What is Skin Needling?

Skin needling, also known as microneedling, is a procedure that involves the use of fine needles to create controlled micro-injuries in the skin. This process is intended to support the skin’s natural repair response. It may be considered in the management of certain skin concerns, including the appearance of atrophic acne scarring (Shen et al., 2022; Sitohang et al., 2021).Microneedling devices use small needles to create microchannels in the skin (Therapeutic Goods Administration [TGA], 2019). With any cosmetic or medical procedure, it is important to seek appropriate information before proceeding.Evidence from systematic reviews of randomised controlled trials suggests that microneedling may improve the appearance of acne scars for some individuals; however, outcomes can vary and may not be comparable to other treatment options (Shen et al., 2022; Sitohang et al., 2021). Individual response is influenced by factors such as skin type, condition severity, and overall skin health, and results cannot be guaranteed.

Consider the Risks

Microneedling may be performed by a qualified health practitioner using an appropriate device; however, the procedure carries potential risks. Skin redness is common following treatment and may last for several days. Sun protection is recommended in the period after treatment. Potential risks include infection, post-inflammatory hyperpigmentation, scarring, and discomfort. Risks may be increased if procedures are performed outside of appropriate clinical settings or without adequate hygiene controls (TGA, 2019). As with all procedures, not all individuals are suitable candidates for treatment, and outcomes will vary between individuals.

Post-Treatment Care

Appropriate aftercare is important to support skin healing and reduce the risk of complications. Your treating practitioner will provide individualised instructions, including pre- and post-procedure care (TGA, 2019). Maintaining good hygiene practices and avoiding treatment on compromised skin (such as cuts, abrasions, or active skin conditions) may help reduce the risk of adverse outcomes. If unsure, advice should be sought from a qualified health practitioner to determine whether microneedling is appropriate (TGA, 2019).

Is Skin Needling Suitable for You?

A consultation with a qualified health practitioner is required to assess suitability, discuss potential risks and benefits, and determine an appropriate management plan.

References

Shen, Y.-C., Chiu, W.-K., Kang, Y.-N., & Chen, C. (2022). Microneedling monotherapy for acne scars: A systematic review and meta-analysis of randomized controlled trials.

Aesthetic Plastic Surgery, 46(4), 1913–1922.Sitohang, I. B. S., et al. (2021). Microneedling in the treatment of atrophic scars: A systematic review of randomised controlled trials. International Wound Journal, 18(5), 577–585.

Therapeutic Goods Administration (TGA). (2019). Microneedling: Things to consider. Australian Government. Available at: https://www.tga.gov.au/news/news-articles/microneedling-things-consider (Accessed: 24 March 2026).