Micro-Needling is a form of Collagen Induction Therapy (CIT) which is performed by a physician in the office setting. CIT creates controlled injuries underneath the skin’s surface. These controlled injuries induce the body to respond through the formation of new tissue including collagen and elastin. In addition to inducing neocollagenesis, the channels made from the micro-needles allow topical serums to be absorbed more effectively through the top layer of skin to optimize outcomes. I frequently capitalize on this opportunity to perform the procedure using platelet-rich plasma (PRP) which can dramatically enhance outcomes through the addition of the patient's own super concentrated growth factors. Micro-Needling is fantastic for helping improve fine lines (to moderate wrinkles), uneven texture of the skin, moderate skin laxity (looseness), diminished texture, tone, color, or 'no glow,' atrophic (depressed) acne scars, sun damage, and even stretch marks and traumatic scars. For the area around the nose, as in this question, I would likely customize the treatment with strategically placed micro-concentrated Botox and possibly small amounts very superficially placed dermal filler to achieve an optimal cosmetic outcome.