When considering using a derma roller on skin with comedones, it's important to proceed with caution. Derma rolling, or microneedling, can potentially aggravate the skin if there are active comedones or acne present. This is because the process involves creating tiny punctures in the skin, which can introduce bacteria into the skin and potentially lead to increased breakouts or infections. Here are a few considerations: Consult a Dermatologist: Before starting any new skin treatment, it's advisable to consult with a dermatologist. They can assess your skin condition and recommend the best course of action. Treat Active Comedones First: It might be beneficial to focus on treating the comedones before using a derma roller. This can include topical treatments or other dermatological procedures to clear the skin. Risk of Breakouts: Using a derma roller on skin with active acne can increase the risk of spreading bacteria and causing more breakouts. Alternative Treatments: Consider alternative treatments for acne scars and comedones, such as chemical peels, laser treatments, or professional microneedling under a dermatologist's supervision. In summary, while derma rolling can be effective for scars, it's crucial to ensure your skin is in the right condition to avoid exacerbating any existing issues. Always seek professional advice tailored to your specific skin needs.