was incredibly easy and positive. Scheduling the consultation was simple, and I was able to schedule the procedure soon after. The staff were welcoming, friendly, and helpful, and they made the paperwork and payment process quick and easy. The procedure was performed under local anesthesia, and Dr. Domanski’s unique sense of humor and relaxed demeanor made the experience very comfortable for me. My incision has healed nicely with no bruising or other issues. I do have a scar, which I expected, and I’m hopeful that it will fade over time. I would absolutely recommend Dr. Domanski and Bluemont Plastic Surgery to anyone looking for a skilled, professional, and personable plastic surgeon.
Response from the owner:Kasey, thank you for sharing your experience with our practice! It was a pleasure taking care of you, and I’m especially happy to hear that your incision has healed nicely and that you felt comfortable throughout the process. I truly appreciate your kind words about our team!
Chris Zurich
3 months ago
I had a great experience seeing Dr. Domanski at Bluemont Surgery. His approach to removing a cyst on my upper lip with a minimally invasive procedure resulted in no pain medication being required post op. While other plastic surgeons recommended more extensive procedures by default, Dr. Domanski provided a simple and timely operation. I highly recommend him and his staff.
Response from the owner:Chris, thanks so much. I am still amazed how some surgeons insist on complex surgeries than may be needed. The simplest solution often works best. The lack of pain is due to a long acting numbing medication that I use - it's readily available and again, I am not sure why all surgeons don't use it.
Danny Schexnayder
4 months ago
I needed plastic surgery on my nose after basal cell carcinoma cancer removal left a hole in the nose. Two other plastic surgeons only recommended one solution which was a paramedian forehead flap, an ancient and very invasive technique that horrified me. Dr. Mark Domanski was the only plastic surgeon who said he could repair my nose without the flap technique. He did the surgery and I was very pleased with the results. I liked his bedside manner and his professionalism. I would highly recommend Dr. Mark Domanski for your plastic surgery needs.
Response from the owner:Thank you so much. We believe in patient autonomy. When patients choose what they want, they tend to be the most satisfied.
Hana Hodali
4 months ago
NU IS THE BEST!!!!! So knowledgeable, honest and fair. Highly recommend
Response from the owner:We love her too! Microneedling, CO2 laser, facials, peels... Thank you so much for being a fan of the practice.
Carlos Romero
6 months ago
Response from the owner:Thank you for your kind review.
Dustin
6 months ago
Dr. Domanski is the man. I’ve heard from multiple women who have gone to him and consistently loved both him and their results, which is what led me to book with him myself. After seeing him firsthand, I get it. He’s truly top tier at what he does. His eye for detail and ability to deliver natural, refined results really set him apart. On top of that, he’s personable, funny, and makes the whole experience feel easy and comfortable. If you’re considering any type of plastic surgery, he’s absolutely someone you want to go to.
Response from the owner:Thank you so much for your kind review. You are the best!
Jennifer
6 months ago
From the moment I walked into Bluemont Plastic Surgery, the experience felt polished and first-class. The staff is attentive, professional, and makes everything seamless from start to finish. I’ve had Dysport and filler done elsewhere, and the difference in Dr. Domanski’s approach is immediately noticeable. His attention to detail and overall aesthetic are on another level. He takes the time to understand exactly what you’re looking for, then delivers a result that is balanced, refined, and never overdone. He also has a great sense of humor and knows how to keep things light, which makes the entire experience feel relaxed and easy. His technique is extremely precise and controlled, which translates into a much smoother experience than I’ve had in the past. You can tell he approaches this as both a science and an art. The results speak for themselves, subtle, natural, and elevated in a way that truly stands out. If you’re looking for a high-end experience with consistently superior results, I would absolutely recommend Dr. Domanski.
Response from the owner:Thank you so much for this very nice review. Cheers!
Hamed Ganji
6 months ago
I highly recommend Blue Mount Plastic Surgery if you’re looking for a trustworthy doctor and a welcoming office. From the initial consultation, the procedure was explained clearly, and the entire experience matched exactly what was described.
Response from the owner:Thank you so much for your kind and thoughtful review.
Wanda K
7 months ago
Dr Mark Domanski is amazing! I had a large open head wound that originally would have required skin grafting. But when we got to the operating room Dr Domanski was able to get a better look and it was determined I wouldn’t need the skin grafting after all. Dr Domanski was able to close the gaping hole with several stitches and we were out of the OR sooner with only the head wound to get better. I gotta say that, hopefully you won’t need to, but if there is an injury which may require skin grafting please go see Dr Domanski. Not only will you have a highly competent surgeon but also an incredibly nice person who will listen to you, the patient. Thank you Dr Domanski!!
Response from the owner:Wanda, thank you so much for your kind and thoughtful review. We’re truly grateful you took the time to share your experience. Wishing you a smooth and continued recovery, and thank you again for your trust.
alexis brown
7 months ago
Always a wonderful experience at Bluemont Plastic Surgery
Response from the owner:Thank you Alexis for the 5-star review!
Mirna Marchetti
10 months ago
I had a wonderful experience with Dr. Domanski at Bluemont Plastic Surgery. I visited him for Dysport and fillers, and I couldn’t be happier with the outcome. Dr. Domanski is a true artist; he listened carefully to my goals and delivered a refreshed, natural look that isn't "overdone." The entire process was smooth, and his professional, gentle technique made the injections virtually painless. The office staff is also incredibly welcoming and helpful. If you want high-quality results from a surgeon you can trust, I highly recommend Dr. Domanski.
Response from the owner:Thank you for the wonderful review and your recommendation, Mirna! We specialize in natural results 🙂
Aleksandra Razavi
10 months ago
I had an outstanding experience with Dr. Mark Domanski at Bluemont Surgery. From the very first consultation, he was attentive, knowledgeable, and incredibly patient in explaining every step of the process. His professionalism and genuine care made me feel completely at ease. Dr. Domanski’s expertise is evident, and the level of attention he dedicated to my care was truly exceptional. The entire team at Bluemont Surgery was welcoming and supportive, and I always felt I was in excellent hands. My recovery went smoothly, and the results exceeded my expectations. I am truly grateful for Dr. Domanski’s skill, kindness, and commitment to his patients. I highly recommend him and the Bluemont Surgery team to anyone seeking top-quality care.
Response from the owner:Alexandra, thank you for the wonderful review and for your kind words about our team. It truly means a lot to us! Happy to hear that your recovery was smooth and the results exceeded your expectations. 🙂
Elena ##
10 months ago
I had such an amazing experience with Dr. Domanski at Blumont Plastic Surgery. I came in from a serious car accident with several lacerations above and below my right eye as well as a fluid-filled bump restricting my vision. He made room in his schedule for me immediately. He handled the surgery quickly and skillfully, and my stitches look clean and are healing quickly. His kindness and urgency meant so much to me. I couldn't have asked for better care.
Response from the owner:Thank you Elena for your kind words! We’re grateful you trusted us with your care, and we’re glad we could be there for you when you needed it most. Wishing you a smooth and continued recovery!
Kelly Pelletier
10 months ago
Dr. Domanski did a great job with my Dysport and lip filler! I got many compliments at my son's wedding!
Response from the owner:Microneedling is a great way to rejuvenate the skin! Thanks for your kind review.
sharon bartlett
10 months ago
I have been going to see Dr. Domanski for about 8 years now. I go for Dysport, fillers, and a small revision on a scar. I will never go to any other practice. I will even be traveling to see him when I relocate next year a few hours away. His knowledge and expertise surpasses any doctor I have gone too. His practice is clean and his staff...amazing. Highly recommend.
Response from the owner:Sharon, thank you so much for your loyalty and kind words! We’re honored!
Dr. Donna Goldstein
11 months ago
I had the Lipedema reduction surgery with Dr. Domanski 4 months ago. He removed 9 L ( almost 20 lbs) of diseased tissue and fat I’ve been very pleased with the results and treatment from Dr.Domanski and his team. He’s been kind and supportive - always taking the time to explain and answer questions . I was hoping to get my mobility back and reduce or eliminate my lipedema pain and that has occurred ! I’m back to dancing and walking and am just thrilled - next will be Tai Chi. He included several follow up appointments as I healed and always seemed concerned with any issues I brought up. He even gave us his cell phone number after surgery ( which I did not need to use) I would highly recommend him and his services !
Photo from customer review
Response from the owner:Thank you so much for sharing your experience, Donna! We’re thrilled to hear about your progress and improved mobility. Dr. Domanski and our team truly appreciate your kind words and are honored to be part of your care.
Valerie Jammal
11 months ago
Very talented plastic surgeon. Great results with mommy makeover, breast lift, tummy tuck and breast augmentation.
Response from the owner:Thank you Ms. Jammal and hope you are doing well.
Oma Iqbal
11 months ago
Dr Domanski and his crew are top notch. I’ve had Dysport administered at multiple medspas and always end up back here because my results look natural and last longer. The crew here is always pleasant and unpretentious. They don’t oversell nor price gouge. You really can’t lose here!
Response from the owner:We appreciate your kind review and how it speaks to our philosophy and customer/patient centered care.
melliheidi
12 months ago
Dr Mark Domanski was a very knowledgeable and helpful Dr for my fillers. I love the results and happy to find out for another alternative to look younger without face lift
Response from the owner:Thank you so much. Fillers performed by a plastic surgeon can be amazing!
Patanit Chupashko
12 months ago
I received Botox from Dr. Domanski. The result is great. Thank you 🙏
Response from the owner:Thank you so much and hope you have an uplifting day.
Lillique Training
12 months ago
We are grateful to Dr. Domanski of Bluemont Plastic Surgery for his outstanding contributions to our student education. His sessions seamlessly connect medical principles with esthetic practice, elevating our curriculum and our students’ confidence. By offering complimentary botox and filler demonstrations, he creates an engaging, hands-on learning environment that our students rave about. Attendance is always high, the feedback is consistently excellent, and the impact is undeniable. Thank you, Dr. Domanski, for your generosity, professionalism, and dedication to training the next generation of estheticians. — Mandana Massjouni, Founder & Director, Lillique Training Institute
Photo from customer review
Response from the owner:This was such a fun presentation to give. I really enjoyed working with the students and look forward to doing it again.

MICRONEEDLING WITH RADIOFREQUENCY OVERVIEW

The process of getting RF Microneedling treatment typically involves the following steps:

Consultation: A consultation with one of our skincare experts is essential!  During the consult, our Medical Aesthetician will assess your skin, discuss your goals, and determine if Radiofrequency Microneedling is the right solution for your skin needs. Our comprehensive aesthetic evaluation is your skin’s new best friend!

Medical History Review: We will ask you to provide a comprehensive medical history, including information about current medications, allergies, and any previous cosmetic procedures. This is important to ensure the safety and efficacy of your RF microneedling treatment.

Preparation Instructions: You may receive specific instructions regarding how to prepare for the procedure. This could include avoiding certain skincare products, medications, or activities in the days leading up to the treatment.

Discussion of Expectations and Post-Treatment Skincare Advice: The skincare professional will discuss what to expect during and after the procedure, including potential side effects and post-treatment care. For about a week, you would need to use only gentle skincare products to let your skin recover before coming back to your regular skincare routine. Our plastic surgery office does offer post-treatment recovery skincare.

Topical Anesthetic: On the day of the treatment, a topical anesthetic will be applied for about 1 hour to numb the skin and enhance comfort during the procedure. The kind of topical anesthetic solution will be chosen based on your health history and allergy review.

Treatment: After cleaning your face thoroughly, the treatment will start. The Secret RF device is used to create micro-channels in the skin’s surface while simultaneously delivering RF energy. The treatment typically takes around 30 minutes to an hour, depending on the area being treated. You may experience a ‘tingling’ sensation during the treatment. Some of our patients describe the sensation as “spicy”. However, your RF microneedling treatment should be comfortable. Believe it or not, we even had somebody fall asleep during the treatment. From the start with the topical numbing solution, to the finish of treatment, you should designate about 2 hours. After the treatment, you may experience some redness and mild swelling, but these side effects are temporary. Our skincare professional will advise you on how many treatments you may need to achieve optimal results.

Post-treatment care: Right after the treatment, a recovery solution will be applied to the treated areas to calm down the skin and reduce redness. The recovery oil and cream will be applied to keep your skin hydrated. Specific aftercare detailed instructions, such as avoiding pressure on the treated areas, refraining from strenuous activities for a specified period, and any other relevant guidelines regarding skincare, will also be provided.

Follow-up and maintenance: Depending on your goals, you may schedule a follow-up appointment to assess the results and discuss any further treatments or adjustments. Your provider will share with you recommendations on how to maintain your results. 

RF MICRONEEDLING TREATMENT BENEFITS

Radiofrequency (RF) Microneedling is a non-invasive treatment that enhances collagen production, tightens skin, and reduces the appearance of wrinkles. In general, it revitalizes your skin and gives you a smoother and more radiant complexion.

Common benefits of RF microneedling treatment include:

Collagen and Elastin Stimulation: The RF energy generated during treatment not only triggers the skin’s natural healing response but also encourages the production of collagen and elastin, leading to improved skin firmness and elasticity.

Wrinkle Reduction: Collagen and elastin created during the healing process help minimize fine lines and wrinkles, contributing to a smoother complexion.

Skin Tightening Microneedling: The RF energy delivers controlled heat deep into the dermal layers, leading to skin tightening, particularly in areas prone to sagging. As the skin contracts, it can become firmer.

Scar Improvement: May reduce the appearance of scars, including acne scars and surgical scars.

Texture Enhancement: Improves overall skin texture, making it smoother and more radiant.

Minimized Pore Size: Can contribute to the reduction of enlarged pores.

Long-lasting Results: The combination of microneedling and radiofrequency often provides more enduring effects compared to individual treatments.

Versatility: Suitable for various skin types and concerns, offering a versatile solution for skin rejuvenation. Our Secret RF microneedling allows for precise control over the depth of needle penetration and RF energy delivery.

Minimal Downtime: Typically has minimal downtime compared to more aggressive treatments like laser resurfacing.

Radiofrequency Microneedling Compared to Similar Treatments

CO2 Laser Resurfacing, RF Microneedling, and Laser Genesis Comparison

CANDIDATES FOR RF MICRONEEDLING

RF microneedling is an excellent choice for individuals seeking non-surgical skin rejuvenation.
If you experience some of the below skin conditions, then RF microneedling is for you:

Fine lines & wrinkles: Aging skin often presents challenges such as fine lines, wrinkles, and loss of elasticity, impacting one’s overall complexion. Microneedling with radiofrequency (RF) stimulates collagen production, in effect reducing the appearance of wrinkles.

Mild to moderate skin laxity: RF microneedling works wonders for mild to moderate skin laxity by employing tiny needles that penetrate the skin’s surface, delivering controlled radiofrequency energy to the deeper layers. This dual-action approach triggers collagen production, enhancing skin elasticity and firmness.

Uneven skin texture: If you deal with skin irregularities characterized by roughness, bumps, and overall do not like the feel of your skin, then microneedling with radiofrequency (RF) is for you. It is a transformative solution that helps smooth out uneven texture by promoting skin renewal.

Acne scars: The severity of the scarring can vary, ranging from mild to severe, and may impact an individual’s self-esteem. Uneven texture, discoloration, and skin depressions left by acne can be distressing, but RF microneedling for acne scars offers a promising solution.

Enlarged pores: This is a common skin concern that occurs when the openings of hair follicles on the skin’s surface become dilated. Multiple reasons contribute to enlarged pores. Among them are genetic predisposition, aging-related changes in collagen and elasticity, increased oil production by sebaceous glands, sun damage leading to diminished skin elasticity, clogging of pores due to dirt and dead skin cells, and suboptimal skincare habits. Radio frequency microneedling can help minimize the appearance of enlarged pores.

Scars and stretch marks (to some extent): The controlled micro-injuries from the microneedles trigger the body’s natural healing response, while the radiofrequency energy enhances collagen synthesis, resulting in smoother and more rejuvenated skin over time.

Additional Skin Information: The Fitzpatrick Scale

Skin Type Scale | Bluemont Plastic Surgery

RECOVERY

Recovering from RF microneedling treatment is a gradual and transformative process. The full benefits of microneedling will unfold over several weeks as collagen continues to regenerate. Below are recommendations that help you in your RF microneedling recovery process:

Immediately post-treatment: You may experience some redness and mild swelling, indicative of the treatment’s stimulation of collagen production. These effects typically subside within a few days. You’ll notice a gradual improvement in skin tone, firmness, and a reduction in fine lines and wrinkles.

Follow Post-Treatment Instructions: Adhere to the specific post-treatment guidelines provided by your skincare professional or dermatologist.

Protect Your Skin: Use a broad-spectrum sunscreen with at least SPF 30 to shield your skin from harmful UV rays. This is crucial to prevent pigmentation issues and support the healing process.

Avoid Sun Exposure: Minimize sun exposure, and if you must be outdoors, wear a wide-brimmed hat and protective clothing to shield your treated skin.

Hydrate Your Skin: Keep your skin well-hydrated by using a gentle, non-irritating moisturizer. This helps maintain skin suppleness and supports the healing process.

Skip harsh products: Avoid using harsh skincare regimens, such as those containing retinoids or acids, for a specified period as recommended by your skincare professional.

Patience is key: Understand that visible results may take time. Be patient and allow your skin to go through the natural healing and collagen-building process.

No touching or picking: Resist the urge to touch, pick, or scratch the treated areas. Let the skin heal without interference to avoid infection and scarring.

Stay hydrated and maintain a healthy diet: Drink plenty of water to stay hydrated and consider incorporating a balanced diet rich in vitamins and antioxidants to support overall skin health.

Attend follow-up appointments: Schedule and attend any recommended follow-up appointments with your skincare professional to monitor your skin’s progress and address any concerns.

RF Microneedling Recovery Timeline

Why us?

With over 70 plastic surgeons in the Northern Virginia area, patients choose Dr. Domanski because they trust him. We believe you will not find a more honest surgeon than Dr. Domanski.

Read more about Dr. Domanski

FAQs

Traditional Microneedling uses fine needles to create micro-injuries that boost collagen for smoother, healthier skin, while RF microneedling adds radiofrequency energy to also tighten deeper tissues—making it more effective for wrinkles, scars, and skin laxity.

The price of RF microneedling varies between $400-1200.  The difference in the cost depends on the device (handheld vs industry standard), whether the procedure is performed at a hair salon or plastic surgeon office, and the experience of the provider.  Many people undergo 2-3 treatments to invest in optimal results.

The discomfort during the RF microneedling procedure varies by your personal sensitivity level and the device used.  With the application of topical numbing cream, the discomfort is limited. We personally tested several RF microneedling devices and chose our device because it had a minimal amount of pain.  We believe this is because our device uses bipolar rather than monopolar technology to deliver energy to the skin and dermis.  Bipolar technology is more focused and minimizes current spread to places where it is not needed–allowing the energy used to be focused on maximizing aesthetic outcome.

A popular option is for clients to undergo 2-3 RF microneedling treatments initially.  Frequently, clients will opt to undergo a once yearly maintenance session.  We think of the initial sessions as turning back the conveyor belt of time.  The maintenance sessions slow the conveyor belt down.

RF microneedling is suitable for all Fitzpatrick skin types. This means that clients with darker skin are still candidates.  For patients with sensitive skin, we can test a small area such as behind the ear, to see how the skin reacts.  If there is no reaction, we can safely consider a full face treatment.

RF microneedling delivers electrical current in the frequency range of radio waves energy directly into the dermis of the skin.  This is why many practices referer to RF as radiofrequency.  The dermis is the deeper layer of skin. Our RF microneedling device uses bipolar technique which bypasses the epidermis, the skin’s outermost layer.

Aging is due to stretch and loss of volume.  Like an old sofa that may show signs of wear and reduced cushion, our skin undergoes similar changes.  Our facial fat distribution changes, resulting in a more hollowed appearance with the passing decades.  The protein content of our skin changes, resulting in less elasticity.

Aging can be accelerated by smoking, sun exposure, and poor diet.  While we can’t stop the aging process, we can slow it down by sunscreen on a daily basis.  Dr. Domanski himself uses a SPF 15 light sunscreen as an aftershave on most days.   Some people believe that exercise and a plant-based diet can also contribute to skin longevity.

If you are looking to improve the signs of skin aging such as line and wrinkles, uneven skin tone & texture and are looking to tighten your skin by stimulating collagen production, then RF microneedling may be for you.

Right after the procedure you may experience some redness and mild swelling. Redness should subside within 24 hours. Some clients will experience mild swelling that generally resolves within 1-2 days.  We provide our patients with a complete after-treatment kit that soothes the skin and speeds up the recovery process.

After two to three weeks, you should notice more radiant skin.  This is part of a process where your skin generates new collagen which is the goal of treatment.

“Be Yourself,
Everyone Else Is Taken.”

– Oscar Wilde

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