How long should I wait after a chemical peel to do microneedling?

Question

Hello, I did 2 chemical peels for my acne. It did a good job, but I still have some scars and pigmentation left. I have heard that microneedling is good for that kind of issue. First question :Do you suggest something else? Second question: how long should I wait after a chemical peel to do microneedling?

Gregory DeLange, MD · Answer

Hello and thank you for your question. In most cases you should wait two weeks after a chemical peel to have microneedling. However, this time frame can vary based on the strength of the chemical peel. It is possible to have the microneedling before two weeks if the chemical peel is not very strong.

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
hRealself100 Surgeon

Best, 
Dr. Raffy Karamanoukian
hRealself100 Surgeon

Shamim Shakibai, MD · Answer

Dear Krattus,
It depends on which acid and strength your practitioner used. I usually want a full 2-4 week interval to ensure proper healing if a client has had a more intense chemical peel. Hope this helps.
Best,
Shamim

How long should I wait after a chemical peel to do microneedling?

Answers (3)