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Microneedling 101

Updated: Dec 5, 2019


Microneedling has become a popular treatment option over the past few years and can be used to treat a variety of skin conditions and concerns on various parts of the body (face, back, stomach).


I will discuss the following:

What is microneedling?

Conditions treated

Microneedling at our med spa

Microneedling and scars/skin imperfections

Microneedling and hair loss

Microneedling and pigmentation

Is this treatment for you?

Side effects and complications


What is Microneedling and how does it work?

Microneedling is a minimally invasive procedure that uses microneedles to puncture the skin. During treatment, a fraction of your skin is being punctured while the rest is spared, thus acting as a reservoir to heal the injured skin. The microtrauma to the skin allows for your body’s natural healing cascade to begin, thus, stimulating collagen production in the papillary layer of the dermis. Increased production of [new] collagen leads to decreased scarring, improves skin texture and tone, and improves the overall appearance of the skin. The results of microneedling allow for improved delivery to the skin of medication serums and PRP treatment.


Most devices used during treatment allows for the depth of the device(s) to be adjusted from 25 µm to 4mm. The depth, or how deep the microneedles will go, is determined by the treatment area, as well as the condition being treated.


What conditions can be treated with Microneedling?

Microneedling can be used to treat and improve the appearance of wrinkles, scars, skin tone texture, actinic keratosis, skin pigmentation, and hair loss. Newer devices deliver radio frequency to the tissue and are being used to treat excessive sweating, acne, skin tightening, and fat reduction.


Utilization of microneedling and our practice:

At West Point Aesthetic Center, microneedling is used to treat wrinkles, scars, skin pigmentation, hair loss, as well as to improve the overall appearance of the skin.


Skin rejuvenation, Scars, Wrinkles, and Stretch Marks:

Studies have demonstrated, statistically, a significant increase in collagen type I, II, and VII, production. This allows for the overall improvement of scars in nearly all patients receiving microneedling to improve the appearance of scars. Studies have also indicated microneedling to be just as effective as a fractional treatment from an erbium laser.


 At West Point, we combine microneedling with peptide gel or PRP to optimize results. Microneedling can also be combined with Radiesse filler to optimize results when treating stretch marks. Combining Radiesse with Microneedling to treat stretch marks allows us to fill the atrophic stretch marks, stimulating collagen production, and leaving you with better results.


*** Radiesse is a dermal filler used to smooth out wrinkles, as well as stimulating your body’s natural ability to produce collagen.


Hair loss - Alopecia and Alopecia Areata:

To treat hair loss, microneedling is commonly combined with PRP, PRP fibrinogen, or minoxidil. For alopecia areata, combining microneedling with topical triamcinolone acetonide application can give a better response.


Pigmentation – Melasma and Pigmentation around the Lips:

To treat these conditions, we combine microneedling with hydroquinone and topical agents such as Skin Medica’s Lytera or the Obagi NuDerm system to create long-lasting results.


Is Microneedling right for you:

Microneedling is the perfect treatment for anyone looking to improve skin tone/texture and decrease the visibility of scarring. Typically, desired results require multiple treatments, with most requiring 3-6 treatments spaced out between 4-6 weeks before seeing noticeable results


Studies have shown people, themselves and objective, viewers have seen a 45-55% improvement to their skin 6-12 weeks after having received treatment.


Who should not have this treatment:

It is best to avoid microneedling when the with following applies to you:

Cold Sores

Herpes Infection

Skin Infection

Bleeding Disorders

History of Keloids

On Blood Thinner Medication

Receiving Chemotherapy or Radiation

***We also recommend avoiding mechanical microneedling while struggling with active acne. Radio frequency micro-needling can be used to treat acne/breakouts.


Side effects or complications:

Microneedling is an overall safe procedure, though with every procedure comes risk. The most common side effect associated with micro-needling is redness of the skin and irritation; both side effects will subside within a couple of hours of receiving treatment.


Skin infections after receiving treatment can occur if non-sterile techniques were used during treatment. Treatment can also reactivate acne and or herpes infections. Allergic reaction to materials used during treatment has also been reported.


Though much less very frequent than in any other ablative or skin resurfacing treatment, transient post-inflammatory hyperpigmentation (darkness of the skin) can occur after treatment

To summarize Micro-needling is an effective treatment for scars, wrinkles, stretch marks, hair loss and it is used for multiple other conditions. 


All procedures have benefits and side effects and you should consult with your physician to determine what is an appropriate treatment for you. We invite you to book a complimentary consultation with us if you would like to discuss this treatment.


Sources and Personal Experiences:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556180/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976400/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122507/

https://www.health.harvard.edu/staying-healthy/needling-your-way-to-healthier-skin


Patient received Microneedling with PRP to treat scarring and minimize pores.

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