Can microneedling worsen melasma?

Thank you for your question!
Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. There have been rare cases in which microneedling can trigger an inflammatory response, leading to a worsening of the pigmentation if too much trauma is induced.  At my practice, we use a combination treatment approach for the best possible outcomes as well as using medical-grarde skincare such as RevePeel Enlighten RX Depigmentation System, along with microneedling /PRP which you can get at Emeragecosmetics.com along with free skincare consults.    I strongly suggest seeing an expert for a formal evaluation.Best, Dr. Emer

Dear Bostongirl2019, Thank your for your inquiry. Microneedling treatments alone will not be able to help you treat your Melasma. While Melasma is a very stubborn chronic skin disorder a combination therapy using series of Microneedling with VI peels will boost the effectiveness of the procedure. Together, they will work wonders. Microneedling treatment creates micro injuries that will break and improve the texture and appearance of those blotchy hyperpigmented patches. In addition to that microneedling stimulates the body’s natural wound healing process resulting in cell turnover and increased collagen and elastin production. VI peel is a medical grade peel with a synergistic blend of powerful ingredients that is effective and safe for all skin types. The peel improves the tone, texture of the skin and eliminates the appearance of hyperpigmentation. With that being said, suitable skin care regimen that includes sun protection will help you prevent and treat your melasma. Hope this was helpful. Best of luck !