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Non-Light-Based Energy Devices in Aesthetics: Current Evidence and Emerging Innovations
Aysham Chaudry1, Wilhelmina Lam1, Alexandra DeVries1,2
1Center for Clinical and Cosmetic Research, Aventura, FL.
The Journal of Craniofacial Surgery
|July 21, 2026
Summary
Non-light-based energy devices like radiofrequency, ultrasound, and microwave offer safe and effective aesthetic treatments for various conditions. Innovations focus on precision, combination therapies, and personalized approaches for all skin types.
Area of Science:
- Aesthetic medicine
- Dermatology
- Medical devices
Background:
- Non-light-based energy devices are increasingly utilized in aesthetic treatments.
- These devices employ thermal, mechanical, and electromagnetic energy for diverse aesthetic indications.
- This review covers current evidence and emerging innovations in this field.
Purpose of the Study:
- To summarize current evidence on non-light-based energy devices in aesthetics.
- To highlight emerging innovations in this rapidly evolving field.
- To provide an overview of device efficacy and applications.
Main Methods:
- A targeted PubMed search was conducted using keywords: radiofrequency, microwave, ultrasound, and energy-based devices.
- English-language articles were included.
- Citation tracking and authors' clinical expertise supplemented the literature search.
Main Results:
- Radiofrequency (RF) devices are effective for skin laxity, rhytides, acne, acne scarring, and vascular lesions via dermal remodeling.
- Fractional RF microneedling shows efficacy in darker skin types with minimal risk of postinflammatory hyperpigmentation.
- Ultrasound, cryolipolysis, microwave, and cold atmospheric plasma devices demonstrate effectiveness in skin tightening, fat reduction, hyperhidrosis, cellulite, and rejuvenation.
Conclusions:
- Non-light-based energy devices provide versatile, safe aesthetic treatment options with minimal downtime.
- These devices are applicable to all skin phototypes.
- Future advancements focus on precision delivery, combination therapies, and personalized treatment strategies.
Keywords:
Aesthetic devicescold atmospheric plasmacryolipolysisenergy devicesmicrowavenoninvasive devicesnonlightnonlight based energy devicesradiofrequencyultrasound
