Medical needling is one of the regenerative treatments that stimulate the body's self-healing mechanisms. It is a form of microneedling and is also called collagen induction therapy. The method can be used for enlarged pores, acne and other scars and uneven pigmentation as well as for wrinkle and hair loss treatment.
How does medical needling work?
A microneedling pen or dermaroller with ultra-fine needles cause controlled micro-injuries in the middle layer of the skin (dermis). This activates the wound healing cascade and releases growth factors. These stimulate collagen and elastin production in the skin and stimulate the formation of new blood vessels. The epidermis is only punctured in the process, but remains intact.
Medical Needling vs. Cosmetic Needling
Cosmetic microneedling (0.2 - 0.5 mm depth) primarily serves to introduce active ingredients into the uppermost layer of the skin through the formation of microchannels. This achieves a skin-caring effect. Beauticians must not damage the integrity of the epidermis. Therefore, collagen induction cannot be achieved by cosmetic needling. It is too superficial for that. With Medical Needling we are in the dermis, i.e. the middle layer of the skin (0.5 - 2.5 mm, depending on the region), where the fibroblasts, i.e. collagen and elastin fibre-forming cells, as well as the blood vessels are located. Small punctiform bleedings are an indication of the correct treatment depth. In Germany, medical needling may only be performed in medical practices and affiliated institutes, as improper use can lead to complications such as infections or scarring. In my practice in Munich, I use the FDA-certified SkinPen, which enables sterile handling and precise adjustment of the treatment depth. Medical needling can be combined with mesotherapy boosters to increase the effect. These substances can be ideally brought to their place of action in the dermis through the microchannels created. During a personal consultation appointment, further details about this treatment method can be explained and an individual treatment plan can be created.
Medical needling treatment procedure
During medical microneedling in my practice in Munich, a special anaesthetic cream is generously applied to the treatment area. This makes the treatment almost painless. A slight pressure or tingling sensation may still be felt. After the anaesthetic has taken effect, the skin is disinfected and the medical needling begins. If a meso-booster is used, it is applied during needling. Otherwise, a sterile lubricant is used. After needling, the skin is soothed with sterile moist compresses. Redness and sometimes a slight swelling like sunburn is normal on the day of treatment. In addition, there may be a slight scaling of the skin in the following days. This is also normal and caused by the punctures.
Treatment duration: 60 min (with exposure time of the anaesthetic cream)
Onset of action: 3-4 weeks, lasting effect over months
Downtime: 24 hours Redness and swelling possible (like sunburn)
Repetition: 3 - 6 treatments at intervals of 4 weeks each, then booster treatments every 6 - 12 months.
Costs: from 200,- €