Microneedling is a cosmetic procedure that involves the use of small needles to create tiny punctures in the skin. However, if you have immune thrombocytopenia, a condition characterized by low platelet levels in the blood, it's important to exercise caution with any procedure that can potentially cause bleeding or bruising, including microneedling. Low platelet levels can increase the risk of bleeding and may lead to complications during and after microneedling. Therefore, it's crucial to consult with your hematologist or primary care physician to assess the safety of microneedling in your specific case. They can provide guidance based on your platelet count and overall health status to ensure your safety and well-being during any cosmetic procedure.