Microneedling

Question 1

What is micro needling ?

Answer 1

Micronedling is an invasive procedure which pricks/wounds the skin to create new skin cells , collagen and elastin to repair the damage

Question 2

What does microneedling treat ?

Answer 2

It treats
-stretch marks
Celuliate
Acne scars
Fine lines and wrinkles
Surgical scars
Hyperpigmentation

Question 3

What can be used as a microneedling tool

Answer 3

Dermapen
Dermastamp
Dermaroller

Question 4

How does microneedling work

Answer 4

It works because it wounds the skin resulting in the new growth of new skin cells which includes collagen and elastin

Question 5

What are the three phases of microneedling healing

Answer 5

Phase 1 (days 1–3) Inflammation: Activated by piercing the dermal tissue,which releases growth factors and signal to the body’s immune system increases blood supply and begins the process of new skin

Phase 2 (days 3–5) Proliferation: epidermal cells continue to divide to populate the areas of damage elastin and collagen, will be laid down and deposited with new tissue formation.

Phase 3 (days 6–30) Remodeling: The collagen in the newly formed tissue is now replaced with even stronger collagen and the dermis contracts to create a youthful firm, but supple texture to the skin.

Question 6

What are the most effective uses of microneedling

Answer 6

-ageing skin
Acne scars/hyperpigmentation
- stretch marks -microneedling improved density of eperdims
Rosace- commonly seen in 30+ , microneedling helps control this by stimulating epidermal growth
- hair loss - stimulates blood flow to scalp

Question 7

Other names for microneedling

Answer 7

collagen induction therapy (CIT),

percutaneous collagen induction (PCI),

Question 8

What are the steps to carry out microneedling

Answer 8

1. Cleanse clients face to ensure dirt +makeup is gone
   2.numbing cream 45mins before procedure
2. After procedure treate skin with saline solution
3. Apply serum containing vitamin A,C,E

Question 9

What are the type of needle lengths and what are they used for

Answer 9

Firstly the needle length should be selected based on the depth of the scars

-1.5-2mm normall used for acne and other scars
- 0.5-1.0 treate ageing and wrinkles

Question 10

What is the recovery time like for microneedling

Answer 10

• not more than 7 days
  Most clients around 3-4 days

Question 11

What is the skin like after the procedure

Answer 11

Immediately after treatment there is redness like a mild sunburn
Day 1 puffy face /slight bruising is normal
Day 3-5 skin may be dry and tight

• day 4-6 there is minimal swelling skin flaking potentially

Day 7 little visible signs of procedure

Question 12

What are the differences between microneedling vs lasers and chemical peels

Answer 12

Laser and dermbrasion have longer down times where as microneedling does not

Microneecan be used on areas that chemical peels or laser cannot such as around the eyes witch laser does not do

Question 13

Which serums can be used with microneedling

Answer 13

Vitamin A , C

• Hyaluronic acid hydrating ingredient which replenishes skin,

-PEPTIDES
Peptides help the skin remain intact by keeping the skin firm,

Ceramides make up 50% of the uppermost layer of your skin and are the fatty
acids which help keep the skin barrier intact

Question 14

Briefly summarise the history of microneedling

Answer 14

The earliest form of microneedling, acupuncture, traces its roots to the Chinese

Question 15

What are the types of microneedling devices

Answer 15

Dermarollers resemble small manual paint rollers with a round, rotating cylinder that has up to 200 tiny needles protruding from it and a handle for moving around it your face. These are sold for at-home use.

Dermapens look like a pen, with a circular head studded with tiny needles. The motor- driven needles move in and out of the skin, piercing it with thousands of tiny punctures. The concentration of the needles in a tiny point is helpful for small, dented acne scars

Dermastamps resemble Dermapens but have a larger head with more needles protruding from it for use on larger areas and are stamped into the skim

Question 16

What is a dermal roller

Answer 16

Dermal roller is a form of microneedling which has different heads and can be used at home

Question 17

What are the diff types of dermal rollers

Answer 17

Small roller - used for smaller more delicate and hard to reach areas ie eyes

Medium roller is used for the face , head , neck and chest area, hands and scalp

Large roller - is used for larger spaces of the body ie legs ,stomach and back ( good for stretch marks

Single dermal roller 0.25 can be used anywhere

Question 18

How do you change the roller heads ?

Answer 18

1. Make sure protective cover is on
2. Grip and press release button
3. While pressing release button attach roller head and wait for click
4. Remove roller head by putting protective cover on and pressing release button

Question 19

What does the skin consist of ?

Answer 19

The skin. Insists if the
1, eperdimis -this is 0.1mm thick
2. Dermis - this is 1 to 2 mom thick
3 fat

Question 20

What is used to clean dermal rollers and dermastamp

Answer 20

Detergent because alcohol doesn’t kill blood and proetins

60% to 80% Ethanol or Methanol alcohol or a 1% Chloramine-T solution.

Question 21

How to roll dermarollerz

Answer 21

• horriziontaly and vertically
  Use medium pressure
  -200 pricks per cm2

Question 22

How to needle acne , chickenpox or individual wrinkles

Answer 22

Make 10 to 20 pricks into the scar with the single need,e

The pricks should be in diff places

Pricking length should be 2mm

Question 23

What shouldn’t ever be needled

Answer 23

Active , infected acne

Question 24

What is the definition of a dermapen

Answer 24

A dermapen is a automated none surgical microneedling device

Question 25

What are the pre procedure precautions for a dermapem

Answer 25

No sun exposure /burns 24hrs before treatment

Discontinue use of tropical retaining

six months following oral isotretinoin use.
• Although not seen in the clinical study, in Fitzpatrick IV–VI, pigment may darken prior to lightening.

QUICK PROCE

Question 26

What are the procedure instructions

Answer 26

Have client complete consent form.
2. Explain the Dermapen procedure to the client and set expectations.
3. Apply single use, non-latex gloves.
4. Cleanse client’s face with a gentle cleansing complex to effectively remove makeup, sunscreen, and surface oils.
5. Take “before” pictures of the procedure area.
6. Open the Dermapen Treatment Kit and remove all contents. 7. Apply the disposable Sheath to the Dermapen
8. Install the cartridge onto Dermapen .
9. If a numbing agent was applied to provide client comfort, the numbing agent must be removed from the skin with an ant

Question 27

What are the procedure depths guidelines for detmapens

Answer 27

Forehead (0.25-1.0 mm)
Nose (0.25-0.75 mm)
Around the Orbital Rim* (0.25-0.5 mm) Facial Scars (up to 1.5 mm