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Microneedling for texture & scars

Microneedling

Microneedling creates controlled micro-injuries that stimulate repair. It can improve selected concerns such as acne scars, fine lines, or uneven texture, with treatment depth and recovery planned for your skin.

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Private physician-led care serving Bellevue, Clyde Hill, Medina, Hunts Point, Seattle, and nearby communities. Select physician travel appointments may be available in Oregon and California by advance arrangement.

About the treatment

How microneedling changes skin.

Microneedling uses very small, sterile needles to create controlled micro-injuries in the skin. The natural healing response can support new collagen and gradually improve the appearance of texture, fine lines, and certain acne scars.

Results develop over time and often require a series rather than a single session. Treatment depth, timing, and aftercare are individualized to your skin and goals.

01

Controlled renewal

A precise injury that prompts repair

A medical microneedling device moves sterile needles in and out of the skin at a controlled depth. The resulting micro-injuries begin a wound-healing response that can remodel collagen and gradually change the appearance of selected scars or wrinkles.

Needle depth is adjusted for the treatment area, concern, skin thickness, and the device’s authorized use. Going deeper can increase recovery and risk without improving the result.

  • Selected facial acne scars
  • Selected facial or neck wrinkles
  • Texture concerns that fit the device and treatment plan
  • Certain surgical scars when an authorized device and site are appropriate

FDA-authorized indications vary by device. Microneedling is not a universal treatment for every pigment, pore, scar, or body area concern.

02

The session

Preparation, sterile technique, and individualized depth

The skin is examined and cleansed, and topical numbing may be used. A new sterile cartridge is used for the session. The device is passed over the planned area using settings selected for your skin and treatment target.

Pinpoint bleeding, warmth, and redness can occur. Products used during or after treatment need careful selection because newly treated skin may react differently, and microneedling devices are not automatically authorized to deliver cosmetics, medications, vitamins, or blood products into the skin.

03

Recovery & results

Visible recovery first; collagen change later

Redness, tightness, dryness, roughness, peeling, swelling, itching, bruising, or crusting can follow treatment. Most reactions improve, but downtime varies with the device, settings, treatment area, and your skin.

Collagen remodeling takes time. You may notice an early glow as surface irritation settles, but scar and wrinkle changes develop over weeks to months. More than one treatment may be recommended, and improvement is not guaranteed.

  • Use the gentle aftercare plan provided
  • Protect healing skin from sun exposure
  • Pause irritating products until cleared
  • Report infection, blistering, pigment change, or worsening pain
04

Candidacy & risk

Not every skin condition should be needled

Treatment may be postponed or avoided with active acne or infection, an open wound, an inflamed skin disorder, a bleeding problem, immune suppression, poor wound healing, a tendency toward problematic scars, recent isotretinoin or procedures, pregnancy, or certain medications.

Less common risks include infection, persistent redness, reactivation of cold sores, lines, enlarged lymph nodes, and darker or lighter pigmentation. Radiofrequency microneedling adds heat and has a different risk profile, including reports of burns, scarring, fat loss, disfigurement, and nerve injury with certain uses.

Tell Dr. Chang about cold sores, pigment changes after inflammation, keloids, eczema, diabetes, blood thinners, and every recent skin procedure.

What to expect

What the visit looks like.

  1. 01

    Skin review

    Evaluate your concern, skin condition, tendency to scar or pigment, medications, and recent procedures.

  2. 02

    Procedure

    The skin is prepared and a sterile device is passed over the planned area at a depth selected for your treatment.

  3. 03

    Renewal

    Redness and sensitivity are expected at first. Improvement is gradual as the skin’s repair process continues.

Frequently asked questions

Questions that often come up.

These answers are general information. Your consultation is where recommendations become specific to your health and goals.

What concerns can microneedling help?

It may improve the appearance of uneven texture, fine lines, enlarged-looking pores, and some acne scars. Whether it is a good match depends on the type and depth of the concern.

How many treatments might you need?

You may choose a single refresh, while texture or scar concerns often benefit from a planned series. Dr. Chang will recommend timing after examining your skin.

What is recovery like?

Redness, warmth, tightness, dryness, or mild swelling can follow treatment. The length of visible recovery varies with treatment depth and individual skin response.

When will you see results?

Microneedling relies on the skin’s repair response, so change is gradual. Texture can continue to evolve for weeks after a session, and a series may produce more noticeable improvement.

When should treatment be postponed?

An active infection, open wound, inflamed skin condition, recent procedures, certain medications, or a history of healing or scarring problems may change the plan. A medical skin review comes first.

What concerns can FDA-authorized microneedling devices treat?

Specific devices have been authorized for specific uses, including the appearance of facial acne scars, certain facial or neck wrinkles, and some abdominal surgical scars in adults age 22 and older. The device and its cleared indication matter.

Does microneedling hurt?

Topical anesthetic is commonly used, but you may still feel vibration, pressure, scratching, or brief sharper sensations over sensitive areas. Tell Dr. Chang about numbing-medication allergies or prior reactions.

How long does a session take?

The procedure time depends on the area and plan. The visit also includes skin preparation, possible numbing time, photographs, and aftercare review, so plan for longer than the device time alone.

What is the difference between traditional and RF microneedling?

Traditional devices create mechanical micro-injuries. Radiofrequency devices also deliver heat beneath the skin. They are not interchangeable, and RF microneedling has device-specific benefits, settings, and risks that require a separate discussion.

Can microneedling be combined with PRP or serums?

Some practices combine treatments, but the FDA has not cleared microneedling devices to deliver cosmetics, topical drugs, vitamin solutions, or blood products such as PRP into the skin. Any combination requires a separate evidence and safety discussion.

Is microneedling safe for darker skin tones?

It can be considered for a range of skin tones, but darker or lighter pigment change is a recognized risk. Your history of post-inflammatory pigmentation, current products, recent sun exposure, and treatment settings should be reviewed carefully.

Can you do microneedling at home?

At-home rollers are not equivalent to medical devices. The FDA has not authorized medical microneedling devices for over-the-counter sale, and deeper or reused needles can increase the risk of injury, contamination, and infection.

How soon can you wear makeup or restart active skin care?

That depends on the depth of treatment and how your skin heals. Follow the written plan for cleanser, moisturizer, sunscreen, makeup, retinoids, acids, and other potentially irritating products rather than restarting them automatically.

Request a consultation

Find out whether this service fits your goals.

Share the change you want to address, your timing, and any questions you have. Dr. Chang will explain what the service could realistically do for you.

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