FaceTite Risks and Side EffectsHow FaceTite works, what can go wrong and how the risks are managed

Medically reviewed: Last reviewed by Mr Reza Nassab, FRCS Plast —

FaceTite is a minimally invasive treatment, but it is still a procedure that uses heat beneath the skin, so it carries risks. The most important are thermal injury or burns, temporary irritation of the nerve that controls the lower lip, lumps and contour irregularities, and the general risks of bleeding and infection. Careful technique and aftercare reduce each of these.

How the treatment works, and why it matters for safety

During FaceTite, a fine probe is passed under the skin through tiny entry points while an electrode moves over the surface. Radiofrequency energy flows between them, heating the fat and connective tissue so that it contracts. The device monitors skin and internal temperatures and cuts out if they exceed set limits. The skill lies in controlling how much energy is delivered, where and for how long, and in avoiding delicate structures such as nerves along the jaw.

General procedural risks

  • Bleeding and bruising: bruising is common; a larger collection of blood is uncommon but may need draining.
  • Infection: uncommon with small entry points; treated with antibiotics if it occurs.
  • Anaesthetic: local anaesthetic is generally very safe; if sedation is used, your health is assessed beforehand.
  • Blood clots: a low risk with a short procedure, reduced further by walking soon afterwards and staying hydrated.

Risks specific to FaceTite

  • Burns or thermal injury: the most important device-related risk. Temperature monitoring and careful technique reduce it. Signs include blistering or a darkened patch of skin.
  • Nerve irritation: the marginal mandibular nerve runs along the jawline and controls the lower lip. Heat or swelling can irritate it, causing a temporarily uneven smile. This usually recovers over weeks to months.
  • Lumps and firmness: firmness under the chin and along the jaw is common for several weeks and usually softens.
  • Contour irregularities: uneven areas or dents can occur, especially if fat is removed unevenly.
  • Seroma: a collection of fluid under the skin that may need draining in clinic.
  • Entry-point marks: small scars or changes in pigmentation where the probe was inserted.
  • Limited result: if skin laxity is more advanced, the tightening may be less than hoped.

Reducing the risks

Good planning is the most effective safety measure. Mr Nassab assesses whether your skin and anatomy are suitable, maps the treatment zones and nerve danger areas before starting, and uses the device's temperature controls carefully. Choosing a consultant plastic surgeon with detailed knowledge of facial anatomy matters here. Stopping smoking before and after treatment, following garment instructions and attending follow-up all help your recovery.

Your health and suitability

Some health factors raise the risk of complications after FaceTite:

  • Smoking and vaping nicotine: reduce blood flow to the skin and slow healing.
  • Blood-thinning medicines and supplements: increase bruising and bleeding; discuss these before treatment rather than stopping them yourself.
  • Previous facial surgery or fillers: can alter the tissue planes and should be mentioned at consultation.
  • Implanted electrical devices: such as a pacemaker, need to be discussed, as radiofrequency devices may not be suitable.

Being open about your medical history allows Mr Nassab to decide whether the treatment is appropriate and to plan it safely.

Normal healing versus a concern

It is normal to have swelling, bruising, tightness, some numbness and firmness under the chin for several weeks. Mild asymmetry while swelling settles is also common. Contact the team promptly if you notice blistering, a darkened or broken patch of skin, fever or spreading redness. A rapidly enlarging, tense swelling on one side of the neck needs urgent contact with the surgical team. For chest pain or breathlessness, call 999.

When FaceTite may not be the safest choice

FaceTite is not suitable for everyone. It may be less appropriate for people with very loose, thin skin, a history of poor wound healing, certain medical conditions or unrealistic expectations. For more advanced laxity, a facelift or neck lift may deliver a more reliable result with a clearer risk profile. The guide to FaceTite vs facelift explains how the options compare.

Frequently Asked Questions

Is FaceTite safe?

In appropriately selected patients and experienced hands, FaceTite is generally safe, but it carries real risks such as burns and nerve irritation that should be discussed openly.

Can FaceTite damage nerves?

Temporary irritation of the nerve that controls the lower lip can occur. It usually recovers, and careful technique along the jaw reduces the risk.

How long do lumps last after FaceTite?

Firmness usually softens over several weeks to a few months. Persistent lumps should be reviewed at follow-up.

Will FaceTite leave scars?

The entry points are a few millimetres long and usually fade to small marks that are hard to see.

What if the result is disappointing?

Mr Nassab will review you once swelling has settled. Where appropriate, options may include further treatment or a surgical approach such as a facelift.

Mr Reza Nassab — Consultant Plastic Surgeon

Written & Medically Reviewed by

Mr Reza Nassab

FRCS (Plast) GMC Specialist Register — Plastic Surgery RCS England Certificate in Cosmetic Surgery MBA MSc

Mr Reza Nassab is an award-winning Consultant Plastic Surgeon on the GMC Specialist Register in Plastic Surgery, and holds the Royal College of Surgeons of England Certification in Cosmetic Surgery. He practises at CLNQ Deansgate Hospital in Manchester; Knutsford, Cheshire; Dubai and London, and is a member of BAPRAS and BAAPS. Mr Nassab has published original research in PRS, Aesthetic Surgery Journal, and JPRAS and lectures internationally on advanced surgical techniques.