Can I do microneedling if I get keloids very easily?

Question

I am thinking to do microneedling to remove acne scars from my face .. however I am worried , since I have the tenndency for queloide .. is it safe for me !?

Jason Lichtenberger, MD · Answer

Hi, thanks for your question! Microneedling is a great solution to acne scars. If you already have keloid scars, microneedling is unlikely to improve them and in some cases can make them worse. If you are prone to keloid scars but don’t currently have any, microneedling should not cause you to develop any if it is done correctly. That being said, if you are concerned about microneedling and keloid scars, there are other treatments for acne scarring that you can try. Platelet-rich plasma treatments, laser skin resurfacing and chemical peels are also often recommended to improve the appearance of acne scars. You should schedule an in-person consultation with a board-certified plastic surgeon in your area -- they will be able to assess your skin and offer their expert advice about your best options. Good luck!

Nima Shemirani, MD · Answer

Hi @Joyce_angel1! This is a great question. If microneedling is performed by a skilled professional, it should not cause keloids. Microneedling with PRP is a great option for acne scars. 3-6 sessions are necessary for optimal results. Best of luck, Dr. Nima!

Larry S. Nichter, MD, MS, FACS · Answer

Thank you for your question. No, if done appropriately micro-needling will not cause keloid scarring. Acne scars are difficult to treat, but it's always best to use different modalities including skin care prep, laser resurfacing treatments as well as micro-needling. I suggest using PRP with micro-needling to give you the best result. I hope this helps you, be well.

Jason Emer, MD · Answer

No, if done appropriately, microneedling should not cause keloid scarring. Keep in mind, a combination approach will give the most improvement for acne scarring. Acne scars need a combination of microneedling with prp, lasers, subcision, Cosmelan, and fillers. It will take a series of treatments and may need some treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

Andre Berger, MD · Answer

Thank you for your question,
When microneedling is performed by a skilled professional, it should not cause keloids. Using a combination approach with various treatment options can often give the best results. A series of treatments will also be needed to treat acne scarring. Best of luck!

Paul Blair, MD · Answer

Microneedling should not cause keloids if done appropriately.  There are numerous modalities to treat acne scarring and combination of the different modalities can be worthwhile to achieve an optimal result. Consult an experience practitioner who offers various treatment options and who can offer the best treatment for you.

Can I do microneedling if I get keloids very easily?

Answers (6)

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