How long do the effects of Micro Needling Last? How often is maintenance required?

I am considering getting a micro needling procedure done, but the nurse said the procedure requires a maintenance needling every few months. Why every few months? I plan to do the needling for collagen production around the eye area and usually when getting lasers done for collagen production the treatments are required years apart, not months apart.

Doctor Answers 16

Lasting effects of micro-needling and maintenance treatments

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Micro-needling(aka Collagen Induction Therapy) is great for stimulating collagen and overall rejuvenation of the skin(as is laser resurfacing), but given the skin continues to age, we must continue to rejuvenate AND MAINTAIN no matter the modality. 

A series of 4-6 micro-needling treatments spaced 4-6 weeks apart is recommended to achieve an optimal result.  Once you have completed your series, your clinician can determine what maintenance regimen will best suit you based on your overall skin care goals. It most likely will include micro-needling maintenance treatments at some point, but if you continue to maintain an effective home care regimen, in addition to, regular skin care treatments you should be "sitting pretty," for 6 months to a year before you need a maintenance treatment. 

For all you do to stimulate collagen, it is continually being broken down. This is the ugly truth.This is why maintenance is key. As we age, we do not produce collagen as readily as we did in our youth. And no matter how much we do to slow down the aging process, we cannot stop it in its entirety. The aging that we experience in the form of fine lines, wrinkles, skin laxity, & tactile roughness can all be attributed to the natural break down of collagen over time, in addition to, a drastic decrease in cellular turnover. When you factor in lifestyle habits such as over exposure to sun, tanning beds, smoking, etc.  you aid in expediting the aging process. 

Lasting effects from micro-needling

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To get the best results from micro-needling I recommend an initial series of four monthly treatments. During each treatment, my staff uses a concentrated human growth factor serum derived from human stem cells to further enhance the results. We also have our patients apply a growth factor serum at home to not only maintain the results but to give continued improvement as well.
By the way, a recent study showed that micro-needling the skin can give as good or better results than laser or Fraxel treatments!

Are the effects of micro needling permanent?

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Hello Anna07,
Thanks for your question.
All minimally invasive treatments for the face only reset the clock.
You continue to age therefore you need to continue with keeping up your treatments.  Just like a car that gets no maintenance falls apart faster, a face with no maintenance will also age faster.
The cost and recovery from micro needling is fairly minimal therefore it's an easy maintenance treatment.
Good luck,
Dr. Shah

Micro Needling

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Micro Needling can have several approaches, just like laser can have several approaches. Depending on what your goals are, and what you want your end result to be, will depend on the time between services. We do have our patients come back four to six weeks for a series of 6. Then we discuss what each patient can do to maintain the results. Example being, coming in for Hydrafacials each month for additional exfoliation and hydration.

How Often To Microneedle

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As with any treatment, the more you are consistent and keep up with it, the more results you will have.  I recommend to my patients to have microneedling performed every 4-6 weeks, depending on the depth of their treatment.  I also recommend combining the microneedling treatment with PRP therapy or platelet rich plasma.  This involves a quick blood draw and then we spin down your plasma to isolate out the platelets and growth factors.  This PRP is then massaged into your face like a mask or it can be injected directly into problematic areas.  Best of luck to you!

Effects of Micro-needling

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Unlike fillers which we commonly use to address wrinkles, creases and contour irregularities, the effects of needling are permanent. This is because needling creates new collagen and elastin. Micro-needling generally refers to needles that are .1 mm long. This indeed can be performed without topical anesthesia. It creates small holes in the stratum corneum, the topmost layer of the skin and allows for better absorption of cosmeceuticals such as Vitamin A, C and E. I prefer the term medical needling for longer needles which are generally performed in the office under topical anesthesia. These needles are usually a millimeter long. These puncture the full layer of the skin and create micro bleeding underneath the skin. It is the release of this blood under the skin that triggers a natural healing reaction to call fibroblasts into the region which create collagen, especially type 1 collagen which promotes scarless healing. Longer needles such as 3 mm can be used as surgical needling. This requires regional anesthesia and may be combined with surgical procedures for optimal skin tightening.

Microneedling Duration Effects and Maintenance Frequency

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There are several maintenance approaches to microneedling. The kind of maintenance approach your doctor will take may depend on your desired result. In such case, it will serve you well to have your doctor assess you first so he or she can plan the procedure and maintenance frequency accurately. You may be asked to be back for a series of sessions, 4 to 6 weeks apart from each other. The series could last anywhere from 4 to 6 sessions depending on the treatment depth. Moreover, your doctor may also discuss other non-invasive maintenance procedures to help bring out the results that you are aiming for.

 

As for its effects, the effects achieved from microneedling are long lasting with proper maintenance. However, these will not be able to resist natural wearing off, which will happen in time. Once microneedling is stopped, your body will take its natural course and the results could wear off.

Maintenance

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As with any treatment, results will fade after time and maintenance will be required.  As we continue to age and accumulate photo-damage, our skin needs continued attention.  After a series of 2 microneedling treatments (usually with PRP) each about one month apart, I usually recommend another series 6 months later. Everyone will have a different idea of when they need another treatment, but 6 months seems to work well for most of my patients. Overall, microneedling is a safe and natural way to help stimulate collagen production and improve the appearance of your skin. 

How long does Microneedling last?

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Microneedling doesn't "wear off" but it also does not stop the clock permanently. At our office, we start our patients with a series of 3 procedures unless we are treating scaring, hyperpigmentation or deeper wrinkles we will do 4-6 procedures. After the procedure series we then discuss the best maintenance regimen for each individual patient depending on their skin type. I tell all my patients that taking care of your skin is like going to the gym... Once you stop, your body will eventually lose the results you once worked for. 

How often to microneedle the face?

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Thank you for your question. In my practice, I have found that microneedling the face 4 times spaced one month apart will give a desired outcome. Patients will benefit most with maintenance treatment every 6 months afterwards. Results are best when microneedling is combined with PRP (platelet rich plasma).

I hope this helps. Best wishes (Dr. Salameh, Bowling Green, KY Plastic Surgeon) 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.