67 years old with thinning skin. Can I use the Derma Roller and get good results or am I past it?

I ask my patients to use tretinoin after skin rolling- micro needling, however the rate limiting factor is skin irritation. On this basis I get them to use Vitamin A 2-4 days after. When one needles to create channels, in theory we would like penetration of the vitamin A - tretinoin-...

I personally would recommend a 0,5 mm roller for home use. Anything approaching 1 mm will require numbing cream and antibiotics afterwards as you will bleed. I like a once to twice a month regime for my patients to do 'home work' in between energy based micro needling devices. See more...

Great idea! I often give my patients 'home work' in between laser sessions or energy based micro needling that I perform, and yes, the use of vitamin A cream such as tretinoin is great.I like to stop the cream the night before and recommence 3-5 days after, or skin irritation will occur. This...

The answer is 'usually safe'. Lupus can Koebner, i.e.. any trauma can evoke your body to produce lupus on your skin. If you use a 0.5 mm needle conservatively it is unlikely. For all my lupus patients, I usually perform a test spot, or a very gentle treatment. You should be under the guidance ...

OK, the technique is very important. Best if someone rolls for you (preferably professional) if not brother, sister, neighbour.... but you need counter traction in some areas and pinching up in others. By stretching your skin and applying firm pressure, it will help. Needle depth is vital....

Thank you for your question. Derma roller is very good for acne scars as it can improve the texture and the appearance. The length of the needle all depends on what reaction you will have. Derma roller should be from .5-1.0 in length. With home derma rollers all you should experience...