Microneedling! FAQs & What You Should Know
By Vindhya L Veerula MD, FAAD
January 30, 2018
Category: Uncategorized
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I absolutely love microneedling. 

If you're not sure what it is, how it works, or find yourself wondering if it's even for you, then read on! Here, I break down a few frequently asked questions, and explain what to expect during and after the procedure!

What is microneedling, and how does it work?

  •  It’s a motorized device comprised of a set number of tiny titanium steel needles.(usually 10-12 or 36).
  • It creates superficial micro channels (a few millimeters deep) in the skin to stimulate collagen, consequently improving texture, complexion, scars, wrinkles and more!
  • It allows for better absorption of topical agents applied immediately after, and hence better results (especially when performed with platelet rich plasma, aka PRP - stay tuned below).
  • It takes about 30-45 minutes, depending on the area being treated. For small scars, it can be done in under 30 minutes. 
  • It is NOT the same as dermabrasion, which superficially scrapes the epidermis (top layer of the skin). 

What can it help improve?  Common signs of skin aging, which includes:

  • Pigmentation - including brown spots (lentigines, freckling, melasma)
  • Texture
  • Wrinkles
  • Scarring of any kind - acne, surgery, etc
  • Stretch marks!

What often should it be performed?

  • Initially, best results are seen with 3 treatments, spaced 4 weeks apart ... 
  • However, for maximum results, I highly recommend maintenance. spaced out either 6-8 weeks or quarterly!! (Optimal change occurs over time with routine follow up)

What is expected with treatment? 

  • I typically pretreat with topical numbing for 20-30 minutes
  • Expect mild pressure, or a mildly prickling sensation 
  • Minimal pain occurs, however this also depends on the area of your face or body being treated. 
  • I use a hyaluronic acid serum (a normal constituent of your skin) that plumps up and volumizes your skin. 
  • The procedure is often BOOSTED with the use of the following:
    • Vitamin C serums
  • Stay tuned for more information on this amazing procedure as it's magical! (As a prelude, it uses your own blood to provide growth factors to stimulate collagen.)

PRP! My favorite addition is PRP, also known as platelet rich plasma. 

What is the recovery process like? 

  • Recovery time is variable, but most take a few days to a week. 
  • Post treatment skin care is crucial for a successful recovery! 

What you should expect:

  • In the first few hours after the procedure, the skin becomes pink or red (similar to a sunburn)
  • The skin may feel tight, itchy or warm for the next 12-48 hours, and may last up to 4 days
  • Mild bleeding or bruising may occur.
  • After 48 hours, the skin may start to peel, which is the body exfoliating itself, allowing for a new glowing surface to emerge!
  • Other potential side effects including scarring (rare), milia (small white bumps), hyper-pigmentation (darkening of certain areas of the skin, resolves within 4-6 weeks), crusting, infection.

For treatments around the mouth:

  • If there is a history of cold sores, expect pretreatment with an antiviral medication, as there is a risk of a flare.

Post Treatment Care:

  • Avoid ANY scented products, including natural ingredients, such as essential oils!
  • Do NOT use any retinoid products
  • Use at LEAST SPF 30 chemical-free (mineral-based) sunscreen ; I recommend using SPF 50 to prevent secondary pigmentation.
  • Certain oils are okay to use, such as hempseed oil. 
  • Certain mild nonexfoliating clay masks are okay.
  • Avoid your normal personal care products for the first 3-5 days, including
  • Any scented or fragranced products
  • Even essential oils and natural products can be irritating, and should be avoided
  • Topical antibiotics
  • Avoid any exfoliating products 
  • Certain supplements and foods to assist with the healing process are also recommended. 
  • After the initial few days, it is okay to gradually introduce your skin care products. 
  • In the following weeks, your skin will remodel and improve! 

If you're interested in a consult & in the area, call (260) 450-1313 to schedule your visit.

@drvskinIf you're from California, and would like a virtual consult for integrative dermatology, email me here or @ [email protected] OR message me on social media 

Let's get glowing!
Dr. V

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