Micro-needling

What is microneedling?

We use an electric skin needling device made especially for this purpose. The device is a pen shaped studded with 9 very fine needles. Micro-needling breaks down old scar tissue and stimulates cells to proliferate. This cell multiplication results in the formation of new tissue layers of elastin and collagen fibers as well as in new capillaries for an improved blood supply.

When it comes to minimally invasive treatments, Micro-needling Induction therapy is clinically proven and is perhaps the most successful treatment available for the common signs and symptoms of aging such as wrinkles, loss of skin volume, and crepey skin. The micro-needling treatment is even proven to minimize scars and stretch marks. Dermaroller® therapy triggers the body’s spontaneous healing process, stimulating cell proliferation and causing the formation of new collagen. This results in a thicker, more supple, cellular matrix. Results: visibly younger looking skin.

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How it works

The Dermaroller® causes minimally invasive precision micro-injuries of the epidermis and dermis, without causing open wounds or ablative damage. The puncturing channels close after a short time and these micro-injuries trigger the body’s wound healing cascade, which induces an increased collagen production in the treated skin. Dermaroller® triggers the construction of new tissue by stimulating healthy cell regeneration in precision-targeted areas that show the signs of aging. It effectively reduces wrinkles, tightens and thickens the skin, and – perhaps most impressively – fills and smooths scars.

What are the benefits of micro-needling?

  • Improves fine lines and deeper wrinkles
  • Reduces acne and traumatic scars
  • Softens stretch marks
  • Evens skin tone
  • Lightens hyperpigmentation and sunspots
  • Reduces appearance of pores
  • Firms and smooths skin texture
  • Brings back the glow for fresher, younger-looking skin

are there any reasons you would not be a candidate for microneedling?

You would not be a candidate for Micro-Needling if you have any Cardiac/Vascular Condition, if you are pregnant, if you have a history of keloids, have skin cancer/lesions or any active bacterial or fungal infection.

What are the side effects of the microneedling procedure?

There are virtually no negative side effects, and none have ever been reported in over 150,000 procedures performed worldwide.

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Microneedling with prp for facial rejuvenation

Adriana Lombardi, MD, and Kristyna Lee, MD, MHP, FAAD

Currently, facial rejuvenation is likely the most sought out cosmetic modality. Dermatologists and their patients seek an effective, minimally invasive procedure with minimal downtime and side effects with long-lasting results.

Most minimally invasive procedures aim to maintain the overlying epidermis while creating dermal injury; therefore, stimulating wound repair and neocollagenesis. Current minimally invasive techniques include nonablative lasers, radiofrequency, ultrasound, chemical peels, microdermabrasion, injectable fillers, mesotherapy and microneedling.

Microneedling, or collagen induction therapy, is a minimally invasive skin rejuvenation procedure that involves the use of a device that contains fine needles. These needles are used to puncture the skin at various depths to create a controlled skin injury. Each puncture creates a channel that stimulates neovascularization and neocollagenesis to fill these microscopic wounds.

A variety of microneedling devices exist with needle sizes ranging from 0.1 to 2.5 mm. Outcomes of microneedling vary based on the device, the depth of needle penetration, frequency of needle penetration,and the number of passes. The needles traumatically create pores in the dermis, which stimulates the release of growth factors and cytokines.

The growth factors and cytokines in turn stimulate collagen, elastin and neovascularization. Studies have shown that microneedling initiates collagen synthesis, specifically collagens I, III and VII. Needling sessions are typically spaced 4 to 6 weeks apart. Microneedling has minimal side effects and can be used safely in patients with skin types III-VI in addition to patients with a history of melasma.

Microneedling should be avoided in patients with a history of keloid or hypertrophic scarring, inflammatory dermatoses, history of herpes simplex virus in perioral area or any type of growth in the target area. Absolute contraindications for microneedling include scleroderma, collagen vascular disease, clotting disorders, active infection, and immunosuppression.

El-Domyati et al studied 10 patients with six microneedling sessions at two week intervals and found both clinical improvement and histologic evidence of an increase in type I, III, and VII collagen, newly synthesized collagen, and tropoelastin. There was also a decrease in overall elastin.

Platelet-rich plasma (PRP) is a highly concentrated autologous serum that is rich in growth factors and cytokines such as platelet-derived growth factor, transforming growth factor, insulin-like growth factor and vascular endothelial growth factor. These growth factors regulate and induce cell migration, attachment proliferation and differentiation as well as promote extracellular matrix accumulation.

PRP and the induction of growth factors have been used specifically in the treatment of bony defects, wound healing, gastrointestinal surgery, and more recently in aesthetic dermatology. This is a case of microneedling used in conjunction with topical PRP for facial rejuvenation.