Dr Justine Kluk - Consultant Dermatologist London

Precare – Microneedling Information Sheet

This precare document is designed to give you information about the procedure, including what to expect, how to prepare, and the potential risks and benefits. If you have any questions after reading this, please don’t hesitate to contact us.

What is microneedling? 

Microneedling is an in-office procedure, used to create microscopic punctures in the surface of the skin that trigger the body’s natural wound healing process. This process results in skin remodelling, including the formation of collagen and elastin, two proteins responsible for the structural integrity of the skin. The SkinPen is an FDA-approved mechanical microneedling device used for the treatment of fine lines, wrinkles and scars. It is effective on the face, neck, decolletage and body. The device introduces a fine needle into the surface of the skin super-fast, making it much more comfortable, precise and effective than old-fashioned roller versions.

What effects does the SkinPen have on the skin? 

Microneedling improves skin texture and reduces wrinkles. It reduces scars e.g. acne scars. It improves blood supply and evens out pigmentation.

How is the procedure performed & does it hurt? 

The skin is cleaned and a numbing cream can be applied. Skin is needled in sections. Multiple passes are made in each section leading to even flushing. Sensations of heat, tingling and prickliness can be expected during treatment. Treatment takes between 30 and 45 minutes, depending on the sites to be treated.

Can it be performed on any skin colour? 

Since SkinPen does not use thermal heat (unlike IPL & lasers), it is safe for all skin types. Skin of colour may darken temporarily prior to lightening. The risk of post-inflammatory hyperpigmentation is low.

How often can the SkinPen procedure be repeated? 

For skin rejuvenation, we recommend starting with 3 treatments at 4 weekly intervals. To maintain results, it is advisable to repeat treatment at 3-6 monthly intervals.

For scar reduction therapy, an average of 3 to 6 treatments are recommended for optimal results.

What is the down time after a SkinPen treatment? 

The inflammatory reaction of the skin is extremely short and fades significantly within hours from redness to pinkness that may last for 12 to 48 hours on average. Tenderness, puffiness and mild flaking are sometimes seen.

Soothing products will be given to you for use in the first 24 hours. You are strongly advised to avoid the sun and wear SPF50 daily throughout your treatment and in the longer term to maximise results.

Risks of post-treatment infections? 

Since the tiny punctures close within hours, and provided the procedure is done under clinical conditions, post-treatment infections are very unlikely.

Is there anyone who is not suitable for treatment?  You should not have microneedling if:
  • you are pregnant or breastfeeding.
  • you have active skin cancer (5 years all clear required).
  • you have any active cancer and are under consultant care (5 years all clear required).
  • you have a medical condition or take a medication that suppresses your immune system.
  • you have open wounds, sores or irritated skin in the treatment area(s).
  • you have any current skin infections including cold sores (herpes virus).
  • you have an allergy to stainless steel or anaesthetic.
  • you have a bleeding disorder.
  • you are currently taking drugs with the ingredient isotretinoin (Roaccutane) or have done in the past 6 months.

What precautions should I take before my treatment? 

  1. Please arrive without makeup. We advise not reapplying makeup for 24 hours after treatment.
  2. Blood thinning medicines such as aspirin or ibuprofen may increase your risk of petechiae (tiny little bruises from the punctures). Please discuss with your doctor if you need to take these for a pre-existing medical condition.
  3. To ensure the right healing environment, do not use “active” skincare ingredients, such as AHAs (e.g. glycolic acid), salicylic acid, retinol or retinoids e.g. Differin or tretinoin for 1 week before and after your treatment.
  4. Do not perform any bleaching, electrolysis, depilation, facial treatments using AHA, salicylic acid, vitamin A, hair colouring, IPL or laser for skin rejuvenation or hair removal, light therapy or microdermabrasion for 1-2 weeks prior to treatment.
  5. Do not have any other injectable treatments, such as Botox or dermal filler, for 2-4 weeks prior to treatment unless discussed with your doctor.
  6. Avoid shaving on the day of treatment.
  7. Avoid excessive sun exposure 24 hours prior to treatment.
  8. If you are prone to cold sores, prophylactic antiviral medication may be used up to 5 days before and after treatment.
  9. As skin may be red for 12 – 48 hours after your treatment, please allow enough time for healing before any special events or occasions.