SKIN CARE CENTER
DR. AJAY MODI      MD (SKIN & VD), DVD, FAAD (USA)

Dermaroller :


A special instrument, with micro needles, is used to treat superficial / deep acne scars. The procedure will even out the skin texture through collagen stimulation.

Swelling and redness usually occurs after the procedure; the swelling subsides in 4–6 hours while the redness settles down in 24 hours.


Pre- and post-procedure instructions :


 Apply a local anaesthetic cream 1 hour before the procedure.
  Use an antibiotic cream twice daily for 3 days after the procedure.
  Use a mild cleanser and moisturiser for 5 days after the procedure.
  Avoid excessive exposure to the sun during and in between treatment.
  Use a sunscreen of SPF 30 regularly after the treatment.
  Apply make-up after 24 hours.


Dermaroller is a procedure that has been in vogue for the last three or four years. It involves using a roller to which are attached numerous fine, very sharp medical quality needles. Rolling these firmly over the skin causes micro puncturing into the deep layers of the skin which helps to stimulate new collagen growth, treat all types of scars, improve the skin texture and reduce the appearance of scarring and fine to moderate lines. Skin needling takes approximately 30 minutes to complete though you will need to arrive 45 minutes prior to allow for the application of a topical anaesthetic.


What is Dermaroller?


Skin Needling is a procedure that uses multiple needles – 0.25mm in diameter, to pierce the skin and create tiny injuries deep in the skin. These dermal injuries lead to new collagen formation via the normal skin repair mechanisms. Skin Needling also perforates and softens fibrous scar tissue enabling the deposition of new collagen. The new collagen fills depressed scars and wrinkles from the bottom up lifting the depression so they are level with the surrounding skin. This process takes 3-4 sessions over 3 months to produce visible results and can also help thicken thin, fragile skin.


What can Skin Needling treat?


  Acne Scarring
  Lines and wrinkles
  Sun-damaged skins
  Thin, fragile skin


Contra-indications (Reasons why Skin Needling may not be suitable for you) :


  Accutane use in the last 6 months (Oral Isotretinoin)
  Dermatitis or infection in the area to be treated
  Pregnancy
  Keloid tendency
  Hypertrophic Scars


How does my skin look after the treatment? (This will vary according to the area being treated)


  Mild to moderate redness and sensitivity in the treated area lasting 12 to 48 hours.
  Mild to moderate swelling and possible bruising for 2-3 days.
  Dry and tight skin.
  Tiny crusted areas occur all over that feel slightly rough for 2-3 days in some cases when deep rolling is performed.
  Varying amounts of flaking or peeling may occur approximately 3 days after your treatment.
  Makeup is fine to use after 48 hours, though just keeping the skin moist often looks better and assists in faster healing time.
  After the skin has shed it has a healthy glow, feels softer, smoother and is more even in colour.
  It is important to protect the new skin from the sun by using a broad spectrum SPF 30+ sunscreen daily.


Potential complications


  If the healing skin is incorrectly cared for it can prolong healing and possibly lead to infection or scarring.
  Possible herpes simplex outbreak if one prone to cold sores.
  Hyperpigmentation (darker areas of pigment on the skin) lasting 1 to 12 months.

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Patient After-Care for Dermaroller :


Once you’ve had your first treatment, there are a few simple steps for after care that you will need to follow: Avoid the use of moisturisers or lotions containing active ingredients such as retinol, glycolic acids, perfumes and colours. Please use a moisturizer for 3-7 days or until your skin is no longer sensitive. Thereafter, continue with your usual products as before. Your skin will be a little more sensitive to the sun so keep sun exposure to a minimum. Please wear your sunscreen daily. This should be a regular routine for you anyway! You may apply makeup after 48 hours. Slight crusting and/or scabbing in particular areas may develop. If so, please do not rub or pick the skin so it heals completely.

Dermaroller Therapy can significantly improve the appearance of:
  Acne scars
  Aged and sun damaged skin
  Facial and decollete lines and wrinkles
  Stretch marks

Dermaroller provides advanced skin micro-surgical needling, a procedure that stimulates the skin to regenerate and repair itself naturally and safely, creating smoother, brighter, healthier, younger-looking skin.

How it works :

Dermaroller is a medical device to produce numerous microscopic needle-columns in the skin. Each column will penetrate into the dermis of the skin and will be approximately 0.1mm in width. The column will close rapidly enabling the skin to recover quickly, often in the same day. Your practitioner will use a topical anaesthetic to numb the skin making the procedure comfortable; it will normally take up to 30 minutes for the topical anaesthetic to work and 20 - 30 minutes for the Dermaroller procedure. After the Dermaroller procedure your body will start to naturally regenerate and repair the skin, working below the surface in the dermis. This takes time as new collagen and elastin is formed, new skin cells are generated and blood supply is enhanced. It can take up to 6 weeks before visible signs of regeneration and repair are seen and the process will continue over the following months, providing you with a gradual and long lasting enhancement.