Microneedling
Microneedling is a collagen induction procedure that uses fine needles to create controlled micro-channels in the skin, triggering the body's healing response to produce new collagen and elastin. It is used to improve texture, reduce scarring, minimize pore appearance, and support overall skin quality. Results develop gradually over weeks.
What microneedling is
Microneedling (collagen induction therapy) uses a device — typically a motorized pen with a sterile cartridge of fine needles — to create controlled micro-injuries in the skin at precise, adjustable depths. These micro-channels trigger the skin's repair cascade: inflammation, followed by collagen and elastin production, and ultimately tissue remodeling. The result is gradual improvement in skin quality and structure over weeks to months as new collagen matures.
What microneedling can address
Microneedling is used to improve skin texture and tone, reduce the appearance of acne scars and surgical scars, minimize pore size, address mild skin laxity and fine lines, and improve overall skin quality. It is also used as a delivery mechanism for topical serums — including PRF/PRP — which penetrate more effectively through the micro-channels created during treatment.
Who may be a candidate
Adults with concerns about skin texture, acne scarring, pore size, mild laxity, or general skin quality. Microneedling is suitable for most skin tones, including darker Fitzpatrick types where other resurfacing methods carry higher pigmentation risk. Candidacy is determined at consultation based on skin condition, the concern being addressed, and treatment history.
Who should avoid or delay treatment
Microneedling is not appropriate for patients who are pregnant or breastfeeding, have active acne or skin infection in the treatment area, have a history of keloid scarring (high risk of adverse response), have rosacea or significant telangiectasias in the treatment area, are on active isotretinoin (require washout period of at least six months), have certain blood disorders, or are on anticoagulant medications. Disclose all current medications and skin conditions at consultation.
What to expect during a session
The skin is cleansed and topical numbing cream is applied for 20 to 30 minutes before treatment. The microneedling device is passed methodically across the treatment area. Depth and pass number are adjusted by zone based on your skin's tolerance and the concern being treated. Sessions typically take 45 to 60 minutes including prep time. Minor pinpoint bleeding is normal. A topical serum — which may include PRF/PRP, hyaluronic acid, or growth factors — is often applied during or after treatment. Most protocols involve three to six sessions spaced four to six weeks apart for initial results.
Recovery and downtime
Redness, warmth, and mild swelling immediately after treatment are expected and resemble a moderate sunburn. These typically resolve within 24 to 72 hours depending on the depth and intensity of treatment. Avoid makeup for 12 to 24 hours, sun exposure for at least 48 hours, and active skincare ingredients (retinoids, acids, vitamin C) for two to three days. Use a gentle cleanser and moisturizer and broad-spectrum SPF 30 or higher daily. Skin may feel sensitive and appear slightly dry or flaky as healing progresses.
Risks and side effects
Common: redness, swelling, pinpoint bleeding, and skin sensitivity for 24 to 72 hours. Less common: prolonged redness, temporary post-inflammatory hyperpigmentation (PIH) — more common in darker skin types and with excessive sun exposure during recovery. Rare: infection if aftercare is not followed, persistent hyperpigmentation, or worsening of melasma if treated during active sun exposure. Microneedling should not be performed over active acne to avoid spreading bacteria.
Alternatives
Alternatives for texture, scarring, and skin quality improvement include chemical peels, laser resurfacing, PRF/PRP treatments, Sculptra biostimulator, and retinoid home protocols. The most appropriate approach depends on your skin type, concern, recovery tolerance, and budget. Microneedling is often combined with PRF/PRP or followed by a home protocol to maximize results.
How long results last
Collagen remodeling from microneedling continues for three to six months after a session. Most patients see meaningful improvement after a series of three to four sessions. Results can last one to two years with proper home skincare and sun protection. Maintenance sessions once or twice yearly are often recommended. Results vary based on individual healing response, the depth of treatment, and adherence to aftercare.
When to contact us
Contact us if you develop signs of infection — increasing redness, warmth, swelling, or discharge beyond the expected 72-hour recovery window. Contact us if you develop significant or worsening pigmentation changes in the weeks following treatment. Do not apply retinoids, acids, or other actives during recovery without our guidance.
Clinical notice
Information on this page is educational and does not replace an in-person consultation. Treatments are recommended only after reviewing medical history, anatomy, goals, and clinical suitability. Results vary. Appropriate candidates are determined at the time of consultation.
If you experience severe swelling, vision changes, difficulty breathing, signs of vascular compromise, or another urgent symptom after treatment, seek emergency care immediately.
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