Microneedling

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Microneedling

What is skin needling?

Skin needling is also called micro-needling therapy or collagen induction therapy. It is a minimally-invasive non-surgical and nonablative procedure for facial rejuvenation that involves the use of a micro-needling device to create controlled skin injury.

How does it work?

As each fine needle punctures the skin, it creates a channel or micro-wound. The controlled injury triggers the body to fill these micro-wounds by producing new collagen and elastin in the papillary dermis. In addition, new capillaries are formed. This neovascularisation and neocollagenesis following treatment leads to reduction of scars and skin rejuvenation, i.e., improved skin texture, firmness and hydration. There are various skin needling devices including Dermaroller®, Dermapen™, Derma-Stamps™ radial discs incorporating fine microneedles of various diameter and length, fabricated from a wide range of materials. Professional skin needling is considered to be one of the safest skin treatment procedures.

What is skin needling used for?

Skin needling is effectively used for:
  • Reducing scars (including hypertrophic scars) caused by acne, surgery or thermal burns
  • Fading stretch marks
  • Reducing fine lines and deep wrinkles
  • Dyspigmentation e.g in melasma
  • Tightening sagging skin
  • Reduce pore size
  • Reduce oil levels in the skin (seborrhoea)
  • Enhance delivery and effectiveness of medical grade skincare creams

Benefits of skin needling

  • Reduced risk of hyperpigmentation and scarring therefore safe on ethnic or dark skin
  • Suitable for thin and sensitive skin
  • The procedure is well tolerated and well accepted by the patients
  • It is cost-effective, and can be done on areas of skin not suitable for peeling or laser resurfacing, such as near eyes
  • As opposed to ablative laser resurfacing, the epidermis remains intact and is not damaged. For this reason, the operation can be safely repeated if needed
  • The patient can resume regular activities within a few days

What is the skin needling procedure like?

The procedure is well tolerated. It takes a few minutes up to an hour to complete, depending on the area to be treated and the severity of the problem.
  • The medical professional applies a numbing cream (topical) on the treatment area
  • The skin is punctured in a specific pattern using a skin needling device
  • As each fine needle punctures the skin, it creates a channel or micro-wound stimulating skin cell regeneration
  • Depending on the condition treated it may take 5-20 minutes to complete the procedure
  • A minimum of six weeks is recommended between two treatments as it takes that long for new natural collagen to form

How many skin needling procedures does one need?

  • The number of needling procedures depends on the individual skin condition. Three to four treatments may be needed for moderate acne scars. Scars from Thermal burns and stretch marks (striae) may require up to 5 procedures. In the case of wrinkles associated with ageing skin, one or two refresher skin needling treatments are recommended every year.

Is there any side effects?

Generally the treated areas recover rapidly from skin needling. However there are occasional side effects, which include:
  • Oozing and swelling during the recovery phase
  • Acne flare, which is usually mild

Do’s and Don’t’s

  • Skin needling is well tolerated by patients but dryness, scaling, redness and swelling may be seen after treatment, lasting for several days or longer, depending on the depth of penetration of the needles
  • Sun protection for several weeks is recommended
  • As the microholes close quickly, postoperative wound infection is rare
  • Emollients or antibiotic creams may be prescribed, if considered necessary
  • Rejuvenation of skin may be seen as soon as 2 weeks and as long as 6-8 months after the medical procedure

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