Can RF microneedling cause facial nerve damage?

Question

Can radio frequency microneedling cause facial nerve damage? Considering Virtue but can’t find a lot of information about adverse effects/side effects outside redness and possible infection.

Anil R. Shah, MD · Answer

Hello, my name is Ranen and I am an aesthetic nurse at Aesthetic skin in Chicago.  That’s a very good — and very smart — question. Short answer: yes, there is a documented risk of nerve injury with RF microneedling, though it's rare, and when it happens, it's more likely linked to misuse, aggressive settings, or poor technique. It's not a guaranteed risk, but it's not purely hypothetical either.  Yes: facial nerve damage is a real but rare potential risk with RF microneedling. The risk is not just theoretical — the FDA has received actual adverse event reports.  U.S. Food and Drug Administration That risk is significantly influenced by how deep and how hot the treatment is done + how skilled the practitioner is. To minimize risk, choose a very experienced, licensed provider, thoroughly vet their device settings, and make sure you’re comfortable with the worst-case scenarios.

Michael I. Echavez, MD · Answer

The RF microneedling device that I use is called Morpheus8.  With the depths that are normally done on the face, there should be no facial nerve damage because the needles do not go deep enough to reach the facial nerve.

Can RF microneedling cause facial nerve damage?

Answers (2)

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