Background: The field of facial plastic surgery has witnessed significant advancements with the introduction of transcutaneous radiofrequency micro needling (TRFM). This innovative technology combines the benefits of micro needling with controlled radiofrequency energy delivery, offering a non-invasive and effective solution for facial rejuvenation. As the demand for minimally invasive procedures continues to rise, exploring the applications, efficacy, and safety of TRFM becomes essential for facial plastic surgeons. Aim: This comprehensive review aims to provide a thorough understanding of transcutaneous radiofrequency micro needling, focusing on its application and outcomes within the realm of facial plastic surgery. The primary objectives are to analyze the underlying principles of TRFM, assess its effectiveness in various facial rejuvenation procedures, and highlight key considerations for its integration into the facial plastic surgeon's practice. Methods: A systematic literature review was conducted to gather relevant studies and clinical reports on transcutaneous radiofrequency micro needling. Electronic databases were searched for articles published in peer-reviewed journals, encompassing the last decade. The selected studies were scrutinized for methodologies, patient demographics, treatment protocols, and reported outcomes. Data synthesis and analysis were performed to derive comprehensive insights into the current state of TRFM in facial plastic surgery. Results: The synthesis of available literature reveals a growing body of evidence supporting the efficacy of transcutaneous radiofrequency micro needling across a spectrum of facial aesthetic concerns. From skin laxity and wrinkles to acne scars and pigmentation irregularities, TRFM demonstrates promising results with minimal downtime and a favorable safety profile. This review discusses specific procedural protocols, patient selection criteria, and notable case studies, shedding light on the versatility and applicability of TRFM in facial plastic surgery. Conclusion: Transcutaneous radiofrequency micro needling emerges as a valuable tool in the armamentarium of facial plastic surgeons, offering a safe and effective solution for patients seeking facial rejuvenation. The reviewed literature underscores the diverse applications of TRFM, emphasizing its role in addressing common aesthetic concerns with minimal invasiveness. As technology continues to evolve, further research and long-term outcome studies are warranted to refine treatment protocols and establish TRFM's enduring role in the field of facial plastic surgery.