Evaluation of the evidence level for the use of radiofrequency in aesthetic treatments: A systematic review and meta-analysis

J Cosmet Dermatol. 2021 Sep;20(9):2691-2702. doi: 10.1111/jocd.14353. Epub 2021 Aug 1.

Abstract

Background: Radiofrequency (RF) is a non-invasive or minimally invasive procedure with a low risk of complications. It has been employed for several aesthetic purposes.

Aim: This study aimed to conduct a systematic literature review on the use of RF for aesthetic applications and assess the level of accumulated evidence for each condition.

Methods: Using the MEDLINE/PubMed and EMBASE databases, we searched for articles published from 2009 to 2019 describing the use of RF treatment for aesthetic purposes.

Results: Our search approach identified 25 randomized clinical trials investigating the efficacy of RF in the following clinical situations: body contour improvement, facial rejuvenation, acne scar treatment, alopecia, and rosacea. There were problems with the quality of the studies, especially regarding selection, performance, and detection bias.

Conclusion: Our study revealed that RF treatment is potentially promising in all of the evaluated clinical situations; however, we were not able to identify a level of evidence that justifies its use over other therapeutic options currently available on the market.

Keywords: aesthetics; cosmetic techniques; dermatology radiofrequency therapy.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Alopecia*
  • Esthetics
  • Humans
  • Radio Waves / adverse effects
  • Rejuvenation*