Microneedling: Who Is It For and What to Expect

How does microneedling work?

The technique is also called collagen induction therapy. The microscopic wounds created by the needles trigger the skin's natural healing process, which gradually rebuilds its layers over the following weeks and months. Because most of the skin surface stays intact, recovery is faster than with many deep resurfacing procedures.

Your doctor may combine microneedling with other techniques, such as platelet-rich plasma (PRP) or radiofrequency microneedling, which adds heat for deeper stimulation, depending on your skin and goals.

Who is microneedling suitable for?

It is mostly used for the following concerns, and your doctor will decide after examining you whether it is the best option or whether something else would suit you better:

One advantage is that it is generally suitable for different skin types, including the medium and darker skin tones common in our region, because the risk of pigmentation afterwards is lower than with some lasers, although it is still possible and sun care matters.

• Depressed acne scars, especially rolling scars.
• Rough or uneven skin texture.
• Visible enlarged pores.
• Fine lines and dull skin.
• Some stretch marks, where results are more limited.

Who should postpone or avoid it?

Treatment is not done on inflamed or infected skin. Some patients need a specific assessment or should wait:

• Active inflamed acne in the treatment area.
• An active cold sore (herpes); people who get them often may be prescribed a preventive medicine before the session.
• Recent isotretinoin treatment for acne; your doctor will decide the right timing.
• A tendency to form keloid scars.
• Active eczema or psoriasis on the face.
• Pregnancy, or taking blood thinners, both of which need a doctor's advice first.

What happens during and after a session?

The skin is cleansed and a numbing cream is applied well before treatment, then the doctor passes the device over the chosen areas at a depth suited to each one. A session usually takes 30 to 60 minutes including numbing time. You may feel prickling or mild heat.

Afterwards the skin looks red, like a mild sunburn, usually for 1 to 3 days, sometimes with slight swelling followed by dryness and light flaking. Most people need 3 to 6 sessions about 4 to 6 weeks apart, and results improve gradually over the following months as collagen forms.

How should I care for my skin afterwards?

Care in the first days reduces irritation and protects your result. Always follow your doctor's instructions:

• Use a gentle cleanser and a simple fragrance-free moisturiser.
• Avoid make-up for about the first 24 hours.
• Pause exfoliants, retinoids and acids for several days, as your doctor advises.
• Avoid strenuous exercise, saunas and swimming for the first 24 to 48 hours.
• Protect your face from the sun with a broad-spectrum sunscreen and a hat, as the skin is more sensitive after treatment.

Are home rollers a safe alternative?

Home rollers with short needles are widely sold, but they are not equivalent to a medical session. They are hard to sterilise at home, and repeated use blunts the needles so they tear the skin rather than puncture it cleanly, which can lead to infection, pigmentation or scarring.

Applying products not intended for this use onto punctured skin can also cause severe irritation or allergic reactions. Do not use them on active acne, never share them, and ideally ask a dermatologist before trying one.