Is there any point using a .5mm needle for microneedling or better to use 1.0 mm or higher for better results?

Question

For treating acne and other scars as a routine, a needle length of 1.5–2 mm is usually used. When microneedling is used as a procedure to treat ageing skin and wrinkles, the needle length of 0.5 mm or 1.0 mm is usually recommended.[9] When the needles are only up to 0.5 mm long, the procedure is essentially painless, and the perception of pain increases as the depth of needle penetration increases. It also depends on the thickness of epidermis and dermis of the skin.

Jason Emer, MD · Answer

at home . use of 0.5mm is . great, in . office 0.75-1.5 . is sufficient.  i suggest weekly with 0.5mm and monthly with 1.5mm. 
For facial rejuvenation I would suggest a combination approach of :

1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel, Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest

Johnson C. Lee, MD · Answer

I always start and finish with the 0.5mm to initially get the growth factors and serums into the skin so the deeper settings can push it down into the dermis. I also finish with 0.5mm to blend all areas together for a smoother finish. I agree that a 0.5mm alone won't do much but it definitely has its uses when combined with deeper settings. Hope this helps!Johnson C. Lee, MD
Board-Certified Plastic Surgeon
@drjohnsonlee

Is there any point using a .5mm needle for microneedling or better to use 1.0 mm or higher for better results?

Answers (2)