really...i thought a "regular esthetician" was different from "clinical/medical aesthetician" b/c the latter could work in a doctor's office such as dermatologist or plastic surgeon...but it would be great to know more...additionally what are your (both the doctors) and the aesthetician's thoughts on the new advanced (at home) devices that are coming out...would there still be a need for an esthetician/aesthetician or could we just do most of the "work" at home and only need the dermatologist for more severe cases/procedures...thanks
I feel like they had missed so much information that can be crucial for someone who undergoes microneedling. You have to make sure you don’t use ANY active ingredient skincare products before and after the procedure and this is including VITAMIN C too, which they didn’t mention at all..Also avoid touching your face after the procedure to avoid getting bacteria on your face which could lead to some problems. First day/night just leave on whatever the esthetician had put on your face after your procedure. The next day you can wash your face but only with lukewarm water, no cleansers to avoid possible reaction! Avoid sun exposure fully! And if you really have to go out put on sunscreen. After 48 hours you can get back to your normal routine but I would say avoid exfoliants and active ingredients for up to 5 days after microneedling. I followed these exact steps after having microneedling done professionally . I didn’t go out until the second day after the procedure, and everything went well and perfect. My skin was glowing and had no bad reaction whatsoever 😊 I hope this helps
does this apply to derarolling/stamping by yourself? because i am planning to do it and then after like 30 minites apply something to boost beard growth, but i have seen so many treating this more casually in videos, so i dont understand this
I’ll never forget my first time getting micro needling, I wasn’t numbed. I cried the entire time and the esthetician said beauty is pain so I thought it was the norm. I’ve since had it elsewhere and it was done properly/numbed
from what i have seen some people would do without numbing -- but I can't image doing microneddling without numbing the area. anyways is long topic -- doctorly can provide a video on this topic. that would be great. 🤩
@halyses34. I have never had or done micro needling. Did you find it firmed your skin? Did it reduce the fat on your face. Do you know what the blade size was or do you pick that yourself? Sorry for all the questions but I really would love to know more about this. Thank you so much, Susan
@@animalsareourangels93 Microneedling is typically done at a depth that rarely (if ever) goes beyond the dermis so there's no chance microneedling would remodel your facial fat profile. Best way to sustainably reduce facial fat would be to clean up your diet and start doing zone 2 training (AKA "cardio") frequently and at a high enough volume (sessions lasting at least 30min with at least one "long" session per week). Search on any decent running/cycling channel to learn more. Your facial fat and the deeper aspect of your skin health will significantly improve as you get fitter. Good luck !
@@maloxi1472 thank you very much for your very thorough explanation of micro needling. I already jog anywhere from 3 to 5 miles every day. I haven’t ran in a few months because I caught Covid a few months ago and unfortunately I have long Covid. I don’t feel well. I’ve worked out all my life with aerobics running weights etc. I am a vegan I only eat organic foods no meat of course.. I have always taken such good care of my skin and I’m very petite actually. That’s why I was concerned about the facial fat to be honest. I don’t want to lose the fat in my face that I have now especially in my cheeks. I can’t wait to feel better again but I’ve made my mind up to start with weights again this week and start out slowly. My heart races even when I take five steps. I’m dizzy, I’m tired all the time…It’s terrible. In any case, thank you once again! I’ve taken a screenshot of it so I’ll have it for reference. Take care and thank you once again, Susan
I am an aesthetician myself and I love how we can share the love for skin and it’s proper care. In my work I make sure that anything that goes beyond my expertise , preparation and knowledge is directed to a dermatologist!!!!
hey i have kinda question about micro needling what kind numbing cream do you use? im trying doing at home but bit overwhelm what creams i should use for it.
I suffer from acne. When I microneedle I avoid active spots (with pus) but...I do treat red, painful pimples, works wonders. However, I do it very carefully and as the very last step.
The mental image of Drs Shah and Maxfield being the world’s worst patients going directly from micro needling to sunny picnic benches without suncreen and surfing in the ocean is hilarious! 😂😂😂
@@satan6548 doctors who post content on youtube can choose to go through the youtube verification process where they will make sure they’re actual doctors so we don’t have to. Under all their videos there is the accreditation “from a licensed doctor in the US” verified by UA-cam
I Love how all three called themselves and each other out. Nobody's perfect, but we can at least try to do our best. They showed that. :0) They're all definitely doing a lot more right than wrong when it comes to their skin. Looking good, y'all.
La Roche Posay's B5 Gel is specific for post procedure and peels. Really love it for night time repair. I layer the Cosrx snail mucin essence underneath
Thank you for including and collaborating with estheticians i feel like some derms really throw us to the wind. I personally love avene cicalfate for post care. I recommend it post peel too.
I’m so impressed that you had your aesthetician on this video.. I’m a cosmetologist with advanced aesthetics training, and this really was enjoyable. I’ve had microneedling & radio frequency microneedling. I think you said this was just regular medical depth >.3mm microneedling. If so what was the needle depth for each of your individual skin types and concerns? Thanks for a great video.
I microneedle every 6 weeks with terrific results. In fact, that plus daily sunscreen, DNA repair enzymes and nightly tretinoin are my non-negotiables with skincare. My skin looks far younger than the rest of 66 year old me. Thanks for this informative and fun video.
@@lolololi3323 I like the Photozyme DNA Youth Recovery Serum. It's 1.7 oz but it lasts me about 3 months because one pump is all it takes to cover my face and neck.
I wait between 5 to 7 days, depending on if the microneedling caused me to peel a bit. That usually happens about day 4. If I don't peel, I take up tretinoin again on day 5. @@jasminemoore2610
Def depends on the aesthetician. My first six treatments were with someone who stressed that it must be painful to be effective. Yes, she used topical numbing cream, but then she followed up with pressing hard into the skin. It was awful pain and then my face was bloody, swollen and red to the extreme - for at least 3 days after. I had to take off work after each tx, even though she gave me a pancake makeup to try to hide the damage. Then, she was transferred to another office and I received microneedling from someone who wasn't sadistic. Walk in the park. Could even describe it as 'felt kind of good'. This was in a large city, large multi-location practice. Had never had MN before so had no idea her technique was cruel. I had great results and that made me believe she was using the correct technique. Now, I've educated myself.
Bringing your own sunscreen is a good tip as I've felt let down at clinics in the past. I'm in control when doing my own treatments as I can either avoid the sunlight by not walking around exposed or use sunscreen after my own procedure. Suppose you have somewhere to go afterwards (an appointment) and end up walking around for an hour, then returning home worried after a powerful laser treatment.
Just did this to myself tonight and decided to look up microneedling to refresh my memory on some good tips. Save so much money doing it myself. After my sunk costs each application only runs me $3 with $2 for the cartridge and $1 for hyaluronic acid, numbing cream, and alcohol wipes.
I love the honestly the doctors are!!! Yes , they are human and sometimes don't do as they should (outside without sunscreen right after procedure). thank you for all the videos!!!! I love you two!!!
Stickler, huh? I just love her smile and kind manner and voice while telling us! You guys were all cute together. Fun lol I appreciate all the tips. Thank you!
Have had genuine derma roller treatment a couple of times. The downtime was a solid week for me. Face looked red raw and swollen which then started to gradually peel and shed. A good moisturizer is key. I was told not to use any actives like glycolic etc for a month while skin healed. Also advised not to use anything other than water to clean the skin initially, and to avoid makeup. The treatment did leave skin feeling tight and refreshed and glowy. I remember being concerned that pores would look larger afterwards, but it wasn't the case. After the numbing cream, treatment was fairly painless. Weirdly though, after treatment I noticed my eyes would randomly start to water, out of the blue, and I discovered it's cos there are nerves in the forehead that can affect the opthalmic region, so forehead should not be over rolled/microneedled.
@@vidhitiwari1478 Yes, you should moisturise as skin becomes dry after derma roller treatment. Top layer of skin will slowly start to shed so a decent moisturiser is required.
Dear Dr Maxfield and Dr Shah, Many thanks for this (and other) informative video(s)! I've had microneedling done by various professionals and the use of numbing cream seems to be very polarising amongst them. One beauty therapist even told me that using it defies the purpose of microneedling as it draws the blood away from the skin so the skin doesn't have the same healing and regenration potential? I am fine without using the numbing cream as I am quite pain-resistant and the procedure is much, much shorter but could you please share your opinion on this approach? Does doing microneedling "raw" really bring about better results and shortened recovery? I've also observed different approaches to how the actual procedure is done including how many times the microneedling pen is drawn over the same area of skin. Once I had it done multiple times and my face was red and pulsating for three days post- procedure and I was shedding like a snake for the following four days. My favourite therapist only drags the pen once over any given area (twice at most for "areas of concern"), as the purpose of microneedling is to thicken and "densen" the skin, not to remove the top layer of the skin. It's probably worth mentioning she uses the original Dermapen 4.0, wheareas other specialists I've seen use different tools (Nanofrax, SkinPen etc.), and I realise there might be different schools of thought even when it comes to microneedling! Would you be able to share your experitse on what you think the best technique is? I feel like microneedling is one of the most popular procedures and even though I've had it done multiple times over the past couple of years, I still don't quite understand what best-in-class should look like. P.S. This is my first comment on your channel (and on UA-cam!) - many thanks for sharing your evidence-based experitse, energy and educating us in the most approachable and fun way on all things skin and skincare! ❤
great questions. I would say even needling over the area multiple times wouldn't be removing any skin, it would just be creating more punctures. You can also create more punctures by having more needles in the pen. I think there's no one size fits all approach as some people might just have very sensitive skin. I think typically you can go over the skin at least 2 times, but to watch for excessive bleeding, choose the right needles and depth for the area you're in, choose a pattern for application vs randomly drawing etc etc. There are a lot of factors that go into the process to consider in addition to redoing the same area (not suggesting you don't know but these factors could also be why you've had less favorable experiences. Some people might even quite like the "snake shedding" effect you described as that's similar to after effects of a chemical peel). I also don't use a numbing cream either at home or at my aesthetician's. She's very cautious about what your skin absorbs and while numbing cream isn't the worst thing in the world, you wouldn't want to accidentally push that in deeper into your face if you forgot to wipe some off, and the process really isn't that unpleasant without it.
Love this❤ you guys are the best. Literally all of you were super informative and empathetic with people and their differences regarding pain tolerance and skin.
The place I go to for Microneedling won’t use any numbing cream, I was told that your not supposed to use it with microneedling. I have a low pain tolerance, it’s so painful. I’m definitely finding another place next time
As an aesthetician I don't use numbing cream as the client must be able to know and tell me if he/she is in pain. There should be no extreme redness or bleeding after this procedure
I was in agony, sorry but it was like a burn. And I got scars where she started, my face was red and swollen. Took 5/6 days to look somewhat normal. If you have sensitive skin be careful.
Interesting. My dermatologist specifically said NO mineral sunscreens because the tiny mineral particles can get into the wound and cause an infection.
Great video! I've gotten 6 microneedling treatments with PRP and it's done wonders for my acne scars. My esthetician recommends I use Alastin Regenerating Skin Nectar two weeks prior to the treatment and two weeks post treatment. It's suppose to enhance the results of the microneedling treatment and speed up recovery.
I'm always suspicious of estheticians who recommend super expensive skincare products like Alastin as part of a treatment. Most dermatologists I've watched say hyaluronic acid is recommended, but others have said you need nothing afterward.
FYI coming from an esthetician at a dermatology clinic-- MicroPen is the only FDA approved microneedling pen on the market at this time and is only sold to physicians or if you’re under them. I know Fda approval doesn’t mean everything but they are less faulty!
Incorrect. Evol Micropen is FDA-cleared; not FDA approved (there’s a difference) and in terms of FDA clearance, no, it’s not the only microneedling device to achieve that. SkinPen is also FDA cleared.
I've done both and I recommend prf for undereyes.. huge difference and once a year is more than enough. Fillers travel and they end up in places in the face where it's hard to dissolve them.. risk of blindness involved with undereye filler too
Not a doctor, but yes, you can! Even something as simple as Vaseline is safe. Both doctors talked about this in other videos. I hope that helps & you're feeling better!
Also not a doctor, but of course you can use Aquaphore or Vaseline or the Cerave healing ointment on your poor, post-cold nose. I do it when I have a cold; all that nose blowing irritates the skin, even with using the ultra soft tissues. I usually use it during a cold, too. Feel better! 🤧
Another super-video, thanks! 😋🤙 I use a hypochloric antiseptic spray immediately after a microneedling… is that ok? And how much time would you recommend between this desinfection and the use of a serum on the skin? 🤔
A couple of months ago I went to a Transport and Barriers conference in Germany, and there was a group that tested birch sap in vitro for skin regeneration (cell culture basically). Maybe those creams could be used as well? The results were quite convincing! ❤ I need to come back with the name of the group
What I do after micro needling on the deepest level where you know your skin is gonna fall off afterwards I use sink cream we have one in Norway which is for babies but it works wonders I use it as a mask and when I go in the shower all the skin just falls off and completely reduces all redness and calms the skin.
Dr Maxfield, you mentioned that your mother is Indonesian and you might still have relatives in Indonesia. My question is, what do you think about skin bleaching products that are sold in countries like Indonesia and India?
Doc, please please review the current holly grail skincare trend that is really hyping in South Korea rite now: The reedle shot 100/300/700 from Vtcosmetic global? It claimed to have a same effect as microneedling, and lotsa people swear by it! I'm super curious on what your take on this 🙏🙏
I am going to get it done within a few months. I finished my accutane course. I'm also interested to know feedback from people you've already had it done
I have pretty sensitive skin and widespread rosacea, and I’ve had 4 sessions, I tolerated very well, gave myself decent amount of downtown, turned out significantly more red than these guys but I’m also very fair skinned, and Alastin skin nectar post is expensive but so worth it, just my suggestion!
@@pullkickglide Thank you so much for sharing your experience! I've wanted to book a session, but not until I'd heard first hand from someone else who had rosacea.
I microneedle at home once or twice a week with the Dr Pen 36 gauge needles and have had no problems. I have rosacea mainly on my cheeks…no pustules just mainly redness with broken capillaries. I use hyaluronic acid while doing and then follow up with copper peptide serum and, of course, sunscreen.
They missed out crucial details notiing that NONE should use a cleanser right after the procedure!! 😂 Or anything for the 1st day after doing the procedure at all, next 2 to 3 or up to even 5 day u can onlyyy wash ur face with lukremwater and put ointment/gentle moisturizer onlyyyyyyy, I have been doing micro needling for almost 3 years
That's the whole idea. Serums are used during microneedling so they can penetrate the skin more effectively. Vitamin c, hyaluronic acid, niacinamide etc
@@lindy404I’ve heard it’s best to wait until the next day so you get the benefits of the mini trauma which is what builds the collagen. The red light heals it too quickly. I usually needle at night and LED in the morning.
I wanted to love microneedling but it wreaked havoc on my super sensitive skin. They only thing it did was completely destroy my skin barrier which took months to heal. Mind you I worked a at top medical spa at the time and received treatments for fee and still would not do it again.
Lo was gliding the pen and I've read that gliding can cause tears in the skin and it's better to move and stamp, is this true or not true? Also actives for melasma, sun damage, like vit c, are there any actives that work well to improve or add on to the procedure during or after?
I had an appointment for microneedling and the sales woman or front desk lady kept convincing me microneedling is only for maintenance. If you want to see results on your skin you have to do something stronger. Mind you this was with no skin assessment just straight to sales. Long story short she convinced me to do PRP microneedling (vampire facial). Once the numbing cream wore off, it was so painful!!!! I was in complete agony the rest of the day.
Hi Drs! I have a question. I went into a dermatologist for a consultation for wrinkles and we decided to setup an appointment for micro needling as a result. They never provided me with any information on what I should do to prep for my appointment, even after asking them several times, and said I was just good to come in the day of my appointment. I use tretinoin for my wrinkles and after doing my own research online found that you’re supposed to stop using it about a week before your treatment. I was very disappointed that the dermatologist did not relay this info to me as I use tretinoin everyday. So I canceled my appointment to be on the safe side and am now hesitant to use this dermatologist in general. Was my gut right or am I being too paranoid?
I think your gut was right. They should have given you more guidance and information. The fact that they did not suggests that they have low standards.
Your gut is right. This is a very expensive treatment, and this is your face!!!!!! All the research I've read says no retinol/heavy skin treatments 5 days prior to microneedling
Can we get a video on she became a medical aesthetician?
Yes, she actually just taught me that “medical esthetician” is not a real term haha video on that coming soon, we shot the same day!!
Yes please, and more videos for estheticians in general!
really...i thought a "regular esthetician" was different from "clinical/medical aesthetician" b/c the latter could work in a doctor's office such as dermatologist or plastic surgeon...but it would be great to know more...additionally what are your (both the doctors) and the aesthetician's thoughts on the new advanced (at home) devices that are coming out...would there still be a need for an esthetician/aesthetician or could we just do most of the "work" at home and only need the dermatologist for more severe cases/procedures...thanks
That sounds like a good video
She’s just an esthetician
I feel like they had missed so much information that can be crucial for someone who undergoes microneedling. You have to make sure you don’t use ANY active ingredient skincare products before and after the procedure and this is including VITAMIN C too, which they didn’t mention at all..Also avoid touching your face after the procedure to avoid getting bacteria on your face which could lead to some problems. First day/night just leave on whatever the esthetician had put on your face after your procedure. The next day you can wash your face but only with lukewarm water, no cleansers to avoid possible reaction! Avoid sun exposure fully! And if you really have to go out put on sunscreen. After 48 hours you can get back to your normal routine but I would say avoid exfoliants and active ingredients for up to 5 days after microneedling. I followed these exact steps after having microneedling done professionally . I didn’t go out until the second day after the procedure, and everything went well and perfect. My skin was glowing and had no bad reaction whatsoever 😊 I hope this helps
Thank you!!
@@deuteriumtritium9700is microneedling a good procedure if you need skin tightening?
2:58 they did mention it.
Thanks 👍
does this apply to derarolling/stamping by yourself?
because i am planning to do it and then after like 30 minites apply something to boost beard growth, but i have seen so many treating this more casually in videos, so i dont understand this
I’ll never forget my first time getting micro needling, I wasn’t numbed. I cried the entire time and the esthetician said beauty is pain so I thought it was the norm. I’ve since had it elsewhere and it was done properly/numbed
I truly think that should be done by an RN under an MD license
from what i have seen some people would do without numbing -- but I can't image doing microneddling without numbing the area. anyways is long topic -- doctorly can provide a video on this topic. that would be great. 🤩
@halyses34. I have never had or done micro needling. Did you find it firmed your skin? Did it reduce the fat on your face. Do you know what the blade size was or do you pick that yourself? Sorry for all the questions but I really would love to know more about this. Thank you so much, Susan
@@animalsareourangels93 Microneedling is typically done at a depth that rarely (if ever) goes beyond the dermis so there's no chance microneedling would remodel your facial fat profile.
Best way to sustainably reduce facial fat would be to clean up your diet and start doing zone 2 training (AKA "cardio") frequently and at a high enough volume (sessions lasting at least 30min with at least one "long" session per week). Search on any decent running/cycling channel to learn more. Your facial fat and the deeper aspect of your skin health will significantly improve as you get fitter.
Good luck !
@@maloxi1472 thank you very much for your very thorough explanation of micro needling. I already jog anywhere from 3 to 5 miles every day. I haven’t ran in a few months because I caught Covid a few months ago and unfortunately I have long Covid. I don’t feel well. I’ve worked out all my life with aerobics running weights etc. I am a vegan I only eat organic foods no meat of course.. I have always taken such good care of my skin and I’m very petite actually. That’s why I was concerned about the facial fat to be honest. I don’t want to lose the fat in my face that I have now especially in my cheeks. I can’t wait to feel better again but I’ve made my mind up to start with weights again this week and start out slowly. My heart races even when I take five steps. I’m dizzy, I’m tired all the time…It’s terrible.
In any case, thank you once again! I’ve taken a screenshot of it so I’ll have it for reference. Take care and thank you once again, Susan
Lo, you have the BEST bedside manner with your noncompliant patients! Nicely done!!
I am an aesthetician myself and I love how we can share the love for skin and it’s proper care. In my work I make sure that anything that goes beyond my expertise , preparation and knowledge is directed to a dermatologist!!!!
hey i have kinda question about micro needling what kind numbing cream do you use? im trying doing at home but bit overwhelm what creams i should use for it.
Aesthetician here, Elma. U must make sure u remove it with alcohol after
No one mentioned avoiding microneedling while having active acne it is very important thing
I suffer from acne. When I microneedle I avoid active spots (with pus) but...I do treat red, painful pimples, works wonders. However, I do it very carefully and as the very last step.
The mental image of Drs Shah and Maxfield being the world’s worst patients going directly from micro needling to sunny picnic benches without suncreen and surfing in the ocean is hilarious! 😂😂😂
Agree! Both were blushing by the end of the video 😂😂😂
@@satan6548 doctors who post content on youtube can choose to go through the youtube verification process where they will make sure they’re actual doctors so we don’t have to. Under all their videos there is the accreditation “from a licensed doctor in the US” verified by UA-cam
They have spoken about it in a very long live video about going to dermatogy school, before becoming a dermatologist.
Lu
@@satan6548they're licensed
Just a side note the esthetician's smile is so beautiful, and Dr. Shah, Dr. Maxfield you are shining today.
I Love how all three called themselves and each other out. Nobody's perfect, but we can at least try to do our best. They showed that. :0) They're all definitely doing a lot more right than wrong when it comes to their skin. Looking good, y'all.
La Roche Posay's B5 Gel is specific for post procedure and peels. Really love it for night time repair. I layer the Cosrx snail mucin essence underneath
Thank you for including and collaborating with estheticians i feel like some derms really throw us to the wind. I personally love avene cicalfate for post care. I recommend it post peel too.
I’m so impressed that you had your aesthetician on this video.. I’m a cosmetologist with advanced aesthetics training, and this really was enjoyable. I’ve had microneedling & radio frequency microneedling. I think you said this was just regular medical depth >.3mm microneedling. If so what was the needle depth for each of your individual skin types and concerns? Thanks for a great video.
I microneedle every 6 weeks with terrific results. In fact, that plus daily sunscreen, DNA repair enzymes and nightly tretinoin are my non-negotiables with skincare. My skin looks far younger than the rest of 66 year old me. Thanks for this informative and fun video.
Awesome! What you use for DNA repair enzyme?
@@lolololi3323 I like the Photozyme DNA Youth Recovery Serum. It's 1.7 oz but it lasts me about 3 months because one pump is all it takes to cover my face and neck.
@@maureengreen8695 thank you so much!
How long do you wait after micro needling to get back to using tretinoin?
I wait between 5 to 7 days, depending on if the microneedling caused me to peel a bit. That usually happens about day 4. If I don't peel, I take up tretinoin again on day 5. @@jasminemoore2610
Whoa! Best skin I have ever seen-Lo! What all does she do? Amazing
Def depends on the aesthetician. My first six treatments were with someone who stressed that it must be painful to be effective. Yes, she used topical numbing cream, but then she followed up with pressing hard into the skin. It was awful pain and then my face was bloody, swollen and red to the extreme - for at least 3 days after. I had to take off work after each tx, even though she gave me a pancake makeup to try to hide the damage. Then, she was transferred to another office and I received microneedling from someone who wasn't sadistic. Walk in the park. Could even describe it as 'felt kind of good'. This was in a large city, large multi-location practice. Had never had MN before so had no idea her technique was cruel. I had great results and that made me believe she was using the correct technique. Now, I've educated myself.
Hearing your story makes me even more satisfied with doing it myself. 😊
Wtf
Bringing your own sunscreen is a good tip as I've felt let down at clinics in the past. I'm in control when doing my own treatments as I can either avoid the sunlight by not walking around exposed or use sunscreen after my own procedure. Suppose you have somewhere to go afterwards (an appointment) and end up walking around for an hour, then returning home worried after a powerful laser treatment.
Just did this to myself tonight and decided to look up microneedling to refresh my memory on some good tips. Save so much money doing it myself. After my sunk costs each application only runs me $3 with $2 for the cartridge and $1 for hyaluronic acid, numbing cream, and alcohol wipes.
Name of numbing cream please?
I love the honestly the doctors are!!! Yes , they are human and sometimes don't do as they should (outside without sunscreen right after procedure). thank you for all the videos!!!! I love you two!!!
Stickler, huh? I just love her smile and kind manner and voice while telling us! You guys were all cute together. Fun lol I appreciate all the tips. Thank you!
Have had genuine derma roller treatment a couple of times. The downtime was a solid week for me. Face looked red raw and swollen which then started to gradually peel and shed. A good moisturizer is key. I was told not to use any actives like glycolic etc for a month while skin healed. Also advised not to use anything other than water to clean the skin initially, and to avoid makeup. The treatment did leave skin feeling tight and refreshed and glowy. I remember being concerned that pores would look larger afterwards, but it wasn't the case.
After the numbing cream, treatment was fairly painless. Weirdly though, after treatment I noticed my eyes would randomly start to water, out of the blue, and I discovered it's cos there are nerves in the forehead that can affect the opthalmic region, so forehead should not be over rolled/microneedled.
CaN I use any moisturiser without actives?
@@vidhitiwari1478 Yes, you should moisturise as skin becomes dry after derma roller treatment. Top layer of skin will slowly start to shed so a decent moisturiser is required.
Can you tell me the needle length that was used?
@@lorimoore5589 I think it was 1.5mm. it was done professionally at a clinic so the length of needle for genuine dermaroller treatment is standard.
Dear Dr Maxfield and Dr Shah,
Many thanks for this (and other) informative video(s)!
I've had microneedling done by various professionals and the use of numbing cream seems to be very polarising amongst them. One beauty therapist even told me that using it defies the purpose of microneedling as it draws the blood away from the skin so the skin doesn't have the same healing and regenration potential? I am fine without using the numbing cream as I am quite pain-resistant and the procedure is much, much shorter but could you please share your opinion on this approach? Does doing microneedling "raw" really bring about better results and shortened recovery?
I've also observed different approaches to how the actual procedure is done including how many times the microneedling pen is drawn over the same area of skin. Once I had it done multiple times and my face was red and pulsating for three days post- procedure and I was shedding like a snake for the following four days. My favourite therapist only drags the pen once over any given area (twice at most for "areas of concern"), as the purpose of microneedling is to thicken and "densen" the skin, not to remove the top layer of the skin. It's probably worth mentioning she uses the original Dermapen 4.0, wheareas other specialists I've seen use different tools (Nanofrax, SkinPen etc.), and I realise there might be different schools of thought even when it comes to microneedling!
Would you be able to share your experitse on what you think the best technique is? I feel like microneedling is one of the most popular procedures and even though I've had it done multiple times over the past couple of years, I still don't quite understand what best-in-class should look like.
P.S. This is my first comment on your channel (and on UA-cam!) - many thanks for sharing your evidence-based experitse, energy and educating us in the most approachable and fun way on all things skin and skincare! ❤
These are great questions! Would love to hear the answers as well!
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Following!
great questions. I would say even needling over the area multiple times wouldn't be removing any skin, it would just be creating more punctures. You can also create more punctures by having more needles in the pen. I think there's no one size fits all approach as some people might just have very sensitive skin. I think typically you can go over the skin at least 2 times, but to watch for excessive bleeding, choose the right needles and depth for the area you're in, choose a pattern for application vs randomly drawing etc etc. There are a lot of factors that go into the process to consider in addition to redoing the same area (not suggesting you don't know but these factors could also be why you've had less favorable experiences. Some people might even quite like the "snake shedding" effect you described as that's similar to after effects of a chemical peel).
I also don't use a numbing cream either at home or at my aesthetician's. She's very cautious about what your skin absorbs and while numbing cream isn't the worst thing in the world, you wouldn't want to accidentally push that in deeper into your face if you forgot to wipe some off, and the process really isn't that unpleasant without it.
These are so helpful. I've done microneedling twice and followed these tips.
Love this young lady… I would love to hear more from her regarding in office procedures by aesthetician
kay, I’ve always scratched my head about the obsession around the kislux book totes and their practicality, but this one is adorable!! Congratulations
so a dermatologist got a skin procedure done then went out under the sun without sunscreen. doctors really are the worst patients. 😂
Sunscreen blocks vitamin D synthesis
@@elinino5275 ice cream melts at room temperature
@@roguephoenix water is wet
@@elinino5275 rain falls from the sky
Had my first ever session today. No numbing and it was definitely not as bad as i expected at all. 10/10 would do again lol
What issues is microneedling best for? (Sagging? Collagen stimulation? Other?)
Love this❤ you guys are the best. Literally all of you were super informative and empathetic with people and their differences regarding pain tolerance and skin.
Here we go !
obsessed with this channel
Can you talk about regular microneedle vs radio frequency microneedle
I got 4 sessions of microneedling and even with the numbing cream, it hurt like hell. Got through it though! And the results are great!
The place I go to for Microneedling won’t use any numbing cream, I was told that your not supposed to use it with microneedling. I have a low pain tolerance, it’s so painful. I’m definitely finding another place next time
As an aesthetician I don't use numbing cream as the client must be able to know and tell me if he/she is in pain. There should be no extreme redness or bleeding after this procedure
My dermatologist told me to put on a numbing cream beforehand
Am I the only one that gets distracted by how beautiful all three of these people are that are trying to talk to us about how we can look better?
Yep, you're the only one. The woman and the guy on the left are average. The guy on the right is scary looking.
Oh, so cool, feminine energy here😀
Very informative as always!
Tbh neither of Dr Maxfield or Shah give off any masculine energy either 😂
You guys have the ABSOLUTE BEST SMILES, and your knowledge that you give us for free makes me smile😃😆 gracias!!
How can they be so beautiful?!🥺😍
Hmmmm her’s is a little too over whelming. They almost look too big for her mouth sorry
This was a really good video,
Thanks for that, you all gave a great positive vibe while educating us! Much love ❤️💄
Good timing. There was just a post on the 30 plus skincare reddit about someone with a terrible microneedling experience
The most cutest Introduction ❤
I was in agony, sorry but it was like a burn. And I got scars where she started, my face was red and swollen. Took 5/6 days to look somewhat normal. If you have sensitive skin be careful.
I love how Lo throws the docs under the bus for not following aftercare procedure... :) Just shows we can all get complacent...even the experts.
Who else watched this cause they’re obsessed with doctorly? 😂😂😂 all three of them were gorgeous ❤ and the girlie was so cute 😊
You are the most entertaining couple on UA-cam! Never thought I'd be this entertained by two derm guys😂
Do you recommend red light therapy after microneedling with PRP?
Interesting. My dermatologist specifically said NO mineral sunscreens because the tiny mineral particles can get into the wound and cause an infection.
I noticed two two methods being used- stamping and gliding over the skin. Which is the correct way or is there a difference in outcome?
I'm an aesthetician. Stamping is for small areas and deep wrinkles. Gliding is for large areas and for whitening, hydration etc
She is gorgeous
Great video!
I've gotten 6 microneedling treatments with PRP and it's done wonders for my acne scars.
My esthetician recommends I use Alastin Regenerating Skin Nectar two weeks prior to the treatment and two weeks post treatment. It's suppose to enhance the results of the microneedling treatment and speed up recovery.
@@mazzydel I have ice pick scars
I'm always suspicious of estheticians who recommend super expensive skincare products like Alastin as part of a treatment. Most dermatologists I've watched say hyaluronic acid is recommended, but others have said you need nothing afterward.
worlds cutest intro
FYI coming from an esthetician at a dermatology clinic-- MicroPen is the only FDA approved microneedling pen on the market at this time and is only sold to physicians or if you’re under them.
I know Fda approval doesn’t mean everything but they are less faulty!
Incorrect. Evol Micropen is FDA-cleared; not FDA approved (there’s a difference) and in terms of FDA clearance, no, it’s not the only microneedling device to achieve that. SkinPen is also FDA cleared.
@@cv7958Thank you
Dr. "Hunk" Maxfield got some GUNS!❤
Can you use Aloe ( directly from the crystal ) on your face after microneedling? Thanks
You can put on sunscreen right after the procedure? It’s not going to clog and occlude all the tiny holes created on the skin?
Does Microneedling melt away botox or fillers? I did hear this before and was wondering if is true.
Ok Dr. Max can hit it 🫦
Can you please do a video on PRP vs under eye filler?
I've done both and I recommend prf for undereyes.. huge difference and once a year is more than enough.
Fillers travel and they end up in places in the face where it's hard to dissolve them.. risk of blindness involved with undereye filler too
I am going to get this done soon.
Would love a video on bio-microneedling/ needleless microneedling/ spicule procedure.
I’m gonna have microneedling session tomorrow ✌️
How did it go?
Hi Doc, please post a video on the gold ingredient for dark circles and undereye bags.
just had this done yesterday...you cannot even tell. i took 2 ibo-profen prior.
Not a doctor, but yes, you can! Even something as simple as Vaseline is safe. Both doctors talked about this in other videos. I hope that helps & you're feeling better!
Also not a doctor, but of course you can use Aquaphore or Vaseline or the Cerave healing ointment on your poor, post-cold nose. I do it when I have a cold; all that nose blowing irritates the skin, even with using the ultra soft tissues. I usually use it during a cold, too. Feel better! 🤧
Another super-video, thanks! 😋🤙 I use a hypochloric antiseptic spray immediately after a microneedling… is that ok? And how much time would you recommend between this desinfection and the use of a serum on the skin? 🤔
I love the video on what micro needling actually is
Best is pure 100% aloe vera gel. You can also get it with lanecane (numbing) in it.
Important to note that sometimes some mineral sunscreens might also contain some chemical sunscreens as well...
She's cute, more of her plz!
Can you please clarify why you would opt for a mineral sunscreen post-procedure? Thanks for all the education in your content!
Mineral filters are less likely to be irritating. Your skin is compromised so chemical sunscreens might sting/burn.
Mineral sunscreen is better for sensitive skin than and your skin will be very sensitive post procedure.
Where can I come to get Microneedling and PRP (from Lo)? She is the only one I would trust with my face (with Melasma). Thank you.
A couple of months ago I went to a Transport and Barriers conference in Germany, and there was a group that tested birch sap in vitro for skin regeneration (cell culture basically). Maybe those creams could be used as well? The results were quite convincing! ❤ I need to come back with the name of the group
Thank you for another great video! Can you use castor oil after Microneedling? I've been using it at night after my moisturizer.
What I do after micro needling on the deepest level where you know your skin is gonna fall off afterwards I use sink cream we have one in Norway which is for babies but it works wonders I use it as a mask and when I go in the shower all the skin just falls off and completely reduces all redness and calms the skin.
What is sink cream?
Love your videos! It would be awesome if you did one on stretch marks :)
Dr Maxfield, you mentioned that your mother is Indonesian and you might still have relatives in Indonesia. My question is, what do you think about skin bleaching products that are sold in countries like Indonesia and India?
Love how the two dermatologists are saying “do as I say, not as I do” 🫠
They've always had bad boy vibes😅 they're bad boys with microneedling 😂😂😂
Bring Lo back! She was awesome!
Doc, please please review the current holly grail skincare trend that is really hyping in South Korea rite now: The reedle shot 100/300/700 from Vtcosmetic global? It claimed to have a same effect as microneedling, and lotsa people swear by it!
I'm super curious on what your take on this 🙏🙏
This is so timely for me!! TY 🥰
Fasciablasting on the face. I have been doing this for 6 months and I swear by it. Would love to hear your thoughts.
I love this girl🤍
How do you pre-are the skin before micro needling? Do,you use Hyaluronic acid or vitamin e to help glide the device ?
Would you clean the skin with alcohol pre treatment? Then would it be followed up with Haluraunic acid as a slip agent, then the exosomes?
Yes! More Lo content please!
I use centella toner, serum, moisturizer and collagen mask after.
Question for the group: Does anyone know if you can have microneedling done if you have rosacea? And if so, how did things go? Thank you!
I am going to get it done within a few months. I finished my accutane course. I'm also interested to know feedback from people you've already had it done
I have pretty sensitive skin and widespread rosacea, and I’ve had 4 sessions, I tolerated very well, gave myself decent amount of downtown, turned out significantly more red than these guys but I’m also very fair skinned, and Alastin skin nectar post is expensive but so worth it, just my suggestion!
@@pullkickglide Thank you so much for sharing your experience! I've wanted to book a session, but not until I'd heard first hand from someone else who had rosacea.
I microneedle at home once or twice a week with the Dr Pen 36 gauge needles and have had no problems. I have rosacea mainly on my cheeks…no pustules just mainly redness with broken capillaries. I use hyaluronic acid while doing and then follow up with copper peptide serum and, of course, sunscreen.
Had it done and I have rosecea. Took about three days downtime
They missed out crucial details notiing that NONE should use a cleanser right after the procedure!! 😂 Or anything for the 1st day after doing the procedure at all, next 2 to 3 or up to even 5 day u can onlyyy wash ur face with lukremwater and put ointment/gentle moisturizer onlyyyyyyy, I have been doing micro needling for almost 3 years
Awesome video! Thanks for the tips!
What about using serums during the microneedling? Does the process not allow for serums to treat the skin at a deeper level?
That's the whole idea. Serums are used during microneedling so they can penetrate the skin more effectively. Vitamin c, hyaluronic acid, niacinamide etc
Timeline for using red light mask pre & post procedure? Lo should probably use more compliant patients for her next video 😂😉
I have the Omnilux face mask and I use it right before I microneedle at home with no problems.
@@lindy404I’ve heard it’s best to wait until the next day so you get the benefits of the mini trauma which is what builds the collagen. The red light heals it too quickly. I usually needle at night and LED in the morning.
Very professional video.
i love the vibe here
I love this information, thanks guys❤
Please make a video for combination skin routine....
I wanted to love microneedling but it wreaked havoc on my super sensitive skin. They only thing it did was completely destroy my skin barrier which took months to heal. Mind you I worked a at top medical spa at the time and received treatments for fee and still would not do it again.
Which microneedling device would y’all recommend? I’m on the fence about Derminator 2
Isnt it bad for the skin to drag it across the skin?
Lo was gliding the pen and I've read that gliding can cause tears in the skin and it's better to move and stamp, is this true or not true? Also actives for melasma, sun damage, like vit c, are there any actives that work well to improve or add on to the procedure during or after?
where did you read that? The only places I have heard that was in youtube videos made by youtube skincare gurus without medical training.
I had an appointment for microneedling and the sales woman or front desk lady kept convincing me microneedling is only for maintenance. If you want to see results on your skin you have to do something stronger. Mind you this was with no skin assessment just straight to sales. Long story short she convinced me to do PRP microneedling (vampire facial). Once the numbing cream wore off, it was so painful!!!! I was in complete agony the rest of the day.
Hi Drs! I have a question. I went into a dermatologist for a consultation for wrinkles and we decided to setup an appointment for micro needling as a result. They never provided me with any information on what I should do to prep for my appointment, even after asking them several times, and said I was just good to come in the day of my appointment. I use tretinoin for my wrinkles and after doing my own research online found that you’re supposed to stop using it about a week before your treatment. I was very disappointed that the dermatologist did not relay this info to me as I use tretinoin everyday. So I canceled my appointment to be on the safe side and am now hesitant to use this dermatologist in general. Was my gut right or am I being too paranoid?
I think your gut was right. They should have given you more guidance and information. The fact that they did not suggests that they have low standards.
Very good. You made the right choice. Thank goodness you researched. Smh
Your gut is right. This is a very expensive treatment, and this is your face!!!!!! All the research I've read says no retinol/heavy skin treatments 5 days prior to microneedling
Thoughts on Red/Near Infrared Therapy after Microneedling; Protocol?