Radiofrequency (RF) skin tightening treatments are generally considered safe for many patients, but when you have an implanted medical device such as a titanium heart valve, extra caution is necessary. Most modern heart valves are made from materials that are not affected by external radiofrequency energy. However, RF devices generate heat within tissues, and treatment safety can vary depending on the specific device used, treatment settings, and your individual medical history. Before proceeding, it is very important to obtain clearance from your cardiologist. They can confirm whether your specific valve type and heart health status allow for this kind of treatment. You should also inform your treating provider so they can review device specifications and modify treatment settings if needed. Your safety always comes first, and coordination between your cardiologist and aesthetic provider is the best way to ensure an appropriate and safe plan.