Frequently Asked Questions for Micro-needling
What is Micro-Needling?
Micro-needling is the process of using hundreds of tiny needles to penetrate specific areas of the skin to create micro-injury which will stimulate the healing response to create new collagen within the skin. It also helps to break down old collagen patterns, as seen with scars, to create new healthier collagen. This process improves skin quality and texture while creating younger and healthier looking skin. We can apply a numbing cream but most people dont need it.
How does it work?
The treatment introduces fine needles to the skin to create microscopic channels. These microscopic wounds stimulate the skin’s healing process and the dermis is encouraged to produce new collagen and elastin which generates new skin cells. The skin then becomes thicker, plumper and more youthful. Serums that are applied to the skin afterwards are absorbed more effectively and products used are absorbed deep into the skin. Thousands of channels are created during a micro-needling treatment.
Micro-needling improves the thickness of the dermis and the epidermis. This in turn improves skin texture and reduces wrinkles. It also helps to decrease hyper-pigmentation and acne scars.
How many treatments will I need and how often?
For the best results, we recommend an initial series of 6 treatments. The treatments should be done about 3 to 4 weeks apart. Improvements are usually seen after the second treatment and will continue to improve through the series. Maintenance treatments can be done after the series is completed and there is no limit on the amount of treatments that can be given. Treatment response is highly individual so there is no way to predict the final results.
Is it painful?
Micro-needling uses extremely fine needles which makes the teatment very easy to tolerate. Some people do experience discomfort on certain areas of the face, but normally this isn’t an issue. We can offer numbing cream if its needed or requested. Towards the end of the session the face may feel slightly tight and a bit sore, similar to having a sunburn.
We use a depth of .5 mm for our sessions, which has been proven in numerous studies to be the shortest depth possible to consistently reach the necessary level in the skin to activate collagen production.
How long are the treatments?
A typical micro-needling facial treatment lasts about 50 minutes. We can include the face, neck, décolletage and/or hands. We start with a good cleanse and some time under the LED lights to prep the skin. The treatment itself takes about 15 to 20 minutes and is followed by a nutrient serum and a cooling mask.
What type of micro-needling do you do?
We use a .5 mm microneedle roller for our treatments. This is a more traditional approach but we prefer this type of roller to the pens as there is more control during the treatment by the practitioner in terms of positioning and pressure used. Each of our facial rollers has 540 micro-needles located on the surface. We also use smaller rollers with 75 micro-needles for use around the eyes and lips. When it is passed over the skin, these micro-needles create tiny, evenly-spaced channels on the skin. During the body's natural wound-healing process, collagen and elastin are regenerated. This results in thicker, plumper skin like you had when you were younger.
What can Micro-needling treatments help?
Micro-needling can help to:
· Reduce fine lines and wrinkles
· Reduce acne scars
· Reduce hyper-pigmentation
· Reduce scars
· Improve skin texture
· Repair and plump the skin
· Minimize stretch marks
· Even out skin tone and helps to repair sun damaged skin
· Increase the delivery of ingredients/nutrients used on skin
What are typical results?
Typically, you will begin to see results in about 6 to 8 weeks and improvements in the skin and collagen production will continue over the next year.
What are the immediate after effects?
After a Micro-needling treatment, there will be some redness, which will vary from person to person. This can be a slight pink or a deeper red, similar to a sunburn and can last for just a few hours or up to 24-48 hours. Some people may experience mild swelling or soreness, again similar to a sunburn, or have an increased itching sensation after the treatment which can last for a few days. The itching is more common in people who suffer with allergies due to the skin’s natural histamine response. Most people prefer to do the treatments towards the end of the day so they can go straight home and have time to get their skin calmed down before going to work the next day.
To decrease the after effects listed above, we use a nutrient serum and cooling mask after the treatment which typically will reduce these symptoms.
After a treatment, the skin will be dryer for up to a week. Since we are making very small channels in the skin, which normally holds in our moisture, this is expected. It is very important to make sure that the skin stays hydrated during this time.
What should I do before a treatment?
Please fill out your paperwork ahead of time and bring it with you. You can download it from the website.
We will need to wash your face before the treatment so many people like to arrive without makeup
It’s a good idea to organize your time so you can go straight home or only run minimal errands after the treatment. Make sure you are able to stay out of the sun for several days.
What happens at the initial treatment?
1. During the initial consultation, we look at health history, diet and environmental exposure. We then follow with an assessment and exam of the various facial areas. Pictures will also be taken during this initial visit. The initial treatment takes about an hour.
2. The face will be thoroughly cleansed and the LED light is used to prep the skin. An herbal/ alcohol disinfectant will be sprayed on the skin before treatment. During the treatment, the patient will be lying down comfortably. A new sterilized micro-needling roller will be unwrapped for use for the treatment.
3. The treatment begins by rolling the microneedles over the face and neck in a specific pattern to make sure that everything is well treated. There are several different protocol procedures that we follow to achieve the best results for each individual’s needs. Extreme caution is used around the eyes and lips, where we use a smaller new sterilized roller.
4. During treatment, the face will begin to get rosy and may feel a bit warm. The face may feel little sore towards the end of the therapy, like the feeling of having a sunburn. Some minor pinches may be felt during treatment on certain areas of the face but it is not uncomfortable.
5. After the treatment, the face is rinsed and we will apply a nutrient serum, hyaluronic acid serum, vitamin c serum, bio ferment serum, pearl powder, etc., depending on the specific needs of the client. The application of an organic herbal facial oil follows the serum.
7. Aftercare instructions are provided along with the facial products to use over the next 24 to 48 hours. The face will be very rosy and will begin to feel tight and may feel warm or itchy for the next 24 -48 hours.
What do I need to do after a treatment?
After a treatment, you will need to do the following:
Avoid being out in direct sun for at least the following 2 to 3 days. If you are out for any prolonged amount of time, you must wear protective sun gear and/or a good sunscreen.
Avoid wearing a lot of makeup for the first 12 hours after a treatment.
Make sure your hands are very clean when touching the treated areas for the first 12 hours.
Plan on not doing any vigorous exercise for the first 12 hours after a treatment.
Your skin will feel dryer than normal so you may need to apply moisturizer and serums more frequently than normal for the first few days after a treatment. Also, make sure to drink plenty of water to stay hydrated.
You will be given aftercare products, with instructions, to use for the first several days. Directly after a treatment it is VERY important that all products used on the skin be incredibly clean and does not contain any harsh chemicals or additives. With the new micro-channels that are created during the treatment, any size molecule is now able to pass freely into the body since the normal protective barrier has been breached. After a few days you can resume using your normal products.
Is micro-needling an ablative therapy?
No, micro-needling is a non-ablative treatment so it doesn’t remove the top layer of skin. Many other therapies, such as laser treatments, chemical peels, and dermabrasion, do remove the top layer of skin so they subsequently have more down time and associated side effects and possible risks.
Are there any side effects or risks from this procedure?
Side effects are minimal with this type of treatment and typically include redness, dryness or minor flaking of the skin for 24-72 hours. Some people experience an elevation of itching after the treatments. For extremely sensitive people, these side effects can last up to a week, but this is not common.
Risks of post treatment infection is extremely rare but it is important to make sure your hands are always clean when touching your face for the first 12 to 24 hours. We only use NEW sterilized rollers for a single use to eliminate the risk of infection from the rollers.
This is a non-ablative treatment so hyper-pigmentation or darkening of the skin area treated is highly unlikely but can very rarely occur. If it does, it is usually only temporary and will subsides after the first couple of months. Again, this is extremely rare. Suitable make-up will be able to conceal this if necessary.
If you have a history of cold sores, this treatment could possibly cause them to flare after the treatment so please let us know if this applies to you so we can take precautions.
Is Micro-needling contraindicated for any conditions? Who shouldn’t use it?
Micro-needling should NOT be done if you are experiencing any of the following at the treatment site:
Fungal skin infection
Severe solar keratosis
Raised moles or warts
Cold sore outbreak
Any open wounds
Or if you
Have received radiation treatments on the skin within the last year
Have a history of keloid or hypertrophic scars or poor wound healing
Have used Accutane (isotretinoin) within the last 3 months
Are pregnant or breast feeding
If you are taking an anticoagulant or photosensitive medication, please let us know.
How long do the results last after a series?
The results can last up to a year or more but will vary due to age, environment, skin care and overall health. To maintain results, we recommend coming in once every few months for a treatment once the series is completed. There is no limit to the amount of treatments that can be done with this therapy.
What if I just got Botox or had a derma filler treatment?
We don’t recommend coming in for a micro-needling treatment after you have had a Botox or derma filler injection, such as Restylan. The increase in collagen production from the micro-needling treatment will decrease the effectiveness and will shorten the time that Botox or a derma filler can offer results. However, if you are thinking about trying micro-needling in place of Botox or a derma filler and don’t want to minimize their benefits earlier than expected, we recommend waiting until a few months before your next scheduled injection. This should allow enough time for your skin to increase collagen production as the injections are wearing off, making it an easy transition.
Can I do anything between treatments?
Yes, we encourage you to use an at-home roller a few times a week between treatments. We have .2mm micro-needle roller available and can offer instruction on how to use it between sessions. A .2mm roller does not help with collagen production but can help to increase product absorption by up to 80% to ensure that the proper nutrients, such as a mild hyaluronic acid serum or a vitamin c serum, continue to get into the skin where they are needed to support the collagen production. This can be discussed in more detail during the treatment.
Why would I need to use an At-Home roller between treatments?
A .2 mm roller will not help at all with increasing collagen production but it can help with enhancing penetration of therapeutic serums and can stimulate cell turnover which will help to support the collagen producing micro-needling treatments you are doing with us.
The outermost layer of the skin, the stratum corneum, is a waterproof layer made up of dead skin cells. It can be difficult to get therapeutic levels of any product through this layer. The .2 mm roller can produce very short channels through this layer to deliver needed nutrition to your skin.
The at-home treatment only takes a minute or two and should become a part of your regular routine. At-home treatments rarely cause any redness. However, if it does, it will be very minimal and only last a few minutes at the most but can help to maintain healthy looking skin.
What ingredients do I need to avoid in my products for 24 hours after a treatment?
1. Preservatives: parabens, benzyl alcohol, methylisothiazolinone, BHA, BHT, Triclosan benzalkonium, phenoxyethanol, Quaternium 15, DMDM, Germall ll, etc.
3. Citrus extracts: grapefruit seed extract, citric acid, Limonene, etc.
4. Fragrance / perfume
5. Essential Oils: lemon, lime, orange, tangerine, bergamot, lavender, ylang ylang, peppermint, citronella, clove, cinnamon, etc.
6. Surfactants: sodium laureth sulphate, sodium lauryl sulphate, TEA, DEA, benzalkonium chloride, etc.
7. Emulsifiers: PEG, polysorbates, polyethylene glycol, cetyl alcohol, etc.
8. Emollients: petrolatum, mineral oil, isoparaffin, lanolin, silicone, polybutene, polyethylene glycol, etc.
9. Humectants: ethylene glycol, PEG 4, Propylene glycol, sorbic acid, urea, etc
It is very important to avoid these types of ingredients in your products right after the treatment for about 24 hours. Directly after a treatment the skin barrier has been breached, channels have been made in the skin, and unwanted chemical molecules which are usually blocked can now freely pass into the body until the channels naturally close again.
As a side note, even after the time has passed for avoidance, please make sure to use only products that contain safe ingredients on your face and body. Even without the micro-needling, unwanted ingredients will make it into the body and the blood stream so always make sure your products are as clean as possible.