RF Microneedling: What It Is and What to Expect
Medically reviewed by Sumiran Racherla, MD, Internal Medicine. Last reviewed: October 23, 2026.
What kind of doctor provides RF Microneedling?
The FDA says to see a licensed provider who has training and experience with RF microneedling devices. The American Academy of Dermatology suggests a board-certified dermatologist for cosmetic treatments. A direct primary care or concierge doctor can be a first stop for an evaluation and can refer you to a specialist when needed.
What it is
Radiofrequency (RF) energy is electrical energy that creates heat in tissues. RF microneedling devices use small electrodes, called microneedles, to send RF energy into and under the skin. This heats the skin. The FDA says RF microneedling is a medical procedure.
The FDA has cleared RF microneedling devices as medical devices.
Why a doctor might recommend it
These devices are used to improve how the skin looks. They are used to treat wrinkles and for effects called resurfacing, tightening, or rejuvenation.
For microneedling in general, you may need more than one procedure to get the look you want.
How to prepare
The FDA suggests these steps.
- Talk with your provider about the benefits and risks of skin procedures.
- Ask your provider which devices they plan to use.
- Ask about your provider's training and experience.
- Ask how the device is cleaned between patients.
The Academy suggests talking with a board-certified dermatologist about your goals, treatment options, and expected results.
What happens during it
During treatment, the microneedles go into the skin. The RF energy reaches set depths in and under the skin. Each microneedle makes a small spot of intense heat at its tip. The heat changes the tissue.
In general, microneedling devices make many small holes in the skin.
Recovery
If you have any problems or concerns after RF microneedling, see a licensed health care provider. The FDA also asks you to report problems to the FDA.
Call 911 or go to the emergency room if you have trouble breathing, chest pain or discomfort lasting two minutes or more, fainting, or bleeding that will not stop.
Risks and side effects
Serious problems have been reported with certain uses of RF microneedling devices. These include burns, scarring, fat loss, disfigurement, and nerve damage. Some people needed surgery or other treatment for their injuries.
The FDA shared this warning on October 15, 2025. At that time, the FDA's review was still going on.
For microneedling in general, side effects can be short or long lasting. Some may be permanent.
Who performs it
The FDA says to see a licensed provider who has training and experience with these devices. These devices should not be used at home. Board-certified dermatologists have special training in facial anatomy, including nerves and muscles.
Common questions
Is RF microneedling risky?
Yes, serious problems have been reported with certain uses of RF microneedling devices. Reported injuries include burns and nerve damage. Some people needed surgery or other treatment.
Can I use an RF microneedling device at home?
No, the FDA says these devices should not be used at home. It calls RF microneedling a medical procedure, not a cosmetic one.
How is RF microneedling different from other microneedling?
RF microneedling sends RF energy through its needles to heat the skin. In general, microneedling devices make many small holes in the skin.
What should I ask my provider before RF microneedling?
Ask which devices your provider plans to use. You can also ask about their training and experience.
How does a direct primary care or concierge doctor fit in?
A direct primary care doctor charges a flat monthly fee instead of billing insurance, while a concierge doctor usually charges more and often works alongside insurance. A direct primary care or concierge doctor can be a first stop for an evaluation and can refer you to a specialist when needed.
Sources
- FDA - Potential Risks with Certain Uses of Radiofrequency (RF) Microneedling - FDA Safety Communication
- FDA - Microneedling Devices
- American Academy of Dermatology - Statement on the FDA Safety Briefing about Radiofrequency Microneedling Risks
Medical Disclaimer
This content is for general educational and informational purposes only and is not medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment, and reading it does not create a doctor-patient relationship. Always seek the advice of your physician or another qualified health provider with any questions about a medical condition, and never disregard or delay seeking professional advice because of something you read here. If you think you may have a medical emergency, call 911 (or your local emergency number) immediately.
