Microneedling

Medically Reviewed by Brunilda Nazario, MD on June 25, 2020
4 min read

Microneedling is a cosmetic procedure. It involves pricking the skin with tiny sterilized needles. The small wounds cause your body to make more collagen and elastin, which heal your skin and help you look younger. You might also hear it called collagen induction therapy.

Microneedling may help with issues like:

Microneedling is less expensive than laser treatments, which can cost about four times as much. Microneedling may work better for people with darker skin tones because it doesn’t involve heat the way laser treatments do, which can affect your skin’s pigmentation, or color. Ask your dermatologist what’s best for your skin -- and your budget.

Dermatologists (doctors who specialize in skin care and skin disorders) can do microneedling. Aestheticians also do it. If you try it somewhere other than a doctor’s office, first check on the person’s experience and credentials, and make sure that all of the equipment is sterilized. There are do-it-yourself versions of microneedling devices. But dermatologists warn against using those because you might accidentally hurt your skin, and you may not have a good way to sterilize the needles.

The procedure usually takes 10-20 minutes, depending on how big the area is. Most people need 4-6 treatments to see a difference.

First, you’ll get a numbing cream smoothed onto your face so you can’t feel the needle pricks. Then the person doing the microneedling will move a pen-shaped or rolling tool with tiny needles around your face. The needles make small cuts in your skin, which causes a bit of bleeding. Your doctor may spread a cream or serum on your face after that.

The goal of the procedure is to start your body’s healing process by sending collagen and elastin to patch up the tiny injuries. Collagen helps fill in and smooth out wrinkles.

Most people get microneedling on the face, but it can also done on other parts of the body, such as your stomach or thighs.

Some things to think about before deciding to try it:

It’s not a quick fix. It takes time to notice a difference. That’s because your body is healing itself. Most people need a few treatments before they see any change.

Healing time. It may take days or weeks to heal, depending on how deep the needles pierce your skin.

Pain and redness. You may have some minor pain after the procedure, and your skin may be red for a few days.

Peeling. Your skin may feel tight and flake a bit while it heals.

Bruising and bleeding. There’s usually no bleeding during microneedling. But deep microneedling treatments may cause the skin to bleed or bruise.

Possible scarring. Microneedling isn’t a good idea for people who’ve had keloids, scars that look like large bubbles on the skin. It could make the condition worse.

Infection. Microneedling creates tiny holes in the skin, which could let germs enter, especially if the equipment isn’t cleaned well. But the risk of infection is very low. If you’re healthy, an infection from microneedling is unlikely.

Microneedling is a cosmetic procedure, so insurance doesn’t cover it. Your doctor will tell you how many treatments you need, and give you an idea of how much they’ll cost.

Microneedling is considered safe. But like any procedure, it has risks.

You could have an allergic reaction to the cream or serum that goes on your skin after the microneedling. And the wounds might get infected if you don’t keep your skin clean. You should stay away from places that could have lots of germs, like swimming pools, lakes, rivers, and oceans. And don’t use irritating soaps and lotions.

You can also get an infection if the equipment used hasn’t been cleaned well.

Home microneedling kits, or home rollers, are becoming more and more popular. They’re widely available and inexpensive.

Rollers used at home use shorter, duller needles than professional microneedling devices. They temporarily stimulate blood vessels to brighten the skin. But home rollers usually won’t give you the same results as microneedling done at a dermatologist’s office or medical spa.

Like professional microneedling devices, home rollers can spread germs if they aren’t cleaned properly. Don’t use a home roller on infected skin.