What needle length can be used under the eyes in microneedling?

Question

My microneedling provider, who seems knowledgeable and competent, will only use .25mm under my eyes. While I appreciate her caution, I also want results for lines under my eyes and have read elsewhere that longer needles can be used. I already use tretinoin but it's not keeping up with the under-eye wrinkles. Thank you for your input.

John L. Burns Jr., MD · Answer

The under Eye area tends to bruise and take longer to heal.  The skin is also very thin so deeper treatments are not needed.  0.5mm in 2-4 passes should be adequate.

Douglas Wu, MD · Answer

Very good question. Keep in mind the skin underneath the eyes is some of the thinnest and most delicate, so a gentle approach tends to produce the best results. While it is a good idea to limit the needle length, you can enhance the effects of your treatment by adding another technology like radiofrequency to the mix. This treatment delivers RF heating to the underlying dermal structure, where it constricts tissue and stimulates more collagen production. The result can be smoother skin with a visible reduction in wrinkles. Always work with a board-certified dermatologist with extensive experience treating the sensitive area under the eyes to ensure your procedure is both safe and successful.

Stephen Giordano, DO · Answer

Hi! Thank you for the question! The under eye area is more sensitive and needs to be treated with caution to avoid swelling and bruising. I typically use depths between 0.3-0.5 in this area. I hope this helps. Best wishes!

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there,
      I have used up to 1 mm under the eyes, depending on the patients' skin, age, health, and history. This will typically result in greater downtime, but definitely increases results in this area for patients. Most commonly I use .5 mm in this area, with a large number of passes to increase the amount of skin treated. Good luck!
 Sarah RN BSN

Lindsay Sturm, DO · Answer

Great question, thank you!  Typically you don't want to use needles that will go any deeper than 0.5mm.  You can improve on your results by adding platelet rich plasma (PRP) to your treatments or radio frequency with the microneedling. Both help to accelerate your healing and improve your results. Thanks again for your question.  Best wishes, Dr. Lindsay J Sturm

What needle length can be used under the eyes in microneedling?

Answers (5)

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