Is Skin Needling, Percutaneous Collagen Induction Effective?

Doctor Answers 5

Skin Needling, Percutaneous Collagen Induction Therapy (CIT Roller)

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Hi Lola,

I have seen impressive before and after photos of patients treated with the CIT roller, particularily for the troublesome vertical wrinkles of the upper lips.  It can be used for the entire face as well.

Good luck and be well.

Dr. P

Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

PCI (Percutaneous Collagen Induction) a.k.a. Microneedling

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Percutaneous Collagen Induction (PCI) Therapy or famously known as microneedling is a safe, low risk, and effective treatment procedure for managing wrinkles and scars. Overall, it can also aid in rejuvenating the skin. This minimally invasive treatment procedure makes use of tools that has a number of fine needles. These fine needles will create minute punctures on your skin’s top layer. This will then trigger the creation of new elastin and collagen. After a specific number of treatment procedures, you will be able to find results that may include enhanced firmness and texture, reduction of pore size, stretch marks, as well as scars. To have better results, microneedling may also be used with topical treatment such as Growth Factors or Platelet Enriched Plasma(PRP). These serums will have better effects as compared to being used alone. Through the tiny punctures made from microneedling, the serums will be absorbed better by the skin thereby producing faster and better effects.


If you feel that microneedling will be helpful for your goals, you may consult with your doctor directly so he or she can give you a detailed evaluation as well as plan a microneedling treatment sessions for you.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 21 reviews

Not only effective, but cost effective

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Properly done it can be surprisingly effective for what appears to be a very simple medical device. While significant and temporary improvement can be achieved with 'cold' microneedling, more effective long term results can be achieved with radiofrequency microneedling or needling combined with dermaceuticals, such as DefenAge. 

Microneedling plus topical applications of DefenAge, hyaluronic acid, or bone-marrow derived growth factor is the 'hot new thing'. 

Diane I. Duncan, MD, FACS
Fort Collins Plastic Surgeon
4.7 out of 5 stars 19 reviews

Skin Needling

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For anyone to evaluate a technology or methodology, the study design needs to be fully understood. I could not find any peer review articles on the above topic. A doctor can have their findings published in various periodicals but that would be more anecdotal evidence vs scientific fact.

Just looking at your description, retrospective studies are weak evidence especially when making claims for wrinkle reduction. Patient opinions are nice but there are many objective ways to demonstrate lasting wrinkle reduction that are not left to someones opinion. You mention that the dermis was thicker -- how was this measured and what histological stains were performed that demonstrated neo-collagen formation.

I could go on and on but if the company was interested in providing scientific evidence, they would understand the above. Perhaps, they are already doing some prospective trials.

Time will tell.

Michael Kulick, MD, DDS
San Francisco Plastic Surgeon
4.3 out of 5 stars 12 reviews

Skin Needling Percutaneous Collagen Induction

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I have not heard of this before. I assume you are implying stimulation of skin using needles to produce more collage. It does not seem logical. I would stay away from it. The risks can be scarring or color change in the skin.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.