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Types of Wrinkle and Scar Treatments

People of all ages want to smooth fine lines, wrinkles, and acne scars. This can be achieved by “resurfacing” techniques that peel, exfoliate and rejuvenate the skin.

Methods can include chemical peels, dermabrasion, and laser treatments. These procedures remove the top layer of skin (epidermis) to stimulate re-growth. As new skin develops, collagen and elastin is produced which helps to smooth and tighten the skin. Although resurfacing is effective, damage to the skin can have side effects including whitening or colour loss (hypo-pigmentation), darkening (hyper-pigmentation), overall thinning, or sun sensitivity. Also, the areas around the eyes must be avoided with these procedures. Some people are not good candidates for these skin resurfacing techniques, which is why I provide an alternative method called “Needling” or “Skin Needling”.

What is Skin Needling?

Skin Needling is also called “Facial Needling” or “Medical Needling” (it is not Acupuncture). The technique reduces the depth of wrinkles and fine lines on the face. It also reduces shallow depressed scars such as Chicken Pox or Acne scars. Facial needling is a natural skin rejuvenation method that fills and softens wrinkles and scars. It does not use chemicals, fillers, injections or lasers. The process creates hundreds of microscopic “pin pricks” to activate your body’s wound healing process. As your skin heals, it uses your own collagen to fill the “valleys” of wrinkles and scars naturally. The technique was discovered to be effective in the 1940’s but the methods of performing it today are more sophisticated. Needling is also called Dry Needling, Dry Tattooing, Needle Abrasion, Needle Dermabrasion, Facial Mesotherapy, Multitrepannic Collagen Actuation (MCA), Percutaneous Collagen Induction (PCI), or Collagen Induction Therapy (CIT). This procedure is becoming increasingly popular in the UK due to great results.

How Does Skin Needling Work?

The concept behind needling is the stimulation of new collagen production in your skin. The dry needle abrasion breaks your skin and causes micro-trauma and micro-inflammation. Your body will respond by sending blood to the area for healing. Blood platelets then release clotting factors, cytokines, and essential growth factors. Fibroblasts make and deposit new extracellular matrix with collagen and elastin. As your skin repairs itself, new collagen builds up in the Papillary Dermis (middle layer) just below the surface. The wrinkles, lines or depressed scars plump from the bottom-up without the use of anything artificial. Repeated needling sessions gradually and continually build new collagen to fill-in the treated areas. The terms Collagen Induction and Collagen Induction Therapy or CIT are sometimes used to describe this process.

Applications of the Needling Technique:

  • Wrinkle Treatment: Fine lines and wrinkles on the face can be diminished with facial needling.
  • Indented Scars: Needling procedures can decrease the depth of pitted, depressed, or shallow scars caused by acne, chicken pox, surgeries, or trauma.
  • Surgical Scars: Raised or hypertrophic (overgrown) scars can become smoother with needling treatments that flatten the elevated scar tissue. Examples include borders of skin grafts and other hypertrophic surgical scars.
  • Scar Relaxation: Burns and accidents can create fibrous bands of scar tissue that often contract and limit movement. Needling can break down the contracted scar tissue to increase mobility and flexibility. This process is referred to as Scar Tissue Relaxation or Relaxation of Scar Tissue.

What are the Benefits of Needling?

Results are similar to those from other skin resurfacing methods. However, the needling technique has several advantages:

  • Epidermis Remains Intact: Needling does not remove or damage the outer skin layer (epidermis) entirely like other resurfacing methods do. The healthy skin and blood vessels in-between the lines, wrinkles, or scars are preserved. This improves healing, collagen production and gives long-term results.
  • Less Pigmentation Changes: Because the epidermis is left untouched, there is less risk of permanent structural damage such as post-inflammatory hyper-pigmentation (skin darkening) or de-pigmentation (colour loss or skin whitening).
  • Fewer Side Effects: There are no side effects such as thinning of the skin or increased sun sensitivity because the epidermis is preserved. Skin needling uses no artificial fillers so the chance of an allergic reaction or infection is also minimised.
  • Fast Healing and Downtime: Needling is precisely controlled and creates minimal dermal trauma. Healing is rapid with a short “downtime” of only a few days.
  • Ongoing Treatments are Possible: Other resurfacing methods cannot be repeated indefinitely because they eventually thin the skin and create photosensitivity. But needling can be repeated safely because the dermis becomes thicker in the treated areas instead of thinner. Also, other resurfacing methods must avoid the delicate eye area but needling can safely treat areas around the eyes such as “Crow’s Feet.” It can also be performed safely on skin that previously had laser re-surfacing treatments or dermabrasion.

How Long is the Healing Process?

For either wrinkle or scar treatments, swelling is minimal and surface (outer) healing occurs in a few days. Immediately after a procedure, your skin will look red in the places that were needled. Fine lines and wrinkles will look like “cat scratches” or appear like they have “paper cuts” inside them. Scars will be red as if a scab had just been peeled off. A light scab will form on the treated areas (it is common for light scabbing to occur with skin penetration procedures). Redness lasts 3 to 4 days then turns pink by day 4 or 5 and continues to fade. During the first 3 to 7 days, ointments should be applied to the broken skin. Procedures should be performed a minimum of 6 to 8 weeks apart to allow for complete healing and collagen production.

Results and Number of Treatments

The number of required treatment sessions varies according to the depth of each wrinkle or scar. Improvement in the needled areas may be seen as soon as a few weeks after a procedure. However, inner healing of the skin continues for several months. During this time the needled skin will smooth and tighten as collagen is deposited. Fine lines or wrinkles may need 1 to 2 sessions to be plumped. Medium to deeper wrinkles and acne scars may require 3 or more treatments for optimal results. Pitted scars and deep wrinkles may require 4 to 6 sessions or more for optimum depth improvement. Results can be enhanced and maintained when special vitamin creams are used after initial healing. Needling can also be combined with other treatments including Botox, IPL, and traditional surgical procedures.

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