Tram marks from microneedling - what is the mildest/least risk procedure to help? (photo)

Question

Had aggressive microneedling done in May 2021 with 3mm needle (unbeknown to me as I was in ‘trusted’ hands of a dermatologist who had carried out two previous treatments on me which were fine). I now have tram marks/micro holes all over my face. New dermatologist prescribed tretinoin as it could help remodel scars/improve texture and also I am too scared of having other procedures on face. Will the tretinoin help improve the scars? If not, what’s the mildest/least risk procedure? Thanks

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your experience. Microneedling with a 3mm needle can be quite aggressive, and it's understandable that you're seeking mild, low-risk options to address the tram marks and improve your skin texture. Here's some information and options that might help:

Tretinoin: Tretinoin is a topical retinoid that can be effective in promoting skin cell turnover and collagen remodeling. Over time, it may help improve the appearance of scars and enhance skin texture. It's important to use it consistently and under the guidance of a dermatologist, as it can cause irritation, especially initially.

Gentle Chemical Peels: Mild chemical peels, such as those containing alpha hydroxy acids (AHAs) like glycolic or lactic acid, can help exfoliate the skin and improve texture with minimal risk. These should be done under professional supervision to ensure safety and effectiveness.

Non-Ablative Laser Treatments: Non-ablative lasers, such as fractional lasers, can stimulate collagen production with less downtime and lower risk compared to ablative procedures. These treatments can help improve skin texture and reduce the appearance of scars over time.

Microneedling with PRP: If you're open to revisiting microneedling, combining it with platelet-rich plasma (PRP) might provide enhanced healing and collagen stimulation with reduced risk. However, this should be done with a trusted professional who can ensure a gentle approach.

Silicone Gel or Sheets: These can be applied to scars and may help soften and flatten them over time. They're non-invasive and generally well-tolerated.

Consultation and Patch Testing: Before proceeding with any treatment, it's crucial to have a thorough consultation with your dermatologist. They can assess your skin type, sensitivity, and scar characteristics to recommend the most appropriate and safe treatment plan.

Ultimately, the effectiveness of tretinoin and other treatments depends on individual skin response and the severity of the scarring. It's important to have realistic expectations and to work closely with a dermatologist to develop a tailored approach that minimizes risk and maximizes results.

Tram marks from microneedling - what is the mildest/least risk procedure to help? (photo)

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Tram marks from microneedling - what is the mildest/least risk procedure to help? (photo)

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Recommended reading

Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.