You’ve talked with your patient about how microneedling with SkinPen® can help reduce their fine lines and wrinkles or reduce the appearance of scars on their face or body. They’ve decided this is the procedure for them. Now it’s time to get ready. That’s a 3-step process – the same three steps you follow to prepare a patient for any procedure, but with points specific to microneedling and this particular patient.
Microneedling Step #1: Before The Procedure
Confirm the areas to be treated. Confirm there are no contraindications in play. Refer to the IFU for detailed Contraindications and Warnings, however these are examples of conditions to look for in your patients. They include: active breakouts or open lesions; active bacterial, fungal or viral skin infections; or skin cancer in the area(s) to be treated. If the patient tends to get herpes simplex infections, determine if prophylaxis therapy is warranted. If the patient has received isotretinoin, you must wait six months post-treatment before performing micro needling. Isotretinoin can interfere with healing and increase the risk of scarring.
Ask your patient to avoid self-tanning lotions or sprays for 48 hours prior to their procedure. For 24 hours before their procedure, they should stop using skin products that contain vitamin A or retinol and avoid sun exposure. They should let you know right away if they get sunburned the day before their procedure.
Forewarn patients with Fitzpatrick Skin Type IV-VI that the area may darken initially, but this is only temporary.
Microneedling Step #2: The Procedure Itself
- Explain how the SkinPen® is used during the procedure, and confirm expectations with the patient.
- Take “before” photos prior to beginning the procedure.
- Cleanse the patient’s face to ensure the skin is entirely free of makeup or any other residue.
- Apply numbing cream to help the patient feel comfortable during the procedure. SkinPen® supplies an OTC Lidocaine that may be used for the procedure, however for more extensive procedures a prescription numbing agent may be necessary (provided by the treating physician). Remove numbing agent and apply antiseptic solution.
- Apply a very thin layer of Skinfuse LIFT HG, to protect the skin against friction or abrasion during the procedure.
Microneedling Step #3: Post-Procedure
- Pat down the treated area and apply Skinfuse® RESCUE to assist in reducing inflamation. Encourage your patient to re-apply Skinfuse RESCUE as needed within the first 24 hours. For the first day or two, the skin may be slightly red or inflamed, similar to a sunburn.
- Caution your patient not to use anything other than Skinfuse post-procedure products. Other products may clog the tiny channels created by microneedling, and could cause unfavorable reactions.
- Caution your patient to avoid sun exposure and sweaty exercise for the first 72 hours. These activities increase blood flow to the skin surface, which can cause irritation.
The patient’s next procedure should be scheduled in four weeks. Before beginning that procedure, remember to take “after” photos to show results from the first session.