Will microneedling RF cause facial volume loss? (photos)

Question

Thinking of doing RF micro-needling for my entire face for facial rejuvenation (wrinkles / pigment) as well as to tighten my jaw line. Have read some reviews that it causes fat loss on unwanted areas of the face. Is this a possibility? I do not want to lose volume. I am specifically looking at doing Morephus8. Is there another treatment that would be better with less risks?

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. The short answer is yes, it can. With Morpheus8 (or any other RF MN device), the depth of treatment can be set to anywhere from 1-4 mm. Most of the skin in the face has a depth of around 1-2 mm (see attached link). So if you are setting the treatment depth to 3 or 4 mm with M8, then you are applying that RF energy to structures beneath the skin and this can theoretically cause volume loss. I would discuss your specific concerns and goals with your plastic surgeon and make sure the treatment you are choosing is right for you before proceeding.

Best of luck!

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Best of luck!

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Mark G. Albert, MD, FACS · Answer

Hello,
Thank you for your question. I regularly perform RF microneedling (Morpheus8) and have not had any cases of volume loss. The settings determine the depth and on the face especially the provider has to make sure to stay superficial (compared to areas of the neck, arms, etc where one may want fat loss). I wish you all the best.
Mark G. Albert, M.D., F.A.C.S.New York, NY and Boston, MA

Laura A. Katz, MD · Answer

Hello there.  Morpheus 8 is a fantastic option for full face rejuvenation.  Morpheus has the potential to cause some fat loss, but only if a depth of 4mm or more is used.  Facial treatments can achieve great results without fat loss by sticking to 3mm depth or less

Leonard Grossman, MD · Answer

If the needles used during the RF treatment of the face are too long, then fat can be destroyed, making an individual look considerably older a few months later. You have to make sure you specify that to your treating physician of choice. Systems that use needles that come into the skin at a 45° angle appear to do the best job. I hope this helps and good luck from New York City Plastic Surgery

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