Microneedled over active acne, breaking out?

Question

I've gotten microneedling done 3 times now. I still have active acne. The first time I did it I thought she'd avoid the active acne, but she didn't. Two more times after, I asked her to avoid the acne and she didn't. I've broken out badly all over my face every time afterwards, and I'm still breaking out from the last time she microneedled (which was weeks ago). I'm definitely going to take care of this acne before going back, but how long do you think it will take for it to go away?

Jason Emer, MD · Answer

Microneedling doesnt harm acne, usually makes it better with the right lasers and skin care. you should be treating your acne permanently though with isotretinoin if you want a long term cure.  Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  Best, Dr. Emer.

Aurora DeJuliis, MD · Answer

Microneedling using your own PRP is a medical procedure and should be performed in a medical setting by an experienced physician. Active acne is a total contraindication to microneedling because it can spred the bacteria over healthy skin and irritate the active pimples. Microneedling is the treatment of choice for acne scars.

Justin Harper, MD - Account Suspended · Answer

Hi realtoo,The correct protocol would be to refrain from microneedling if you have active acne or if you were treated with Accutane in the last 6 months.Imagine that microneedling is a process that breaks the skin barrier and acts like a microwound, Because the integrity of the skin is breached, bacteria from acne can easily spread. This cycle is replicated everytime you have microneedling while having active acne.You can manage acne several ways from skincare to oral medication including antibiotics. Have microneedling with PRP six months after Accutane treatment.All the beat, Justine Harper, M.D.

Microneedled over active acne, breaking out?

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Microneedled over active acne, breaking out?

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Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.