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Radiofrequency Microneedling for Facial Rejuvenation: A Systematic Review.

Narendra Kumar1, Dong Hye Suh2, Sang Jun Lee2

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Radiofrequency microneedling (RFMN) effectively rejuvenates facial skin, improving texture and tightness with high patient satisfaction. This minimally invasive treatment demonstrates a favorable safety profile with mild, transient side effects, solidifying its role in aesthetic practices.

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Area of Science:

  • Dermatology and Aesthetic Medicine
  • Minimally Invasive Procedures
  • Evidence Synthesis and Systematic Reviews

Background:

  • Radiofrequency microneedling (RFMN) is a popular minimally invasive treatment for facial rejuvenation.
  • Existing studies show positive outcomes, but a comprehensive synthesis of efficacy, safety, and patient satisfaction is needed.

Purpose of the Study:

  • To systematically review and synthesize evidence on the aesthetic, safety, tolerability, and psychological outcomes of RFMN for facial rejuvenation.
  • To provide a comprehensive overview of RFMN's effectiveness and patient experience.

Main Methods:

  • Systematic review conducted adhering to PRISMA and JBI guidelines.
  • Searched four databases (PubMed, Embase, CENTRAL, LILACS) for studies published between 2015 and 2025, including 22 studies.
  • Assessed risk of bias and synthesized data on aesthetic outcomes, patient satisfaction, and safety using GRADE-CERQual for confidence assessment.

Main Results:

  • RFMN treatments consistently improved aesthetic outcomes, notably skin texture and tightening, with high Global Aesthetic Improvement Scale scores.
  • Adverse events were predominantly mild and transient (e.g., erythema, edema), with no serious complications reported; pain was mild to moderate.
  • Patient satisfaction rates exceeded 90%, strongly correlated with efficacy and minimal downtime.

Conclusions:

  • RFMN is an effective and well-tolerated intervention for facial rejuvenation.
  • The procedure yields robust clinical outcomes and exceptionally high patient satisfaction.
  • RFMN is established as a cornerstone treatment in modern aesthetic medicine.