Is Micro needling good for very small blackheads and whiteheads?

Microneedling is great for overall skin maintenance and we recommend this every 2 weeks if you can.  I suggest a combination approach of :
1) skin care with products and PRP/microneedling

2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel, Viva, or Co2/Erbium
4) Sculptra injections a few times a year for collagen production
5) thermage/ultherapy for yearly skin tighteningBest, Dr. Emer.

MIcroneedling mechanically creates tunnels into the superficial dermis and is much less likely to leave scarring or discoloration than energy-based devices such as lasers or radiofrequency devices. If done carefully and appropriately, you can reduce the appearance of pores and improve your overall structure without any scarring. In fact, microneedling is a treatment for scar improvement. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee