Can microneedling make hyperpigmentation worse?

Microneedling can cause hyperpigmentation to worsen but it is difficult to discern the cause as there are so many variables involved: sun exposure, skin type and tone, genetics, environmental factors, hormones, skin care products, etc.
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Will microneedling cause hyperpigmentation?

Answer: Microneedling does normally cause hyperpigmentation in darker skin, so an aftercare plan is important to reduce and prevent it.
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Does pigmentation get worse after microneedling?

If this is the case, microneedling may cause more inflammation. Following this, your body will send white blood cells to fight off bacteria and infection. This can trigger the production of more melanin, which can then form dark spots or worsen those that are already there.
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How long does hyperpigmentation last after microneedling?

Most of the visible recovery from microneedling happens in the first day or two after treatment, but healing will still be happening under the surface of your skin for up to 2 months afterward. Even with careful aftercare, there isn't much you can do to get rid of the redness immediately after microneedling.
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Can microneedling make skin look worse?

This is especially the case if there are active lesions on the surface—the treatment may make them worse. While it can work wonders at improving acne scars, microneedling can actually spread bacteria in the skin, making breakouts worse. Pin point bleeding isn't uncommon. According to Dr.
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Why Facial Microneedling Causes Hyperpigmentation in Darker Skin, and Importance of Aftercare



Can microneedling worsen scars?

Many patients worry that the trauma caused to the skin during microneedling procedures can make acne scars worse. Thankfully, properly administered microneedling will not worsen the appearance of acne scars.
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How is hyperpigmentation treated after microneedling?

If there is already PIH, treatments which can be used are:
  1. Topicals such as Retin A, hydroquinone, and steroids; Triluma contains all 3.
  2. Chemical Peels.
  3. Gentle laser treatments with a 1064 laser (nanosecond or picosecond)
  4. Possibly PRP with microneedling (experimental but minimal risk)
  5. Antibiotics for ongoing infections.
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Does hyperpigmentation come back after microneedling?

Eradicates sun damage

Microneedling does a tremendous job of lightening and reversing hyperpigmentation and sun damage. This is again due to the power of collagen production and its ability to repair and restore your skin.
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Can microneedling worsen melasma?

While microneedling is a great treatment for melasma, it's not for every case of melasma. If you trigger an inflammatory response with a microneedling treatment at home, you can actually worsen your pigmentation. Melasma always has a chance to recur, especially if patients are not careful about sun exposure.
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Is microneedling good for hyperpigmentation?

A recent small study finds that microneedling can improve acne scarring and the associated hyperpigmentation in patients with skin of color.
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Why does my skin look dark after microneedling?

She continues: "It is a treatment for scarring so it shouldn't cause scars. However, darker skins are more likely to get post-inflammatory hyperpigmentation." Post-inflammatory hyperpigmentation (PIH) refers to the dark marks or skin staining that can occur after treatment.
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How many microneedling sessions are needed for hyperpigmentation?

Although the number of sessions can vary, most people need three to six sessions for optimal results. With this in mind, you may spend anywhere from $600 to $4,200 overall.
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What treatment is best for hyperpigmentation?

Hydroquinone is considered by many to be the gold standard treatment for pigmentation. “Hydroquinone blocks the production of pigmentation by inhibiting tyrosinase,” explains Dr Jack, adding that it does so in a particularly potent way.
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Do scars get worse before better with microneedling?

Answer: Microneedling for Acne Scars

A series of treatments are normally needed to achieve the best results. With each treatment, some amount of inflammation or swelling is normal. During that time the scars may look worse as the normal skin around them swells somewhat. Over time, of course, this will all resolve.
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Does skin get worse before better after microneedling?

Answer: Microneedling expectations

That being said, science says that microneedling will not make scars worse but it does take time. It takes about 4 -6 weeks for your collagen to start remodelling while an intended injury to the skin takes about 6 -8 weeks to start repairing.
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What happens if you microneedle too much?

Microneedling Too Often

Failing to do so can slow healing, increase irritation, inflammation, and slow results, which we don't want to do to our skin. Studies show that collagen is still forming in the skin up to 1 month later after microneedling, so be patient.
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Why is my hyperpigmentation not going away?

Some cases of hyperpigmentation may never go away completely. If hyperpigmentation is caused by injury, then as the skin heals the discoloration will lessen as melanin is absorbed into the tissue surrounding the injury.
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What is the fastest way to cure hyperpigmentation?

In this case, turning to dermatological procedures will work as the fastest way to get rid of hyperpigmentation. Chemical peels, laser therapy, microdermabrasion, or dermabrasion are all options that work similarly to rid skin of hyperpigmentation.
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How do dermatologists remove hyperpigmentation?

Dermatologists consider prescription-strength hydroquinone, alone or combined with other lighteners, to be the gold standard for fading dark spots because it slows the production of pigment. “It's our go-to,” says Dr.
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When should you not do microneedling?

Discontinue autoimmune therapies and retinoid products 24 hours prior to beginning treatment. Do not treat over active acne, rosacea, or other inflammatory conditions. Do not treat over open wounds. Do not use the device inside of orbital rim, such as eyelids or inside the vermillion border of the lips.
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Which is better for hyperpigmentation chemical peel or microneedling?

Chemical peels treat more surface damage, like wrinkles, texture issues, and scarring. Microneedling treats conditions like rosacea, hyperpigmentation, and sagging skin.
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How do you know if microneedling is working?

One week following treatment: Most of our patients will notice improvements in their skin just one short week after treatment. Initial results usually include improved skin tone, a reduction in acne visibility, and improved skin texture.
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How do you lighten skin after microneedling?

Answer: Hyperpigmentation after microneedling

Skin products with natural lighteners or bleaching creams are often used as a first line. If things persist you can consider intense pulse light (IPL) type treatments as well.
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Can microneedling cause hypopigmentation?

Can Micro Needling Cause Hyper-Pigmentation? Discoloration caused by skin needling is rare, but can occur if the needle depth is 1.5 mm or deeper, and the procedure is done too frequently. This negligence can cause irritation in the skin which can be one possible cause to post inflammatory hyper-pigmentation.
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Who should not do microneedling?

Microneedling can cause bleeding so it may not be suitable for people with clotting or bleeding disorders, or who take medicine to thin their blood. You may want to avoid microneedling if you have conditions that affect your skin, such as eczema or diabetes, or if you have a weakened immune system.
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