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MicroNeedling Pre & Post Advice Reference

Updated: Apr 18, 2023

This is a student reference guide to contraindications, pre and post treatment advice. Have a good read through all my pre and post advice to check if this treatment is right for your client.


Skin Peels

CONTRAINDICATIONS


Total Contraindications:

  • Hemophilia, blood clotting problems (ie poor wound healing)

  • Papulopustular rosacea

  • Acne Vulgaris stage III-IV

  • Solar Keratosis

  • Undergoing chemotherapy or immune therapy

  • Connective tissue disorders / auto immune disorders (e.g. lupus)

  • Long term use of Prednisone and other steroid medications (treatment will increase inflammation)

  • Pregnant/Nursing

  • HIV/AIDS

  • Anticoagulants / Blood thinners (including but limited to Warfarin or aspirin)

  • Nickel or stainless steal allergies

  • Scleroderma

  • Collagen vascular diseases

  • Solar keratosis

Conditions that need a doctors letter to confirm the treatment is suitable before treatments can begin:

  • Transplant Anti-Rejection Drug

  • Heart Disease

  • Hypertension (High blood pressure treated with medication)

  • Cancer - after 12 months

  • Insulin Dependent Diabetes

The list below is of things that require a waiting period until you can start treatments:


Wait until completely clear and healed

  • Active bacterial, fungal or viral skin infection of any type in the area to be treated

  • Active Herpes – cold sores — (even if inactive take anti-viral medication 2 weeks pre and post treatment (peels & needling)

  • Warts in area to be treated

  • Sunburn in the treatment area

  • Inflammation

  • Open Lesion on area to be treated

Waiting times for specific procedures (on area to be treated)

  • Recent facial operations - At least 3 months post surgery

  • Isoretinoin (e.g. Roaccutane) - 6 - 12 months post treatment

  • Tattooing / Cosmetic Tattooing – 3 months

  • IPL / Laser hair removal – 2 weeks

  • IPL skin treatments - 2 weeks

  • Laser Resurfacing/Ablative – 8 weeks

  • Strong chemical peels - PH lower than 3.1. – wait 2 weeks

  • Botulinum Toxin - 2 weeks

  • Dermal Fillers – Hyaluronic Acid & Vital Hydrate – 2 weeks

  • Dermal Fillers - Sculptra & Radiesse - 6 week

Stop using/taking 1 week before commencing treatments:

  • Fish Oils / Plant oils / Omega 3s

  • Ginseng / Gingko Biloba / St Johns Wart

  • Retinoids

  • Topical antibiotics

  • Exfoliants and/or AHA or BHA

  • Benzoyl peroxide / adapelene (Differin)

  • Hydroquinone / kojic acid / azelaic acid

  • Anti-inflammatory medications such as ibuprofen. These will interfere with the natural inflammatory process that is critical for your skin rejuvenation.

  • Waxing or depilatory creams on the area to be treated

Notes:

  • Psoriasis and other dermatosis that can be koebnerized, can potentially be triggered by needling even if they have been quiescent for years.

RECOVERY TIME

  • 60 minutes: Reddening and possible pot bleeding

  • Up to 24 hours: Erythema (reddening or rash like appearance) , Petechiae (pinpoint, round spots), minor oedema (swelling)

  • 1-2 days: Mild erythema , petechiae, reduced oedma, minor itching, dry/tight sensation.

  • 2-3 days Reduced erythema, fading petechiae, dissipated oedema, reduced itching, minor skin flaking

  • 3-4 days: Potential dryness

  • 4-5 days: Full Recovery with normal function

  • 3weeks: improved pigmentation begins

  • 4-6 weeks: Improvements in lines, wrinkles and scarring begins

AFTERCARE

  • Please avoid the following activities for up to 2 days following a microneedling clinical procedure: • Direct ultra violet exposure (sun and sunbeds) • Intensive cardio, exercise or gym regimens • Excessively hot showers, bathing, spas or sauna • Swimming in chlorinated pools or the ocean • Tattooing (including cosmetic tattooing) • Further clinical treatments (including, but not limited to): microdermabrasion, laser, intense pulsed light, chemical peels, muscle relaxant injections and dermal fillers) should be avoided for up to two weeks.

  • Please avoid the use of skin care products containing any of the following active resurfacing ingredients for up to 5 days following a microneedling clinical procedure: • Alpha hydroxy acids (AHAs) (including but not limited to) glycolic, lactic or malic acid • Beta hydroxy acid (BHA) including salicylic acid • Benzoyl peroxide • Retinoids (including but not limited to) tretinoin, retinol and retinaldehyde • Hydroquinone • High levels of Kojic or azelaic acid • Alcohol (including but not limited to) isopropyl alcohol/de-natured alcohol/rubbing alcohol

  • Do not apply spray tans or fake tan creams for 2-3 weeks after the treatment If in doubt with any of the above activities or products, please contact us for clarification to when normal activity or use may be resumed.

HOMECARE

  • For the first 1-3 days the skin may feel tight and dry. Frequent use of post session topical will help with this.

  • Light, non-occlusive and non-comedogenic make-up may be applied 24 hours post-procedure and a SPF is advised for at least 3 days after your treatment.

  • After 2-3 days you can return to your regular skin care products with the exclusion of the products listed above

  • Low does Vitamin A products are recommeneded

  • Avoid direct sunlight and always wear SPF30 or above. Do not apply a chemical sunscreen the same day as the treatment, only approved physical defense sunscreen can be used.

  • Microneedling serves to stimulate collagen and the skin can benefit from higher amounts of collagen then normal to have optimal results. Collagen stimulating peptides assist in this process.

  • Its important to hydrate before and after the procedure to help skin heal and rejuvenate faster.

  • Gently exfoliate the skin after 3-5 days to remove flaky skin that can form after the treatment.

  • Omega 3, Zinc & glucosamine oral supplements can help with your treatment results

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