Efficacy and safety of monopolar radiofrequency for the improvement of facial skin laxity and rhytides: A systematic review of clinical trials

Maria Nina  F. Pascasio,; Cindy  Jao-Tan,; Lian  C. Jamisola,; Sharon Margaret  V. Wong,; Camille  Berenguer-Angeles,; Alma  T. Amado,

Efficacy and safety of monopolar radiofrequency for the improvement of facial skin laxity and rhytides: A systematic review of clinical trials

Abstract:

Introduction There is a consistent increase in the interest and demand for non-invasive modalities to improve facial skin laxity and rhytides. Monopolar radiofrequency is one of such non-invasive modalities. This systematic review aimed to determine the efficacy and safety of monopolar radiofrequency in improving facial rhytides and skin laxity. Methods Clinical studies that assessed the efficacy of monopolar radiofrequency to address clinically observable facial rhytides and skin laxity were included. Outcome measures included improvement in rhytides and skin laxity as documented by patient satisfaction scores, and investigator and thirdperson observer ratings based on clinical photographs and clinical scales. Results Three studies involving 29 participants were included in this review. All studies reported 25- 50% improvement in facial rhytides and skin laxity. Participants from the three studies were satisfied with the results. Transient erythema was reported in several patients. Conclusion Monopolar radiofrequency appears to be beneficial and safe for patients with facial rhytides and skin laxity. However, the evidence is inconclusive due to problems in the methodological quality of each trial and the heterogeneity of the studies included in this review.

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