RF-microneedling post chin implant. Is it safe?

Question

I am seeking professional input on the use of RF microneedling (microneedling combined with radiofrequency) following a chin implant. I understand that with microneedling alone, needle depth is not a concern because a chin implant is placed on top of the bone and beneath the muscle, making direct contact impossible. My question is specifically about the radiofrequency/heat component, not the needles themselves. Are there considerations or contraindications for RF microneedling in patients with chin implants, depending on the implant material (e.g., silicone vs porous polyethylene/Medpor)? Additionally, is there a generally recommended waiting period after chin implantation before performing RF microneedling in the face, and are there zones that should be avoided? Any guidance from plastic surgeons or dermatologists with experience in this area would be greatly appreciated.

Luis A. Mejia, MD · Answer

This is a very good and thoughtful question. You’re correct that needle depth is not the concern with a chin implant, as it sits on the bone beneath the muscle. The main consideration with RF microneedling is the heat component, not the needles themselves. In my experience, RF microneedling can be performed safely after a chin implant when done conservatively. Silicone implants tend to tolerate this better, while porous (Medpor) implants require more caution due to tissue integration. I generally avoid high-energy RF directly over the implant footprint.

I recommend waiting at least 3–6 months after surgery to allow full healing and implant stabilization, and using lower energy settings if treating near the chin. Surrounding facial areas are usually safe when treated appropriately.

If you’d like, I’m happy to review your goals and create a personalized plan that fits your body and desired results. No rush, no pressure, just honest guidance.

Whenever you’re ready,
Let’s make it better.

Warmly,
Dr. Luis Mejía, MD
Board-Certified Plastic Surgeon
CECILIP – Dominican Republic

RF-microneedling post chin implant. Is it safe?

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