What is the best advice to avoid granulomas with microneedling?

Good question. Technique is everything. Some providers move their microneedling pen back and forth abrading the skin and causing damage. A gentile up and down motion just touching the skin avoids causing injury and granulomas. Depending on what your trying to achieve and the type of skin a provider should go to the correct depth. Avoid perfumes and makeup  for several days after. Hope this is helpful. JB

Hello there,
      If proper technique and post-treatment care is taken, granulomas should never be an issue. We use a Skinfuze line of products that are designed for use after treatment. If a patient uses this line of skincare, it GREATLY reduces the risk of granuloma. I would recommend discussing this with your provider if you have more concerns. Hope this helps. 
Sarah RN BSN