Understanding advanced microneedling for acne scars
Fine needles create thousands of microscopic channels in the dermis. The controlled injury starts a wound-healing response in which new collagen and elastin are laid down, raising the floor of depressed scars over the following weeks.
Because the effect is cumulative, microneedling is done as a series rather than once. Improvement continues between sessions and for some months after the final one, which is why the result is assessed later rather than immediately.
For tethered or very deep scars, microneedling alone is usually not enough. It is then combined with subcision, CROSS or radiofrequency microneedling (MNRF), which delivers energy deeper into the dermis.
This may suit you if
- Shallow to moderate depressed acne scars
- Uneven texture and enlarged-looking pores
- Patients who prefer shorter downtime than ablative laser
- Skin types where aggressive resurfacing carries higher pigmentation risk
What happens at the clinic
- 1
Numbing
Topical anaesthetic is applied for about 30 to 45 minutes so the session is comfortable.
- 2
Treatment passes
Needle depth is set for each zone of the face and passes are made in a systematic pattern. Pinpoint bleeding in scarred areas is expected.
- 3
Post-procedure care
Soothing serum and sun protection are applied. The skin looks flushed, similar to sunburn, for about a day or two.
- 4
Series and review
Sessions are repeated every four to six weeks, with photographs taken to compare progress objectively.
Aftercare
- Use only bland cleanser and moisturiser for 48 hours
- No makeup for 24 hours where possible
- Strict sunscreen use for the whole course
- Restart actives only when advised, usually after five to seven days
Possible side effects
- Redness, mild swelling and dryness in the first days
- Post-inflammatory pigmentation, particularly without sun protection
- Temporary breakout in acne-prone skin
- Infection if aftercare is not followed — uncommon with sterile technique