The Growing Attention and Potential Risks of Morpheus8 Radiofrequency Microneedling
In recent times, the Morpheus8 radiofrequency microneedling device has garnered substantial interest, largely propelled by a prominent celebrity endorsement. "While RF needling is not a new concept, Morpheus8 gained widespread recognition when Kim Kardashian expressed her satisfaction with the procedure for tightening her abdomen post-pregnancy," notes Dr. Annie Chiu, a board-certified dermatologist based in Redondo Beach, California. For those new to the concept, "this technology combines the collagen-stimulating effects of microneedling with radiofrequency, which heats the collagen to promote skin tightening," she elaborates. Furthermore, the synergy of RF and microneedling can address a variety of skin issues, including enlarged pores, sagging skin, acne scars, fine lines, and overall skin texture.
This surge in popularity closely follows another RF microneedling treatment, Potenza, which Kardashian also endorsed in June. However, what sets Morpheus8 apart, as highlighted by Dr. Hooman Khorasani, a board-certified dermatologic surgeon from New York City, is its unique design. Firstly, it boasts a larger surface area compared to other handpieces, thereby shortening treatment durations. It also incorporates sharper needles, which reduce discomfort and enhance effectiveness. Additionally, "a notable advantage of this device is its capability to safely treat all Fitzpatrick skin types," he emphasizes.
Despite these advantages, "while Morpheus8 technology appears more effective than some competitors, it may also pose heightened risks of adverse side effects when administered by unqualified professionals—the most serious being scarring, fat and volume loss, and prolonged discomfort," cautions Dr. Khorasani. "It is imperative that the practitioner is well-versed in handling various skin types." Understanding the skin's anatomy and topography, particularly in relation to factors like gender, age, and sun exposure, is crucial for optimal outcomes.
Conversely, selecting a provider without such expertise or experience can lead to detrimental side effects, which might explain why, despite its popularity and efficacy, Morpheus8 has only a 75% Worth It Rating on Ruli. Here’s what you need to know to achieve the best possible results.
What Are the Typical Morpheus8 Side Effects?
Firstly, it's important to note that redness and swelling are common and expected. "These side effects usually last anywhere from one to two days up to two weeks," explains Dr. Khorasani. "Redness tends to be more pronounced in areas with thinner skin, such as the cheekbones, nose, and around the eyes."
Your skin may also become more sensitive, and you might experience "pinpoint bruising, mild peeling during the healing phase, and occasional mild breakouts," adds Dr. Chiu.
Volume Loss
In July 2024, a Ruli member warned against using Morpheus8 for jowls, noting a loss of facial volume. In an update five months post-treatment, she wrote: "It has altered my facial structure and affected the lower part of my face."
Volume loss is indeed a potential risk. "If longer needle settings are used, causing radiofrequency pulses to reach subcutaneous fat, there can be induced fat loss, as adipose cells—or fat cells—are sensitive to RF energy," explains Dr. Chiu. "It is vital that the practitioner understands the varying depths of the skin's anatomical layers, not just across different body parts but also on the face."
This concern is particularly significant for patients with thinner skin. For instance, "when treating older patients, extra caution is necessary," advises Dr. Khorasani.
Burning Sensations
One Ruli member experienced continuous pain (along with crusting and oozing) after her initial Morpheus8 treatment. "I would prefer a different treatment to avoid several days of pain. It felt like I was burned for about four days," she recounts.
Unfortunately, this is a recognized side effect. "Burning typically occurs due to irritation of the skin's small nerve endings, also known as neuropraxia," explains Dr. Khorasani. This can happen when the device penetrates deeper skin layers, creating microchannels that do not heal immediately.
The positive news is that the burning and tingling should resolve within six weeks. Adhering to a gentle skincare routine immediately post-procedure also helps. "This involves avoiding retinols, hydroxy acids, or even scented skincare products for a week after treatment," advises Dr. Chiu. "Consistent use of physical, not chemical, sunscreen is essential."
Grid Marks
Several Ruli reviewers have reported grid marks following their treatment. "It's been 10 days, and my skin still has numerous needle holes. It looks like I was burned by a large grill," says a patient who received the treatment on her legs. Another reports: "I have the grid marks described here on Ruli."
This is usually a result of user error. "These marks typically occur due to incomplete contact between the Morpheus8 handpiece and the skin surface, as well as the body's reaction to trauma," explains Dr. Khorasani. "Grid marks are particularly noticeable in curved facial areas, as it is challenging to ensure full contact of the flat device surface with these curved areas."
It is the provider's responsibility to ensure 100% contact between the skin and the device tip; pulling the skin taut and applying the correct pressure on the handpiece can often mitigate this issue, he suggests.
Scabbing
After their initial treatment, a Ruli user shared, "my skin was completely scabbed and burned for almost two weeks." Scabbing is extremely rare, according to Dr. Khorasani. "Its occurrence often indicates excessive heat application to the skin," he says. "When excessive heat is applied, the skin can develop superficial blisters that form scabs. If the blistering is deep, it can result in a scar with abnormal texture."
To prevent this, your provider should evaluate your skin thickness and adjust the Morpheus8 device's depth and temperature accordingly.
Textural Changes
Some Ruli patients have noticed changes in their skin texture, even a year after Morpheus8 treatment. "I'm 35 and always had smooth skin, but now I have an orange peel texture," says one reviewer. RF microneedling works by creating controlled injuries to the skin, triggering the body's wound-healing response and, consequently, new collagen and elastin production.
However, skin varies among individuals. "If the device is not carefully calibrated for the customized treatment depth and controlled delivery rate, it can cause sufficient skin trauma, leading to texture changes like an orange-peel appearance—likely due to microscarring," warns Dr. Chiu.
How to Ensure Optimal Morpheus8 Results
Preventing these issues hinges on carefully choosing your provider. "Like all energy-based devices, the treatment's effectiveness and safety depend on the operator," emphasizes Dr. Chiu. A board-certified doctor is essential, and thorough vetting before the procedure is crucial. Clearly, this extra effort is worthwhile.
