Microneedling w/ PRP depth on Accutane: what needle length would you recommend?

Question

Hi, I have bad scars and discoloration left from acne. I understand many doctors are skeptical about performing microneedling on patients on Accutane, but I understand from reading medical journals that it is safe. However, I still want to take precautions and choose an appropriate needle length since to my understanding, Accutane thins the skin. I wanted to ask, what depth do you recommend? I was thinking 1.5 mm? I did tons of research; I also hoping to do some subcision too. I'm on 40 mg daily.

Jason Emer, MD · Answer

In office 0.75-1.5 . is sufficient. Acne scars need a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  Best, Dr. Emer.

Microneedling w/ PRP depth on Accutane: what needle length would you recommend?

Answers (1)

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