Is this microscarring? Damaged barrier? Inflammation? (Photo)

It sounds like you are experiencing some skin texture changes following a microneedling procedure. Here are some possible explanations and suggestions for moving forward:

Microscarring: The changes you describe, such as a waxy or shiny appearance and an orange peel texture, could be indicative of microscarring. This can occur if the skin did not heal optimally after microneedling.

Damaged Skin Barrier: The procedure might have temporarily compromised your skin barrier, leading to changes in texture and appearance. This usually resolves with proper skincare, but persistent issues may require professional attention.

Inflammation: Prolonged inflammation can contribute to changes in skin texture. If the skin was sensitive or reacted strongly to the microneedling, it might not have healed fully.

Recommendations:

Consult a Dermatologist: Given that it's been over a year and the texture changes persist, seeing a dermatologist would be beneficial. They can assess your skin and determine the best course of action.

Skincare Routine: Focus on a gentle skincare routine that includes moisturizing and barrier-repair products, such as those containing ceramides, hyaluronic acid, and niacinamide.

Avoid Aggressive Treatments: Until you have a professional assessment, avoid additional aggressive treatments that could further irritate your skin.

Potential Treatments: Depending on the dermatologist’s evaluation, treatments such as laser therapy, chemical peels, or other resurfacing procedures might be recommended to improve skin texture.

Patch Testing: If you pursue future procedures, consider patch testing or a consultation to discuss your skin's history and susceptibility to scarring.

Remember, each individual's skin responds differently to treatments, so a personalized approach is important. A healthcare professional can provide guidance tailored to your specific needs and skin type.