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Dermaroller for acne scars?

  • 4 years ago

Is Dermaroller aka skin needling an effective treatment for acne scars? I don't know much about it but wondering if it works and how it compares to other acne scar treatments like lasers, peels, subcision, fillers, etc. Anyone tried it or have suggestions?

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Derma Roller At Home Demonstration
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I am not a strong believer in dermarolling, especially for conditions such as acne or rosacea where the skin is already potentially inflammed, irritated or compromised with bacteria. Try copper peptides + alpha arbutin with a gentle home acid/enzyme peel containing some kojic acid.
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Did you have your treatment carried out professionally or do it yourself at home? The are special techniques for scar treatment, as well as scar serums which also help. If you carried out the treatment at home I think you may be better off going to a professional.
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Derma roller didn't really work for me. I wonder who's in favor of this product
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Hi there,

First some background info. Im a 24 yo female, I've suffered from mild-severe acne since my teens. After years of trial and error I finally have my acne under control, and started to notice the scarring left and the uneveness of my skin tone from the acne. I started asking around to find out about treatments and dermaroller was recommended to be by the dermatologist who also recommended the product that finally got my acne under control so thought I'd give it a go. She did warn that my skin time was unlikely to improve and may in fact worsen, but I trust this dermatologist so went ahead with it. She recommended at least 3 treatments to start with 4-6 weeks apart, then if my scarring was improved I could decide how to go on from there. The procedure is a little uncomfortable, your face is numbed before hand but the sensitive parts such as over the nose do still sting. I went home looking sunburnt, this lasted about 2 days. After a week or so my skin began to feel tight and flaked in places where my scars were deepest but a good moisturiser helped this. Just as my skin began to look healthy and renewed it was time for my next treatment. afterwards is was the same as before. My 3rd treatment and last treatment was in April and the results have been great. But I know it differs for everyone. Each week I notice some improvement and was told before hand it would be 6 months or so after my treatment that I noticed the best improvements. I would definitely recommend dermaroller treatment, it isn't cheap but unfortunately these things never are and its worth it for the confidence to go out with less makeup on everyday
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Hi, I know it's been awhile since you posted this. I'm wondering I you're still happy with the results? What kind of scarring did you have? When did you start seeing a real improvement in the scars (ie after the second treatment, etc)? Have some scars really 'filled' in? I'm about to have my first treatment and am just trying to manage my expectations. Thanks!
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Hi

I would like to bring my personal experience to his topic.

I have had very serious acne in my 20's, wich left me with deep icepicks, rolling scars, boxscars and loss of fat.

I have had a great numer of treatments ;
at 28 : subcision (minor improvement on rolling scars)
at 33 : punch grafts (good improvement on icepicks) and C02 ( not any good, even made skin worse)
at 36 for 2 years : dermaroller

The dermaroller is the procedure wich made the biggest difference. All rolling scars are gone, and skin is in better health

Mind you, I had dermaroller treatments evey 2 months for 2 years, at Hammersmith hospital in the UK. So progress was slow, but still I could see visible improvement after the 3d time.

Now, even people who don't know I've had the treatments are amazed at how my skin has improved (and this is from guy buddies, so you know it has to be true for them to talk about it)

You have to know that every skin is deifferent, but in my case dermaroller has worked wonders compared to the very slim improvements from other procedures.

If you have had litle success with other procedures, I would advise you to look into it. Just remember to be patient, and if you do it yourself use a 1.5 mm DM and carefully follow instructions on disinfecting your work environment.
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i haven't really tried dermarolling because i'm scared of what might be the effect on my skin. i'm now on Metaderm scar lightening cream. so far there have been improvements and i am patiently waiting for a complete result. thank you for all the information though on dermarolling!
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No pictures, and I kind of wish I had taken them. I see that my face is smoother and my pores are tighter but I don't know exactly how much because I didn't take a comparison shot. I also get comments about my skin which lets me know there has been a significant improvement too.

Frequency of use depends on the length of the needles being used. I use 1.5mm so I roll every 4-6 weeks for half the year then I let my skin rest.
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Thanks Erie for the updated on how you are doing and glad everything is going well. Please continue to be such an active part of the community helping others. 

Thanks,

-Britt

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Ooops, one correction I meant "mm" (millimeters) not centimeters.
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Great information, do you have pictures? How often can you use the roll?

Thanks,

-Britt

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Why pay a Dr? This is a silly question! Do you know and understand all of the contraindications of skin needling? You may be advocating its use to people with diabetes, who have compromised vascular systems, have suffered from skin cancer, have recently had laser / Botox, are using blood thinning drugs, suffer from keloid scars.......... The list goes on! Do you know the max amount of Lidocane that should be used on the skin, or what to do if somebody suffers from respiratory depression when the cream is applied? Also, how do you know what your roller from the Internet is made of? Is it CE stamped? Using dodgy rollers can cause scarring! Also, have you been trained in the correct way to use a roller over box scars as opposed to pox or ice pick scarring? Do you know the clinical end points to look for when needling? No, thought not! Don't think you're trained to use a dermaroller because you've read the leaflet and watched a video on YouTube. I have seen so many bad technique videos posted online it's frightening. You only get one face, spend the money and get your needling done properly! Stephanie - founder of Roller Girl Skin Needling (UK)
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Here are medical expert opinion on dermaroller for acne scars

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Dermarolling: I've heard cases where it actually caused more scarring. My course of needling, done by a dermatologist, did not give me any improvement and I thought it made some of my scars worse. I do have deeper ice pick, box car type of scars. Needling by a dermatologist is also not as cheap as they clam. Average needling cost for a 5-course session cost about $2000 USD in Asia where as Fraxel Erbium can be had for $100 per session or package deals are available for 4 session for $300 USD. Fraxel CO2 now cost about $300 - $500 USD here in Asia. I would suggest people who are considering needling to ask as many dermatologist in real life as possible. Do listen to the experiences of people online but do NOT base your decision on he say/she said or that ONE publication from South Africa dermarolling companies have been toting for years - consider the thousands of publications on effectiveness of various lasers and even TCA and subcision. There is no one true solution for all types of scars, but there are solutions and combination of solutions that maybe most effective for certain type of scars. I believe that needling does not help deep scarring. I also believe that an aggressive TCA session or CO2 Fraxel will give much better result than needling.
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Why do I feel the same?
I just felt that my scars is getting worse after dermaroller. At least I didnt see any improvement at all...
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I know this post is old, but in the years since it was written there have been a plethora of studies showing the long term damage caused by Fraxel and other types of laser to the skin, including wasting, sagging skin and loss of pigment.
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Hello, I would love to comment on skin needling or dermarolling as you call it in the US. I have a few conditions which I am treating with skin needling / collagen induction therapy. I have: 3 large and deep chicken pox scars on my forehead, mild acne scarring on my cheeks which is slightly pitted and a light purple in colour and enlarged pores. I have had only two sessions 2 months apart which consists of full face needling via a roller and the chicken pox scars are treated using a tattoo gun (minus the ink!). The most dramatic improvement has occurred with the chicken pox scars which have decreased in depth by at least half and decreased in diameter, I would guess around 30%. It seems that the tattoo gun has released the scar and it is now healing itself with new collagen. I am very happy with the result. The skin needling on the cheeks has also improved in both the pitting of the acne scars and the colour is fading too. I still have some way to go with this aspect, however like I said I have only had two sessions. I have noticed an improvement in the tone of my skin's pores however I am not sure if this is due to the needling or a fabulous skin exfoliator I have found which is 2% BHA acid. I would recommend this treatment if you have similar problems but would advise that you go to someone experienced in this type of scarring and also to be very patient. Each treatment takes 3 months to complete its healing and found that leaving 2 months between treatments to be working for me so far. I also help the surface of the skin along by alternating my needling with a medium strength Salcylic Acid peel. I am in Australia, I pay A$330 per needling treatment and A$90 per peel.
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hi i am just wondering where you get the needling done in australia ? regards,
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lola88 I love pubmed and have read everthing I can about all the above... I think derma roller ect is a good option...But also think ablative is better than fractionated at this point...The technology is new and not mastered..It's based and relies on normal immune response and transdermal elimination....They say that only 30% are candidates for this procedure but I bet more are treated with fractionated because of the profit margin... I think it causes to much thermal damage in some around the micro hole that many are unable to repair for multiple reasons.... These cases are not being reported delaying improvement of the technology and treatment protacols and selection of patients... Too little is know about the complexities of wound healing to be experimenting on such a broad spectrum of people so casually with powerful lasers so deeply... If they really knew there would be scarless healing... Marketing,Money and technology are way ahead of medicine in this regard and too many people are having late onset complications that are not reported so they can improve the treatments..... This is not what medicine is supposed to be!!! Especially non life substaining that shouldn't be experiamental in a patient setting in anyway that is marketed directly to the public as safe no downtime and no risk.... This is business and greed at doctors and patients expense so a few can line their pockets...It's a sad day for medicine and science in my opinion...
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yeah u r right these things are so expensive. now a have a question about derma roller laser, as i have pimples and small scars on my skin can i do drama roller on it or i should wait for clean skin. secondly how much time it required for recovering my skin after derma roller as m getting married in December. Is my skin ll be clean from red spots and scars or not. and what are trhe side effects of derma roller and ablative eburiem laser. thanks need all of your's suggestion and those who have strong knowledge and research on it.
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I found this interesting and somewhat convincing data at pubmed.gov: BACKGROUND: Skin laxity, rhytides, and photoaging are generally treated by ablative procedures that injure or destroy the epidermis and its basement membrane, at least in the beginning, and subsequently lead to fibrosis of the papillary dermis. The ideal treatment would be to preserve the epidermis and promote normal collagen and elastin formation in the dermis. Percutaneous collagen induction takes us closer to this ideal. METHODS: The authors performed a retrospective analysis of 480 patients in South Africa and Germany with fine wrinkles, lax skin, scarring, and stretch marks treated with percutaneous collagen induction using the Medical Roll-CIT to produce tighter, smoother skin. Most patients had only one treatment, but some have had as many as four treatments. Patients were prepared with topical vitamin A and C cosmetic creams for a minimum of 4 weeks preoperatively. RESULTS: On average, patients in Germany rated their improvement between 60 and 80 percent better than before the treatment. Histologic examination was carried out in 20 patients and showed a considerable increase in collagen and elastin deposition at 6 months postoperatively. The epidermis demonstrated 40 percent thickening of stratum spinosum and normal rete ridges at 1 year postoperatively. CONCLUSIONS: Percutaneous collagen induction was started in 1997 and has proved to be a simple and fast method for safely treating wrinkles and scars. As opposed to ablative laser treatments, the epidermis remains intact and is not damaged. For this reason, the procedure can be repeated safely and is also suited to regions where laser treatments and deep peels cannot be performed. I'm planning on trying this for acne scars. I will post information regarding my experience as soon as I begin. Oh, and one more comment, I am disappointed at some of the answers posted here. They're either opinions based on expert assumptions, no real experience or evidence to back up such assumptions, or layman assumptions... Anyway, I'm just began my research and I will continue posting as my research progresses...
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