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Aesthetics Practice Today

Medical Skin Needling in Aesthetics

Published July 17, 2012 11:38 AM by Kimberly Cray
As providers we know the deeper we dive into the dermis, the greater the risk of potential side effects, sometimes including permanent adverse changes to the skin. I am a fan of options. There is no cookie-cutter treatment protocol we can follow with every patient. Treatments that allow us to treat the skin safely and are a good alternative to more traditional methods are worthwhile in my book.

Medical skin needling, also referred to as collagen induction therapy or micro-needling, is an aesthetic option for patients seeking skin rejuvenation without harsh potential side effects or downtime. The needles are attached to a single-use, sterile roller that is moved over the surface of the skin to create many microscopic channels or columns at various depths of penetration. This "injury" to the dermis encourages the body to produce more new collagen and elastin as the cells repair themselves, becoming thicker, plumper and more youthful. Medical skin needling can improve fine lines and wrinkles, stretch marks, skin laxity and scarring by stimulating the body's own collagen. It is also safe for all skin types.

Available in cosmetic and medical models, the medical models are for professional use only. The cosmetic or home-care versions contain needles that do not penetrate into the dermis, but rather facilitate in the effectiveness and penetration of skin care products. During the use of medical-grade rollers, local anesthesia is administered to reduce patient discomfort. There is little down time with the treatment, and patients are able to return to normal activities. The needle lengths can vary from 0.02 mm (designed for personal use at home) to 3 mm (designed for professional surgical use). Both types of rollers are used in conjunction with an appropriate skin care regimen to promote and maintain results. Vitamin A and C creams are commonly used postoperatively.

Although primarily used on the face, micro-needling can be performed anywhere on the body - for example, to treat stretch marks on the body. I personally have experience working with the Environ Roll CIT, which is a professional-grade model. I find this a good option for patients with darker skin types, who you tend not to be good candidates for laser treatments, or for patients who are frequently exposed to sun.

Does anyone have experience with a particular micro-needling product that you really like? I would love to hear your feedback.



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About this Blog

    Occupation: Physician Assistant/Nurse Practitioner
    Setting: Miami & Upland, Calif.
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