Micro Needling (Skin Needling)

Micro Needling (Skin Needling)

What is Micro Needling? How does it work?

Micro Needling (Skin Needling) uses a series of tiny, short needles to penetrate the skin’s top layers. This sounds painful, but it only causes very superficial punctures and a mild prickling sensation that is quite tolerable for most people.

The tiny micro-injuries catalyze your skin’s own natural healing response. This produces and rebuilds your skin’s own collagen and elastin, resulting in a reduction of fine wrinkles and lines and overall smoother skin.

Micro Needling is also used to create “micro-channels” for more in-depth absorption of skincare products, e.g. Vitamin C skin serum.

What skin conditions does Micro Needling treat?

  • Skin color and tone due to aging or hyperpigmentation
  • Fine lines and wrinkles due to aging and/or smoking
  • Rough skin texture
  • Broken capillaries and/or spider veins
  • Large pores, acne or burn scars
  • Sagging skin

NOTE: Micro Needling is NOT recommended for those suffering from rosacea or overly sensitive skin.

When will I see results?

Recovery time for Micro Needling is short. Your skin will appear red for about a day or so after the procedure, but this will quickly fade in 24-48 hours, after which, you’llbe able to put on make up and resume your normal skin care routine.

Micro Needling can be performed regularly, depending on your skin’s ability to heal. In most cases, you will notice significant improvements after the first or second treatment. However, 2-3 treatments spaced approximately 4-6 weeks apart are needed for most people. Repeat treatments of up to 3-5 treatments may be necessary for those with deep acne scarring or hyperpigmentation conditions.

Improvement continues over the next 6 to 12 months after treatment along with a proper skin care regimen. We frequently recommend combining topical retinoid therapy with Micro Needling to enhance treatment

Our approach to Micro Needling Treatment:

At your initial consultation, we will undertake a very thorough skin diagnosis to ascertain your skin’s condition to ensure that it’s the right treatment for your skin.

We will recommend a customized treatment plan unique to your skin type, along with detailed pre- and post-treatment information, aftercare tips, and recommended skin care products, such as ZO® Skin Health for use at home.


Who performs the Micro Needling treatment?

Dr. Deschamps-Braly is on hand to consult in more complex cases, but Micro Needling is usually performed in approximately one hour (or longer if including Density Platelet Gel (PRP) treatment) in our San Francisco office by:

How long is the downtime?

To reduce discomfort, a topical anesthetic is applied to your skin prior to micro needling. We may also use a “dental block” to provide additional anesthesia to more sensitive areas of your face, such as around the mouth.

Immediately afterwards, you will feel a mild “sunburn” sensation that will fade over the next few hours. Typically you will experience redness and possibly mild swelling for a day or two, followed by slight peeling of the skin. You may put on makeup after 24 hours and return to work and social activities after a few days.

What is the scientific evidence for Micro Needling?

Micro Needling is a type of Collagen Induction Therapy (CIT) which aims to create a controlled injury just beneath the skin’s surface. This induces the body to react by creating new tissue layers of elastin and collagen fibers (neo-collagenesis), and new capillaries for an improved blood supply (neo-angiogenesis).

The appearance of scars and fine lines are reduced as the skin plumps and thickens in response to this stimulus. Micro needling can also be used to improve the delivery of customized topical solutions and biological materials to deeper layers of the skin such as Density Platelet Gel (PRP).

Can I combine Micro Needling treatments with filler or other injections?

If you are considering lip fillers or other injections, such as Botox® or Dysport®, we recommend scheduling them one week before to your Micro Needling treatment, or alternatively, one week after.

Pre-Micro Needling Instructions:

Avoid sun exposure and usage of tanning beds, including self-tanning products for 1-2 weeks before and after Micro Needling.

Treatment within 24 hours of prolonged sun exposure (natural sunlight, artificial tanning booth, or sunless tanning products) may result in white spots (hypopigmentation) or dark spots (hyperpigmentation) that may last for several months or may even be permanent. If you have sunburn do not undergo a micro needling treatment.

Discontinue Accutane and any other photosensitizing medication for at least 6 months prior to receiving micro needling and do not use during your course of treatment.

Avoid chemical skin peels for at least two weeks afterwards.

Stop using topical Retinoids treatments such as Retin-A, Renova, and Tazorac, for 5 days prior to, and after, treatment.

Avoid waxing and/or use of chemical depilatories for 2 weeks prior and after the treatment.

Shaving is allowed immediately before treatment and 48-72 hours after treatment as long as there is no skin irritation.

You may not be pregnant or nursing.

Tattoos: Notify your treatment provider of any tattoos, including cosmetic tattooing, in or near the area to be treated.

If you have a tendency to break out in cold sores, we may recommend using a prophylactic antiviral therapy in the form of Valtrex® or Aycylovir.

Medical history: During the course of your treatments, notify us of any changes to your medical history, health status, or personal activities that may be relevant to your treatment.

Post-Micro Needling Instructions:

After your treatment a sunburn-like effect is normal for 1-3 days. The severity of redness will depend on the type of Micro Needling and your skin’s individual tolerance. Your skin will feel swollen, tight and sensitive to the touch. Your skin may temporarily appear darker and the darkened skin may flake off within a week. Avoid touching, picking or exfoliating the area and allow old skin to flake off naturally.

After Care Products and Regimen: Clean the skin gently twice daily with a gentle cleanser and tepid water. A soothing, healing moisturizer may be used as often as needed for the first 3 days.

Exposure to the sun must be avoided for 4 weeks after your treatment. Wear a sunblock that contains a physical block such as zinc oxide or titanium dioxide daily.

Do not use exfoliating products, medications, or chemicals on the treated area for at least 1 week.

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