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Medical Spa MD is a world-wide physician community for clinicians in skin clinics, laser centers and medspas with thousands of physician members around the world. By using this site you agree to our terms of service and fine print.

Physician to Physician Discussions > Microneedling

Any derms still offering microneedling in their clinic? Can you suggest insurance companies that cover this? Are there issues related with this procedure? Complications?

I am a dermatologist and do it myself on the patients, though there are a lot of smaller needle sizes available for personal use on the Internet.

02.7 | Unregistered CommenterCA

Collagen induction therapy or microneedling is best for acne scars and for skin tightening in older individuals. I use a 1.5 mm size roller . I've been using it and the results for skin tightening is faster than the acne scars. Typically, the results for acne scars take several months to a year. There is a lot of erythema and a bit of swelling after the procedure and it can take a couple of days to a week before it heals, depending on how aggressively it is done.

02.14 | Unregistered CommenterAngela

Medical estheticians with training can also perform microneedling. The rolling action is bad for the skin. Furthermore, there is a flat microneedle and doesn't tear skin as in a rolling microneedle.

02.21 | Unregistered CommenterB.S.

Microneedling is an invasive procedure so should only be done by a derm/MD. There are many people injecting fillers or operating IPLs/lasers w/o proper medical training. MDs should be raising objections to these procedures done by unqualified people.

03.19 | Unregistered CommenterJBrooks

@ JBrooks ,
do you expect all these procedures to be done by md only?
I dont think I want to spend 2 hours to perform laser hair removal on my patient.
I have four wonderful staff, non- rn, non md, and they are more experience than
a lot of the md who run laser clinics out there.

03.19 | Unregistered Commenterolle

There is a derm in Dallas very committed to micro channeling. He uses and provides testimony regarding the DermaFRAC system.

DermaFRAC marries the needling roller process with suction. Device use and treatment training is necessary for licensed aestheticians. Physicians have been know to show the treatment, but to my knowledge the majority of the treatments are performed by licensed staff in the physician's office.

Any feedback on micro-needling dermal rollers and with which depths?

As a physician and I have seen many created by non-physicians performing invasive procedures under the names of cosmetic or beauty treatments. Someone should lobby the law fraternity to stop these activities. The scars, infections and problems created by tattoos are good precursors of what can happen to this industry if invasive procedures by non physicians/beauticians etc continues.

07.21 | Unregistered CommenterKLee

Scope of practice issues seem to abound with this procedure. I think there is an ethics issue when manufacturers sell a device to an individual who cannot operate the device safely-any thoughts?

08.30 | Unregistered Commenterd. Fraire

I m hoping to get more feedback on this procedure-and are you seeing any post treatment issues? Especially with home devices?

09.21 | Unregistered CommenterWaldRep

Even with the medical grade ones the quality is not the same . Not all rollers are titanium ones like the initial ones. Thanks to a slew of manufacturers in the market there are gold coated ones which are not strong enough. Aggressive to and fro rolling can break the needles , I recommend a single sided roll ,lift and start again with these. Each country has its own regulations and ultimately it's each individual choice whether they go to a qualified doctor or use them personally. What is most important is we do not have clear guidelines in place on how to do it and also not all doctors have the same level of training. It differs from country to country and doctor to doctor

10.6 | Unregistered CommenterAngela

In Oregon a Facial tech can do needling, but not a permanent cosmetic tech. The reason is a permanent cosmetic tech can only put pigments into the skin. Needling is for skin rejuvenation. Facial Technicians use lancets everyday ..so training is the key . Needling is called the poor man's laser,cheap and easy to do. But If you have not taken time to get the education needed then you could have infections and complications.

10.11 | Unregistered CommenterDeb M

I agree that training is the key. However, needling and skin penetration can involve other problems such as infection, inflammation and recognition of disease processes to avoid needling such as HIV, diabetics, Marfan, herpes, bleeders or those on warfarin meds etc. I do not know what training Facial Tech has but I am somewhat reserved about non physicians doing invasive procedures in the name of cosmetics. In Europe, many nurses are doing fillers with physicians referrals ie after physical and thorough med history. Are Facial Tech in US doing this too?

10.21 | Unregistered CommenterKLee

any thoughts on the rejuvupen?

10.24 | Registered CommenterADMG

I have used this device. Comparable to Derma-pen?

12.3 | Registered CommenterADMG

Medical Aestheticians, not paramedical esthetician, also can perform microneedling with training. Also the rolling action is bad for the skin. There is a microneedle that is flat and doesn't tear skin as in a rolling microneedle.

Many states do not allow the term "Medical Esthetician" or Aesthetician to be used in any advertising ( including business cards) as there is not a nationally recognized board for an advanced licensure for this specialty. Just curious as to how you classify a medical aesthetican versus a paramedical esty in this case?

01.14 | Unregistered Commenterwfl58

I have incurred severe facial damage due to dermafrac from an aesthetician not in a doctors office. My skin is completely ruined with deep tissue injury, scarring scratches textural problems. My life is over my skin is destroyed. I am a victim .

My preference is personnel with medical license for this procedure. Because this involves drawing blood and penetrating the skin with a needle, an aesthetician license does not suffice. However each state will be different. In Texas as long as a physician is present either can perform. However I use my LVN or RN due to infection risk and sterility concerns.

01.29 | Unregistered Commenterlaura b

Yes, in US, nurses are injecting fillers and Botox under physician supervision in my office however this is not widely followed. Everywhere here they are injecting without doctor on premises. Complications can occur. Just other day had an allergic reaction to a topical numbing cream that required steroids and Benadryl immediately. Could have been lethal. Reason for physician supervision is clear but not enforced.

My point is could happen with anyone receiving numbing such as is used often for micro needling.

04.17 | Unregistered CommenterKnack

Could someone please help me? I have been seriously injured by dermafrac. Please advise !!!

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