Microneedling has become the most popular procedure for many skin conditions, such as enlarged pores, fine lines, perioral rhytides, wrinkles, minor sagging, pigmentation, many types of scars including acne scars, striae and stretch marks on any part of the body. There are many different types of microneedling devices such as Intensif RF microneedling, and microneedling without heat such as skinpen, dermapen, cosmopen and collagen PIN. Microneedling procedures in certain states like MA are regulated and have to performed by qualified individuals ( is outside the scope of practice of Estheticians and Registered Nurses in MA). The Microneedling procedure can be combined with other procedures such as Micro-dermabrasion, Peels, Lasers, Subcision, Platelet rich plasma, Botox, Sculptra and Hyaluronic acid. It is also used to enhance the delivery of drugs for many other pathological skin conditions. The most common side effects are pain, erythema, bleeding and swelling. Some rare complications such as infection, herpes simplex, scarring, hyperpigmentation and granulomas are also reported. The keys to minimizing side effects would be - detailed medical evaluation with your physician prior to the procedure, preparing the skin for better results, using strict aseptic techniques while performing Microneedling and following post procedure guidelines devised by your physician.