Radiofrequency Microneedling

Radiofrequency (RF) microneedling, a popular cosmetic treatment, has gained significant attention in recent years. Devices like Morpheus8 have been praised for their potential to rejuvenate skin, but they have also faced criticism regarding facial fat reduction, thermal injury, and skin damage. In this article, we will explore the latest evidence on RF microneedling for various skin conditions and address common misconceptions surrounding this treatment.

The Importance of Proper Device Settings and Technician Training

One of the primary concerns surrounding radiofrequency microneedling is the potential for skin damage, which can result in a “leather-like” appearance. This adverse outcome has been a topic of discussion among both patients and practitioners, raising questions about the safety and efficacy of the treatment. However, it is essential to understand that the likelihood of such complications is heavily dependent on two critical factors: the proper application of device settings and the expertise of the technician performing the procedure.

Radiofrequency microneedling devices, such as Morpheus8 and Cutera Secret Pro come with adjustable settings that control the depth of penetration, energy levels, and duration of the treatment. Improper settings, such as excessive energy or depth, can lead to thermal injury and skin damage. Therefore, it is crucial for practitioners to have a deep understanding of the device they are using and to follow the manufacturer’s guidelines and recommendations. Patient’s skin type, thickness, and specific concerns should also be taken into account when determining the appropriate settings for each individual.

Moreover, the technician’s expertise plays a vital role in ensuring the safety and success of RF microneedling treatments. Practitioners must have a thorough understanding of skin anatomy, including the location and depth of various skin layers, blood vessels, and nerves. This knowledge allows them to avoid sensitive areas and minimise the risk of complications. Additionally, technicians should be well-versed in pre- and post-treatment care, as well as identifying and managing any potential adverse reactions.

To address these concerns and ensure the highest standards of patient safety, regulations and minimum training requirements must be met.

While the potential for skin damage from RF microneedling is a valid concern, it can be largely mitigated by ensuring proper device settings and technician expertise.