Is there a maximum number of microneedling sessions?

Question

I’ve had 5 microneedling sessions for scarring each 4-8 weeks apart. The results have been moderately positive. The last few sessions I had light TCA peels between microneedling appointments and saw more improvements. I was wondering, though, if microneedling is like TCA peels where I should eventually take a break and let my skin rest. My treatments haven’t been done by medical professionals and obviously there’s a profit motive, so I’d love to hear from a dermatologist. Thank you!

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Gianfranco Frojo, MD · Answer

First of all, please see a board certified specialist in this area or at least an office supervised by one. Microneedling and TCA peels require time for the skin to recover, especially with stronger TCA peel depth. The process may seem easy but to obtain optimal results, please consult with an expert in this area to prevent potential challenging problems like scarring or pigment changes.

Nelson Lee Novick, MD · Answer

Professionally performed microneedling performed by a board certified cosmetic dermatologist is best reserved for treating superficial surface textural and color irregularities, rather than as a monotherapy for deeper scars or wrinkles, for which it often pitched by non-medical venues and medspas. However, even in exprienced hands, it is seldom a one-off procedure, and optimal results, in my over twenty-three years of performing it, in the vast majority of people requires between two and six treatment sessions, spaced preferably at approximately six week intervals (to allow sufficient time for new collagen and new elastic fiber synthesis. An approximately 60-80% improvement is a realistic expectation in the vast majority of cases. Hope this helps. Best of luck.

Anshul Gambhir, MD · Answer

Hi, thank you for your question! I would recommend spacing your microneedling sessions out every 6-8 weeks. The average amount of sessions that I recommend for scarring is between 5-6 sessions, some scars may be more than that. I would also recommend a peel in between treatments. Your provider should re-evaluate after each session to see if another one is needed.

Is there a maximum number of microneedling sessions?

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Is there a maximum number of microneedling sessions?

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