Microneedling on skin grafts/flaps in the face?

Question

Does this work? How long after surgery should I wait for treatment?

Anna Chacon, MD, FAAD · Answer

Thank you for your thoughtful question.

Microneedling can be a helpful option in improving the appearance, texture, and elasticity of skin grafts or local flaps after facial reconstructive surgery. It works by stimulating collagen production and promoting tissue remodeling, which may reduce the appearance of scars, uneven pigmentation, or textural irregularities that can result from graft healing.

Does Microneedling Work on Skin Grafts or Flaps?
Yes, microneedling can be effective, but its success depends on several factors:

The type and thickness of the graft or flap

The healing stage and vascular integration

The patient’s skin type and healing response

Results are typically gradual and require multiple sessions for best outcomes. It can help improve scar pliability, flatten raised scars, and soften textural transitions between grafted and native skin.

When Can You Start Microneedling After Surgery?
In general, you should wait at least 3 to 6 months after surgery before beginning microneedling, or until:

The graft or flap is fully healed and stable

There is no active inflammation, infection, or open areas

The surgical site has matured sufficiently to tolerate mechanical stimulation

Your surgeon or dermatologist should examine the site before starting to determine if the tissue is ready for treatment.

Final Thoughts:
Microneedling is often used as part of a broader scar management plan. If timed correctly and performed professionally, it can yield noticeable improvements in the cosmetic appearance of surgical grafts and flaps without significant downtime.

Marvin F. Shienbaum, MD · Answer

Microneedling on skin grafts or flaps in the face is generally not recommended.

Here's why:

Risk of disruption: Microneedling can potentially disrupt the healing process of skin grafts or flaps, leading to complications such as infection, bleeding, or scarring.
Sensitivity: The skin in these areas is often delicate and sensitive due to the surgical procedure, making it more susceptible to damage from microneedling.
Limited effectiveness: Microneedling may not be as effective in stimulating collagen production in skin grafts or flaps compared to healthy, intact skin.
If you're considering microneedling for your face, it's important to consult with a board-certified plastic surgeon or dermatologist who can assess your specific situation and recommend the best approach. They may suggest alternative treatments or techniques that are safer and more effective for your skin.

Viva Eve Dermatology - New York · Answer

Hi!
This is a great question! Generally, when the skin is healed and enough time has lapsed since your procedure, microneedling can be a great option for scarring, discoloration, and help with texture. Of course, an in depth, in person consultation will assist in formulating the best treatment plan for you, and if you are a candidate for microneedling. 
Best,Eleni SgantzosBoard-Certified Dermatology PA

Daniel P. Markmann, MD · Answer

Unfortunately, without photos, it is impossible for us to know what you are trying to make better.  Sorry

Microneedling on skin grafts/flaps in the face?

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Answer: Microneedling on skin grafts/flaps in the face?

Answer: Microneedling on skin grafts/flaps in the face?

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Microneedling on skin grafts/flaps in the face?

Answers (4)

Answer: Microneedling on skin grafts/flaps in the face?

Answer: Microneedling on skin grafts/flaps in the face?

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Recommended reading

Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.