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Is Micro Needling Effective?

A New Way to Deliver Aesthetics to your Patients

As technology develops so do new ways of delivering traditional treatments for patients. A case in point is the resurgence of DermaRollers micro-needling technology and a new way of delivering the precise dose and depth of injections using micro-needling devices.  Advances concerning the variety of needle options and the materials used for the needles (i.e. titanium, stainless steel) allow for better treatments but can also be confusing. Some of the newer applications that are now utilizing these types of micro-needling devices include acne, acne scars, cellulite, and for the administration of platelet rich plasma. Micro-needling alternatives replace more expensive technologies for a variety of aesthetic conditions.  The convenience of having a patient pay for his/her individual roller/pen allows the physician to avoid the high capital cost of ablative lasers, cellulite technologies, and other expensive equipments and other micro-needling devices have a small disposable cost for needle tips of only +/- $15.00. The average cost to the patient for these types of micro-needling devices ranges from $249.00 to about $450.00 depending upon features and types of materials used. Medicines for the face and skin have been developed for many years but issues of how to effectively deliver these same medicines have been the challenge in effecting treatments. Mesotherapy agents used for cellulite reduction, for example, are shown to increase the elasticity of subcutaneous chambers and have been used for decades, however, the number of treatments (10-14) needed and the number of injections per treatment (300-500) made it unattractive to patients. Using micro-needling devices the number of treatments, the number of injections and the correct depth of the injections are reduced.  For both types of delivery methods (Dermal Rollers or Micro-Needling Devices) there is no guesswork to deliver medicines at the correct depth and treatment times are reduced. In addition, new therapies and treatment options have evolved thanks to micro-needling devices such as acne scar treatments, alopecia treatments (i.e. Platelet Rich Plasma), and other conditions such as stretch marks, anti-aging, and face/body. Though the delivery of these medicines is accomplished with these micro-needling devices, it should also be noted that there are many varieties and qualities of these devices. The following represents the size variations of the needle lengths for the most common types of conditions:

Micro Needling Roller Chart

There are also different qualities of these micro-needling devices which can be classified as medical grade and for aesthetic use. Many of these devices cannot be unused because of the materials used in the product while others are constructed of stainless steel needles and/or titanium which can be used more than once for the patient. Stainless steel and titanium cannot dull after repeated use like non-medical grade uses and are more aseptic than others though we never would use rollers between patients. For some patients, they may elect to purchase multiple length rollers depending upon the condition treated. There are many manufacturers and the number of needles for each type of roller vary (192 – 540 needles) so it is necessary to do your homework before offering it to your patients. Empire Medical Training has recently updated their programs to incorporate these new micro-needling techniques, specifically the Advanced Acne Therapies course where micro-needling alternatives are explained and discussed in comparison to more expensive and invasive laser solutions for acne scarring. All of the Empire courses have been updated for possible uses and the newer topical medications that have been introduced that relate to these therapies (i.e. Facial Aesthetics, Medical Hair Restoration, Platelet Rich Plasma (PRP), and Mesotherapy Training courses). This relatively inexpensive addition to your practice will allow you to perform these specific therapies without the need for large capital expenditures and will allow you to serve the needs of a greater cross-section of your patient population and outside your practice.