Is there anything that can be done to correct festoons that resulted from improperly performed microneedling? (Photo)

Question

In April 2021, I had a microneedling procedure performed by an RN in the office of a prominent plastic surgeon in my area. Instead of using a stamping motion, she aggressively dragged/scrubbed the handpiece across my face as if it were a roller. She spent a lot of time on my undereye area and that is where I have had the most damage My skin looks much older overall and I now have festoons under both eyes. Is there anything that can be done to correct this?

Randal Haworth, MD, FACS · Answer

I'm sorry to hear about your experience. It sounds like you may have experienced damage from the microneedling procedure.

Some potential treatments for festoons may include injectable fillers, laser resurfacing, or surgery. Additionally, there may be topical products and lifestyle changes that can help improve the appearance of your skin and reduce the appearance of festoons.

It's important to note that treating festoons can be complex and requires a thorough evaluation by a qualified medical professional. I recommend seeking a consultation with a board-certified specialist to discuss your options and develop a treatment plan that is appropriate for you during an « in person » consultation.

Best of luck !

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Is there anything that can be done to correct festoons that resulted from improperly performed microneedling? (Photo)

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