Medical Skin Needling For Asian Skins

Posted on the 27 July 2010 at 10:43

Micro-medical skin-needling is a technique by which multiple puncture wounds are made in the skin penetrating in to the papillary and reticular dermis in order to stimulate new skin cells, angiogenesis and collagen. The Indications for micro-medical skin-needling are: acne scars, traumatic scars, wrinkles, fine lines, aged and sun damaged skin, pigmentation, dilated pores, sebum over production and striae (stretch marks).

Acne is one of the commonest reasons for dermatologic consultations in India. The aftermath of acne, i.e. scars, pose a significant therapeutic dilemma and can be doubly challenging in type IV to VI skin types due to the accompanying hyperpigmentation (darker areas of skin) that occurs in many cases.

Post-inflammatory hyperpigmentation is documented to occur and observed more commonly in pigmented skins and the treatment of atrophic acne scars and skin rejuvenation treatments are always a challenge in dark skin (type IV, V and VI) as many of the procedures used often induce inflammation, disruption to the basal cell layer and increased sensitivity to UV light, all of which further increase the risk of post-inflammatory hyperpigmentation.

Micro-medical skin needling when conducted with the correct technique and sterile single-use medical devices is a procedure that can create multiple columns of physical stimulation in the dermis whilst leaving the epidermis intact helping enhance the safety and recovery profile of the treatment.

At the recent FACE conference on London I reviewed the medical device, the procedure, mechanism of action and anticipated results. A course of treatments are normally conducted at least 6 weeks apart and this can provide a good opportunity to carry out combination treatments.

I have combined micro-medical skin-needling with 35% Glycolic Acid peels and presented a study in 30 patients with atrophic box and rolling acne scars, the patients were of skin types III, IV and V, aged 20-35 years.

Method: Thirty patients of skin types IV, V and VI, aged 20-35 years, with atrophic box and rolling acne scars received 5 micro-medical skin-needling treatments, using the Dermaroller™ MF8 sterile single-use medical device, conducted 6 weeks apart. In addition five 35% glycolic acid peels were conducted between these procedures also 6 weeks apart.

Results: Good to excellent improvements were seen in the box and rolling acne scars. Patients experienced minimal downtime and no adverse effects were noted in any of the patients.

Conclusions: Micro-medical skin-needling using glycolic acid peels as an adjuvant for the treatment of box and rolling acne scars is an effective in-office/in-clinic procedure with an excellent safety profile that provides minimal risks of prolonged erythema (redness), scarring or post inflammatory hyperpigmentation or delayed hypopigmentation (light skin areas) even in Indian skin types.

I also conducted a brief micro-medical skin-needling demonstration to show the main techniques.

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Blog Comment(s) [6]

Hi there
I have severe acne scarring and hyperpigmentation on my face...with the result that I am unable to go without a concealer and a foundation. I have been for derma-abrasion and a few chemical peels- to no avail. I am embarrassed to date or get involved in a long-term relationship because of the scarring on my face. I need help and am seriously considering plastic surgery - even something like stitching in completely new skin over my old one...that's how desperate I am to make this change. Please help!

JB

I strongly concur with Dr. Sharad that micro-needling can be highly effective when combined with other treatments. I recently presented results of my own study at the International Master Course on Aging Skin (IMCAS 2011, Paris) showing that a spring loaded micro-needling device (derma-stamp) used in combination with topical preparations containing Retinol, Vitamin C, skin lightening agents, and Sea Sponge Collagen, was effective in 95% of cases. In the study, patient and psysician independent assessments scored significant or complete improvement in skin contour. This was supported by ultrasonic skin assessments showing on average a post-treatment 2-3mm increase in skin thickness. Some before and after results can be seen on our website (http://www.dralexchambers.co.uk/skin-rejuvenation/dermaroller-skin-regeneration-therapy.html)

Dr. Alexandra Chambers

Hi, what was the ph of glycolic acid you used?

Raj Kumar

Dear Dr Alexandra, Thank you for your comments.

Dear Dr Raj, 35% glycol acid by Neostrata was used, pH of which is 3.5

Cheers,
Jaishree

jaishree Sharad

Micro-needle therapy can rejuvenate one’s complexion and skin texture by relieving acne scars, wrinkles, fine lines, sun tanning and other irregularities of the uppermost layer of the skin. Chemical peels and a dermaroller gadget are used to conduct this therapy. The concentration of different chemical peels makes ideal for going at different depths of the epidermis to meet different problems. And the dermaroller devise uses multiple columns of needle to remove dead skin and timulate the epidermis. A number of cosmetologists and dermatologists have found this procedure worthwhile for positive reviews.

Geoff Rees

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Nice blog, good information given about medical skin needling. Was helpful. Thanks for sharing with us.

Rutuja Gupta, Member Since 23 January 2019