This page provides general information and does not replace an individual medical consultation. Indication, product, technique and treatment plan are decided only after assessment; not every treatment is suitable for every person.
For a comparison with other approaches to skin quality, read the introductory guide.
What it is
Microneedling creates controlled micro-injuries with very fine needles to stimulate skin repair. It may be considered for texture and selected acne scars.
What is assessed
Needle depth, area, skin type and indication are assessed individually. Active acne, infection and a tendency to abnormal scarring may make treatment unsuitable.
How treatment is carried out
The indication, skin type, needle depth and treatment area are selected after assessment. The skin is cleaned and a sterile, regulated device should be used.
Limits and alternatives
Results are gradual and variable. Deep or tethered scars may need other approaches, and microneedling is not a substitute for surgery or appropriate acne treatment.
What the literature says
Systematic reviews and randomised studies support microneedling particularly for selected atrophic acne scars. Evidence also suggests possible benefit in combination approaches, but protocols vary.
Risks and unwanted effects
Redness, swelling, pinpoint bleeding and temporary sensitivity are expected. Infection, pigment changes, acne flare and scarring are less common risks. Sun protection and aftercare are important.
Contraindications and medical assessment
Active acne, infection, open skin, uncontrolled skin disease, bleeding problems and a tendency to keloid scarring may make treatment unsuitable.
Aftercare and follow-up
Redness, sensitivity and pinpoint bleeding can occur. Sun protection, gentle skincare and avoidance of contamination are important during recovery.
Frequently asked questions
Can it be done over active acne?
Active inflammatory acne may increase the risk of irritation and infection and must be assessed before treatment.
Sources
- Microneedling: where do we stand now? A systematic review of the literature. J Plast Reconstr Aesthet Surg, 2018 (opens in a new tab)
- Microneedling in the treatment of atrophic scars: a systematic review of randomised controlled trials. Int Wound J, 2021 (opens in a new tab)
- Chemical peeling plus microneedling versus monotherapy for acne scars: systematic review and meta-analysis. Postepy Dermatol Alergol, 2025 (opens in a new tab)
Publications are cited for information and do not replace individual medical assessment.