Emma Newman, PA-C
Physician assistant · Upper East Side
Medically reviewed by Mitchell J. Mandel, M.D., F.A.A.D., Board-Certified Dermatologist. Last reviewed .
Microneedling uses a pen with very fine needles to make tiny channels in the skin. As the skin heals, it builds new collagen, which smooths texture and softens scars and fine lines.
This page covers pen microneedling, which uses needles alone with no heat. RF microneedling (SecretRF, Morpheus8) delivers radiofrequency heat through needles at selected depths.
In Palm Beach Gardens, microneedling is done by Christine Sacco, FNP-C, nurse practitioner.
You can add PRP (platelet-rich plasma), made from a small sample of your own blood. It's optional. Some patients choose it for acne scars, though research on how much it adds is mixed. Microneedling devices are not FDA-authorized to deliver PRP into the skin. Your provider can help you decide.
Stop retinoids and other strong actives a few days before. Avoid tanning. If you are adding PRP, drink water and eat before your visit.
Numbing cream is applied first. The pen is moved over the skin in passes. With PRP, a small blood sample is taken at the start and prepared while you numb.
The skin will look red, like a sunburn, for 1 to 3 days. Use gentle skincare, skip makeup for about a day, and wear sunscreen.
Skin often looks smoother within a few weeks. A typical plan may include 3 to 6 sessions, about 4 to 6 weeks apart, adjusted to your skin and response.
Redness and dryness for a few days are expected. Less common: breakouts, infection, cold sore flare-ups, and darker or lighter patches. Scarring is rare. No heat doesn't mean no risk, so we review your skin and history first.
It makes tiny channels in the skin that trigger healing and new collagen, which improves texture, scars and fine lines.
PRP is made from your own blood and applied during treatment. It's optional. Some patients choose it for acne scars, though research on its added benefit is mixed.
Numbing cream keeps it comfortable. Most people feel a light scratching or vibration.
A typical plan may include 3 to 6 sessions, about 4 to 6 weeks apart, adjusted to your skin and response.
Expect 1 to 3 days of redness. Most people go back to work the next day.
Microneedling does not use heat or light, so it can be used on many skin types.
We do not treat areas with an active breakout, infection or cold sore, or patients who are pregnant.
One visit can brighten skin. Scars, texture and fine lines usually need a series of 3 to 6.
At least 1 week before, so redness has time to settle. For scars, start a few months ahead.
Skip makeup for about a day. Use gentle products for a few days, and restart retinoids and acids when your skin feels back to normal, usually after about 5 days.
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