Contraindications for Laser & RF Microneedling Treatments

Evaluate for safety before performing advanced collagen-stimulating procedures

Laser and RF microneedling are highly effective for skin tightening, acne scars, wrinkles, and texture—but these treatments involve thermal energy and controlled injury, so they require careful client screening to avoid complications such as burns, hyperpigmentation, or delayed healing.

🛑 Absolute Contraindications

These conditions prohibit treatment entirely and pose a high risk:

1. Pregnancy or Breastfeeding

   • Not recommended due to lack of safety data and risk of hormonal-related sensitivity.

2. Active Infection, Cold Sores, or Open Wounds

   • Includes herpes simplex virus (HSV), bacterial or fungal skin infections, and inflamed acne.

3. Skin Cancer or Suspicious Lesions

   • Never treat over areas with melanoma or any undiagnosed skin growth.

4. Blood-Clotting Disorders or Anticoagulant Use

   • Increased risk of excessive bruising, bleeding, and delayed healing.

5. Use of Isotretinoin (Accutane) Within the Past 6–12 Months

   • The skin is too fragile, risking scarring and delayed healing.

6. Severe Active Eczema, Psoriasis, or Rosacea in Treatment Area

   • These inflammatory conditions can worsen with heat or injury.

7. Autoimmune Diseases That Affect Healing

   • Conditions like lupus or scleroderma are contraindicated without medical clearance.

8. Pacemaker or Implanted Electronic Device (for RF microneedling only)

   • RF energy may interfere with the device.

⚠️ Relative (Precautionary) Contraindications

These require clinical judgment, delay, or medical clearance:

1. Fitzpatrick Skin Types IV–VI (Dark Skin Tones)

   • Higher risk of post-inflammatory hyperpigmentation (PIH)—requires adjusted settings and skin prepping.

2. Recent Sun Exposure or Sunburn

   • Skin is more sensitive and at risk of burns or pigment damage.

3. Recent Cosmetic Procedures or Injections

   • Avoid treatment within:

     • 7–14 days of Botox/fillers

     • 2–4 weeks of chemical peels, laser resurfacing, or waxing

4. History of Keloids or Poor Wound Healing

   • May lead to scarring or thickened skin response.

5. Active Acne or Cystic Breakouts

   • Risk of spreading bacteria or worsening inflammation.

6. Photosensitizing Medications

   • Includes antibiotics (e.g., doxycycline), Accutane, or St. John’s Wort—can increase risk of burns.

7. Immune Suppression or Chronic Illness

   • Slower healing and higher infection risk.

8. Anxiety, Low Pain Tolerance, or Unrealistic Expectations

   • May impact treatment comfort or satisfaction with results.

📝 Best Practices for Treatment Providers

• Perform a full medical intake and skin consultation.

• Educate clients on pre- and post-treatment protocols, including avoiding sun, heat, and active products.

• Obtain informed consent and always perform a test patch for RF on darker skin types.