Microneedling is a safe procedure for skin renewal, addressing loose skin, scars, and hair loss disorders. By creating micro-injuries and micro-channels, it boosts collagen, improving skin tissue and firmer skin. Though mild discomfort and common side effects like mild edema occur, proper preparation—avoiding direct sun exposure, glycolic acid, and swimming pools—enhances results.

Studies in Clin Exp Dermatol and Dermatol Surg highlight its efficacy for atrophic acne scars, hypertrophic scars, and burn scars, comparing it with laser therapy and fractional carbon dioxide laser. Professional devices outperform manual rollers and duller needles in dermal delivery of growth factors.

Microneedling suits a wide range of candidates, but those with cold sores, darker skin tones, or sensitive blood vessels should consult a microneedling professional for the best tretament course. Systematic reviews confirm its role in skin firming and natural healing processes with maintenance treatments.

What happens during a microneedling session?

The procedure begins with skin cleansing, followed by the application of a topical anesthetic to reduce discomfort. A professional device, such as a dermapen or manual roller, is then used to puncture the skin at varying depths, depending on the treatment for scars, hair loss, or skin firming. The process stimulates blood vessels, improving skin tissue and reducing dark spots.

Post-session care includes avoiding direct sun exposure, glycolic acid, and swimming pools to prevent skin injury. Mild edema, redness, and micro-wounds may occur, resolving within days. Maintenance treatments enhance long-term efficacy of microneedling. Visit a microneedling specialist in Perth for a skin consultation before beginning any course of treaement.

How does microneedling feel during the procedure?

Microneedling feels like a series of light pricks or vibrations across the skin. A topical anesthetic is applied beforehand, reducing discomfort to a mild stinging or scratching sensation. Areas with thinner skin, like the forehead or around the eyes, may feel more sensitive, while thicker areas, such as the cheeks, are generally more tolerable.

Deeper needle penetration, used for scars or skin firming, may cause a slightly more intense sensation, similar to controlled pinching or heat. Some patients report a tingling or warmth as blood vessels respond. The procedure is usually well-tolerated, with minimal pain, especially when performed with professional devices.

Is microneedling performed under anesthesia?

Microneedling is typically performed using a topical anesthetic rather than general or local anesthesia. The anesthetic cream is applied to the facial skin or treated area 20-45 minutes before the procedure to numb the surface and minimise discomfort. This approach is standard for handheld devices and advanced microneedling techniques targeting micro-injuries, micro-channels, and deep boxcar scars. If you’re seeking an alternative treatment option or feel uncomfortable with traditional needles, our RF (Radio Frequency) Needling treatment provides an excellent solution that may better suit your needs.

Deeper treatments, such as those for ice-pick scars or linear scars, may require a stronger numbing agent. Ideal candidates for microneedling experience only mild sensations like light pricks or vibrations due to the medical device. Device instructions recommend numbing for patient comfort while allowing precise penetration at various needle lengths.

Can microneedling be done on sensitive areas?

Yes, microneedling can be performed on sensitive areas, including the facial skin, around the eyes, lips, and neck. Handheld devices with adjustable needle lengths allow controlled depth, minimizing micro-injuries in delicate regions. A topical anesthetic is applied before the medical procedure to reduce discomfort.

Clinical studies confirm its efficacy for skin firming, healing skin, and improved appearance in fragile areas. Device instructions recommend gentler settings to prevent excessive irritation or micro-wounds. Advanced microneedling safely targets deep boxcar scars, ice-pick scars, and linear scars on sensitive areas when performed by professionals following proper protocols.

How long does a microneedling treatment take?

A microneedling treatment typically takes 30 to 90 minutes, depending on the area treated and the depth of needle lengths used. The process includes:

Preparation (10–20 minutes) – Cleansing the skin and applying a topical anesthetic to minimise discomfort.
Procedure (20–45 minutes) – Using a medical device to create micro-injuries and micro-channels, stimulating healing skin and skin firming.
Post-Treatment Care (10–15 minutes) – Applying soothing agents, following device instructions, and reviewing aftercare, including avoiding direct sun exposure and swimming pools.

What factors affect the duration of a microneedling session?

Several factors influence the duration of a microneedling session, typically ranging from 30 to 90 minutes:

Treatment Area – Larger areas, like the facial skin, take longer than small, targeted regions.
Needle Lengths – Deeper penetration for deep boxcar scars, ice-pick scars, or linear scars extends the procedure.
Skin Condition – Severe micro-wounds, healing skin, or dead skin buildup may require additional passes.
Medical Device Used – Handheld devices and professional devices vary in speed and precision.
Topical Anesthetic Time – Numbing cream application takes 10–45 minutes before the medical procedure begins.
Post-Treatment Care – Application of soothing agents, review of device instructions, and aftercare guidance, such as avoiding direct sun exposure and swimming pools, add time.
Advanced Microneedling Techniques – Specialised treatments for skin firming, boost of collagen, and improved appearance require additional steps.

How often should microneedling sessions be scheduled?

Microneedling sessions should generally be scheduled every 4 to 6 weeks for skin firming and collagen boost. For deep boxcar scars, ice-pick scars, and linear scars, spacing treatments 6 to 8 weeks apart allows sufficient healing skin and reduces excessive micro-injuries. Hair loss treatments may require more frequent sessions, around 2 to 4 weeks apart, to stimulate follicles effectively. Advanced microneedling for severe conditions or when combined with laser resurfacing may need 8 to 12 weeks between sessions.

The optimal frequency depends on needle lengths, medical device type, and individual skin response. Professionals follow device instructions and evaluate ideal candidates to determine the best schedule. Maintenance treatments help sustain long-term improved appearance and applications of microneedling results.

What is the preparation process for microneedling?

The preparation process for microneedling ensures safe and effective treatment while minimising micro-injuries and enhancing healing skin. Key steps include:

Avoid Harsh Skincare Products – Stop using glycolic acid, retinoids, and exfoliants at least 3 to 5 days before treatment to prevent irritation.
Limit Sun Exposure – Protect the facial skin from UV damage, as direct sun exposure can increase sensitivity.
Stay Hydrated – Drink plenty of water to promote skin firming and optimal micro-wound healing.
Discontinue Blood Thinners – Avoid aspirin, ibuprofen, and alcohol for 24 to 48 hours before treatment to reduce bruising.
Cleanse the Skin – Arrive at the microneedling appointment with a clean face, free from makeup, lotions, or oils.
Apply Topical Anesthetic – A numbing cream is applied 20 to 45 minutes before the medical procedure to reduce discomfort.
Consult a Professional – Ensure you are an ideal candidate by discussing medical history, device instructions, and possible contraindications such as cold sores or blood vessel sensitivity.

What are the pre-care steps for microneedling?

Pre-care for microneedling helps minimise risks and enhances the skin’s ability to heal from micro-injuries. Key steps include:

Discontinue Harsh Skincare – Stop using retinoids, glycolic acid, and exfoliants 3 to 5 days before treatment to prevent excessive irritation.
Avoid Direct Sun Exposure – Protect facial skin from UV damage, as sunburned or inflamed skin is more prone to complications.
Stay Hydrated – Drink plenty of water to support healing skin and skin firming post-treatment.
Avoid Blood Thinners – Refrain from alcohol, aspirin, and ibuprofen 24 to 48 hours before the medical procedure to reduce bruising.
Keep Skin Clean – Arrive at the microneedling appointment with a clean face, free from makeup, lotions, or sunscreen.
Discuss Medical History – Consult a professional to determine if you are an ideal candidate, especially if you have cold sores, sensitive blood vessels, or certain skin conditions.
Apply Numbing Cream – A topical anesthetic is used 20 to 45 minutes before the procedure to minimise discomfort.

What are the contraindications for microneedling?

Microneedling is not suitable for individuals with certain skin conditions, infections, or medical concerns. Active acne, cold sores, or any open wounds increase the risk of spreading bacteria and worsening inflammation. Those with blood vessel disorders, poor wound healing, or a history of keloid scars may experience complications due to excessive micro-injuries. Individuals using blood thinners, glycolic acid, or retinoids should pause treatment beforehand to prevent excessive irritation or bruising.

Pregnant or breastfeeding individuals should consult a professional, as healing skin responses may vary. People with immune disorders, uncontrolled diabetes, or undergoing chemotherapy may not be ideal candidates due to slower recovery from micro-wounds. Laser resurfacing, recent medical procedures, or the use of handheld devices without proper guidance can also increase risks. A professional evaluation ensures safe applications of microneedling while reducing potential side effects.

Can microneedling be done during pregnancy?

Microneedling is not recommended during pregnancy. The micro-injuries and micro-wounds may increase infection risk, and collagen induction therapy triggers an immune response that could affect healing. Many topical serums and active ingredients used post-treatment, such as retinoids, are not safe for pregnant individuals. Hormonal changes impact skin elasticity and recovery. A comprehensive review in Dermatol Online suggests postponing professional microneedling until after pregnancy to ensure safety.

What is the recovery process after microneedling?

The recovery process after microneedling varies based on individual skin condition, adjustable needle depths, and post-treatment care. Proper aftercare ensures collagen deposition, improvements in skin texture, and optimal patient satisfaction.

Immediate Aftercare – Skin may appear red with mild swelling due to micro-injuries and micro-wounds. Applying ice packs and using lukewarm water for cleansing help soothe irritation.
Avoid Excessive Sun Exposure – Protecting skin from UV damage prevents pigmentation issues and enhances skin firm effects.
Use Gentle Skincare – Hydrating topical creams and post-procedure application of serums support healing. Avoid harsh exfoliants and retinoids.
Prevent Infection – Those with active skin infections or keloidal tendencies should take precautions. Antibiotic creams or antiviral medication may be prescribed in high-risk cases.
Healing Timeline – Most redness subsides within 48 hours. Dermapen microneedling with deeper penetration may take longer to heal.
Monitor for Adverse Effects – Seek medical attention for persistent inflammation, allergic reactions, or skin infection.
Long-Term Maintenance Plan – Regular sessions, guided by a comprehensive review in Clin Aesthet Dermatol, Dermatol Ther, and Dermatol Venereol, enhance cosmetic treatment benefits.
Consider Alternative Treatments – Some individuals may explore alternative treatment options based on factors via microneedling, such as depth of penetration and connective tissue growth factor response.

What are the post-care steps for microneedling?

Post-care for microneedling ensures proper healing and enhances the benefits of collagen deposition and improvements in skin texture. Key steps include:

Avoid Excessive Sun Exposure – Protect the treated area from UV rays to prevent pigmentation issues and support skin firm recovery.
Gentle Cleansing – Use lukewarm water and a mild cleanser to avoid irritation during the first 24 to 48 hours.
Apply Topical Creams – Hydrating creams or topical serums can aid in the healing process, supporting skin rejuvenation and reducing redness.
Ice Packs for Swelling – Apply ice packs to minimise micro-wound inflammation.
Avoid Makeup and Harsh Products – For the first 24 hours, refrain from using makeup or exfoliating products like glycolic acid to avoid irritation.
Antibiotic or Antiviral Medication – If prescribed, use antibiotic creams or antiviral medication to reduce the risk of infection, especially for those with active skin infections or keloidal tendencies.
Hydration – Drink plenty of water to support skin healing.
No Swimming Pools or Saunas – Avoid exposure to chlorinated water or heat sources to reduce the risk of irritation.
Long-Term Maintenance Plan – Follow up with your practitioner for maintenance treatments and adjustments based on your skin’s response and depth of penetration.

What is the downtime after microneedling?

The downtime after microneedling is typically minimal but varies based on needle depths, the individual skin condition, and treatment area. Most people experience redness similar to a mild sunburn for 24 to 48 hours. Swelling and slight discomfort may also occur, but these usually subside within a few days.

For those with deeper micro-wounds or undergoing advanced microneedling, the downtime can be longer, ranging from 3 to 5 days. During this period, the skin may feel dry, tight, and flaky as dead skin sheds. Redness should decrease after 48 hours, and any swelling typically resolves within a few days.

Avoiding excessive sun exposure and following post-care steps like applying topical creams and using ice packs can help reduce downtime. The long-term maintenance plan and individual recovery may vary depending on the depth of penetration and microneedling device used.

Can i wear makeup after microneedling?

It is generally advised to avoid wearing makeup for at least 24 hours after microneedling. During this time, the skin is more sensitive, and makeup can clog the micro-channels created by the micro-injuries, potentially leading to irritation or infection.

After 24 hours, you can resume wearing makeup, but it’s essential to use non-comedogenic, gentle products to avoid further irritation. Topical serums and moisturizers are recommended for supporting the skin’s healing process during the first few days. Be sure to follow any post-care steps recommended by your practitioner to ensure optimal recovery and collagen deposition.

Can i exercise after microneedling?

It is recommended to avoid exercise for at least 24 to 48 hours after microneedling. Physical activity can increase blood flow, which may intensify swelling and redness and potentially lead to skin irritation. Additionally, sweating can introduce bacteria to the treated skin, increasing the risk of skin infection or affecting the healing of micro-wounds.

After this initial period, light exercise is generally fine, but it’s important to avoid activities that involve excessive sweating or heat (like saunas) for about 5 to 7 days. Follow post-care steps like applying topical creams to support recovery and maintain the improved appearance of your skin.

How soon can i return to work after microneedling?

Most people experience redness and mild swelling similar to a mild sunburn, which usually subsides within a couple of days. If the redness is still noticeable, you can use makeup, but it’s best to avoid applying it during the first 24 hours to allow the skin to heal.

For deeper treatments or if you have more sensitive skin, it may take 3 to 5 days for full recovery before returning to work without noticeable redness. Following proper post-care steps like using topical creams and staying out of direct sun exposure will help speed up healing and ensure a smooth return to your daily routine.

How many sessions are needed for optimal results?

The number of microneedling sessions required for optimal results depends on the skin’s condition and desired outcome. Here is a general guideline:

For Skin Rejuvenation – 3 to 6 sessions spaced 4 to 6 weeks apart to stimulate collagen deposition and improve skin texture.
For Scars (Acne, Atrophic, Hypertrophic) – 4 to 8 sessions may be needed, depending on the severity of the scars, with intervals of 4 to 6 weeks.
For Hair Loss – Typically, 6 sessions spaced 1 to 2 weeks apart are recommended to promote collagen induction and hair follicle regeneration.
For Stretch Marks – 4 to 6 sessions, spaced 4 weeks apart, are generally needed for noticeable improvements.
Maintenance – After achieving the desired results, 1 to 2 sessions per year may be recommended to maintain skin firm and texture improvements.

How does microneedling work for different skin concerns?

Microneedling is effective for a wide variety of skin concerns, thanks to its ability to create micro-injuries that stimulate collagen deposition and enhance skin texture. Here’s how it works for different concerns:

Fine Lines and Wrinkles – The micro-channels created by microneedling promote collagen induction therapy, helping to firm skin and reduce the appearance of fine lines.
Acne Scars – Microneedling helps break down scar tissue and stimulates collagen deposition, improving the appearance of atrophic acne scars (such as ice-pick scars or boxcar scars) and smoothing the skin.
Stretch Marks – Similar to its action on scars, microneedling enhances collagen production and improves the texture and appearance of stretch marks.
Hyperpigmentation and Dark Spots – Microneedling can help lighten dark spots and uneven pigmentation by encouraging skin regeneration and improving overall skin tone.
Hair Loss – By promoting collagen induction around the hair follicles, microneedling can stimulate hair regrowth, especially when combined with topical serums containing growth factors.
Loose or Sagging Skin – Microneedling stimulates the production of collagen and elastin, which tightens and firms the skin, making it useful for treating loose skin in areas like the face or neck.
Skin Texture and Pore Size – The process helps refine skin texture and reduce the size of enlarged pores by stimulating connective tissue growth in the dermal layers.

How does microneedling work for facial rejuvenation?

Microneedling works for facial rejuvenation by creating controlled micro-injuries in the skin, which stimulate the body’s natural healing process and promote collagen deposition. This process helps tighten skin, reduce fine lines, and improve overall skin texture. Here’s how it benefits facial rejuvenation:

Collagen Stimulation – The micro-channels created by the dermal roller or Dermapen microneedling device trigger the body’s production of collagen and elastin, essential for youthful, firm skin.
Improved Skin Texture – Microneedling enhances skin elasticity and smoothness by promoting the regeneration of skin tissue, reducing rough patches, and improving overall tone.
Reduction of Fine Lines and Wrinkles – As collagen is produced, it fills in and plumps the skin, reducing the appearance of fine lines and wrinkles, particularly around the eyes, mouth, and forehead.
Even Skin Tone – The process can help diminish hyperpigmentation, dark spots, and uneven skin tone, leading to a more radiant complexion.
Pore Size Refinement – Microneedling helps shrink enlarged pores by encouraging the regeneration of healthy skin and tightening the skin around the pores.
Enhanced Absorption of Active Ingredients – The micro-channels allow for better penetration of topical creams and serums, improving the effectiveness of skincare products used after treatment.

Can microneedling be combined with other treatments?

Microneedling can be combined with other treatments to enhance its effectiveness and target a wider range of skin concerns. The process creates micro-channels in the skin, allowing for better absorption of active ingredients and therapeutic products. For example, platelet-rich plasma (PRP) can be used alongside microneedling to boost collagen induction and accelerate healing. Laser resurfacing, such as fractional CO2 lasers, can be paired with microneedling to treat deeper pigmentation issues or scars while improving overall skin texture.

Combining microneedling with chemical peels can help exfoliate dead skin, leading to smoother skin and enhancing the benefits of the treatment. Additionally, combining radiofrequency (RF) energy with microneedling promotes deeper collagen stimulation, improving skin firmness. These combinations provide more comprehensive results for concerns like hyperpigmentation, wrinkles, and skin laxity, but should always be done under professional supervision to ensure safety and optimal outcomes.

What are the best treatments to combine with microneedling?

The best treatments to combine with microneedling depend on your specific skin concerns, as microneedling enhances the absorption of active ingredients and can complement other therapies. Some effective treatments to combine with microneedling include:

Platelet-Rich Plasma (PRP) Therapy – Also known as the “vampire facial,” PRP therapy uses your own blood’s growth factors to promote healing and collagen production. When combined with microneedling, PRP accelerates the rejuvenation process, enhancing skin tone, texture, and overall appearance.
Laser Resurfacing – Treatments like fractional CO2 laser or non-ablative lasers can be used in conjunction with microneedling to improve skin texture, treat deeper scars, or address pigmentation issues. The two treatments work synergistically by promoting deeper collagen induction and skin resurfacing.
Chemical Peels – A chemical peel performed before or after microneedling can help exfoliate dead skin and improve skin texture, allowing for better results. Peels can address hyperpigmentation or uneven skin tone, complementing the skin rejuvenation process initiated by microneedling.
Radiofrequency (RF) Microneedling – Combining radiofrequency energy with microneedling enhances collagen production by stimulating deeper layers of skin. This combination is particularly beneficial for improving skin firmness, skin laxity, and skin texture. This is offered in our Perth Skin Clinic using Sylfirm X – the world’s first dual wave RF needling system, combining radio frequency energy with ultrafine needles to target a range of skin conditions.
Topical Serums and Growth Factors – Applying hyaluronic acid, vitamin C, or peptides after microneedling can further boost hydration, reduce fine lines, and brighten the skin, as the micro-channels created during the treatment allow for deeper product penetration.

How does microneedling compare in cost to other skin treatments?

Microneedling tends to be more affordable compared to other skin treatments. Here’s how it compares:

Laser Resurfacing – Generally more expensive due to advanced technology and deeper treatment, with higher costs for CO2 lasers or ablative resurfacing.
Injectables (Botox, Dermal Fillers) – While comparable in cost, injectables focus on muscle relaxation and volume restoration rather than collagen production or skin texture improvement.
Facelift Surgery – Much more expensive due to the invasive nature and longer recovery time required.
PRP Therapy – Often combined with microneedling, but usually comes at a higher price due to the need for blood draws and processing.

What factors influence the cost of microneedling?

Several factors influence the cost of microneedling:

Location – Costs can vary based on geographic area and the reputation of the clinic or practitioner.
Practitioner’s Expertise – Experienced dermatologists or licensed professionals may charge higher fees due to their specialized skills.
Device Used – Advanced devices like Dermapen or RF microneedling tend to be more expensive than standard dermal rollers.
Area Treated – Larger treatment areas, such as the face and neck, may cost more compared to smaller areas like the under-eye region.
Additional Treatments – Combining microneedling with PRP therapy, topical serums, or laser treatments can increase the overall cost.
Number of Sessions – Multiple sessions are often recommended for optimal results, which can add to the total cost.
Clinic Type – Medical-grade clinics or spas may charge more compared to less specialised settings.

How does provider expertise affect microneedling cost?

Provider expertise can significantly affect the cost of microneedling. Experienced practitioners, such as board-certified dermatologists or licensed aestheticians, typically charge more due to their higher level of skill and knowledge. Their expertise ensures more precise technique, better results, and minimised risk of complications, which can justify a higher fee. More seasoned providers may also use advanced equipment and incorporate additional treatments, further increasing the overall cost. In contrast, less experienced providers or those without specialised training may offer lower prices but might not achieve the same level of results or safety.

Is microneedling covered by insurance?

Microneedling is typically not covered by insurance as it is considered a cosmetic treatment. Insurance companies usually only cover medically necessary procedures, and since microneedling is primarily used for aesthetic purposes, such as skin rejuvenation and scar reduction, it is generally not included in insurance plans. However, if microneedling is part of a treatment for a medical condition, such as scar therapy for burns or certain skin disorders, it may be worth checking with your insurance provider for possible coverage.

Microneedling procedure: the truth about recovery and long term benefits