Microneedling is a dermatological procedure that uses very fine needles to create controlled microchannels in the skin. The needle depth, device speed, and treatment area are adjusted according to the patient’s skin characteristics and the condition being treated.
The procedure may be performed with a Dermapen or a similar mechanical microneedling device. Before treatment, the overall condition of the skin, the type and depth of any scarring, active skin conditions, and the patient’s wound-healing characteristics should be assessed.
No. Mechanical microneedling and RF microneedling, commonly known as “gold needle treatment” in Türkiye, are different procedures.
Mechanical microneedling creates controlled microchannels in the skin using fine needles but does not deliver radiofrequency energy.
RF microneedling delivers controlled radiofrequency energy through the needles at selected depths within the skin. The devices, mechanisms of action, treatment settings, and potential risks of these two procedures are therefore different.
Following a dermatological assessment, microneedling may be considered for:
Atrophic acne scars
Certain surgical or traumatic scars
Uneven skin texture and tone
Fine lines
Enlarged pores
Microneedling is not suitable for every scar or skin condition. The appropriate treatment depends on the type and characteristics of the concern.
Raised scars, keloids, active acne, and different types of acne scarring require careful assessment. In some cases, acne scars may require a combination treatment plan involving subcision, fractional laser, chemical peels, TCA CROSS, or other methods.
Before microneedling, the dermatologist assesses:
Skin type and sensitivity
The depth and shape of any scars
The presence of active acne or infection
Current medications
A history or tendency toward keloid scarring
Wound-healing problems
Previous procedures
Treatment may need to be postponed if the area has active cold sores, a bacterial or fungal infection, an open wound, active eczema, or a psoriasis flare.
Patients should inform their dermatologist about blood-thinning medications, bleeding disorders, wound-healing difficulties, and relevant medical conditions.
The treatment area is first cleansed, and a topical anaesthetic cream may be applied if appropriate.
The needle depth and device speed are then adjusted according to the treatment area and the patient’s skin characteristics. Different settings may be needed for the forehead, cheeks, area around the nose, and individual scars.
The duration of treatment depends on the size and number of areas being treated. There is no single treatment duration or standard protocol suitable for every patient.
The number of sessions depends on the condition being treated, the depth and type of scarring, the patient’s skin characteristics, and the response to treatment.
Complete removal of all scars should not be expected after a single session. Sufficient time must be allowed between sessions for the skin to heal.
The recommended number of sessions and the interval between them are determined individually following a dermatological assessment.
Temporary effects may include:
Redness and sensitivity
Warmth or a burning sensation
Mild swelling
Pinpoint bleeding
Bruising
Dryness or peeling
The intensity and duration of these effects depend on the needle depth, treatment area, and the patient’s skin characteristics.
Products that may irritate the skin should be avoided during recovery, and the aftercare instructions provided by the dermatologist should be followed. Careful sun protection is important for reducing the risk of post-treatment pigmentation changes.
The time needed to return to work or social activities varies from person to person.
Possible complications include:
Infection
Acne or cold-sore flare-ups
Prolonged redness
Darkening or lightening of the skin
Scarring in rare cases
Any products applied during microneedling must be sterile and specifically suitable for this type of procedure. Not every cosmetic product is safe to introduce into the skin through the microchannels created during treatment.
At Dr. Armin Müştak’s dermatology practice in Çankaya, Ankara, suitability for microneedling is determined by assessing the patient’s skin type, the nature of any scarring, existing dermatological conditions, medical history, and treatment expectations.
Following a dermatological examination, the procedure and any appropriate combination treatments are planned individually.
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