Microneedling – What Does Science Say About Its Effectiveness?

Microneedling – What Does Science Say About Its Effectiveness?

Microneedling – also called “Collagen Induction Therapy” (CIT) – is one of the most discussed treatments in modern aesthetic medicine. But does it really work? What do the studies say? And who is it suitable for? We provide a scientifically based overview.

What exactly happens during microneedling?

During microneedling, ultra-fine sterile needles (length 0.25 mm to 2.5 mm, depending on indication) create targeted micro-injuries in the skin. These micro-channels activate three central regeneration processes:

  1. Inflammation phase (day 1–3): growth factors are released
  2. Proliferation phase (day 4–14): fibroblasts produce new collagen and elastin
  3. Remodeling phase (weeks to months): the new collagen matrix matures

The result: firmer, smoother and visibly rejuvenated skin – without thermal damage like in laser therapy.

What do studies say about effectiveness?

Landmark study 2008

The German research group led by Dr. Matthias Aust (Hannover Medical School) published a landmark paper in the renowned journal Plastic and Reconstructive Surgery: In 480 patients, microneedling showed significant improvement in wrinkles, scars and skin laxity – histologically proven by a significant increase in collagen and elastin.¹

Acne scars: up to 80% improvement

An Italian study on 32 patients with acne scars (Fabbrocini et al., 2009) showed an average improvement of scar depth by 57% after two microneedling sessions.² A larger review (Alster & Graham, 2018) confirms: microneedling is a safe, effective treatment for atrophic acne scars with results comparable to fractional laser therapy.³

Wrinkles and skin aging

A South Korean study (El-Domyati et al., 2015) examined 10 patients with photoaging and wrinkles before and after six microneedling sessions two weeks apart. Result: significant increase in type I and type III collagen as well as elastin – microscopically documented.⁴

Who is microneedling suitable for?

The treatment is particularly suitable for:

  • First signs of skin aging (fine lines, loss of firmness)
  • Atrophic acne scars and post-inflammatory hyperpigmentation
  • Enlarged pores
  • Pregnancy and stretch marks
  • Tired, dull skin without visible glow

When is microneedling NOT suitable?

You should avoid microneedling in case of:

  • Active skin infections (herpes, bacterial infections)
  • Acute acne flare-ups with inflammatory pustules
  • Tendency to keloid scarring
  • Blood clotting disorders or use of blood thinners
  • Pregnancy and breastfeeding (as a precaution)
  • Skin cancer in the areas to be treated

Dermaroller vs. professional microneedling

Cheap dermarollers (from €15) are sold in drugstores and online as “home microneedling”. We strongly advise against this. The reasons:

  • Home devices have needle lengths under 0.3 mm and can hardly stimulate collagen
  • Non-sterile conditions lead to infection risks
  • Wrong technique can cause pigmentation disorders, scars and skin damage
  • Needles become dull over time and tear the skin

Professional microneedling is performed with medically certified devices (e.g. Dermapen 4, SkinPen Precision), sterile single-use attachments and consideration of individual skin parameters.

What should you consider after treatment?

  • Day 1–2: Light redness like a sunburn, possibly minimal swelling
  • Day 3–7: Gentle skin peeling possible – don’t scratch off!
  • 48 hours: No make-up, no sauna, no sport, no direct sunlight
  • 2 weeks: Consistent SPF 50+ sun protection, mild care without acids/retinol

How many sessions are necessary?

For visible results, most dermatologists recommend 3–6 treatments at intervals of 4–6 weeks. Maintenance treatments every 6–12 months sustain the result long-term.

Microneedling at Beauty Salon Glamour

At our salon in Leipzig, we work exclusively with medically certified microneedling devices and maintain the highest hygiene standards. Before every treatment, a thorough skin analysis and consultation takes place – we only recommend the treatment if it makes real sense for your skin type and goals.

Book a consultation now or call us at +49 15510 664870.


Sources

  1. Aust MC et al. Percutaneous collagen induction therapy: an alternative treatment for scars, wrinkles, and skin laxity. Plast Reconstr Surg. 2008;121(4):1421-9.
  2. Fabbrocini G et al. Acne scarring treatment using skin needling. Clin Exp Dermatol. 2009;34(8):874-9.
  3. Alster TS, Graham PM. Microneedling: A Review and Practical Guide. Dermatol Surg. 2018;44(3):397-404.
  4. El-Domyati M et al. Microneedling therapy for atrophic acne scars: an objective evaluation. J Clin Aesthet Dermatol. 2015;8(7):36-42.

This article is for informational purposes and does not replace medical or dermatological advice. Before each treatment, we hold a personal consultation in our salon.

Book now or WhatsApp or +49 15510 664870