¿Cuántas sesiones necesito y cada cuánto?

Lo habitual son entre 3 y 6 sesiones separadas 4-6 semanas. Para textura y poro suele bastar el tramo bajo; para marcas de acné se suele plantear el tramo alto. Después, una o dos sesiones de mantenimiento al año.

Con la crema anestésica se tolera bien. Se nota vibración y calor en las zonas más finas, como la frente o el contorno. Las molestias no continúan al terminar.

¿Cuántos días se me va a notar?

La rojez marcada dura entre 24 y 48 horas. Entre el segundo y el cuarto día suele aparecer una descamación fina. No requiere baja, pero si tienes algo importante conviene dejar dos o tres días de margen.

¿En qué se diferencia del láser fraccionado?

El microneedling estimula con agujas y sin calor; el láser trabaja con energía térmica. Para cicatrices deprimidas y marcadas el láser suele ser más resolutivo, y para ese caso tenemos un tratamiento específico de cicatrices y marcas del acné. El microneedling gana en pieles más morenas y cuando el objetivo es textura, poro y densidad.

¿Sirve si tengo acné ahora mismo?

No sobre las lesiones activas: hay que controlar antes el brote, porque pasar agujas por piel inflamada puede empeorarlo. Primero se estabiliza el acné y luego se trabajan las marcas que deja.

¿Puedo hacerlo en verano?

Se puede, pero pide disciplina: nada de exposición solar en los días siguientes y protección alta a diario. Si vas a estar en playa o piscina, es más sensato planificarlo en meses de menos sol.

¿Cuándo se ven los resultados?

La piel se ve más luminosa y lisa en la primera semana, pero el cambio real llega con el colágeno nuevo: se aprecia a partir de la tercera o cuarta semana y sigue mejorando durante los meses siguientes al plan.

¿Se puede combinar con otros tratamientos?

Sí, y es frecuente alternarlo con peelings o con tratamientos de firmeza. Lo que no se hace es solaparlo el mismo día con otra técnica que rompa la barrera de la piel. El orden y los tiempos se definen en la valoración.

¿Quién no debería hacérselo?

No está indicado con infección o herpes activo en la zona, dermatitis en brote, heridas, antecedentes de queloides, alteraciones de la coagulación, tratamiento reciente con isotretinoína oral o durante el embarazo y la lactancia. Se revisa caso por caso en la valoración.

Microneedling

Micro-needles that induce new collagen to improve texture, pores, marks and firmness, with no heat and no time off work

45-60 minutes

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About the treatment

What does it involve?

Microneedling is a collagen induction therapy. The skin is covered with a head of sterile microneedles that create thousands of micro-punctures at a controlled depth. The skin interprets that stimulus as a repair to be done and puts the fibroblasts to work: new collagen and elastin, better organised than the old.

The difference from other technologies lies in the mechanism: here the stimulus is mechanical, not thermal. The tissue is not heated and nothing is burnt. That makes it a comfortable option for skin that does not take heat well and for darker skin tones, where a thermal stimulus calls for more caution.

Collagen induction Mechanical stimulus, no heat Adjustable depth

The depth is adjusted area by area: shallower on the forehead, nose and eye contour, deeper on the cheeks or in areas with marks. Within the same face the whole map is not worked the same way, and much of the result lies there.

In men it is used above all for skin with an uneven surface: open pores on cheeks and nose, old acne marks, skin that has become lax in the middle third and that coarse look left by years of shaving and of sun without protection.

Before the first session we do a skin assessment: phototype, thickness, sensitivity, active flare-ups, medication and what you have done before. If your case calls for another technique or calls for waiting, we tell you.

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What does microneedling work on?

It is a skin quality treatment: it acts on the surface and the density, not on volume or on bacteria.

What it works well on

Coarse, uneven texture
Open pores on cheeks and nose
Superficial acne marks and scars
Mild loss of density and firmness
Dull skin with no smoothness
Fine lines of the middle third and the eye contour
Small scars of another origin
Stretch marks and marks on the body

Common reasons for consultation

Skin that looks rough up close and in flash photos
Pores that show more with the years
Marks from acne that has already passed
A feeling that the skin has lost thickness
Having tried only skincare products and got halfway there
Wanting to improve the skin without heat-based treatments

Microneedling, fractional laser or radiofrequency: which is yours?

Microneedling

Stimulus: mechanical, microneedles, no heat

Its ground: texture, pores, superficial marks, density

Recovery: redness for 24-48 hours and fine peeling
Fractional laser

Stimulus: thermal, microcolumns of energy

Its ground: marked acne scars and deep skin renewal

Recovery: more visible and longer depending on the level
Radiofrequency

Stimulus: deep heat, without breaking the surface

Its ground: firmness and tightening, without touching the surface texture

Recovery: none, you leave as you came in

What is the session like?

Skin assessment

We review phototype, thickness, marks, active flare-ups and medication. The working depth comes out of that.
Cleansing and disinfection

Oil and residue are removed and the whole area is disinfected. It is a sterile procedure.
Topical anaesthetic

Anaesthetic cream is applied and left to work for about 20-30 minutes. It is the part of the appointment that takes the longest.
Passes of the microneedles by area

The face is covered sector by sector with a sterile single-use head, adjusting the depth in each one.
Actives and final soothing

With the skin receptive, moisturising and repairing actives are applied and the area is soothed.
Session plan

The usual is 3 to 6 sessions 4-6 weeks apart. For acne marks the upper end of that range is usually needed.
Review and maintenance

The result is assessed at the end of the plan and, if appropriate, one or two booster sessions a year.

What it achieves

Smoother skin to the touch and to the eye
Less visible pores
Superficial acne marks smoothed out
More density and firmness in the middle third
Better tone and overall radiance
Fine lines less marked
Better absorption of your daily skincare
No heat and no operating theatre
Compatible with almost all skin phototypes

Care before and after

Before the session

Stop retinoids, acids and exfoliants 5-7 days beforehand
Do not expose yourself to the sun or come with sunburnt skin in the days beforehand
Shave the day before, not on the day itself
Tell us about your medication, allergies and any history of cold sores or keloids
Tell us if you have taken oral isotretinoin: a period has to pass since the last dose
Do not come with an inflamed acne flare-up or a wound in the area

After the session

Do not touch your face with unwashed hands for the first few hours
No make-up or perfumed balms for the first 24 hours
Avoid intense exercise, sauna, swimming pools and heat for 48-72 hours
Avoid shaving for 2-3 days and then go back with a new blade
SPF 50+ sun protection daily and avoid direct sun for 7-10 days
Do not go back to retinol, acids or exfoliants until 5-7 days have passed
Moisturise and do not pull off the peeling skin by hand

What is to be expected is redness similar to mild sunburn for 24-48 hours, some swelling on the first day, a feeling of tightness and a fine peeling between the second and the fourth day. It is part of the process. If you feel increasing pain, pus or redness that is getting worse, get in touch with us.

Frequently asked questions

How many sessions do I need and how often?

The usual is between 3 and 6 sessions 4-6 weeks apart. For texture and pores the lower end is usually enough; for acne marks the upper end is usually proposed. After that, one or two maintenance sessions a year.

Does it hurt?

With the anaesthetic cream it is well tolerated. You feel vibration and heat in the finer areas, such as the forehead or the eye contour. The discomfort does not continue once it is over.

How many days will it show?

The marked redness lasts between 24 and 48 hours. Between the second and the fourth day a fine peeling usually appears. It requires no time off, but if you have something important on it is worth leaving two or three days' margin.

How is it different from the fractional laser?

Microneedling stimulates with needles and without heat; the laser works with thermal energy. For depressed, marked scars the laser is usually more effective, and for that case we have a specific treatment for acne scars and marks. Microneedling wins with darker skin and when the objective is texture, pores and density.

Does it work if I have acne right now?

Not on active lesions: the flare-up has to be controlled first, because passing needles over inflamed skin can make it worse. First the acne is stabilised and then the marks it leaves are worked on.

Can I do it in summer?

You can, but it calls for discipline: no sun exposure in the following days and high protection daily. If you are going to be at the beach or the pool, it is more sensible to plan it for months with less sun.

When are the results visible?

The skin looks more radiant and smoother in the first week, but the real change comes with the new collagen: it is noticeable from the third or fourth week and keeps improving during the months following the plan.

Can it be combined with other treatments?

Yes, and it is often alternated with peels or with firming treatments. What is not done is overlapping it on the same day with another technique that breaks the skin barrier. The order and the timings are defined at the assessment.

Who should not have it done?

It is not indicated with an infection or an active cold sore in the area, a dermatitis flare-up, wounds, a history of keloids, clotting disorders, recent treatment with oral isotretinoin or during pregnancy and breastfeeding. It is reviewed case by case at the assessment.