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Microneedling - Your Ultimate Guide

Microneedling: The Ultimate Guide to Answer All Your Questions


Introduction

Microneedling is a technique that has emerged as a way to get rid of wrinkles and acne scars. It has been gaining popularity since the 90s, and it is now one of the most popular cosmetic treatments in the world. Microneedling is done by using a needle that has been dipped in numbing medication to “stab” the skin at a very shallow depth. This causes some irritation on the skin’s surface, which leads to collagen production and regeneration, also with some production of elastin fibers. Wellaholic has compiled the ultimate Microneedling Guide to help answer all your burning questions, with sources from Quora.

The goal of microneedling is to create precise micro-injuries in the surface layer of the skin, the epidermis, causing controlled inflammation.

What is Microneedling?

The goal of microneedling, whether it’s at home or the dermatologist’s office, is to create precise micro-injuries in the surface layer of the skin, the epidermis, causing controlled inflammation. The skin’s inflammatory response prompts the release of cytokines —proteins that signal the cells in the body to activate the healing process, which leads to the formation of new healthy skin tissue with stronger collagen and elastin. By inciting new collagen production, the skin becomes firmer, reducing the appearance of fine lines, wrinkles, and scars. The procedure is considered safe for most skin types, although advised for those with active inflammatory acne, herpes, eczema, psoriasis, dermatitis, keloid scars, or severe melasma to first consult with a physician before starting any treatment, as to not worsen or spread any of the conditions. [Source: Tatiana Aynbinder, Cosmetic Dermatology]

What are the benefits of Microneedling treatment?

Microneedling can significantly soften and smooth rough, sun-damaged skin, as well as reduce the appearance of enlarged pores, acne scars, uneven skin tone, and discoloration. The micro-injuries inflicted by the tiny needles help to restructure the collagen underneath the surface of the skin to improve the appearance of depressed scars and wrinkles. While it can take up to a few months before scars and wrinkles show a noticeable difference, the improvements in dullness and skin tone can have almost an immediate effect.

After each treatment, when the surface of the skin is more porous, often one or several active ingredients, including hyaluronic acid, antioxidants, peptides, growth factors, brightening serums, and platelet-rich plasma (PRP) can be immediately applied to the skin, which allows them to permeate more deeply for better results. [Source: Tatiana Aynbinder, Cosmetic Dermatology]


Microneedling can be painful as the dermapen forces a cartridge of about 20 to 40 tiny needles into your skin.

Does Microneedling hurt?

Microneedling treatments can help rejuvenate your skin and get rid of these problems. Microneedling is a collagen-stimulating treatment great for general skin rejuvenation. It treats textural issues dealing with pores, acne scars, wrinkles and pigmentation and has seen extensive positive clinical results, making this treatment a great alternative to laser skin resurfacing.

Microneedling can be painful as the dermapen forces a cartridge of about 20 to 40 tiny needles into your skin. Depending on the depth (which can be adjusted by the consultant based on your treatment regime), the pain will also vary. At Wellaholic, we usually start customers with a shallower depth, and then increase the depth over time.

In fact, most customers will request for increased depth when doing their Microneedling treatments. This is because they can see immediate results from the Microneedling treatment (when combined with serum application) and are prepared to bear with the pain. Hence the adage, “no pain, no gain!” [Source: Willie Chan, Wellaholic]


Is Microneedling effective and safe for acne scars?

Microneedling or dermal rolling is very effective and safe to use in treatment for acne scarring. Scarring from acne is a result of damage that occurs when infection from bacteria that resides and inflames a follicle (pore) as it lives off the dead skin and excess oil. The body’s ability to break this event down is impaired so wound healing is sluggish and as the infection manifest, damage to the dermal layer that the follicle resides in gets destroyed leaving a scar behind. Because of the sluggish functioning of the collagen and elastin fibers to heal, the ability for wound repair thickens with the trauma is induced and leaves a pitted scar.

Microneedling is a process that works to stimulate the function of collagen and elastin as it creates a deliberate controlled trauma that instigates a greater wound repair. By emitting tiny little needle entry points to the depth of the dermal layer, it encourages the natural stimulation of collagen to grown and remodel the skin and with that action builds the pitted areas to result in a smoother appearance to the scar. [Source: Clear Dermal Soultions, Dermal Practitioner in a Medical Cosmetic Clinic]


What should you put on your face after Microneedling?

HYALURONIC ACID 2% + VITAMIN B5

  • This formula uses three forms of HA with varying molecular weights, as well as an HA Crosspolymer.
  • This offers full-depth hydration and visible plumping without drawing water out of the skin.
  • B5 further enhances surface hydration.
  • USAGE: HYDRATION AND PLUMPING

RESVERATROL 3% + FERULIC ACID 3%

  • This formula combines very high concentrations of two of the most powerful and important antioxidants in skincare: Resveratrol and Ferulic Acid.
  • Skincare formulations generally incorporate Resveratrol at 1% or less and Ferulic Acid at 0.5% or less.
  • This formula an exceptionally high concentration of resveratrol.
  • USAGE: ANTI-AGEING

MATRIXYL™ 10% + HYALURONIC ACID

  • Matrixyl™ is a trademarked peptide composition developed by Sederma Inc. in France.
  • This highly-effective composition has been shown to reduce the look of static and dynamic wrinkles.
  • This formula contains two generations of Matrixyl™, at a combined concentration of 10% by weight in a specialized Hyaluronic Acid delivery system.
  • USAGE: INTERNAL PLUMPING TO FILL UP SCARS AND WRINKLES
  • [Source: Willie Chan, Wellaholic (Singapore)]


Is a derma roller harmful to the skin? Does it damage collagen and tissues?

Derma Rollers work the same way that Microneedling does and it has been proven to reduce hyper-pigmentation to the appearance of scars, fine lines and wrinkles. Microneedling works by encouraging your skin to make more collagen. This device uses pen-shaped or roller devices armed with fine needles to make tiny pinpricks. This causes an injury to the skin and the skin’s response is to make collagen and elastin which, in turn, improves its texture and tone.

In The Skin Games, which is an International Competition for Skincare Pros, many of the winning results came from estheticians that used Microneedling in their protocols. They were able to get amazing results within an 8 week case study.

The Skin Games 2019 – Acne Case study by Shawna Porter

In this particular case study, Shawna also used a series of Enzyme Therapy treatment protocols by DMK Skincare. Estheticians are trained to do microneedling treatments but they are only licensed to do these procedures in some states. Because not all estheticians can practice this procedure, often times they will prescribe a derma roller as part of their home care routine. Your Dermatologist or Esthetician will determine what size needle is best for every procedure which can be anywhere from .05mm to 2.0 mm. [Source: Jennifer Rosenblum, Executive Director at The Skin Games (2014-present)]


What is better a derma roller, derma pen, or derma stamp? Why?

The derma pen is best in my opinion (the electric ones that is) a derma roller isn’t that effective because as it rolls, the needles make a scooping motion instead of going straight in and out of your skin like a derma pen would at an even level. The point of derma pen is to create micro injuries at an even level so that the skin can resurface at an even level. A derma pen shoots the needles evenly, straight down and out of the skin. There is no rolling, so no scooping motion is being done, which means the resurfacing will be done at an even level. [Source: Amber Smith]


Microneedling is perfect for acne scars and not that invasive. If you want a whole new face, Fraxel is great. We don't offer it because of the dramatic amount of down time.

Which is better for acne and acne scars, Microneedling or laser treatments?

The most important point is that a laser can cause hyperpigmentation or Hypopigmentation. That is light or dark spots. It is also contraindicated for darker skin. Microneedling is perfect for acne scars and not that invasive. If you want a whole new face, Fraxel is great. We don’t offer it because of the dramatic amount of down time. Simply Google search before and after of whatever treatment you are looking at. It doesn’t matter which doctor is showing the before and after.

Many of those photos are supplied by the manufacturers. That is why you see the same photos on different websites. Also people only show the best before and after’s. Try searching photos immediately after Fraxel. You will not be leaving your home for quite a few days. Again our preference is “Microneedling” Although technically when done by the doctor it is at a deeper level and goes by different names depending on who makes the device. Basically the devices sold for home use are usually no longer than .2 mm The doctor will probably use 1.5 mm, which is more effective for scars. After 3 treatments you can expect a 60% reduction in the size of the scars. I know you want to hear a greater number than that. Sadly overpromising is the norm in this industry. We don’t participate in overpromising. [Source: John Aslanian, BS GW www.PrecisionAestheticsMD.com NY R&D]

Does Microneedling get rid of deep wrinkles?

To be clear, Microneedling done by the doctor uses a 1.5 mm needle which is more effective than the usual .2mm device for home use. But even that one will not be effective on deep wrinkles. In fact we estimate even for an acne scar we expect a 60% improvement after a few treatments. Treatments like Thermage are great but nothing gets rid of deep wrinkles. That’s what before and after photos are for. They show you the best results people have achieved with various technologies, so you have some idea what type of results to expect. Of course individual results will vary. [John Aslanian, BS GW www.PrecisionAestheticsMD.com NY R&D]

Stretch Mark Microneedle uses the microneedles to effectively break up the tough fibers that make up the stretch mark scar tissue.

Does Microneedling help stretch marks?

Stretch Mark Microneedle uses the microneedles to effectively break up the tough fibers that make up the stretch mark scar tissue. Microneedling has been clinically proven to fade the appearance of stretch mark scarring. A series of six treatments every two to four weeks is recommended for the best results. Stretch marks happen when our bodies develop at a rate faster than our skin can react to. Microneedling kickstarts your body’s healing process to create new skin cells to replace the stretch marks damaged by the needles. The target skin area is then restructured, thereby smoothing the appearance of stretch marks.

As stretch marks are formed from a lack of collagen when the skin needs to be elasticated, Microneedling can stimulate collagen production. By puncturing micro needle columns which penetrate the dermis, the skin recognises these wounds and start the healing process, thereby restructuring and smoothing the appearance of stretch marks. [Source: Willie Chan, Wellaholic (Singapore)]


Wellaholic Microneedling for Face & Neck

Do you have wrinkles? Acne scars? Pigmentation? Microneedling is your answer! Our Microneedling treatments can help rejuvenate your skin and get rid of these problems. Microneedling is a collagen-stimulating treatment great for general skin rejuvenation. It treats textural issues dealing with pores, acne scars, wrinkles and pigmentation and has seen extensive positive clinical results, making this treatment a great alternative to laser skin resurfacing.

Microneedling can be done at a fraction of the cost when compared to surgical treatments. Microneedling creates micro injuries which stimulate the body’s natural wound healing processes, resulting in cell turnover and increased collagen and elastin production, therefore reversing as well as preventing signs of ageing.