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find your dream career! ascpskincare.com/career-toolkits 39 at Healthy Glow Microneedling can help myriad skin issues, resulting in a plump, youthful complexion by Maggie Staszcuk The practice of microneedling is nothing new; the modality has been around for more than 100 years. The use of microneedling was first recorded in 1905 by the German dermatologist Ernst Kromayer, who used dental burs mounted on a motor- driven flexible cord to treat scars, birthmarks, and hyperpigmentation. 1 Ninety years later, Dr. Desmond Fernandes developed a new technique to treat scars and wrinkles with the use of hypodermic needles. Around this time, Fernandes also developed a small needle stamp. 2 Today, the seemingly barbaric methods of microneedling have changed thanks to new technology and US Food and Drug Administration (FDA) regulations. WHAT IS MICRONEEDLING? Stated simply, microneedling inserts tiny needles into the skin, causing tiny wounds to stimulate the body's natural healing response. These microchannels then fill with new collagen, elastin, and hyaluronic acid, leaving the skin looking plump, pink, and glowing for weeks. The depth of needle penetration is dependent on several factors, including skin condition and each state's scope-of-practice rules. Also known as collagen induction therapy, microneedling is used to improve conditions including rough or uneven skin texture, crepe-like appearance, scarring, fine lines, and wrinkles. This technique can also be used to diminish pigmentation. According to a 2008 study, skin treated with four microneedling sessions one month apart showed an increase in the production of collagen and elastin of up to 400 percent, six months post treatment.3 expertadvice ADVANCED MODALITIES