How long before microneedling do I need to stop using hydrocortisone (steroid cream)?

Hello,There is no neeed to stop hydrocortisone cream prior to Microneedling. I am curious to know why you are using hydrocortisone cream on your face and neck?Dr Farole

I do not stop any creams before microneelding , IN FACT monthly I have people do AERIFY a few days before microneedling or immediately after to improve the outcome. you can do even stronger peels like enlighten or cosmelan if you want more results. also, you should be dermarolling weekly.

at home peels like cosmelan, enlighten and aerify along with dermarolling (emerageskin roller with anteage MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Please ensure you are using the absolute lowest potency steroid if you have to use it at all and that you're being monitored closely by a Dermatologist to determine if you need to be on the steroid and when to stop it. The skin on the face is very thin and absorbs more steroid than thicker skin areas (like the back) and is therefore very susceptible to side effects of atrophy - further thinning of the skin, telangiectasias - small blood vessels, and even dermatitis. I would not microneedle the skin if you're using topical steroids and would likely wait for at least 8 weeks after discontinuation before reevaluating and considering microneedling.