What is microneedling?

Microneedling, also known as collagen-induction therapy, is a skin rejuvenation treatment that uses tiny needles to create controlled microinjuries in the skin. This process stimulates the body's natural wound-healing response, encouraging new collagen production and cellular regeneration. Similar to other skin-enhancing techniques like lasers and chemical peels, microneedling relies on microdamage to improve texture and tone.

This procedure offers various benefits, including reducing fine lines and wrinkles, evening out skin tone by addressing dark spots and melasma, minimizing enlarged pores, subtly firming the skin, and fading stretch marks or scars, including those caused by acne. It can also enhance the absorption of topical treatments and support hair restoration efforts.

Microneedling is often praised for its versatility, noting that it is suitable for all skin types, has minimal downtime, and can yield dramatic results. While it may not provide a complete solution for acne scars, he suggests it can be more effective than pricier laser treatments. Since microneedling does not use heat, it is generally safer for individuals with melasma or darker skin tones.

For a more advanced treatment, microneedling can be combined with platelet-rich plasma (PRP), a technique known as the Vampire Facial. PRP, derived from the patient’s own blood, contains growth factors that accelerate cellular regeneration and collagen production. PRP enhances microneedling's effectiveness by approximately 15–20%, delivering stronger anti-aging benefits.

An additional option is RF microneedling, which integrates radiofrequency energy into the process to amplify results. Devices like Vivace, Morpheus8, and Sylfirm X use fine needles to deliver heat beneath the skin’s surface, increasing collagen stimulation and improving skin firmness. While the benefits of RF microneedling can be impressive, understanding potential risks is important before undergoing treatment.

How much does a microneedling treatment cost

The cost of a single microneedling session in the US generally falls between $100USD and $200USD, though multiple treatments—typically at least three—are recommended for the best results. The total expense will vary based on the number of sessions, your provider's expertise, and their location.

If you opt to include platelet-rich plasma (PRP) in your treatment, known as a Vampire Facial, expect to pay up to $600USD more for the added benefits.

The cost of microneedling in Australia varies, usually starting at around $250AUD for smaller treatment areas and reaching up to $900AUD for sessions that include both the face and neck. Clinics with highly experienced professionals may charge higher fees, but this often comes with enhanced patient care and added comfort throughout the procedure.

In turkey, you can expect to pay upto 60% less than in the US, Europe and Canada with prices starting at around 100Euros for a session of microneedling to the full face.

Prices for microneedling in Mexico are also quite affordable with a full face session starting at $75USD but usually sitting at around $100-$150 per session.

How is microneedling performed

Microneedling can be uncomfortable without anesthetic, so arriving an hour before your appointment allows time for a topical numbing cream to take effect. Once the skin is numb, the procedure lasts between 15 and 30 minutes, depending on the size and number of areas being treated.

Before the treatment begins, the skin is cleansed and dried. An active serum suited to the specific skin concern—such as salicylic acid for acne or vitamin C for pigmentation—is then applied to create a smooth surface for the microneedling device to glide over. While traditional dermal rollers were once used, most practitioners now rely on automated stamping devices with sterile, single-use needle cartridges containing anywhere from a dozen to over 160 needles. These spring-loaded devices, such as Dermapen and its variations, are used in a stamping motion across the skin.

Most microneedling devices feature adjustable needle heads that allow for customization based on different areas of the face. Needle depth varies depending on the skin’s thickness and what you're goals are for the treatment. For instance, the forehead requires a shallower depth of around 0.5 mm, whereas the cheeks or areas with deep scars may need up to 2.5 mm. Adjusting the depth ensures effective results without unnecessary trauma. Studies indicate that acne scars typically require needles measuring 1.5–2 mm, while aging skin and wrinkles respond best to depths of 0.5–1.0 mm.

Instead of adjusting depth, some providers modify the amount of pressure applied, tailoring the approach to the patient's skin needs. The number of passes across an area may range from two to six, with treatment concluding once the skin exhibits consistent redness and light bleeding, signaling proper stimulation.

After the session, a specialized serum and cooling mask are applied to soothe the skin. Some doctors incorporate red LED light therapy to accelerate the healing process. Patients can expect temporary redness and pinpoint scabbing, but within a week, the skin settles and takes on a more refined, rejuvenated appearance.

How to prepare for microneedling

Before undergoing microneedling, it's important to consult with your provider about the best way to prepare your skin for treatment. Many people overlook the significant role skincare plays in both pre- and post-procedure regimens, but taking the right steps beforehand can enhance results. Using medical-grade and prescription-strength products helps condition the skin, ensuring it's primed for treatment. After the procedure, nourishing the skin with essential nutrients promotes recovery, while proper protection minimizes the risk of damage and helps maintain improvements over time.

What are the risks and possible side effects of microneedling

Microneedling is a safe and effective treatment when performed by a skilled professional, with most patients tolerating it well and experiencing little to no side effects. However, in the hands of an inexperienced provider, it carries the risk of long-term damage, including irregular skin texture and scarring.

Regulations on who can legally perform microneedling vary by location but it is generally classified as a medical procedure and should be carried out by a licensed medical professional rather than an aesthetician. Many state regulatory boards in the USA and in Australia now recognize microneedling as a medical treatment, reinforcing the importance of choosing a qualified provider.

Since microneedling requires a precise technique, it is essential to seek out a doctor, nurse, or physician assistant with specialized training. Reviewing their portfolio of before-and-after results can help ensure they have a track record of consistently successful outcomes.

How long do results last from microneedling

The effects of microneedling are not permanent, and how long they last depends on factors such as age, skin condition, and overall skincare routine. Once the initial treatment series is completed, a clinician can recommend a maintenance plan tailored to your specific skin needs. With consistent home care and routine professional treatments, results can typically be maintained for six months to a year before another session is needed.

Individuals over 40 or those with significant sun damage may require more frequent touch-ups, approximately every three to four months. The longevity of the results can also be influenced by the depth of the microneedling procedure and whether platelet-rich plasma (PRP) is used to enhance its effects.

How long is recovery from a microneedling treatment

After microneedling, the skin typically appears red and inflamed for one to two days, though individuals with fair complexions may experience prolonged redness resembling a sunburn. Along with swelling, common side effects include crusting, pinpoint bleeding, flaking, tightness, and heightened sensitivity. These symptoms are generally temporary but can persist for up to 12 days if the treatment was particularly intensive.

Textural changes and sensitivity to skincare products tend to last the longest as the skin barrier undergoes repair. Since healing times vary from person to person, scheduling the treatment at least two weeks before an important event ensures sufficient recovery time.

What are the benefits of microneedling and how many treatments do you need

Microneedling works by creating thousands of tiny micro-injuries in the skin, prompting a natural healing response that releases growth factors and stimulates collagen production. Collagen, the protein responsible for keeping skin firm and smooth, is regenerated through this process, improving texture and elasticity.

The treatment aims to encourage the skin to repair itself without causing excessive damage, ensuring collagen forms in a healthy and structured manner. Studies have shown that after a series of sessions, collagen and elastin levels can increase significantly, leading to noticeable improvements in skin quality over time.

Beyond enhancing skin tone and texture, the mechanical action of the needles helps break down fibrotic scar tissue, allowing it to revascularize and appear smoother. Since only a portion of the skin’s surface is treated, the healing period is relatively short compared to more aggressive procedures.

Microneedling also enhances the absorption of active skincare ingredients by creating tiny channels that allow products to penetrate more deeply and work more effectively. Additionally, research suggests that microneedling may benefit individuals experiencing alopecia areata, a type of hair loss. When combined with platelet-rich plasma (PRP) or minoxidil, the treatment can support hair follicle regeneration and promote thicker, healthier hair growth.

A series of three to five sessions, scheduled once a month, is usually advised as the initial course of treatment. Following this, periodic maintenance treatments are necessary to preserve and prolong the results.