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Number 6 Cosmetic Dermatology

A. Anti-wrinkle Injections

Number 1 Skin Cancer & Pre-Cancer Care
Number 1 Medical Dermatology
(Chronic & Inflammatory Skin Diseases)
Number 3 Pigment & Lesion Disorders
Number 4 Non-Cancer Growth
Number 5 Surgical Dermatology (Non-Cancer Procedures)
Number 6 Cosmetic Dermatology
A. Anti-wrinkle Injections
B. Dermal Fillers
  1. RHA Redensity — Fine Lines & Skin Refinement
  2. RHA 2 — Moderate Wrinkles & Smile Lines
  3. RHA 3 — Deeper Wrinkles & Lip Enhancement
  4. RHA 4 — Deep Folds, Volume & Facial Contouring
C. Laser & Energy Devices
D. Cosmetic Pigment Correction
Microneedling PDF

• Microneedling

(Collagen-stimulating treatment to improve skin texture, scars, and overall skin quality)

What Is Microneedling?

Microneedling is a minimally invasive skin treatment that uses very fine, sterile needles to create tiny controlled micro-injuries in the skin. These micro-injuries trigger the skin’s natural healing response and stimulate collagen and elastin production.

Microneedling is commonly used to improve:

  • Acne scars

  • Fine lines

  • Enlarged pores

  • Uneven skin texture

  • Mild skin laxity

  • Certain stretch marks

  • Overall skin tone and smoothness

How Microneedling Works

The tiny needle channels created during treatment signal the skin to repair itself. Over time, this leads to:

  • New collagen formation

  • Smoother texture

  • Firmer skin

  • Gradual softening of scars and fine lines

Because the skin is repairing naturally, results appear gradually, not overnight.

What Areas Can Be Treated?

Microneedling is commonly performed on:

  • Face

  • Neck

  • Chest

  • Hands

  • Certain body areas with scars or stretch marks

Your provider will determine whether the treatment area is appropriate for microneedling.

What to Expect During Treatment

Microneedling is performed in the office.

During your visit:

  1. The skin is cleansed

  2. A topical numbing cream is applied

  3. The microneedling device is passed over the skin in a controlled pattern

  4. Soothing products are applied afterward

Treatment usually takes about 30–60 minutes, depending on the area.

Most patients describe the sensation as vibration, pressure, or light scratching after numbing.

When Will I See Results?

  • Skin may look brighter within a few days

  • Texture improvement develops over weeks

  • Collagen remodeling continues for several months

  • Best results usually come from a series of treatments

Many patients benefit from 3–6 sessions, depending on the concern being treated.

Who Is a Good Candidate for Microneedling?

Microneedling may be a good option if you want to improve:

  • Acne scars

  • Fine lines

  • Mild texture irregularities

  • Enlarged pores

  • Early signs of skin aging

It may not be ideal if you have:

  • Active infection

  • Uncontrolled acne flare

  • Open wounds

  • Certain scarring tendencies

Your provider will determine if microneedling is safe for your skin type and goals.

Pre-Op Instructions (Before Microneedling)

1–2 weeks before treatment

  • Avoid excessive sun exposure and tanning

  • Use broad-spectrum sunscreen daily

  • Stop retinoids, exfoliating acids, scrubs, and irritating skincare as directed

Tell us before treatment if you:

  • Have active acne breakouts, cold sores, rash, or skin infection

  • Have a history of keloids or poor wound healing

  • Are pregnant or breastfeeding

  • Are taking isotretinoin or recently used it

  • Have a history of post-inflammatory hyperpigmentation (PIH)

Day of treatment

  • Arrive with clean skin

  • Do not wear makeup, lotion, or sunscreen on the treatment area

  • Avoid shaving irritated skin right before treatment

Post-Op Instructions (After Microneedling)

What’s normal

  • Redness similar to a sunburn for 1–3 days

  • Mild swelling or tightness

  • Dryness, roughness, or light flaking

  • Increased skin sensitivity

Aftercare

  • Use a gentle cleanser and bland moisturizer

  • Avoid makeup until your provider says it is okay

  • Avoid hot showers, saunas, pools, and strenuous exercise for 24–48 hours

  • Do not use retinoids, exfoliating acids, or scrubs until cleared

  • Strict sun protection is essential

Call the office if

  • You develop increasing pain, swelling, pus, or fever

  • Redness worsens instead of improving

  • You notice unusual darkening or blistering

Frequently Ashked Questions

Does microneedling hurt?

Most patients tolerate it well because numbing cream is applied beforehand.

Most patients have 1–3 days of redness and mild sensitivity, with light flaking afterward.

That depends on your goals. Many patients need 3–6 treatments for best results, especially for acne scars.

Yes. Microneedling is commonly used to soften acne scar texture and stimulate collagen over time.

Usually after the skin has calmed, often about 24 hours, but follow your provider’s instructions.

It can in some patients, especially if aftercare and sun protection are not followed. Careful treatment selection helps reduce this risk.