Microneedling is a very simple, safe, effective, and minimally invasive procedure. It was initially introduced for skin rejuvenation. It is used for a very wide range of skin conditions including acne scar, post-traumatic/burn scar, alopecia, skin rejuvenation, drug delivery, hyperhidrosis, stretch marks, and many more. This procedure can easily be combined with many other dermatological procedure such as platelet rich plasma therapy , subcision ,scar revision with punch etc . Infact combination of all these treatment gives better results than single alone method. It is a very safe procedurein all dark skin types, where risk of postinflammatory pigmentation is very high with other procedure like laser.
HOW IT IS DONE?
Patient selection – As such it is very safe in all most all patient but this procedure should be avoided in certain conditions such as those having active acne , active herpes infection, aggressive keloidal tendency , patients on certain drugs such chemotherapy or warfarin.
Counselling of patient – Patient should be informed regarding complete procedure, its advantage or limitations. As a doctor we should inform about outcome , side effcts , duration require to see results in detail.
Vitamin a and vitamin to be prescribed for atleast for 15-20 days before procedure to obtain optimum results.
Procedure – It is done under local anesthesia with help dermaroller , newer devices are available to do this procedure dermapen, dermastamp. This procedure involves micropuncturing of skin with the help of dermaroller , the end point of this point being pinpoint bleeding from skin. THIS IS VERY WELL TOLERATED PROCEDURE apart from mild redness and mild swelling for 1 or 2 days there is no major sequeale. Patient can resume his work from next day easily. This procedure to be repeated every 6-8 week interval and minimum 3 session to be done for optimal results. The outcome of procedure requires 3-6 months of duration.
Microneedling in dermatology-
- +Skin rejuvenation
- Microneedling leads to reorganization of old collagen fibres and laying down of new collagen, elastin, and capillaries leading to the effect of skin tightening. This new collagen induction in skin leads to an overall youthful appearance, reduces fine lines and wrinkles, pore size and gives more suppleness, and elasticity.
- +Acne scars
- Microneedling most commonly used in acne scar management. When used in combination with chemical peels, platelet-rich plasma, subcision, and CROSS technique gives best outcome.
Microneedling is quite effective in chicken pox scar, post surgical scar.
- +Androgenic alopecia
- It is recent development in dermatology practice. Microneedling combined with minoxidil or platelet rich plasma are producing promising results in many patients.
- +Miscellaneous condition
- Microneedling used in hyperpigmentation conditions, stretch marks, axillary hyperhidrosis, last but not least it is used in transdermal drug delivery.