Your Essential Guide to Microneedling and More
Doctor’s Note
When deciding if microneedling is right for your particular skin, there's many options and a confusing world of pens, rollers, topicals, PRP, vampire facials, it's too much! We've tried to break down the most popular microneedling treatments available to help you sift through this information.
What is Microneedling?
Microneedling, often referred to as "Collagen Induction," involves using an electric pen that contains small needles oscillating up and down to create thousands of tiny holes in the skin. This process triggers the body's natural wound healing mechanism, leading to an increase in collagen production. As a result, the texture, tone, and overall appearance of the skin improve.
Collagen production takes time! We typically recommend 4 - 6 monthly treatments. You may not see the results of your microneedling for 3 - 6 months after the procedure(s).
Microneedling + Anatomy
The depth of microneedling is determined by one factor: the provider! Microneedling devices allow the provider to select what depth of penetration is appropriate for the skin based on location and condition. Generally, microneedling pens can penetrate the skin from 0.025mm to 2.5mm. We usually use up to 1.5mm on the face, as this is deep enough to cover the entire dermis!
"But I Have a Roller at Home! I Don't Need In-Office Microneedling!"
Not all needles are created equal! Due to its cylindrical shape, home dermaroller needles enter the skin at an angle, drag along the skin, and exit at an angle. This process causes intense trauma to the epidermis and results in micro-tears. In contrast, professional microneedling pens puncture the skin vertically, reducing skin trauma and offering a more controlled treatment. This precision makes microneedling generally more effective and less damaging than dermarolling.
Roller
Pen
Microneedling, But Make It *Fancy*
So far, we've covered traditional microneedling (AKA just the basics). There's much more we can do, though! Microneedling can be enhanced with various treatments to maximize results. Let's dive in!
Microneedling + Topicals
Microneedling creates micro-channels in the skin, making it more permeable for ~48 hours. By applying topicals during this 2-day period, active ingredients can readily penetrate into the dermis. The microneedling itself promotes collagen and adding a topical that also promotes collagen is a win-win! Some of our favorite topicals to apply after microneedling include:
Hyaluronic acid - Adds hydration and firmness
Vitamin C - Improves tone/texture
Tranexamic acid - Reduces dark spots
Note: Any topical you apply after microneedling must be STERILE!! We don't want to introduce an infection into your skin!
Microneedling with Platelet Rich Plasma (PRP)
Have you ever heard of a “Vampire Facial”? This is it! PRP, or "platelet-rich plasma," is a concentration of a patient's blood that is rich in growth factors. By applying with microneedling, the dermis readily absorbs PRP's growth factors to boost collagen production. Think of your skin as a garden and the PRP as the fertilizer to help it grow!
PRP is derived from your own blood and is rich in growth factors and proteins that aid in the healing process. When applied to the skin after microneedling, PRP can:
Promote Collagen Production: Growth factors in PRP stimulate the production of collagen and elastin, leading to firmer and more youthful skin.
Speed Up Healing: PRP accelerates the skin's natural healing process, reducing downtime and enhancing overall results.
Improve Skin Texture and Tone: The combination of microneedling and PRP helps to improve skin texture and tone more effectively than microneedling alone.
How Much is Microneedling with PRP?
Curious about the cost of PRP microneedling? Pricing can vary depending on factors such as location, provider expertise, and the number of sessions required. Typically, a single session may range from $500 to $1500. Please do not cut corners and make sure to go to a reputable clinic! Especially when dealing with blood products, sometimes things can go terribly wrong! For example, three patients of an unlicensed spa in New Mexico contracted HIV after getting a PRP microneedling service. Don’t let microneedling come between you and your health!
Microneedling with Exosomes
Exosomes are tiny vesicles filled with proteins, lipids, and nucleic acids that help cells "talk" to each other. When combined with microneedling, these vesicles can travel deep into the skin. Think of an exosome as an envelope containing instructions. The cells of the dermis open this "letter" and they read the instructions "MAKE COLLAGEN." And they follow orders! Exosomes are known to:
Boost Collagen Production: Exosomes contain growth factors that help the skin make more collagen and elastin, which firms the skin.
Speed Up Healing: Exosomes help the skin heal faster, reducing downtime and improving overall results.
Improve Skin Texture and Tone: The combination of microneedling and exosomes improves skin texture and tone better than microneedling alone.
The downside? It's fairly new and not yet approved by the FDA. It's still very early in exosome history and more research needs to be performed.
Microneedling + Radiofrequency
Have you ever heard of Morpheus8, Profound, Secret, Vivace, or Genius? Adding radiofrequency (basically heat 🔥) to microneedling allows the device to stimulate much deeper layers of skin for dramatic results. This combination boosts the effects of both microneedling for collagen and RF for skin tightening. The downside? Sometimes it goes *so* deep that it can melt your fat, creating a sunken appearance. 😱 It's important to go to an experienced provider to prevent this!
Click here to learn more about radiofrequency microneedling!
Microneedling + Injections
This isn't *exactly* microneedling, but it's close. There are devices that contain many fine, hollow needles that deposit active ingredients into the dermis (called "mesotherapy"). In the office, the most popular mesotherapy device is called "AquaGold." This is an microneedling "stamp" with tiny gold-plated needles (0.6mm) that deposit treatments directly into the skin. What kind of treatment(s)? We tailor it to your skin's needs! Because it's an office-based treatment, we can use ingredients such as Botox, hyaluronic acid, and PRP.
Microneedling + Skin of Color
You may have noticed on other pages, we try to emphasize if a procedure is safe/not safe for skin of color. We haven't mentioned this on our microneedling page. Why? Because microneedling does not use heat (that can damage melanocytes), so it is safe for all skin tones! (The only exception is radiofrequency microneedling, though some RF devices are safe for skin of color!)
Microneedling FAQs
Can You Do Microneedling After Botox?
Yes, you can do microneedling after Botox, but it's essential to wait at least 7-14 days between treatments. This waiting period allows the Botox to fully settle into the muscles, minimizing the risk of affecting its placement and ensuring you receive the maximum benefit from both treatments. Combining microneedling and Botox can enhance skin texture and tone, provide comprehensive rejuvenation, and deliver long-lasting results.
How Long After Botox Can You Do Microneedling?
You should wait at least 7-14 days after receiving Botox injections before undergoing microneedling. This waiting period ensures the Botox has fully settled into the muscles, minimizing the risk of affecting its placement and ensuring you get the maximum benefit from both treatments.
How Often Should I Get Microneedling?
Patients ask us all the time “How often should I get microneedling?” Microneedling treatments are typically recommended every 4-6 weeks to allow your skin enough time to heal and generate new collagen and elastin. For optimal results, especially when targeting specific skin concerns like scars or wrinkles, a series of 3-6 treatments is often advised. After completing the initial series, maintenance sessions every 3-6 months can help sustain the benefits.
Can Microneedling Cause Acne?
Microneedling itself does not typically cause acne, but it can potentially trigger breakouts if not done under proper conditions or if the skin is not properly cared for post-treatment. Factors that may contribute to acne following microneedling include using unclean equipment, not following aftercare instructions, or having bacteria on the skin during the procedure. It's crucial to ensure the treatment is performed by a qualified professional, follow all aftercare guidelines, and maintain good skin hygiene to minimize the risk of acne.
Can I Get Microneedling While Pregnant?
It’s best to avoid microneedling while pregnant. Pregnancy can make your skin more sensitive, increasing the complications from the treatment. Also, the potential impact of microneedling on a developing fetus is not well-studied, so many healthcare professionals recommend skipping this while pregnant.
What Is the Downtime for Microneedling?
The downtime for microneedling is typically minimal, with most people experiencing 1-3 days of redness and mild swelling, similar to a sunburn. By day 2, the redness usually subsides significantly, and by day 3, most people can resume their regular activities without noticeable signs of the treatment.
What is Microneedling?
Microneedling is a minimally invasive cosmetic procedure that uses fine needles to create micro-injuries in the skin, stimulating collagen production and enhancing skin texture, tone, and overall appearance.
What are the Benefits of Microneedling?
Microneedling can improve the appearance of fine lines, wrinkles, acne scars, and enlarged pores. It also promotes skin rejuvenation by encouraging collagen production.
How Much Does Microneedling Cost?
The cost of microneedling can vary depending on the provider, location, and the area being treated. On average, the cost ranges from $200 to $700 per session.
What is the Difference Between At-Home Microneedling and Professional Microneedling?
At-home microneedling devices typically have shorter needles and offer less dramatic results compared to professional microneedling performed by a dermatologist or licensed aesthetician. Professional treatments use longer needles, which penetrate deeper into the skin for more significant results.
What is Microneedling with PRP?
Microneedling with Platelet-Rich Plasma (PRP) is a procedure where microneedling is combined with the application of PRP (derived from the patient’s blood) to enhance the healing process and boost collagen production. This combination is also known as the "vampire facial."
What Should I Expect During Microneedling Aftercare?
Post-microneedling care involves keeping the skin clean and moisturized, avoiding direct sun exposure, and refraining from using harsh skincare products for a few days. Redness and mild swelling are common but typically subside within 24-48 hours.
How Soon Will I See Results from Microneedling?
Results can be seen after just one treatment, but optimal results are typically achieved after a series of 3 to 6 sessions. The skin continues to improve over the following months as collagen builds up.
Is Microneedling Safe for All Skin Types?
Yes, microneedling is generally safe for all skin types, including darker skin tones. However, those with active acne, eczema, or other skin conditions should consult with a dermatologist before undergoing the procedure.
How Does Microneedling Compare to RF Microneedling?
RF microneedling combines traditional microneedling with radiofrequency energy to enhance skin tightening and rejuvenation. It is typically used for deeper skin concerns and offers more dramatic results compared to standard microneedling.
What is a SkinPen?
The SkinPen is an FDA-cleared microneedling device used by professionals to treat various skin concerns. It’s known for its precision and safety, providing consistent results across different skin types.
Can Microneedling Help with Hair Loss?
Yes, microneedling can be used on the scalp to treat hair loss by stimulating hair follicles and improving scalp health. It is often combined with other treatments like PRP for enhanced results.
How Often Should Microneedling Be Performed?
Microneedling sessions are usually spaced 4 to 6 weeks apart. The frequency depends on the individual’s skin condition and the desired results.
What is the Microneedling Pen?
A microneedling pen is a handheld device with fine needles that create controlled micro-injuries in the skin. It is used in both professional and at-home microneedling treatments.
Is At-Home Microneedling Effective?
At-home microneedling can be effective for minor skin improvements, but it typically does not achieve the same results as professional treatments due to the shorter needle length. It’s important to use these devices carefully to avoid skin damage.
What Should I Know About Microneedling for Hair Loss?
Microneedling for hair loss can help stimulate hair growth by improving blood circulation and encouraging the regeneration of hair follicles. It is often used in conjunction with other treatments like PRP or topical minoxidil.