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THE 3 TYPES OF MICRONEEDLING


March 23, 2020
Jennifer Stieber, NP
young woman receiving microneedling to help acne and acne scarring at SLK dermatology nashville

Did you know that there are 3 types of microneedling that have almost nothing in common with each other? Before choosing to undergo microneedling (or spending a lot of money on it), do your research and know the differences. Results can vary widely depending on which technique you receive.

1. Mechanical

Mechanical microneedling uses a motorized pen with tiny slender needles to create thousands of channels that are up to 2.5 millimeters deep. These channels disrupt photo-aged, wrinkled, or scarred tissue to allow for remodeling of new skin to occur. This type of microneedling creates the most channels per square inch of skin. Because of this, patients do experience a mild amount of bleeding and redness. This is the most popular type of microneedling because it is both relatively economical and it is an excellent maintenance treatment for delaying the aging process.

Good candidates: Individuals desiring to correct wrinkles or scarring. Individuals looking to lighten brown pigmentation. People with crows feet, forehead lines, or lip lines, people with body scars or acne scars.

Examples: SkinPen Precision, MDpen, Skin Stylus

woman in her 50s receiving microneedling to help wrinkles and tighten skin at SLK dermatology nashville

2. Fractional radiofrequency

Fractional radiofrequency microneedling uses thicker needles to transmit heat deep into the skin. The basis of this therapy is thermal coagulation of tissue to stimulate collagen denaturation and renewal. Radiofrequency (RF) microneedling generates many less microchannels than mechanical needling, thus it should be thought of as a heat-based therapy. Unlike microneedling pens, this therapy involves no bleeding and no downtime. The main goal of RF is to lift the skin and thicken the collagen, whereas mechanical microneedling plays a greater role in resurfacing the upper layers of skin.

Good candidates: Radiofrequency microneedling is desirable for people who want to tighten, lift or contour their skin. It is effective for scar reduction as well. The heat damages oil glands so RF microneedling is also effective for reducing acne and shrinking oil-producing pores.

Examples: There are a handful of RF devices on the market. Endymed Intensif, Secret RF, Vivace, Virtue RF, Morpheus8

3. Mesotherapy

Mesotherapy is the least invasive of all the needling options. This minimally invasive option only affects the very topmost layer of skin, about 600 micrometers deep which is very superficial. Mesotherapy increases the permeability of the stratum corneum, allowing skincare ingredients to penetrate a little bit deeper. Typical skincare products applied during mesotherapy include hyaluronic acid, Vitamin C, or Botox. The results are akin to a facial

Good candidates: People who are relatively happy with their skin who are looking for an extra boost or glow for a few days. People preparing their skin for a big event like a wedding or vacation.

Examples: Aquagold, stamps, dermarollers

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