I'm sorry to hear you're dealing with these complications. While needle-based treatments like M8 microneedling are generally well-tolerated, adverse effects like prolonged healing, scarring, or post-inflammatory hyperpigmentation (PIH) can occur. Here's an overview and some steps to consider: Understanding the Issue: Needle Mark Indentations: Scarring or residual needle marks could indicate an unusual healing response, excessive trauma during the procedure, or an infection during the healing process. PIH: This is a common side effect, especially in skin types prone to pigmentation changes after inflammation. It can be exacerbated if post-procedure care wasn't optimal. Worsened Texture: This may be due to improper technique, device settings (e.g., needle depth, speed), or a mismatch between the treatment and your skin's needs. Suggestions for Management: Consult a Specialist: Dermatologist: Seek a second opinion from a dermatologist experienced in treating post-procedure complications. They can evaluate whether the needle indentations are true scars or temporary textural changes. Procedural Review: Ask the clinic for details about the settings used during your M8 treatment (needle depth, passes, pressure) to ensure they were appropriate. Advanced Treatment Options: Microneedling or Laser Treatments (with Caution): Once the skin has fully healed and under professional guidance, additional treatments may help remodel scar tissue. Chemical Peels: Gentle peels can help with PIH but must be approached cautiously to avoid worsening sensitivity. Subcision: For deeper scars, this technique can release tethered scar tissue. Topical Treatments: Growth Factors and Peptides: Continue using growth factor serums, as these can support wound healing. Retinoids: Gradually introduce a mild retinoid (like tretinoin or retinol) to stimulate collagen remodeling, but avoid if the skin is still inflamed. Hydroquinone or Azelaic Acid: For PIH, these can help lighten dark spots, but they should be used under supervision. Avoidance of Triggers: Sun Protection: Use broad-spectrum SPF religiously to prevent worsening PIH. Harsh Products: Avoid products with alcohol, fragrances, or acids that could irritate the skin further. Supportive Therapies: LED Light Therapy: This can help with inflammation and healing, but results may plateau over time. Professional Facials: Hydrating or collagen-stimulating facials may offer mild improvement. Monitoring: If no progress is made within 4-6 weeks of additional intervention, reassess with your specialist. Recovery from skin treatments is highly individual, and adjusting the strategy is often necessary. I am in Los Angeles area and it would be my pleasure to work on you. I can give you a 35% off treatment for 1 session. Please reach out to my office 310.772.0072 and schedule your appointment with me. When you call please let my staff know that you found me from realself.com This way I will know to give you that 35% off your first session with me for Morpheus 8.