Can microneedling help Poikiloderma de Civatte? If so, what depth and number of treatments are recommended?

Hello CentralCoast.  Microneedling will absolutely NOT help with Poikiloderma.  Poikiloderma is one of the most difficult to treat conditions in all of cosmetic dermatology.  It is very resistant to treatment, but a series of pulsed dye lasers and IPL treatments can improve it.  Microneedling is for texture issues like acne scars and would not improve the condition.  

The gold standard for poikiloderma of civatte is vbeam laser. We perform the laser sessions often with excellent longterm results. In addition, I would use a retinoid cream to help stimulate exfoliation based on our Rapid Exfoliation Protocol. Best, Dr. Karamanoukian

Thank you for your question. This is difficult to answer without pictures and needs an in-person evaluation. Hyperpigmentation from any type needs a combination approach of peels like cosmelan, lasers like clear and brilliant and aerolase or laser genesis, radiofrequency like venus viva, and constant skin care and sun protection. Bimontly facials with silk peel dermalinfusion is essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin. If you have acne you can do additional treatments and peels to get more improvement.I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer