Is this damage on my neck from dermarolling? (photo)

Dear patient, Dermarolling with smaller needles (less than a millimeter in length) is generally very safe. I am not familiar with your past medical history and have not seen your before photos but don't t believe the damage seen here is from micro-needling. I treat lines on the neck with a combination of fine fillers such as Restylane and several sessions of fractional resurfacing with Mixto Co2 laser. Non surgical options such as Thermage CPT and Ultherapy can also be helpful and are second line options in my practice. I hope this was helpful. Yours Dr David R.