I had my 1st session at licensed esthetician. I think she used maximum recommended for first session but I had almost 0 redness. I was a tiny pink at my forehead and then after hot shower a bit red but otherwise nothing. Its 3rd day and I resumed retinal for now as my skin looks totally fine. Tomorrow I think I would start again adapalene. I had 0 irritation.

Is this normal? When I did permanent makeup my artist noted I have unusually thick skin. Do I need to go significantly deeper next time? Is it effective without redness?

Esthetician mentioned we can ramp it up next time but some clients even at the depth I did for the first time are pretty red.

Hi,

About to purchase the Derminator2 and gathering all my supplies. I have picked out my numbing cream, aftercare, etc. but I'm stuck on finding a glide on Amazon. I follow an influencer who linked one, but it's out of stock. I know you can just use HA as a glide, but I'm looking for more of a booster version that helps with quick healing as I don't really have 2-3 days to stay home. Any suggestions? Even if it's just HA I will take those suggestions too.

Thank you!

While micro needling my serum collects in my needle port, specifically when gliding and it becomes a lot and starts making a bubbling sound and motion because the needle is still moving so it keeps getting pushed up and down. Then to be on the safer hygienic side I have to use multiple needles to make sure dirty solution isn’t getting anywhere.

It doesn't make sense why you would need a license to buy the A20 yet you can get any of the other models, even the A11 with a much faster motor.

They all have the same concept and if the A20 is FDA approved, surely it would make it even safer to use as a non professional?

They all have the potential to be used incorrectly but with the A20 being designed to cause less micro tears than all the other pens surely that makes it safer for non professionals with experience of microneedling pens to use more so than the other pens available, yet they insist on a license to buy it.

Someone please make it make sense. It has all these safety advantages yet only professionals can use it. I'm perplexed

Hi! I have dull skin with hyperpigmentation around my mouth and an oily T-zone. I don’t have acne or acne scars, but I’m wondering if microneedling is worth it if my goal is glowy, plump-looking skin.

Can microneedling damage naturally thin skin? If you have thin skin and have tried it, what was your experience? Any recommendations?

So im about to start microneedling for my face but i cant seem to find a sterile hyaluronic acid that i can use during microneedling and also after it.

I have read in this subreddit that it is really important to have a good one.
So i need help to actually find a good one.
I asked claude about it and he said cos de baha ha serum.
But that is a pure ha not sterile
Also i dont even know what the difference is

Also some extra info
I will be using a dermapen m8 16 pin
With .25 for thin skin areas like forehead and under eyes and .5mm for cheeks and jaw

Hey lovely people!

I’ve been doing microneedling at home using a rectangular stamp my dermatologist gave me after my first in-clinic session. She said I could reuse it 4-5 times before the needles go blunt . It has an adjustable needle depth, but I accidentally used it at 3 mm the first time without realizing and doing the same ever since .

Interestingly, I barely get any pinpricks or bleeding, which made me wonder if I’m just applying light pressure so only a small part of the needles is penetrating. My face develops a deep red flush for about 12 hours and is almost back to normal within 24 hours.

The results have been almost transformational for my skin, and I genuinely feel it’s helping restore collagen, so I’d love to keep doing it this way 😀

For those who microneedle at home or get it done professionally:

How do you know the treatment has been done correctly?
Does it always need to bleed to be effective?
Also, for those using retinol, how long do you stop before and after microneedling? I usually pause it 3–4 days before and resume about 5 days after.

Looking to even out my skin texture and small bumps, acne on cheek area. Only do home regimen using, AM PC Skin Perfecting 2% BHA Liquid Exfoliant. Salicylic Acid daily, after 1 hour apply myso white, then daily spf 50. I will do derma roller 1 x month with HA.
PM face wash, then apply ghkCu topical.
Skin has improved, just not to point im comfortable. Will microneedeling help speed up the process.

Okay there's constant misinformation on this app so wanted to share this.

Retethering is a real thing after subscision. But, there is no research to show that microneedling retethers the scars.

Again, there is zero evidence that microneedling itself causes previously released tethered scars to re-tether.

There is no clinical trial, review, or case report showing that:

• microneedling performed after successful subcision causes scars to become tethered again,
• microneedling increases scar reattachment rates, or
• microneedling induces the type of deep fibrous bands responsible for tethered rolling scars.

Re-tethering is a recognized limitation of subcision itself, but it has not been linked to subsequent microneedling in the medical literature.

Actual information:

• Subcision is the treatment that mechanically releases tethered scars. It cuts the fibrous bands that pull the scar downward. The improvement comes from both releasing those bands and subsequent collagen remodeling during healing. 
• Re-tethering (reattachment) is a recognized phenomenon after subcision, but the literature attributes it to the normal wound-healing process after the fibrous bands are cut—not to later microneedling. This is one reason some physicians combine subcision with fillers or other techniques to keep the space open during healing.

Theoretically, people worry because microneedling stimulates wound healing and collagen deposition. However:

• the collagen produced after microneedling is intended to remodel the dermis, not create new deep fibrous adhesions between the dermis and subcutaneous tissue;
• the needles are very fine and create vertical microchannels rather than the broad tissue disruption that forms tethering bands.

There is currently no human evidence that this collagen response recreates deep tethering.

What is more likely if scars seem worse after microneedling?

Dermatologists describe several possibilities that don't involve new tethering:

• temporary swelling wears off, revealing the baseline scar,
• collagen remodeling is incomplete,
• the original subcision did not fully release all fibrous bands,
• natural healing after subcision led to some recurrence of tethering over weeks to months.

More specifically:

• The 2023 review of subcision for atrophic acne scars discusses recurrence of tethering after subcision and methods to reduce recurrence (fillers, suction, etc.), but it does not identify microneedling as a cause of re-tethering. 
• Multiple randomized trials have actually combine subcision with microneedling as part of treatment protocols, with the goal of improving outcomes rather than avoiding microneedling. If there were evidence that microneedling promoted reattachment, this combination would be difficult to justify. 
• The mechanistic literature describes microneedling as producing controlled dermal injury that induces collagen remodeling and breaks up superficial scar strands. It does not describe formation of new deep fibrous adhesions between the dermis and subcutis—the pathology responsible for tethered rolling scars.

 

The important distinction is:

• What is known: scars can re-tether after subcision because wound healing can recreate fibrous attachments. This is a recognized limitation of subcision itself. 
• What is not supported by evidence: that a subsequent microneedling session induces or accelerates that re-tethering. I could not find published evidence supporting that claim.

 

The clearest medical framing is after tissue is injured or surgically released, healing can create new adhesions — fibrous scar connections between tissues that should move separately. ASRM describes postoperative adhesions as a “natural consequence of surgical tissue trauma and healing,” and explains that fibrin can organize into permanent adhesions. 

For skin/depressed/tethered scars, plastic surgery literature uses that same concept: techniques place dermal tissue under the released scar as a “re-adhesion barrier” after release of tethering/depression, and report whether there is relapse of depression or tethering.

So medical literature supports retethering/re-adhesion as a scar-healing concern after release... just not after microneedling. It is usually discussed as adhesion formation, re-adhesion, relapse of tethering, or recurrent adhesions, not always the exact word re-tethering.