I had 2 micro needling sessions with PRP. I now have microtears all over my face. How can I treat these?

Question

I had 2 micro needling sessions with PRP. I now have microtears all over my face. How can I treat these? Unfortunately I am not candidate for Laser.I tried 18% TCA at home with zero improvement. Will higher strength of TCA or other peel help? I am also starting with low strength Retin A. Appreciate any expert advice and opinion. I am also considering subcision for other scars on my face and hoping that will release these microtears as well. Am I being too hopeful? Thanks.

Jason Emer, MD · Answer

It’s difficult to assess without photos. This needs an in-person evaluation with your doctor. See an expert. Best, Dr. Emer

Davin Lim, MBBS, FACD - Account Suspended · Answer

Impossible to guide you as there are so many variables including your skin quality, area treated and most importantly the technique used. It is so vitally important that you contact your provider - namely the specialist or physician who supervised the procedure. As a guide we should -1. Document the event. Photos of before,now and future high resolution photography needed.2. Immediate treatment of your idiosyncratic scarring, review of the treatment protocol, wound care- silicone, dressing, dilute steroids etc.. review of your history, exclude conditions that may Koebner or account for abnormal healing (isotretinoin etc...)3. Low power lasers may help - vascular vs diode driven 1927 vs Thulium 1550/1540/1927 or even pigment lasers 1064 or even pico 755 / 1064 can help. Bottom line, many possible treatments, this can be addressed by your specialist. Moving forward- ALWAYS use a method to address each scar type. Microneedling has come a long way over the past few years and can help skin via several methods. Firstly it releases cytokines and growth factors in the epidermis and dermis- the top and bottom layers of your skin. This in turn remodels scars and the dermal layer of the skin. Additionally needles can break up scars themselves. This leads to new collagen formation, and in practice can provide limited skin rejuvenation.

Microneedling is both user dependent and method driven. Simple needles can be used, growth factors can be added after the procedure, including PRP, or controlled heating during the procedure. This controlled heating is delivered via RF, and is called RF microneedling. RF can then be delivered via insulated or insulated needles. Even the energy level, depths, density, pulse duration and so many other variables can be controlled. This together with the added benefits of growth factor infusion makes this one of the most complex procedures in procedural dermatology. I use everything from Dermapen, though to newer generation insulated and non-insulated devices including INFINI micro-needling radiofrequency, Intensif and others. Newer generation devices can provide an added advantage in some, but not all patients. In my practice, I combine microneedling with many different forms of energy devices, depending on the expectations of the patient. Tailored microneedling combination will always give the best results.

Like most procedures, its 80% skill level of the specialist and 20% dependent on the brand of the energy device- microneedling system. All the best, Dr Davin Lim. Brisbane. Australia. Realself Advisory Board Member

I had 2 micro needling sessions with PRP. I now have microtears all over my face. How can I treat these?

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I had 2 micro needling sessions with PRP. I now have microtears all over my face. How can I treat these?

Answers (2)

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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.