Collagen is an essential protein that keeps the skin looking youthful, aging and injuries such as acne scarring, stretch marks, or other scars cause the decline of collagen in the skin, contributing to wrinkles. Microneedling is a relatively new simple, safe, effective, and minimally invasive therapeutic technique involving superficial and controlled puncturing of the skin by rolling with miniature fine needles for skin rejuvenation.

Microneedling is a method that dermatologists use to treat different skin conditions. It uses handheld, drum- or pen-shaped device, with very thin, sharp needle tips to make punctures on the skin, such micro-injuries do not leave scars; they only prompt the derma, a deeper layer of skin, to rebuild and repair itself naturally. The punctures are only surface-level, so the pain is minimal.

This process takes advantage of the body’s natural healing response and rejuvenates skin by boosting collagen production, which in turn reduces the appearance of wrinkles and fine lines and elevates the overall texture of your skin.

Microneedling involves the growth of new skin so it is not a quick fix. It can take several months for a person to see the results of the procedure. This technique can be combined with other surgical techniques to provide better results.

Procedure

Microneedling is a simple office-based procedure lasting 10 to 20 minutes depending on the area to be treated. The patients will be counselled prior to the procedure explaining the expected outcomes, delayed response, and need for multiple sittings.

The treatment is performed under topical anesthesia, which will be done approximately 45 minutes to 1 hour before the procedure. At first the area shall be disinfected with antiseptic, and then the skin is stretched with one hand, and perpendicularly, rolling with the other hand. Post-procedure, the area is made wet with saline, or ice packs can be used for comforting the patient. The patients can easily tolerate the pain of procedure and there are usually no post-treatment sequelae except slight edema and redness lasting for a couple of days. There is no downtime and the patient can resume daily work the very next day. Treatments are performed at 3–8 week intervals and multiple sittings are needed to achieve the desired effect on the skin. The final results cannot be viewed immediately because new collagen continues to be laid down for approximately 3–6 months after treatment has ceased.

Pre and post treatment requirements

The skin should preferably be prepared preoperatively for at least a month with vitamin A and C formulations twice a day to maximize dermal collagen formation. Vitamin A influences 400–1000 genes that control proliferation and differentiation of all major cells in epidermis and dermis, and Vitamin C is essential for production of normal collagen. You may need to stop taking certain medications, such as ibuprofen and those for acne treatment (like Accutane). It’s also recommended that you avoid using agents that may increase the sensitivity of your skin.

After the treatment since skin channels are opened the patient is advised to use sunscreen regularly and follow sun-protective measures, avoid skin care products with alpha-hydroxy acids and retinol, have no make up for a couple of days.

Risks or Side Effects

The most common side effect is minor skin irritation immediately following the procedure. You may also see redness for a few days, there are also some rare severe side effects, such as: bleeding, infection, peeling and bruising.

Who shall not attempt Microneedling treatment?

Microneedling is not a suitable treatment for you if you have certain skin conditions, such as psoriasis or eczema or in case you have open wounds on your

People who are pregnant may need to be cleared by an obstetrician or gynecologist before the treatment.

Microneedling vs. home rollers

in an effort to save money and tolerate less pain some patient may go for home derma rollers instead. such rollers don’t puncture the skin to layers deep enough to draw blood like professional microneedling, those punctures induce skin rejuvenation so you may not achieve the same results. The punctures made during professional microneedling are designed to induce skin rejuvenation. With a roller device, you may achieve brighter skin at best.

If you’re interested in more effective and long-term results, microneedling may be a better option than a store-bought roller device.