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More Information on Micro Needling

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More Information on Micro Needling

from a question and answer section with doctors.

Are There Bad Side Effects to Micro-needling?

I want to reduce the appearance of my acne scars. I would like to try Micro-needling.

Doctor Answers 10

Microneedling Safety

When done with proper technique , there are few reasons that Microneedling would elicit unfortunate side effects. Even pinpoint bleeding that can occur with a deeper treatment , usually only leaves redness and mild inflammation for 2-4 days max!    This treatment can offer fantastic outcomes for  texture, fine lines and acne scars!!

Orange County Plastic Surgeon
5.0 out of 5 stars 64 reviews

Microneedling for Acne

Microneedling is a wonderful treatment for acne scarring.  I have seen great results from deep microneedling as far as skin tone and skin texture are concerned.  There are few side effects from the treatment when performed by an experienced practitioner.  To maximize the benefits of microneedling, I would recommend combining it with a PRP treatment or platelet rich plasma. This involves a quick blood draw and then isolating out the growth factors in your own plasma.  These growth factors are then placed back on the skin for additional treatment benefits.  Best of luck!

K. Roxanne Grawe, MD
Columbus Plastic Surgeon
5.0 out of 5 stars 49 reviews

We’ve seen very nice results from microneedling for acne scars.

In my practice, we use the SkinPen™ for microneedling, and the final outcome for acne scars can be very impressive. One of the benefits of microneedling in general is the minimal risk of side effects, particularly if you visit a board certified plastic surgeon who is well-versed in the technique. However, since the procedure does involve creating controlled micro-injuries to promote the skin’s natural healing response, it’s common to notice redness and swelling after a session. Some people may experience a mild acne flare-up, or tiny white bumps under the skin called milia. Any of these concerns should dissipate rapidly.

Gary Motykie, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 40 reviews

Treat Acne Scarring with Microneedling

Microneedling has been around for a long time but is finally starting to gain traction in the US. I like to describe this in terms of roller needles, pen needles and big-box needles. There are pros and cons of each one. And any procedure can have side effects, so please make sure you learn as much as you can and that the provider is skilled — hopefully at a board-certified dermatologist or plastic surgeon’s office.

Rolling needles are the oldest form of needles, and there are many kinds. This procedure was popularized by a plastic surgeon in Cape Town, South Africa: Dr. Des Fernandez, who has taught the procedure and shown its effectiveness for many years. His company, known as Environ, is one of the market leaders with rolling needles. They can be done at home with small needles or in an office with larger needles. The procedure is very technique dependent and, if done correctly, can rejuvenate the skin and treat some mild acne scarring. It can be a fairly bloody office procedure, but it can work with several sessions.

Microneedle pens use a group of motorized needles to deliver into the skin. Names such as DermaPen, MicroPen and others are popping up in offices for the same indications as the rollers. There is still some blood after the treatment, but with a series of treatments the skin can do well. Another pen, although not the same, is called AquaGold, where needles are inserted into the skin with a canister apparatus so products can be applied during the needling — a great concept.

Then there are the big-box needles. These are typically radiofrequency-tipped needles that can penetrate the skin at various depths to have an effect on the deep layers of the skin. Bleeding is minimized as the RF current not only helps with rejuvenation or scars, but also helps coagulate the vessels in the area, so bleeding is not a major concern. RF needles are colorblind, so all skin colors can be successfully treated. Devices such as the EndyMed Intensif and the Lutronic Infini are the leaders in the US with big-box needles, and these treatments are very popular in Asia. Fewer treatment sessions are usually needed.

So what else can go wrong? These things are putting little holes in the skin and sometimes applying product to the skin. The products themselves should be sterile or at least free from allergens that can cause rashes and contact dermatitis — something we are seeing more and more when these are being performed in offices that have no clue as to what they are doing.

And with any procedure, the risk of pigment changes, although not big with needling, still can occur. Scarring has been reported, so once again, make sure that the provider is skilled and knows what they are doing.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.0 out of 5 stars 11 reviews

(Click the link below to see a video of the doctor speaking on MicroNeedling.)

Pigmentation and Melarase with derma roller therapy

There are many types and degrees of severity in microneedling and dermaroller therapy. I advise all patients to apply a topical skin lightener with use in order to avoid hyperpigmentation. Raffy Karamanoukian Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 61 reviews


Acne scar treatment

Julian Henley, MD

Julian Henley, MD
Greeley Facial Plastic Surgeon

Microneedling works well for acne scars

I have found micro-needling to be a great option for treatment of acne scars. Given the severity of the scars, multiple sessions (6-8 treatments) spaced about 4-6 weeks apart is what I generally recommend. Because the downtime of micro needling is much less than that of a laser procedure, I have found that many patients have been pleased with micro needling over laser for treatment of acne scars. I find that the results are even better when combining the micro needling with PRP (platelet-rich-plasma)
Sarmela Sunder, MD

Sarmela Sunder, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews


Love love love dermapen

I have brought in many treatments for acne scarring and dermapen is my favorite.  I and many of my patients have skin with pigment and peels or laser resurfacing treatments can actually do more harm than good sometimes.  Dermapen is the best thing I have found for acne scarring with no downside.

Sheila S. Nazarian, MD

Skin Pen – Microneedling

This treatment has very minimal risk involved when the treatment is being performed by a trained and knowledgeable specialist.  Our practice has seen great results in scar improvement, textual improvements and many other areas of concern.  It is a highly popular treatment with little downtime, but long results.

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews


Microneedling Great For Acne Scars

Microneedling is one of the best ways to minimize acne scars. We have many patients in my office that have had tremendous success with the Dermaroller treatment. As with anything, there may always be risks associated but those risks are drastically minimized if you go to the right place. We have performed hundreds of Dermaroller treatments without any negative side effects. Experience is key and a professional medical clinic will ensure that any negative side effects such as infections will not happen.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 99 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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