What do you recommend for my skin after eclipse micropen elite for acne scarring!

Question

I have acne prone skin I’m on spironolactone 25mg a day . They recommend hylauoronic acid and vitamin C after microneedling I use Kiehl’s hyluoronic acid and vitamin C 12% on daily basis and it doesn’t irritate my skin. Is it safe to use it after the treatment or shall I apply nothing regarding my sensitive skin I’m afraid to breakout !

Jason Emer, MD · Answer

Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  Best, Dr. Emer.

Valerie Schneider, MD · Answer

Hello and thank you for this question. The best microneedling procedures provide an incredible human skin cell growth factor serum as part of the procedure and my treatments also provide a take home serum that lasts up to a couple months for continuing the repair process and adding back great texture, glow and conditioning of the skin. It does not sound like you had your microneedling with that type of product. I have been needling for many years with an amazing serum that is by a company called Omnibioceutical Innovations in Phoenix, AZ. Their serum is by far the best microneedling accompaniment you can get. Many of my acne patients are 30-40% better in the first day after the procedure. We have done well over 1000 microneedling procedures and everyone responds!
Best of luck
Sincerely,
Dr. Schneider

Shaun Patel, MD · Answer

I would not apply anything to your skin for the first 24 hours if possible. After this, I would recommend a gentle cleanser and post procedure product like Alastin's Regenerating Skin Nectar for 1-2 weeks. After the skin has healed completely, you can return to your normal skincare routine.

Christopher R. Macdonald, FRCS(Plast) · Answer

Thanks for the question. 
Microneedling creates microscopic channels down into your skin which are a brilliant way of delivering certain products directly into your skin. These take around 18 hours to close up. That means that if you put the wrong cream on your skin within the first 18-24hours it will be drawn deep into the skin and can cause permanent damage/granulomas etc. 
Only use products given to you by your doctor specifically for this purpose for the first 24 hours and then you can use your usual HA and Vitamin C from then onwards.
Good luck!
Dr Chris Macdonald

Davin Lim, MBBS, FACD - Account Suspended · Answer

For acne scarring, refer to the acne scars section in this forum. More specific answers can be given. Always treat the scar type with a method, and never try to fit a method to treat all scar types!Microneedling has come a long way over the past few years and can help skin via several methods. Firstly it releases cytokines and growth factors in the epidermis and dermis- the top and bottom layers of your skin. This in turn remodels scars and the dermal layer of the skin. Additionally needles can break up scars themselves. This leads to new collagen formation, and in practice can provide limited skin rejuvenation.

Microneedling is both user dependent and method driven. Simple needles can be used, growth factors can be added after the procedure, including PRP, or controlled heating during the procedure. This controlled heating is delivered via RF, and is called RF microneedling. RF can then be delivered via insulated or insulated needles. Even the energy level, depths, density, pulse duration and so many other variables can be controlled. This together with the added benefits of growth factor infusion makes this one of the most complex procedures in procedural dermatology. I use everything from Dermapen, though to newer generation insulated and non-insulated devices including INFINI micro-needling radiofrequency, Intensif and others. Newer generation devices can provide an added advantage in some, but not all patients. In my practice, I combine microneedling with many different forms of energy devices, depending on the expectations of the patient. Tailored microneedling combination will always give the best results.

Like most procedures, its 80% skill level of the specialist and 20% dependent on the brand of the energy device- microneedling system. All the best, Dr Davin Lim. Brisbane. Australia.

What do you recommend for my skin after eclipse micropen elite for acne scarring!

Answers (5)

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