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Review
. 2016 Jul-Aug;7(4):244-54.
doi: 10.4103/2229-5178.185468.

Microneedling: Advances and widening horizons

Aashim Singh  1 , Savita Yadav  1
Affiliations
Review

Microneedling: Advances and widening horizons

Aashim Singh et al. Indian Dermatol Online J. 2016 Jul-Aug.

Abstract

Microneedling is a very simple, safe, effective, and minimally invasive therapeutic technique. It was initially introduced for skin rejuvenation, however, now it is being used for a very wide range of indications including acne scar, acne, post-traumatic/burn scar, alopecia, skin rejuvenation, drug delivery, hyperhidrosis, stretch marks, and many more. Moreover, during the last 10 years, many new innovations have been made to the initial instrument, which was used for microneedling. This technique can be combined with other surgical techniques to provide better results. In particular, it is a very safe technique for dark skin types, where risk of postinflammatory pigmentation is very high with other techniques that damage the epidermis. In this review article, we are updating on the different instruments now available for this procedure, and its efficacy when performed alone or in combination with other techniques for various indications.

Keywords: Dermaroller; dermatosurgery; microneedling; percutaneous collagen induction.

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Figures

Figure 1
Figure 1
Different variety of Dermarollers: (a) Dermaroller with narrow width of drum meant for smaller areas such as eyelids and nose; (b) Dermaroller with 540 needles; (c) Standard dermaroller with 192 needles
Figure 2
Figure 2
Pin-point bleeding over the cheek following microneedling procedure
Figure 3
Figure 3
Dermapen with battery charger
Figure 4
Figure 4
Pre (a, c, e) and post (b, d, f) treatment photographs of post-acne atrophic scar patients after 4 sittings of microneedling done 1 month apart
Figure 5
Figure 5
Post-burn scar on the thigh of 1 year duration treated with a combination of microneedling and laser (a) Baseline photograph; (b). Scar showing improvement after 3 fortnightly sessions of microneedling; (c) Further improvement in scar following 1 session of Fraxel laser RE: STORE SR 1500nm (Solta Medical, USA) with following parameters: 70 mj beam energy, 20% density, 8 passes. (Courtesy: Dr Arshdeep, Consultant Dermatologist, Kubba Skin Clinic, New Delhi)
Figure 6
Figure 6
Post-varicella scars (a,c) showing improvement (b,d) after 3 microneedling sittings done 1 month apart
Figure 7
Figure 7
Significant improvement in post-traumatic scar over the nose after 1 sitting of subcision followed by 3 sittings of microneedling done 1 month apart
See this image and copyright information in PMC

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