Issue link: https://www.ascpskindeepdigital.com/i/1263242
40 ascp skin deep july/august 2020 INDICATIONS AND CONTRAINDICATIONS Microneedling is a minimally invasive procedure with no downtime; however, performing a proper consultation and prepping the skin are key to a positive outcome. The healing ability of skin slows down as we age, so it is important to prep the skin with high-quality skin care leading up to the treatment, and then to ensure your client is following post-care instructions, including using a daily sunscreen. Although microneedling is indicated for all skin types, higher Fitzpatrick skin types should proceed with caution and be prepped with a skin lightener to reduce melanocyte activity for several weeks leading up to the treatment. Clients with active acne should also avoid receiving any microneedling treatments until their condition is under control, as it could result in the spread of bacteria and lead to infection. Clients suffering from severe rosacea may also experience flare-ups or infection as well. Additional contraindications include bleeding disorders, active herpes simplex, skin infections in the area to be treated, eczema, and psoriasis. When in doubt, don't treat, and always refer your clients with suspicious lesions and disorders to their dermatologist. SCOPE OF PRACTICE Whether you can perform microneedling is dependent on your state board rules and regulations. Many states do not address microneedling, which means the modality is not a regulated service. That said, microneedling may still be illegal for esties to perform. It is best to contact your state board to get clarification in writing before performing microneedling in your state. For states that regulate microneedling, standards may limit the scope of performance (such as needle depth) and may require the supervision of a medical director. For states that require medical director supervision, regulation then falls under the medical board, nursing board, or state board of health. Notes 1. Olha Vorodukhina, "An Introduction to Medical Microneedling," Aesthetics, last modified July 10, 2017, accessed May 2020, www.aestheticsjournal.com/feature/ an-introduction-to-medical-microneedling. 2. Vorodukhina, "An Introduction to Medical Microneedling." 3. Aashim Singh and Savita Yadav, "Microneedling: Advances and Widening Horizons," Indian Dermatology Online Journal 7, no. 4 (July–August 2016): 244–54. https://doi.org/10.4103/2229-5178.185468. Microneedling is a minimally invasive procedure with no downtime; however, performing a proper consultation and prepping the skin are key to a positive outcome. expertadvice ADVANCED MODALITIES Liability Insurance Professional liability insurance for microneedling protects you in case a client sues. ASCP members who are microneedling at a depth greater than 0.3 millimeters have access to optional Advanced Modality Insurance coverage for microneedling and other advanced modalities (such as cryotherapy and radio frequency) that protects you and your esthetics practice. More information about advanced modality coverage, including the steps for applying, is available at www.ascpskincare.com/ami. Pricing for microneedling ranges from $592 to $692 for the year, and you can bundle that coverage with other advanced modalities to save more. If you can answer yes to the following three questions, you may be eligible for this advanced modality coverage: • Do I have proof of advanced training with hands-on experience? • Am I practicing these modalities within the scope of practice authorized by the state in which I work? • Am I an ASCP member, or do I plan to be? Learn more about ASCP's Advanced Modality Insurance program for members at www.ascpskincare.com/ami.