{"id":21023,"date":"2021-10-15T09:58:06","date_gmt":"2021-10-15T16:58:06","guid":{"rendered":"https://www.realself.com\/news\/?p=21023"},"modified":"2024-02-16T09:47:28","modified_gmt":"2024-02-16T17:47:28","slug":"dermal-micro-coring","status":"publish","type":"post","link":"https://www.realself.com\/news\/dermal-micro-coring","title":{"rendered":"Dermal Micro-Coring Is the New Skin Treatment Derms Are Buzzing About"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p>In an industry where new devices and treatments continuously hit the market, dermal micro-coring&mdash;a procedure that&rsquo;s just starting to gain popularity in derm offices across the country&mdash;stands out because it truly is unlike anything else out there. &ldquo;We have things such as laser energy, microneedling, radio frequency, and ultrasound, but micro-coring is an entirely new class of treatment devices. It&rsquo;s a mechanical way of achieving skin tightening without using any type of energy&mdash;and without having to go straight to surgery,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/amelia-k-hausauer-campbell-ca\">Dr. Amelia Hausauer<\/a>, a board-certified dermatologist in Campbell, California. The premise is fairly simple, and while it&rsquo;s still the new kid on the block (none of the doctors we spoke with even had a pricing model for it yet), the results are pretty promising. Here&rsquo;s what you need to know.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><a class=\"button\" href=\"https:\/\/www.realself.com\/find\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-what-is-micro-coring\">What is micro-coring?<\/h2><p>&ldquo;Micro-coring involves removing tiny pieces of skin, essentially taking multiple punch biopsies. You&rsquo;re reducing the overall surface area so that when the skin heals it&rsquo;s tighter,&rdquo; explains Dr. Hausauer. &ldquo;It&rsquo;s not unlike what happens during a facelift, when the skin is cut and redraped. In this case, it&rsquo;s just happening on a microscopic level.&rdquo;&nbsp; It&rsquo;s also similar to microneedling, in that microscopic holes are being created in the skin. The key difference? In the case of micro-coring, the skin that was in those holes is actually taken out, because the needles used are hollow.<\/p><p>If the idea of having &lsquo;cores&rsquo; of your skin removed freaks you out, keep in mind that these are miniscule, microscopic amounts we&rsquo;re talking about. &ldquo;You&rsquo;re taking sections of skin that are only about half a millimeter, so small that it doesn&rsquo;t even leave a visible scar,&rdquo; notes <a href=\"https:\/\/www.realself.com\/dr\/mathew-m-avram-boston-ma\">Dr. Mathew Avram<\/a>, a board-certified dermatologist in Boston. (The needles used go through the epidermis and dermis only and don&rsquo;t penetrate into the deeper structural layers of the skin.) But those tiny amounts still add up. Both doctors we spoke with say that you can end up removing around 5% of the skin in any given area during one micro-coring treatment.&nbsp;<\/p><p>The secondary mechanism of skin-tightening action, at least theoretically, is that removing the skin in this type of controlled manner stimulates a wound healing response, in turn triggering the production of collagen, notes Dr. Hausauer. (This is the same premise behind many other cosmetic treatments, including lasers and microneedling.) However, while histology studies did show an increase in collagen production, there was no increase in the production of elastin, points out New York City board-certified dermatologist <a href=\"https:\/\/www.realself.com\/dr\/sheryl-d-clark-new-york-ny\">Dr. Sheryl D. Clark<\/a>. How that translates to real-world results remains to be seen, she adds.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/CUsOLGYltmB\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/CUsOLGYltmB\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/CUsOLGYltmB\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Mathew Avram MD (@mathew_avrammd)<\/a><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><h2 class=\"wp-block-heading\" id=\"h-what-kind-of-results-can-it-deliver\">What kind of results can it deliver?<\/h2><p>There&rsquo;s currently only one FDA-cleared device on the market; the Ellacor system with micro-coring technology from Cytrellis <a href=\"https:\/\/www.dermatologytimes.com\/view\/ellacor-system-cleared-by-fda\" target=\"_blank\" rel=\"noreferrer noopener\">was cleared for the treatment of moderate to severe wrinkles in the mid- to lower face this past summer<\/a>. (However, Dr. Hausauer notes that another device, which takes slightly larger-sized pieces of skin, is currently in clinical trials, to address wrinkles and laxity on the neck and chin.) Both doctors we spoke with say Ellacor&rsquo;s results&mdash;when it comes to improving both wrinkles and sagging&mdash;are impressive. They also note that, while multiple treatments often do equate with better results, patients may notice a significant improvement even after just one session. Also noteworthy? Those results show up fast. Most people start to see some tightening as soon as the skin has healed and the holes have closed up, usually within 60 to 90 days, says Dr. Hausauer.<\/p><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-who-is-a-candidate-for-micro-coring\">Who is a candidate for micro-coring?<\/h2><p>There&rsquo;s been some talk of micro-coring as a facelift alternative, but Dr. Avram cautions that the two definitely aren&rsquo;t equal. &ldquo;Micro-coring isn&rsquo;t going to yield the same results as a facelift. That being said, it can be a good option for patients who either don&rsquo;t want or don&rsquo;t need surgery but do want to see a recognizable, clear result&mdash;which micro-coring can deliver, in the right patient,&rdquo; he says.&nbsp;<\/p><p>Dr. Hausauer adds that, like many other treatments, it can also be a good preventive option. &ldquo;It definitely can play a role for younger patients, those who are noticing slight changes and want to stave off or prevent future surgical intervention.&rdquo; Similarly, &ldquo;Micro-coring also yields a much more natural-looking result than surgery. Couple that with the reduced risk and recovery time, and this is a procedure that can be accessible to a very broad age group,&rdquo; adds <a href=\"https:\/\/www.realself.com\/dr\/dendy-engelman-new-york-ny\">Dr. Dendy Engelman<\/a>, a board-certified dermatologist in New York City.&nbsp;<\/p><p>It bears mentioning that the clinical trials for Ellacor were conducted on Fitzpatrick skin types I&ndash;IV, says Dr. Avram. However, he adds, the fact that there&rsquo;s no energy involved does somewhat mitigate the risk of hyperpigmentation, which can be a concern for those with darker skin. Dr. Clark agrees with this point, saying that she thinks micro-coring will be a strong option for dark-skinned patients.<\/p><h2 class=\"wp-block-heading\" id=\"h-what-are-the-procedure-and-recovery-like\">What are the procedure and recovery like?<\/h2><p>A micro-coring machine is small and features a handpiece that&rsquo;s not unlike those used in microneedling. As mentioned, the needles are hollow and small&mdash;22 gauge, says Dr. Engelman, who says those used for Botox are usually 30&ndash;32 gauge. (The higher the gauge, the smaller the needle.) It works extremely quickly to punch out and remove the micro-cores of skin. According to Dr. Avram, a micro-coring treatment takes only 30 minutes on average and is performed under local, injectable anesthesia. Expect three to four days of downtime&mdash;swelling, redness, and potential bruising. You&rsquo;ll also want to keep your skin-care routine mild and minimal. Dr. Clark recommends using only a gentle cleanser, Aquaphor, and a mineral-based sunscreen as well as steering clear of makeup until the holes have closed up, which typically takes about a week.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><a class=\"button\" href=\"https:\/\/www.realself.com\/find\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-what-s-the-future-of-micro-coring\">What&rsquo;s the future of micro-coring?<\/h2><p>The doctors we spoke with were enthusiastic about this new treatment. &ldquo;A cautious approach is still merited, and we need more studies,&rdquo; says Dr. Avram. &ldquo;But this is a new device and new technology that I think has the potential to make a significant difference in facial wrinkles and laxity, and it&rsquo;s an exciting time to explore how it can help that happen.&rdquo; Dr. Hausauer predicts that the number of areas where micro-coring can be performed will continue to grow. That includes not only the chin and neck (notoriously tough areas to treat) but also other spots with a propensity for laxity, such as the eyelids. &ldquo;There&rsquo;s also the potential for applications beyond the face and on the body, on areas such as the upper arms and inner thighs,&rdquo; she adds.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dermal micro-coring is starting to gain popularity in dermatologist offices because it is unlike any other treatment out there. Here&#8217;s why.<\/p>\n","protected":false},"author":143,"featured_media":21024,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9071,22340],"tags":[120],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dermal Micro-Coring: a Nonsurgical Facelift Alternative? | RealSelf News<\/title>\n<meta name=\"description\" content=\"Dermal micro-coring is starting to gain popularity in dermatologists&#039; offices because it is unlike any other treatment out there. Learn why.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https://www.realself.com\/news\/dermal-micro-coring\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dermal Micro-Coring Is the New Skin Treatment Derms Are Buzzing About\" \/>\n<meta property=\"og:description\" content=\"Dermal micro-coring is starting to gain popularity in dermatologists&#039; offices because it is unlike any other treatment out there. 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