Microneedling with Nano Fat. Do you think the amount of skin improvement is worth the cost?

I have been performing medical microneedling for twenty years, since the early days with the introduction of the original Environ CIT dermal rollers and the Dermaroller. Regardless of how performed, whether by manual rolling, individual dermal stamping or with automatic, electrically powered pen-like devices, medical microneedling works by creating microchannel-like wounds within the skin, which in turn lead to new collagen and elastic fiber production--hence the term "collagen induction therapy" or CIT.  Microneedling has proven itself, as a stand-alone procedure, to be an excellent means for helping to smooth very superficial skin surface textural irregularities (such as very fine lines or crinkles), as well as color irregularities (such as those that may precede or persist acne or chickenpox scar treatments). As a rule, it is not particularly effective for the treatment of deep wrinkles or folds or deep scars from any cause, despite heavy marketing to the contrary. Likewise, thus far, supplementing treatment with PRP and nano-fat remain expensive add-ons, but of largely unproven value over and above ordinary microneedling. As an aside, I have personally found the combination of medical microneedling and the topical applications of tyrosine and lanatoprost to be effective for helping to repigment hypopigmented scars. Make sure that you consult with a board certified aesthetic physician and be certain to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.. 

Touch and go, this is a very expensive add on that has no scientific value, agreed with Dr Novick. I would combine this with other treatment modalities, e.g.. cannula HAs etc... If you are NYC and would like a good dermatologist, see Dr Michele Green. She is highly recommended. 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. 



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. 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.