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

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.