What is skin needling?

Skin needling, also known as microneedling or collagen induction therapy, involves the use of fine needles to create controlled micro-injuries in the skin. These micro-injuries trigger a wound-healing response, which may stimulate the production of collagen and elastin—proteins that contribute to skin structure and resilience.

Clinical studies have demonstrated that microneedling can induce collagen formation and dermal remodelling through this process (Aust et al., 2008; Fabbrocini et al., 2014).

Its use is supported in the literature as part of a broader treatment approach rather than a standalone solution (Alster & Graham, 2018).

The Society Cosmetic & Skin Clinic Approach

At Society Cosmetic & Skin Clinic in Tamworth, skin needling treatments are performed by a Registered Nurse. A consultation is conducted to assess suitability, discuss potential risks and side affects,

Final Thoughts

Like all skin treatments, it carries potential risks and side effects. These should be discussed prior to treatment.

While research is ongoing, current evidence suggests it may be beneficial for certain skin concerns when performed by trained professionals. Results vary between individuals, and multiple treatments may be recommended.

If you are considering skin needling, a personalised consultation can help determine whether it is appropriate for your skin and goals. Like all skin treatments, it carries potential risks and side effects. These should be discussed prior to treatment.

Common, Expected Side Effects

These are typically mild and temporary:

• Redness (erythema) – often similar to a mild sunburn and may last 24–72 hours

• Swelling (oedema) – usually mild and short-lived

• Skin sensitivity – including warmth, tightness, or tenderness

• Dryness or flaking – as the skin undergoes renewal

• Mild pinpoint bleeding – can occur during treatment

These responses are part of the skin’s normal inflammatory and healing process (Alster & Graham, 2018).

Less Common Side Effects

• Bruising – more likely in delicate areas or thinner skin

• Prolonged redness – may persist for several days in some individuals

• Temporary breakouts – can occur as underlying congestion surfaces

• Milia formation – small white bumps may develop during healing

Potential Adverse Reactions

While uncommon, more significant reactions can occur:

Infection

There is a small risk of bacterial infection if post-treatment care is not followed or if the skin barrier is compromised (Singh & Yadav, 2016).

Post-Inflammatory Hyperpigmentation (PIH)

Pigmentation changes may occur, particularly in individuals with darker skin types or those exposed to UV post-treatment.

Reactivation of Herpes Simplex Virus

Clients with a history of cold sores may experience reactivation following treatment.

Delayed Healing

Healing time may be prolonged in individuals with impaired skin barrier function or underlying health conditions.

Scarring (Rare)

Although rare, there is a potential risk of scarring, particularly if treatment is performed too aggressively or on compromised skin.

Contraindications and Risk Factors

Skin needling may not be suitable for individuals with:

• Active acne, infection, or open wounds

• Certain inflammatory skin conditions (e.g. eczema, psoriasis flare)

• History of keloid or hypertrophic scarring

• Recent use of isotretinoin (medical guidance required)

• Compromised immune function

A thorough consultation is required to assess suitability.

Minimising Risk

To reduce the likelihood of adverse effects:

• Treatment should be performed by a qualified and trained practitioner

• Appropriate skin preparation and aftercare should be followed

• Sun exposure should be avoided post-treatment

• Active or sensitising products should be paused as advised

Important Considerations

Individual responses to skin needling vary. Multiple treatments may be recommended, and outcomes cannot be guaranteed.

All potential risks, benefits, and alternatives should be discussed prior to proceeding with treatment.

References

• Alster TS, Graham PM (2018). Microneedling: A review and practical guide. Dermatologic Surgery.

• Singh A, Yadav S (2016). Microneedling: Advances and widening horizons. Indian Dermatology Online Journal.

• Aust MC, Reimers K, Repenning C, et al. (2008). Percutaneous collagen induction therapy: an alternative treatment for scars, wrinkles, and skin laxity. Plastic and Reconstructive Surgery.

• Fabbrocini G, De Vita V, Pastore F, et al. (2014). Combined use of skin needling and platelet-rich plasma in acne scarring treatment. Dermatologic Surgery.

• Alam M, Han S, Pongprutthipan M, et al. (2018). Efficacy of a needling device for the treatment of acne scars: a randomized clinical trial. JAMA Dermatology.

• Alster TS, Graham PM (2018). Microneedling: A review and practical guide. Dermatologic Surgery.

• Prausnitz MR, Langer R (2008). Transdermal drug delivery. Nature Biotechnology.