Non-Light-Based Energy Devices Continue to Expand the Aesthetic Treatment Landscape

A growing body of evidence supports the use of non-light-based energy devices as minimally invasive treatment options for a wide range of aesthetic concerns, according to a newly published review in the Journal of Craniofacial Surgery. The review summarizes current evidence surrounding radiofrequency (RF), ultrasound, microwave, cryolipolysis, and cold atmospheric plasma technologies while highlighting emerging innovations shaping the field. 

Review Highlights Expanding Applications Across Aesthetic Dermatology

The authors conducted a targeted PubMed review of English-language literature using the keywords radiofrequency, microwave, ultrasound, and energy-based devices, supplemented by citation tracking and clinical expertise. Rather than presenting new clinical data, the article synthesizes available evidence across established and emerging device platforms. 

Among the technologies reviewed, RF devices demonstrated evidence supporting treatment of skin laxity, rhytides, acne, acne scarring, and vascular lesions through thermally induced dermal remodeling. Fractional RF microneedling was highlighted as an effective option for patients with darker skin phototypes because of its low risk of postinflammatory hyperpigmentation. High-frequency RF ablation was also cited as a precise, low-pain treatment for benign cutaneous lesions. 

The review also summarizes evidence supporting ultrasound-based devices, including high-intensity focused ultrasound, for skin tightening and facial contouring. Cryolipolysis was associated with significant localized fat reduction, with evidence suggesting accompanying dermal remodeling. Microwave-based systems demonstrated utility for axillary hyperhidrosis, osmidrosis, cellulite reduction, submental skin tightening, and facial rejuvenation. Meanwhile, cold atmospheric plasma emerged as a promising investigational technology for skin rejuvenation, wrinkle reduction, acne, melasma, and enhanced transdermal drug delivery. 

The authors concluded that non-light-based energy devices provide versatile treatment options with minimal downtime and broad applicability across skin phototypes. They noted that future innovation is likely to center on precision energy delivery, combination therapies, and individualized treatment strategies.

"Non-light-based energy devices offer versatile, safe treatment options across aesthetics with minimal downtime and applicability to all skin phototypes," the authors wrote. "Ongoing advances emphasize precision delivery, combination therapies, and personalized treatment strategies." 

Source

Chaudry A, Lam W, DeVries A, Lawson A, Nestor MS. Non-light-based energy devices in aesthetics: current evidence and emerging innovations. J Craniofac Surg. Published online July 17, 2026. doi:10.1097/SCS.0000000000013184