An Overview on Micro Needling for Treatment of Common Skin Problems

Are you interested in the form of skin treatment called micro needling or derma rollers? What do you need to know about micro needling treatment and how does it work? These are good questions especially when the procedure appears scarier than it is when needles are involved.

Many skin problems such as acne scars and marks from illnesses like chicken pox are hard to erase. Numerous treatments have been developed to deal with such scars; nevertheless, none has been as successful as recently established micro needling.

The practice of dermal needling for scars and some other skin imperfections first began in early 1995. Back then, the procedure was described as a dermabrasion technique done using a tattoo machine to mitigate scar formation. The treatment achieved some degree of success although it was not until early 2006 when the technology was fully realised through a technique called collagen induction therapy.

The treatment, being simple, can be done at home with the right equipment. Anything less and you run the risk of infection and further scarring.

Devices utilised for Micro-needling.

In the treatment, the skin is pierced utilising fine needles; those needles can either be on a roller, which has wheels of needles, or pens, having a cluster of needles at the tip. The designs utilised by medical professionals may differ; it can be motorised, which enables control of the needle depth and preventing any serious injury.

How does the treatment work?

So what results can you expect before and after microneedling? The process may seem scary and might seem painful although that is not the case at all. The injury inflicted by the needles is only microscopic, but enough to promotes the growth of collagen — protein, which serves as the scaffolding under the skin.

Micro-needling ingeniously utilises deliberate injury to collagen to deal with a scar, which improves its look. The strategy is useful for erasing shallow scars such as those due to acne.  However, the treatment is deemed ineffective for broad and narrow scars.

After about four sessions, you can expect to see an improvement in acne scars. The procedure is likewise useful in smoothing wrinkles around the eyes and on upper-lip.

How much does it cost?

The costs of treatment differ from $250 to $1,000 based on the dermatologist or a medical-grade gadget. The procedure may lead to light bleeding. A patient’s face might look pink and puffy after the treatment. It is suggested to clients to put ice on the treatment area after the therapy. The client recuperates a lot faster than other skin-beautification treatment, such as laser resurfacing, which may take week or more.

Preventative measures to be followed if done in your home

Rollers of various designs are readily available online, which cost from $20 to $125. It is suggested by skin specialists to speak with physicians before doing the treatment at home. Also, use needles shorter than a quarter-to-a-half millimetre, because longer needles increase the threat of infection or scarring.

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6 Steps of Non-Surgical Facial Rejuvenation Program

There is an anti-aging revolution occurring in healthcare today and that you are the main beneficiary. Nowhere in the field of anti-aging medicine are the breakthroughs and technological advances more exciting, more relevant and more readily available for immediate application and benefit to you than in the field of facial rejuvenation. Better, the most exciting, effective new discoveries are non-surgical methods for facial rejuvenation. Yes I said non-surgical and I said effective.

How do we change from that radiant 16 year old with smooth glowing fresh skin to the 40 something who is beginning to see her mother looking back at her in the mirror to the 65 year old with hooded eyes, puffy lower eyelids, jowls, and loose skin folds hanging under the chin. Let’s review and clearly understand what these changes are that we must look for, recognize and then take steps to correct.

Skin Texture Changes (Surface Irregularities)

The aged facial skin looks dry when compared to a child’s skin. Over half of the crucial natural skin moisturizing agent Hyaluronic Acid is lost by the time we turn 50 and you cannot replace HA by taking a pill or applying it to your skin. Loss of hormonal support during menopause accelerates this change. Dry aged skin loses its glow, looks dull, almost grey. The aged skin is wrinkled and rough and pore size is enlarged.

Uneven pigmentation, brown spots, and red spots (Pigment and Blood vessels)

Uneven pigmentation and over growth of blood vessels are characteristic of aged facial skin. These blemishes are a protective and inflammatory response of the skin to years of exposure to ultraviolet light from the sun and injury from free radicals released by harmful agents in our environment and diet.

Fine Lines and Wrinkles

Fine lines and wrinkles are classic signs of facial aging. Static wrinkles are those that are present in the skin when the face is at rest. These wrinkles are caused by the loss of collagen in the deeper layers of the skin. Collagen is destroyed by UV light from the sun and free radicals from other sources. As the collagen disappears volume is lost beneath the skin and the skin wrinkles. This is not unlike the way a grape wrinkles after drying to produce a raisin.

Dynamic wrinkles are those that you see when the face is moving- frown lines, laugh lines, worry lines, and crow’s feet. These lines are actually caused by the pull of the facial muscles beneath the facial skin. Dynamic wrinkles can become static wrinkles after years of repeated pulling by the facial muscles.

Deep Facial Lines

Deep facial lines are those lines around the mouth called the Nasal-labial fold line and the Marionette lines. These lines are different from wrinkles in that they are caused by a combination of the pull of the facial muscles and loose sagging skin. As the face ages, the skin becomes loose and falls over the line created by the facial muscle pull, for example the smile line.

Loose skin

The skin of the aged face has lost it’s elasticity and has become loose. The cheek has fallen and created loose skin on the jaw called jowls. The skin beneath the jaw on the neck is also hanging down, a phenomenon called the turkey wattle.

What Is Facial Rejuvenation

The definition of rejuvenate is to make young or youthful again or restore to an original or new state. True facial rejuvenation requires correction of all of the above facial aging changes for the face to be made young or youthful or restored to an original state. The 6-step program mis designed to address all aging changes without surgery.
The 6-Step Non-Surgical Facial Rejuvenation Program

The 6-step facial rejuvenation program consists of the following 6 steps:

1. Exfoliation
2. Stimulation of new collagen formation
3. Removal of abnormal pigment and blood vessels
4. Relaxation of lines of facial expression
5. Fill deep facial lines
6. Skin tightening

The 6-Step Program In Action- How it’s Done

Step 1-Exfoliation
I start all of my patients on an exfoliation routine consisting of topical exfoliating creams and microdermabrasion or superficial chemical peels with glycolic or salicylic acid. The latter peels are no down time procedures, you leave the office a little pink but with a refreshed glow. The exfoliating creams I use are Retin A® or Tazarotine®, although for patients with sensitive skin I use Vitamin C topically.

For patients with more severe aging changes I use a deper form of exfoliation called MicroLasaerPeel®. This procedure goes deeper than a Microdermabrasion® and is more effective, but you leave the office quite red and need 4 to 6 days for your skin to look normal. This is a great improvement over laser resurfacing, which goes much deeper and requires many weeks of recovery. MicroLaserePeel® does not lighten the skin or leave demarcation lines as does laser resurfacing. Many physicians use deeper chemical peels with TCA, but I prefer the MicroLaserPeel® because of its accuracy and reliability.

Step 2- Stimulate New Collagen Formation

After deep exfoliation, this is the most important step for removal of static facial wrinkles and fine lines. This step is also the most time consuming and tedious and requires patience on your part. There is no quick non-surgical way to remove visible facial wrinkles. Laser resurfacing can quickly and effectively remove facial wrinkles but I consider laser resurfacing a surgical procedure and the prolonged recovery and down time make laser resurfacing unacceptable for most people.

While the topical creams mentioned above and deep exfoliation stimulate new collagen production, additional stimulation is required. Several new laser techniques, IPL, and radiofrequency machines can stimulate the skin to form new collagen in the deeper layers without producing damage to the skin surface. These techniques are called non-ablative, meaning they do not remove the surface skin cells as is done in laser resurfacing, which is an ablative technique. Consequently these non- ablative techniques are no down time procedures meaning that after a treatment you are pink but recover quickly within hours.

There are many different brands of machines that can perform non-ablative stimulation of collagen formation often called photorejuvenation. I prefer one called Lasergenesis® because it is easy, painless, and effective. IPL is also effective and is very useful in patients who have a lot of pigment and abnormal blood vessels, but IPL is stronger, involves contact of the machine to the skin and must be used with caution by a person who is trained and experienced in its use.

Collagen stimulation is a lengthy process. Effective results that you can see in the mirror, that is fewer wrinkles, requires at least 5-7 treatments and 5-7 months for the benefit to be visible. But, it took 30-40 years to form those wrinkles, so removal in 7 months without surgery and down time is pretty good.

Step 3- Removal of Abnormal Pigment and Blood Vessels

Although creams and exfoliation can remove many light brown spots and the lasers and IPL used in step 2 remove smaller vessels, more aggressive therapy is needed for removal of darker pigment and brown spots and larger vessels. There are many non-ablative lasers available for removing pigment and blood vessels. While these lasers are non-ablative they do leave a reddish mark which is visible for a day or two and easily covered with make up. I have used a laser called the Versapulse® for many years which works very well, but new Versapulse® lasers are so expensive that they are rarely being manufactured today. A newer laser called the Coolglide® is very effective for larger blood vessels. Today, the IPL is the choice for combined pigment and smaller blood vessels that appear as a flush similar to Rosacea.

The above therapies are effective and results are visible in about six weeks. Usually 2 or 3 treatments are needed.

Step 4- Relaxation of Muscles of Facial Expression

Botox® is a revolutionary new drug which effectively removes dynamic lines and wrinkles caused by the muscles of facial expression. The frown lines, worry lines, crow’s feet, and bunny lines all may be lessened or removed by the injection of Botox®. Lipstick lines, the fine wrinkles around the lips may also be lessened with Botox® but only small amounts can be used, otherwise the lips will be weakened.

There are several new “peptides”, one of which is acetyl 3 hexapeptide, which when applied topically as a cream are reported to have a Botox®-like effect in reducing fine lines. Eventually these agents will be perfected, be more effective and possibly make Botox® injections unnecessary.

You may read more about how these muscle relaxing, wrinkle removing agents work in Chapter 7, No Down time Facial anti-aging Procedures.

Step 5- Fill Deep Facial Lines and Contour Deformities

Soft tissue fillers such as Radiesse®, Restylane®, your own fat and other fillers can be injected into the skin beneath a deep facial line to plump the line and camouflage the line. They may also be used to plump the aging lip and to fill contour deformities caused by facial aging.

These fillers are temporary and must be repeated every 6 months to a year. Fat injections can last longer and if done properly may not need to be repeated. Remember however, the filler techniques are a camouflage, not a correction.

Step 6- Skin Tightening

Skin tightening is a very important component of any facial rejuvenation process. Prior to the past year or two, a face-lift was the only option for tightening facial skin. However new technologies using Infrared, Radiofrequency, and combined 1319/1064 wavelength laser energy are showing promising results as non-surgical skin tightening methods.

Two of these methods, Thermage®, which uses radiofrequency energy, and Titan®, an infrared device have been used for 2 years and results are improving. These methods are not a non-surgical face-lift as so often advertised, so do not be misled. They can however tighten skin by as much as 30% in properly selected patients. There have been complications with Thermage® consisting of depressions in certain areas of the facial skin so knowledge and experience with the use of these machines is very important.

As with other non-surgical facial rejuvenation techniques skin tightening requires multiple treatments and takes time to see the final result, often 5 months. As with the other laser and photo techniques above skin tightening is achieved by stimulating the deeper layers of the skin to remodel and form new collagen, a process which takes time, usually 5 to 6 months to see your result.

Non-surgical skin tightening is most useful for younger patients who are beginning to have loose skin in the neck, along the jaw-line, and in the cheek. Older patients with severe facial sagging can be improved but results will be less impressive.

The 6-step facial Rejuvenation Program is a carefully structured method for the application of revolutionary new methods to obtain effective non-surgical rejuvenation. This program takes time, but the results are visible and real after about 7 months, the same time frame most people spend using creams and diets only to end up seeing no difference in their face. Remember, it took a lifetime for your face to age, does it make sense that this damage can be reversed overnight-of course not.

The non-surgical facial rejuvenation program is expensive. These new technologies are costly and of course you need to be treated by a qualified physician. However, with the six-step program you get what you pay for, facial rejuvenation without the risk, discomfort, and expense of surgery. If you total the cost of your skin creams, facials, fad diets, and spa visits and save this money for the 6-step program many of you will be very close to covering the cost. For those of you who already have facial rejuvenation treatments in a doctors office, the 6-step program will produce better more effective results and save you money.

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Where to Go If You Want to Pamper Yourself

We don’t actually have to mention, but for many, staying young is almost an obsession. But who really cares? Well, these are the avenues where your obsession can best benefit you. And you’d really love to care.

First Stop: Hair Salon

Alright, we all know that this establishment is a must-stop to look younger. But if it happens that you will go here, would you know what to instruct the stylist for you to look young?

Tell your favorite hair artist to give you a shorter do. A long hair for an experienced lady would more or less make her look like a witch. Trimming on the shoulder or shorter boosts up one’s vitality. This takes the attention away from a sagging face. You may also have some bangs and layers. Bangs brushed on the side softens the wrinkles on the forehead. Layers make hair more lively and youthful.

Or try telling your hairstylist to add some colors on your crown of glory. This increases the volume of the thinning hair brought about by hormonal changes. Not to mention, this also covers up gray hair preventing them from looking ashy.

Hairstylists also recommend soft, tender brushes after a shower of emollient shampoo to give bulk to the thinning hair.

Next stop: Derma’s space

Yes, you can look good by yourself, but going to the skin specialist once in a while spells a huge difference. Take the celebrities for an example.

Dermatologists give benefits that our bare hands alone can’t bring into fruition. Dermatologists may apply some cosmetics like alpha hydroxy acid. This is used to reduce the lines and folds on the face, as a chemical peel, and enhance skin’s overall look and feel. When used as a chemical peel, dermas explain that alpha hydroxy acids can change the pH level of the skin to spawn collagen that enhances tonicity of the skin. Collagen, as we age, diminishes in itself, developing wrinkles and pores.

Dermatologists may also recommend topical treatments and broad-spectrum sun block lotion that would prevent you from sun exposure. Too much revealing of skin to sunlight causes the largest percentage of sagging, dark spots, and fine lines. We do not notice this effect because it’s not an instantaneous one. Best topical prevention includes those that have antioxidants and retinol.

Third stop: Spa

From massage to facials to jacuzzi, a treatment spa is absolutely a perfect haven for those who’d like to stay young. Visiting it can be the most enjoyable trip ever.

A worthwhile massage provides comforting relaxation to treatment to more specific physical problems. It can also relieve stress and improve the blood supply of oxygen and nutrients to the tissues. It can also aid in the recovery of some muscular problems. And at least in part, an hour of it can compensate for lack of workout and muscular contraction.

A facial in the spa provides cosmetic therapy of the face. It involves a multiplicity of skin treatments like exfoliation, peels, steam, extraction, and masks. Not only is it soothing but an age-defying remedy as well.

The warming and freshening comfort of jacuzzi can transfer your soul to another dimension. A jacuzzi uses colors to further healing not only in the body but also in the mind. Each of these colors has a particular wavelength that affects the release of hormones and other organic materials within the body.

This positively changes one’s mood, feelings, or emotions.

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