Microneedling is a popular cosmetic procedure that can improve the appearance of the skin by stimulating collagen production. While it is generally considered safe, it is possible for some individuals to experience adverse effects or perceive their skin as looking worse after treatment, especially in the short term. Here are a few reasons why this might occur: Initial Inflammation: Microneedling causes controlled micro-injuries to the skin, leading to temporary inflammation. This can make lines, pores, and sagging more noticeable immediately after the procedure. Healing Process: The skin can take time to heal and start producing new collagen. During this period, it might appear worse before it gets better. Technique and Device Quality: The efficacy and safety of microneedling can vary depending on the device used and the skill of the practitioner. Differences between devices like Dr. Pen and SkinPen, as well as the esthetician's technique, might affect the outcome. Skin Sensitivity: Some individuals may have more sensitive skin that reacts differently to microneedling, potentially leading to temporary adverse effects. Underlying Skin Conditions: Pre-existing conditions or skin types may influence how the skin responds to microneedling. If you continue to notice worsening of your skin or are concerned about the results, it is advisable to consult with a dermatologist. They can assess your skin and provide guidance on whether the changes are temporary or if further intervention is needed. Additionally, they can advise on the suitability of microneedling for your skin type and recommend alternative treatments if necessary.