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Micro-Needling

What is Micro-Needling?

Medical micro-needling is a form of Collagen Induction Therapy (CIT). The idea behind CIT is similar to that of many other non-surgical skin-tightening procedures in that it aims to create a controlled injury underneath the skin's surface, thereby inducing the body to respond through the formation of new tissue layers of elastin- and collagen fibres (neo-collagenesis) as well as new capillaries for an improved blood supply (neo-angiogenesis) in the treated area. The skin plumps and thickens in response to this stimulus, ultimately reducing the appearance of scars, and fine lines and other skin texture changes. In addition to CIT, the channels made from the micro-needles allow topical gels and creams to be absorbed more effectively through the top layer of skin

It improves the thickness of the dermis as well as the epidermis, in return improves skin texture and reduces wrinkles, has a positive effect on hyper-pigmentation as well as on hypo-pigmentation, disfiguring scars, and can sometimes be improved as new collagen fibers can elevate the depressed scar tissue and bring an improved blood supply into the previous fibrotic scar tissue.

Medical micro needling is a non-ablative treatment i.e. does not remove the top layer of skin,. Alternatives are the ablative skin treatments such as lasers or chemical peels which do remove the top layer of skin and subsequently have more down time. Unlike ablative procedures which are mainly used for facial skin, the Medical Micro needling can be used on all skin parts of the body (neck, décolleté, arms, legs and face.

The Procedure for Treatment

The skin is cleaned and numbed with an appropriate numbing cream in order to render the procedure to be comfortable, although as some pressure is applied to the skin some sensation will be felt. The treatment involves rolling a small hand held roller device that is covered with numerous tiny closely-spaced needles many times back and forth along the affected skin region. The skin is thoroughly needled in such a way so that each skin part is needled about 15 to 20 times.

As the device rolls along the skin, these needles penetrate the upper layers of skin to a depth of up to 2mm (depending on the needle length used) producing thousands of tiny puncture marks or micro-medical needle-channels in the skin. Each channel goes no deeper than the skin layer and will be approximately 0.1mm in width giving an even pattern of minute hemorrhagic spots in the skin the size of a pinhead.

A numbing cream on the skin is used before the treatment in order to render the procedure as comfortable as possible. . Nonetheless, some pressure sensations will still be felt, although these should not be painful.In genera. The whole procedure takes between 30-40 minutes depending on the area treated.

Recovery Time

Recovery Time after this treatment depends on the length and density of the needles of the rollers used. The skin will be pink or red in appearance for 24-48 hours, much like sunburn with some minor bleeding and very occasionally some mild bruising. The skin may also feel warm, tight and itchy for a short while. Generally the inflammatory reaction of the skin is usually short and fades significantly after a couple of days on average, depending on the skin colour of the individual. Patients with a more sensitive skin type or older patients may take upwards of one week to fully recover.

Side Effects

Side Effects and risks are minimal and include minor flaking or dryness of the skin, with some mild scab formation in rare circumstances. Infections are extremely rare. Since the tiny pricking channels close within minutes, and provided the procedure is done under clinical conditions, post-op infections are very unlikely.as this is a non-ablative treatment hyperpigmentation or darkening of the skin area treated is highly unlikely but can very rarely occur. This is usually temporary and subsides after the first couple of months. Suitable make-up will be able to conceal this if necessary. If you have a history of cold sores, then this could possibly flare up after the treatment.

Treatment is not suitable if:

  • Roaccutane (isotretinoin)has been used within the last 3 months
  • Have open wounds, cuts or abrasions on the skin
  • Have had radiation treatment to the skin within the last year
  • Have any kind of current skin infection, condition, herpes simplex in the area to be treated
  • Are pregnant or is breast feeding

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