Common questions
Microneedling FAQ
What is microneedling?
Microneedling uses a professional device with fine needles that repeatedly enter and leave the skin, creating controlled microchannels intended to initiate a wound-healing and remodeling response.
What concerns has FDA authorized devices to treat?
FDA has authorized a limited number of devices for specific uses including improving facial acne scars, facial wrinkles and abdominal scars in adults age 22 and older. Authorization is specific to the device, body area and labeling.
Is microneedling painful?
Topical numbing medication is commonly used. Patients may still feel pressure, vibration, warmth or pinpricks, particularly over bony areas or at greater treatment depths.
How much downtime should I plan?
Redness, tightness, dryness, sensitivity or mild swelling commonly last several days. Peeling, bruising or pigment changes can last longer. Your provider should give instructions based on the actual device and treatment depth.
How many sessions will I need?
Many concerns are treated as a series rather than a single session. The number and spacing depend on the scar or wrinkle pattern, device, depth, healing response and goals.
Can microneedling deliver PRP, vitamins or medication?
FDA states that it has not authorized microneedling devices to deliver cosmetics, topical medications, vitamins, drugs or blood products such as PRP into the skin. Combination safety and effectiveness may not have been reviewed.
Is RF microneedling the same treatment?
No. RF microneedling adds radiofrequency heat beneath the skin and has different risks. FDA issued a 2025 warning about reports of serious complications with certain RF-microneedling uses.
Can I use an at-home roller instead?
Home rollers are not equivalent to professional medical microneedling. If they puncture skin or are overused, they can contribute to irritation, infection, scarring or spread of warts and herpes.
Can microneedling be done over active acne?
Treatment is generally postponed over painful, pus-filled or deep active acne because needling can worsen inflammation and spread infection. Acne control may come first.
Is microneedling available by telehealth?
No. The examination and procedure are in-office. Selected follow-up questions may be handled remotely only when your provider determines that is appropriate.