Can micro needling/derma pen to treat fine lines be done if a patient has fillers in the nasolabial folds?

Question

I have fine lines in the nasolabial fold area and I'm considering fillers but I also have a future interest in micro needling. Can micro needling be done if I have fillers (would it move the fillers) or should I have micro needling first? I'd like to try fillers first. Many thx.

Larry C. Leverett, MD, FACS · Answer

YES, microneedling/dermapen treatments can be used in conjunction with each other. If opting to do filler first,  it is recommended that the microneedling treatment be spaced no sooner than 2 weeks post filler treatment.  This will ensure the microneedling treatment will not affect the integrity of your filler. I often recommend this combination treatment for those patients interested in overall skin rejuvenation.  Fillers are great for an "instant" lift to those areas creating weight on the face i.e. nasolabial folds, whereas microneedling will strengthen the skin by building up collagen over time.  Our patients have been very pleased with the softening of fine lines and wrinkles around the the eyes, mouth and nasolabial folds.  In addition, we are seeing notable improvement in the overall texture and tone of the skin after a single microneedling treatment.  Be sure to consult with a board certified dermatologist or plastic surgeon to discuss your options. Remember, injectables are an art form as much as science and skin care requires maintenance. So, the conversation should be inclusive of home care as well.

Laura Phan, MD · Answer

I often use dermal filler and Dermapen together, attacking from deeper to more superficial layer. I inject dermal filler into deeper folds to revolumize and lift the concavity. I then use Dermapen to stimulate collagen production to improve the fine lines and skin texture and tone. Although the reverse order can be done as well. Dermapen will not move the dermal filler

Robert W. Sheffield, MD · Answer

Thanks for your question!
Yes, microneedling is safe to use even after you havehad fillers. Some doctors incorporate microneedling procedures after fillertreatments are done to achieve a more youthful look and a rejuvenated skin. Forinstance, your doctor could give you fillers in deeper areas to restore somevolume in the face. Such fillers would include Radiesse, Juvederm, as well asSculptra. For superficial wrinkles, fillers like Belotero and Restylane couldbe injected. Your doctor could then follow up these treatments withmicroneedling sessions for enhanced effects. Microneedling can be used withhuman growth factor serums made using human stem cells. After care maintenanceusing growth factor serums will also be instructed for home use. 
I would generally suggest for the microneedlingtreatment to be done no earlier than a couple of weeks after your fillerprocedure. This is so that microneedling will not affect the filler integrity.Fillers can give you instantaneous results while microneedling will be helpfulin skin strengthening through natural collagen production. Hope you find thishelpful.

Michael H. Gold, MD · Answer

Thanks for your question and the simple answer is yes. Since you are going to try fillers first, you may besurprised that you may have such nice results with them that you may or may not need to use a microneedling pen for the fine lines in the area – the filler may take care of that along with a good skin care routine. Consult with a board-certified dermatologist or plastic surgeon to learn the best treatment options for you.

Mitchell Schwartz, MD - Account Suspended · Answer

I often combine filler treatments with
micro-needling as a “global approach” to facial rejuvenation. First, for a more
youthful appearance, I will use deeper volume fillers such as Sculptra, Radiesse,
or Juvederm Voluma to restore lost volume to the face. Then I will use superficial
wrinkle fillers such as Restylane or Belotero to improve the more superficial
wrinkle lines. Then a series of micro-needling treatments is done using the ProCell Therapies system which combines
motorized micro-needling with concentrated human growth factor serums made from
human stem cells. Our patients then continue to use growth factor serums at home
after their office treatment to help maintain their results.

Can micro needling/derma pen to treat fine lines be done if a patient has fillers in the nasolabial folds?

Answers (5)

Answer: The simple answer is yes

Answer: The simple answer is yes

Answer: Micro-needling combined with fillers

Answer: Micro-needling combined with fillers

Recommended reading

Everything you need to know about Microneedling

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

Can micro needling/derma pen to treat fine lines be done if a patient has fillers in the nasolabial folds?

Answers (5)

Answer: The simple answer is yes

Answer: The simple answer is yes

Answer: Micro-needling combined with fillers

Answer: Micro-needling combined with fillers

Browse related questions

Recommended reading

Everything you need to know about Microneedling

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