Microneedling is a minimally invasive procedure using thin needles. The procedure can help reduce the appearance of skin concerns such as acne scars, stretch marks or wrinkles. Most people get microneedling for cosmetic purposes, but it can also help with some medical conditions.

What is microneedling?

Microneedling is a minimally invasive procedure for your skin. Your healthcare provider uses thin needles to make tiny holes in the top layer of your skin. The damage helps stimulate your skin’s healing process, so it produces more collagen and elastin. These proteins keep your skin firm and smooth.Most people get microneedling on their face, but you can also get it on your legs, back, neck or other areas where you notice damaged or aging skin. You’ll probably need multiple treatments to achieve your desired results.

Who gets microneedling?

Microneedling has cosmetic and medical uses. You might consider microneedling if you’re concerned about:

  • Enlarged pores.
  • Fine lines or wrinkles.
  • Loose or crepey (thin and wrinkled) skin.
  • Mild scars, especially those from acne or burns.
  • Skin discoloration or uneven skin tone.
  • Stretch marks.

The procedure can also help people who have medical conditions such as:

  • Alopecia areata (hair loss due to an autoimmune disease).
  • Hyperhidrosis (excessive sweating)

In some cases, healthcare providers use microneedling to deliver drugs or vaccines directly into your skin. The microneedles might be part of a patch that people apply themselves instead of going to their healthcare provider for shots.

What happens during microneedling?

Your healthcare provider cleans your skin and applies a numbing cream or ointment, such as lidocaine gel. They do this about 30 minutes to 45 minutes before your procedure, so the ointment has time to work.

Next, your healthcare provider uses a hand-held roller or an electric tool to make the wounds in your skin. The roller has tiny needles. Your healthcare provider rolls it slowly and gently across your skin. If they use the electric device, needles pulse up and down to puncture your skin. They can change the length of the needles on the electric device. Longer needles go deeper into your skin, which might be necessary if you have deep scars or pockmarks from acne. Needle lengths can range from 0.5 millimeters to 2 millimeters.

You might feel warmth or a scratching sensation on your face once the microneedling starts. Some people feel discomfort if the needles are near bony areas, such as your cheekbones. Deep microneedling might cause a little bleeding.

A microneedling procedure can take anywhere from 15 minutes to a few hours, depending on the size of the area that needs treatment.

What are the benefits of microneedling?

Microneedling can help improve the appearance and texture of your skin. It can minimize stretch marks, scars, wrinkles and other skin concerns.

It doesn’t carry the risk of skin discoloration, unlike some facial rejuvenation procedures that use heat, light or lasers. This makes microneedling ideal for people with darker skin tones.

Risk factors

Microneedling is a safe procedure, but risks may include:

  • Bruising.
  • Scarring.
  • Skin infection.

Recovery 

In the days and weeks after microneedling, you might notice that your skin burns or feels tight. Some people also have dry, flaking skin that improves with moisturizer.

Most people need multiple microneedling treatments, usually about 3 weeks to 8 weeks apart. It can take 3­ months to 6 months to see results. Afterward, you might need the procedure once a year for maintenance.