Can aggressive microneedling cause facial fat loss? two sessions done 6 months ago and face is significantly thinner.

Question

I had two regular MN sessions six months ago (2mm and 1.5mm) and although I have gained weight since then, my face is significantly thinner with an odd orange peel like texture since then. Skin is definitely far worse and even NP agrees. Is it possible she went too deep? This depth was used everywhere except forehead and around eyes. I’ve read fat cells can atrophy to some degree when there’s an injury even without heat.

Roberta Huang, MD · Answer

Hello Marissa 29906,Microneedling creates tiny microinjuries to the epidermis and dermis. Depending on the Fitzpatrick type of your skin (a scale used for categorizing color of skin) you can hyperpigment or have darkening of skin. This is usually temporary and the use of retinol/hydroquinone topically helps speed up the process. Microneedling stimulates collagen and is not known to cause thinning and atrophy of skin. My best guess is that your fat pads are starting to drop.

Can aggressive microneedling cause facial fat loss? two sessions done 6 months ago and face is significantly thinner.

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