Microneedling for Acne Scars

Microneedling for acne scars is a popular non-invasive treatment for patients seeking to improve uneven skin texture left after acne has healed. Acne scars can affect confidence and make the skin appear rough or uneven, even when breakouts are no longer present. Microneedling helps soften the appearance of depressed scars and smooth irregular texture, allowing scarred areas to blend more naturally with the surrounding skin over time. Many patients appreciate that microneedling offers gradual, natural-looking improvement with minimal downtime, making it easy to fit into a busy schedule. For individuals seeking an effective option to address acne scarring without surgery, microneedling is among the most commonly recommended treatments at Dr. Michele Green’s private dermatology practice on Manhattan’s Upper East Side.

Microneedling for acne scars works by stimulating the skin’s natural repair process in areas where acne has caused collagen loss and surface irregularities. Using very fine needles, the treatment encourages the skin to produce new collagen, which helps improve firmness and smooth the appearance of pitted or uneven areas over time. As the skin heals, texture gradually becomes more even, and scars appear less noticeable, with continued improvement over the weeks and months following treatment. The approach can be customized based on the type and depth of scarring, allowing results to build naturally over a series of sessions. A board-certified dermatologist like Dr. Michele Green carefully personalizes microneedling treatments to safely and effectively address acne scars.

Dr. Michele Green is an internationally recognized, board-certified dermatologist with over 25 years of experience delivering advanced non-surgical treatments for acne scars and skin rejuvenation. She is known for her thoughtful, individualized approach, creating customized treatment plans based on each patient’s skin type, concerns, and long-term goals. Dr. Green consistently earns recognition from Castle Connolly, Super Doctors, and New York Magazine for her dedication and expertise. When you consult with Dr. Green at her private dermatology office on Manhattan’s Upper East Side, she will work closely with you to develop a personalized plan to improve the appearance of acne scars and support healthy, radiant skin.

What is Microneedling treatment for acne scars?

Microneedling for acne scars, also known as collagen induction therapy, is a non-invasive cosmetic procedure that improves uneven skin texture caused by prior acne breakouts. Acne scars often form when inflammation disrupts the skin’s natural healing process, leaving areas of volume loss or surface irregularities that do not resolve on their own. These textural changes can make the skin appear rough, pitted, or uneven even after active acne has cleared, and they may become more noticeable under certain lighting or when makeup settles into textured areas. Microneedling is most effective for depressed acne scars that create indentations in the skin, such as rolling and boxcar scars, and is commonly recommended for patients frustrated by lingering scarring who want to improve skin texture without undergoing an invasive procedure. The treatment is suitable for a wide range of patients and can be safely performed on all skin types and tones, making it a versatile option for improving post-acne texture. Many patients choose microneedling because it offers gradual, natural-looking improvement with minimal downtime, allowing the skin to appear smoother and more even over time. With a series of treatments, the appearance of scar depth and irregularity often softens, helping restore a clearer, more uniform complexion that continues to improve in the months following treatment.

Microneedling before and after – 6 months

How does microneedling work for acne scars?

Microneedling treats acne scars by using very fine, sterile needles to create controlled micro-injuries across the skin’s surface, which activate the skin’s natural repair response throughout the treated area. These tiny punctures signal the body to begin healing, which renews and strengthens the skin. As the skin repairs itself, new collagen and elastin gradually form, which is especially important in areas affected by acne scarring, where previous inflammation led to collagen loss and visible indentations. Over time, this collagen production helps soften the edges of acne scars and reduce the depth of pitted areas, allowing the skin surface to appear smoother and more refined. The surrounding skin also becomes firmer and more even in texture, helping acne scars blend more naturally with the surrounding skin. Improvements develop gradually over weeks and months, and with a series of sessions, the cumulative effect leads to clearer, more even-looking skin, improved texture, and a more uniform appearance. This gradual process explains why consistent treatment sessions are important for achieving noticeable, lasting improvement in acne scar appearance.

Why does microneedling help acne scars?

Microneedling helps reduce acne scars by targeting the structural changes that occur in the skin after acne-related inflammation. Many acne scars develop when collagen is lost or produced unevenly during the repair process, leaving areas of the skin without adequate support beneath the surface. Collagen plays a key role in maintaining skin strength, firmness, and smoothness, so when it is reduced or unevenly formed, scars become more visible and skin texture appears uneven. By encouraging new collagen to form in areas affected by scarring, microneedling helps restore support beneath depressed scars, gradually allowing the skin to appear smoother and more uniform. As this collagen builds over time, the edges of scars soften, shallow indentations become less noticeable, and skin texture improves. This gradual structural improvement helps acne scars blend more naturally with the surrounding skin, leading to a clearer, more even appearance that continues to improve with consistent treatment.

Before & After photo of patient with PRP, V-beam and Microneedling treatment

PRP Microneedling

Platelet-rich plasma (PRP) is an excellent complement to microneedling, enhancing and maximizing the procedure’s results. PRP is derived from a patient’s blood sample. The blood is collected and then spun in a centrifuge to isolate the nutrient-rich plasma, which contains natural growth factors and proteins that expedite skin healing, promote circulation, stimulate collagen growth, and accelerate skin regeneration. The PRP is applied topically to the skin, where it enters the microchannels created by the microneedling device, allowing for optimal absorption of the PRP and its enriching growth factors. By enhancing microneedling, PRP can stimulate greater collagen production and promote tissue regeneration, helping reduce the appearance of, and potentially erase, acne scars. Because PRP comes from a patient’s blood sample, it is completely safe for all skin types and tones and requires essentially no downtime.

Microneedling with depigmenting serum for dark acne scars

Microneedling creates microchannels in the skin, making it an excellent option for enhancing the absorption of specialized serums. For patients with hyperpigmentation—whether in the form of melasma, sunspots, or pigmented acne scars—pairing microneedling with a depigmenting serum boosts collagen production and reduces hyperpigmentation. This depigmenting serum features a unique blend of effective yet gentle skin-brightening agents that inhibit melanocyte activity. Melanocytes produce melanin, which adds pigment to the skin. The result is an even-toned complexion with a noticeable reduction in hyperpigmentation. Patients appreciate that after microneedling with a depigmenting serum, their skin appears more radiant and has a lasting healthy glow. If you are dealing with dark acne scars, melasma, sunspots, or post-inflammatory hyperpigmentation, consult Dr. Green about microneedling combined with a depigmenting serum.

Vivace RF Microneedling

Vivace radiofrequency microneedling is an advanced skin rejuvenation treatment that combines traditional microneedling with radiofrequency energy to address acne scars, uneven texture, stretch marks, and skin laxity. The Vivace device uses gold-tipped, insulated microneedles to create controlled micro-injuries in the skin while simultaneously delivering radiofrequency energy to deeper layers. This dual approach stimulates collagen production at multiple depths, improving firmness and smoothing the appearance of deeper acne scars over time. The insulated needle design delivers energy precisely where it is needed while protecting the skin surface, enabling consistent results with minimal discomfort and downtime.

Vivace RF microneedling is well-suited for patients with moderate to deep acne scars, enlarged pores, and uneven skin texture who want a treatment that addresses both surface irregularities and underlying collagen loss. The treatment is safe for all skin types and tones and is commonly performed as a series of sessions, spaced several weeks apart to allow the skin to respond and gradually improve. At her boutique dermatology practice in New York City, Dr. Michele Green offers Vivace radiofrequency microneedling as part of a customized acne scar treatment plan, selecting this technology when deeper collagen stimulation is needed to support smoother, firmer, and more even-looking skin.

Which types of acne scars does microneedling help treat?

Microneedling is effective for depressed scars that resemble divots in the skin. Two main types of acne scars may develop after severe breakouts: atrophic and hypertrophic, with atrophic scars being more prevalent. These types differ primarily in whether the damaged skin is raised or depressed. Hypertrophic scars, often referred to as raised scars, appear raised in the affected area due to excess collagen produced in response to damaged skin tissue. Hypertrophic acne scars, also known as keloids, tend to be significantly larger than the initial acne breakouts that caused them. The second type of acne scarring, atrophic acne scars, results in a depressed appearance due to collagen loss or insufficient collagen production as the breakout resolves and the skin heals. Atrophic acne scars typically arise from severe acne, such as pustules or cystic acne, which are both inflamed and infected. When infected pus covers the skin, it can hinder proper healing. Microneedling is a treatment best suited for atrophic acne scars. Within the category of atrophic scars, three subtypes exist for a more accurate description: icepick scars, boxcar scars, and rolling scars.

Atrophic acne scars vary in depth and shape, which affects how well they respond to microneedling. Rolling scars and shallow boxcar scars tend to respond especially well, as they involve larger areas of collagen loss that can gradually soften and improve with treatment. Deeper icepick scars extend further into the skin and may be more resistant, often requiring a combination approach to achieve optimal improvement. In contrast, hypertrophic and keloid scars form due to excess collagen production and appear raised above the skin’s surface, making them less suitable for microneedling alone. It is also important to distinguish acne scars from post-inflammatory hyperpigmentation, which are the dark marks left after acne heals and are caused by pigment changes rather than permanent structural damage to the skin. During your consultation with Dr. Green regarding your acne scars, she will assess your skin, identify the types of scars present, and create a safe and effective treatment plan for you. Whether you have atrophic, hypertrophic, or post-inflammatory hyperpigmentation, Dr. Michele Green in New York City can assist you.

What type of microneedling is best for acne scars?

The best type of microneedling for acne scars depends on the depth, texture, and overall characteristics of the scarring, as well as the patient’s skin type and treatment goals. Traditional microneedling is commonly used for mild to moderate acne scars and is especially helpful for improving uneven texture and softening shallow depressions. This approach allows for gradual improvement in skin smoothness and is often chosen by patients seeking noticeable results with minimal downtime. Microneedling can also be paired with platelet-rich plasma (PRP), which uses concentrated growth factors from the patient’s own blood to support skin recovery and enhance texture and tone. Patients frequently select this option because the growth factors in PRP help optimize collagen production and support the skin’s healing process following treatment. Radiofrequency microneedling, such as Vivace, is often used for more pronounced acne scars and uneven texture, as it delivers controlled energy deeper within the skin while the microneedles treat the surface. This helps stimulate collagen in deeper layers of the skin, which can improve firmness and reduce the appearance of deeper acne scars over time.

For many patients, microneedling for acne scars is most effective when tailored to the specific pattern and distribution of scarring. Factors such as scar depth, skin thickness, and discoloration guide treatment selection. Some patients benefit from combining microneedling with targeted serums or radiofrequency technology to address both texture and tone, while others see improvement with traditional microneedling alone. A customized treatment plan allows microneedling sessions to be adjusted over time as the skin responds, helping ensure steady progress and balanced results. Consulting with an experienced, board-certified dermatologist, such as Dr. Michele Green, is essential to determine the most appropriate microneedling approach and how it should be performed to safely and effectively improve acne scars.

What is the process of microneedling treatment for acne scars?

Microneedling treatment begins with a thorough consultation to determine whether the procedure is appropriate given the patient’s skin concerns, medical history, and aesthetic goals. During this visit, the skin is carefully examined to assess texture, acne scarring, sensitivity, and overall skin health. Any active skin conditions are identified and addressed before starting microneedling treatments. Patients also discuss prior cosmetic procedures and current skincare routines to tailor the treatment safely and effectively. Personalized pre-treatment guidance is provided, which may include temporary adjustments to certain skincare products to help reduce the risk of irritation or unwanted skin reactions.

On the day of the procedure, the skin is gently cleansed and prepared, and a topical numbing cream is applied to improve comfort during the session. Once the skin is numbed, a microneedling device with very fine, sterile needles is moved across the treatment area with controlled, precise movements. The procedure is relatively quick and generally well tolerated, with most patients reporting a sensation of pressure or mild vibration. Depending on individual needs and treatment goals, topical solutions such as platelet-rich plasma or hydrating serums may be applied during or immediately after the session to support the skin as it begins to heal. These solutions penetrate more effectively because microneedling creates tiny channels in the skin, allowing topical ingredients to reach deeper layers during the early healing phase.

After microneedling, the skin may appear red and feel warm or tight, similar to a mild sunburn. These effects typically fade within a few days. Patients receive detailed aftercare instructions to support proper healing, which usually include avoiding harsh or exfoliating skincare products, limiting sun exposure, and using gentle products to maintain hydration. Sunscreen is especially important because the skin becomes more sensitive after treatment. Improvements in skin texture and the appearance of acne scars develop gradually over time as the skin heals. Multiple sessions are often recommended to achieve the most noticeable and consistent results, with progress continuing in the weeks following each treatment.

What are the side effects of Microneedling?

Microneedling is a minimally invasive cosmetic procedure with very few side effects. Common side effects include mild erythema, dryness, flaking, and pinpoint bleeding, which typically resolve on their own within a few days after the treatment session. If microneedling is performed by an inexperienced or unqualified provider or in a non-medical setting, more severe side effects may occur, including hyperpigmentation, scarring, and skin discoloration. It is crucial to seek microneedling treatment from a board-certified dermatologist, such as Dr. Michele Green, to avoid unwanted or adverse effects. Dr. Green has over twenty-five years of experience providing her patients with the most innovative cosmetic treatments, including traditional microneedling, PRP microneedling, and Radiofrequency Microneedling.

Can microneedling help with acne scars?

Microneedling can help patients with uneven skin texture left after acne has healed who are interested in a non-surgical treatment option. It is commonly considered by individuals whose active breakouts are under control but who continue to notice residual texture from past acne that does not improve on its own. Microneedling is well-suited for patients who want a treatment that can be adjusted over time, allowing refinement based on how the skin responds with each session. It is often incorporated into a broader acne scar treatment plan and may be used on its own or combined with other procedures when multiple skin concerns are present. With a customized approach, microneedling can be tailored to address specific areas of concern while maintaining a natural look and feel. This flexibility makes microneedling a practical option for addressing acne scars while also supporting improvements in overall skin texture and appearance.

At-home skincare to use after microneedling sessions

Microneedling uses fine needles to create channels that enhance the absorption of skincare products during the post-treatment period. One of the best products to pair with microneedling is hyaluronic acid, which can hold up to 1000 times its weight in water, drawing moisture to the skin for essential hydration. It also helps plump the skin and temporarily smooth fine lines and wrinkles. In addition to hyaluronic acid, sunscreen is vital in the skincare routine after any microneedling treatment, as the treated area will be more sensitive to the sun. Sun exposure after microneedling can lead to hyperpigmentation and prolonged healing. For optimal protection, a broad-spectrum sunscreen with an SPF of 50 or higher is recommended. Skincare products containing active exfoliating ingredients, such as retinoids and alpha hydroxy acids, should not be used for 3-5 days after microneedling. During your microneedling treatment with Dr. Green, she will provide you with all the essential aftercare needed to achieve and maintain optimal results, including the topical skincare products you should apply.

What other treatments work for acne scars?

Many patients in Dr. Green’s office ask, “Which treatment is best for acne scars?” The answer is that multiple treatment modalities are often used together to achieve the best results. In addition to microneedling, acne scars can be treated with lasers, subcision, and chemical peels.

Laser Treatments

The Fraxel laser is a fractionated skin-resurfacing treatment that stimulates new collagen production in the dermis. Dr. Green utilizes the 1550nm wavelength setting, one of its two available options, to improve skin texture and diminish the appearance of acne scars. As a non-ablative, fractionated laser treatment, Fraxel creates microscopic laser columns that penetrate deep into the skin, preserving the top layer and leaving the surrounding area untouched. Downtime is minimal, with patients typically experiencing redness and mild swelling that subsides within 48 hours after treatment. Generally, five Fraxel laser sessions are necessary to address acne scars, with each session spaced approximately one month apart.

The eMatrix laser is a resurfacing treatment that uses radiofrequency energy to stimulate collagen production, smoothing the skin and reducing the appearance of acne scars. This laser offers safe, effective treatment for individuals of all skin tones, making it an excellent choice for patients with darker skin prone to hyperpigmentation. The heat energy penetrates the deeper layers of the dermis while leaving the top layer of skin unharmed, minimizing the risk of scarring and hyperpigmentation and resulting in minimal downtime. Healing typically takes 48 hours, during which patients may experience mild facial redness and swelling. The eMatrix laser is most effective for atrophic acne scars, and five treatment sessions spaced 4 to 6 weeks apart are generally recommended for optimal results.

The VBeam laser has long been regarded as the gold standard for reducing redness and red acne scars. It uses pulsed-dye technology to deliver a precise wavelength of light that targets the red pigment while leaving surrounding skin unaffected. In addition to addressing red pigmentation, the VBeam laser heats the deeper layers of the skin to stimulate new collagen production, resulting in smoother skin texture and improved clarity. There is no downtime, redness, or swelling associated with VBeam laser treatment. Most patients require 5 to 6 treatment sessions to achieve optimal rejuvenation results and minimize post-inflammatory hyperpigmentation.

Subcision with dermal fillers

Subcision with dermal fillers effectively treats depressed acne scars by breaking up scar tissue and restoring lost volume. During the subcision procedure, a needle is used to disrupt the scar tissue that pulls the skin downward, forming the depressed acne scar. When subcision is performed with dermal fillers, the filler is injected directly into the scar to replace lost volume and provide a smoother skin surface almost immediately. Dr. Green often performs subcision using Sculptra or hyaluronic acid dermal fillers to achieve optimal cosmetic results with no downtime. Dr. Green’s unique subcision and injection technique can improve the appearance of acne scars after just one treatment, depending on the type and severity of the scars.

Sculptra is a distinctive dermal filler because it contains poly-L-lactic acid, which stimulates collagen production. As collagen develops over time, skin texture improves, reducing the visibility of depressed acne scars. Most patients require a brief series of three Sculptra treatment sessions to attain optimal results. It takes about 4 to 6 weeks to notice the effects of each Sculptra treatment, and results can last up to two years. Most patients participate in regular follow-up sessions to maintain ideal outcomes. Dermal fillers like Juvederm and Restylane contain hyaluronic acid, a naturally occurring substance in the skin that supports hydration and a youthful appearance. These fillers are commonly used to restore volume lost due to acne scars, resulting in a smoother appearance. Results with hyaluronic acid fillers are immediate and can last anywhere from six to twelve months.

Chemical peels are resurfacing treatments that use chemical exfoliation to accelerate skin cell turnover and stimulate new collagen production, thereby improving overall skin tone and texture. Various types of chemical peels can effectively treat acne scars, each using a unique acid-based ingredient to exfoliate the skin’s surface. Chemical peels are classified as superficial (or light), medium-depth, and deep. Generally, the most effective superficial chemical peels for acne include glycolic acid or light trichloroacetic acid (TCA). Medium-depth peels typically contain an acid solution with 20% trichloroacetic acid (TCA) or higher. A series of 3 to 6 chemical peels is usually recommended to treat acne scars, depending on the severity of the scars and the degree of hyperpigmentation.

Mesopeels are specially formulated chemical peels that are excellent for improving post-inflammatory hyperpigmentation caused by acne scars. They use chemical exfoliation to boost collagen production, removing dead, pigmented cells and revealing new, healthy, even-toned cells at the skin’s surface. Mesopeels involve no downtime and are a safe, effective way to achieve an even-toned, radiant complexion. A series of three to six Mesopeels is often recommended to treat hyperpigmentation resulting from acne scars.

Frequently Asked Questions (FAQs) about microneedling for acne scars

Will acne scars come back after microneedling?

Acne scars that improve with microneedling do not return once the skin has healed and collagen has increased in the treated areas. Microneedling improves the skin’s structure in areas with existing scarring, producing long-lasting changes in texture and smoothness. These improvements remain stable over time and do not reverse on their own. However, microneedling does not prevent future acne breakouts, and new acne lesions can still lead to new scars if they develop after treatment. For this reason, ongoing acne management is important for maintaining results. Natural changes in the skin over time, such as gradual collagen loss with aging, can also make any remaining texture irregularities more noticeable. With proper skincare, sun protection, and professional guidance, many patients can preserve their results and maintain smoother skin for years after microneedling.

What size needle is needed for microneedling acne scars?

Microneedles used in microneedling vary in length from 0.25mm to 3mm. Acne scars typically measure between 1.5mm and 2mm. The appropriate length may vary based on individual skin type, concerns, and the severity of acne scarring.

How many sessions of microneedling do I need for acne scars?

The number of microneedling sessions needed to reduce acne scars depends on the scars’ size and severity. To fully rejuvenate the skin’s surface, several sessions are typically required. Most patients need 3 to 6 microneedling treatments to achieve optimal results. Each session should be scheduled about four weeks apart. While some patients notice early improvements after the first few treatments, changes in skin texture develop gradually as collagen builds over time. Because collagen production is a progressive process, the most noticeable improvement in acne scars often becomes more apparent in the months following the completion of a treatment series. The exact number of treatments can vary based on how deep the acne scars are, how much of the skin is affected, and how the skin responds over time. Additionally, many patients receive regular maintenance treatments after the initial sessions to sustain the skin rejuvenation effects of microneedling. During your consultation with board-certified dermatologist Dr. Green at her private office in NYC, she will work with you to develop a personalized treatment plan and timeline for your microneedling sessions to yield the best results for your acne scars.

Will microneedling get rid of acne scars?

While the skin rejuvenation benefits of microneedling can be long-lasting, they are not always permanent. Microneedling often leads to lasting improvements in skin concerns such as acne scars. However, because the skin is a living tissue, it is naturally susceptible to aging. As we age and collagen continues to break down, skin issues treated with microneedling may reappear. Most patients who undergo traditional PRP or radiofrequency microneedling establish a maintenance schedule to achieve optimal results. Dr. Green may recommend that patients with severe acne scars consider skin resurfacing laser treatments or dermal filler injections instead of, or in addition to, microneedling therapy. Regardless of the severity of your acne scars, Dr. Green in NYC offers non-invasive cosmetic solutions that deliver stunning, natural-looking, long-lasting results.

Is microneedling safe for everyone?

Microneedling for acne scars is considered safe for most patients when performed by a qualified medical professional and can be used on all skin tones, including darker skin. Unlike some laser treatments that carry a higher risk of pigment changes, microneedling does not rely on heat or light energy, making it a suitable option for patients prone to hyperpigmentation. However, microneedling is not appropriate for everyone. Patients with active acne breakouts, skin infections, open wounds, or certain inflammatory skin conditions may need to delay treatment until the skin has healed. Individuals with medical conditions that affect wound healing may also require additional evaluation to determine whether microneedling is the best option. A thorough consultation helps determine whether microneedling is appropriate and ensures the treatment is performed safely and effectively, tailored to each patient’s skin type, medical history, and treatment goals.

Which microneedling is best for acne scars?

Different types of acne scars require different treatment approaches. Microneedling can be enhanced with additional serums, such as platelet-rich plasma and depigmentation serum, or combined with radiofrequency energy, as in the Vivace treatment. Choosing the best microneedling option for your acne scars can be challenging. Patients with dark acne scars may benefit from depigmentation serum, which helps improve skin tone and texture. Conversely, RF microneedling can promote increased collagen production by heating the dermis, offering significant advantages for those with texture issues. Microneedling with PRP utilizes growth factors in the blood to accelerate wound healing and reduce recovery time. Therefore, it is advisable to consult with a board-certified dermatologist, such as Dr. Michele Green in New York City. During your consultation, Dr. Green will assess your acne scars and develop a personalized treatment plan designed to effectively reduce them, helping you achieve smooth, clear skin.

Should you have Microneedling if you still have active acne?

You should not undergo microneedling if you still have active acne. Microneedling over active acne lesions can contaminate the microneedles with acne-causing bacteria. As the microneedles are passed across the face, the bacteria spread, worsening the breakout. Active acne should be treated before the procedure to minimize the risk of infection spreading. Additionally, treating pimples and active acne as soon as possible will help prevent the formation of new acne scars. A board-certified dermatologist, such as Dr. Michele Green, can assist you with various topical or oral medications to treat your acne breakouts. Once the breakouts are under control, Dr. Green can perform microneedling to improve acne scars and other skin concerns, resulting in a smooth, youthful appearance.

Will microneedling help with acne scars?

Microneedling can help improve the appearance of acne scars by smoothing uneven texture and supporting healthier-looking skin over time. While acne scars do not disappear overnight, microneedling makes them less noticeable by softening their edges and improving the overall texture and appearance of the surrounding skin. Many patients find that their skin looks smoother, makeup applies more evenly, and scarred areas blend better with the rest of the skin after treatment. Microneedling is especially helpful for patients seeking visible improvement in texture without undergoing invasive procedures, and results continue to develop gradually with a series of treatments. For many individuals, microneedling offers noticeable improvement in acne scars, enhancing overall skin appearance and confidence.

How much does Microneedling for acne scars cost?

The total cost of your microneedling treatment depends on several factors. Your geographic location and your healthcare provider’s experience level are two key factors that influence the overall cost of microneedling. While microneedling performed by an aesthetician in a medical spa setting is usually less expensive, they may lack the qualifications to perform the procedure safely and legally. In New York, only a licensed acupuncturist, a board-certified dermatologist, or a plastic surgeon is authorized to perform microneedling. It is always advisable to seek microneedling treatment from an experienced board-certified dermatologist like Dr. Green to ensure safety, efficacy, and optimal results.

Furthermore, any enhancements, such as depigmentation serum, platelet-rich plasma, or radiofrequency, added to the microneedling procedure will increase the overall cost. During your consultation with board-certified dermatologist Dr. Michele Green at her private office in NYC, you’ll have the opportunity to discuss your skin concerns and aesthetic goals. Dr. Green will examine your skin and recommend a microneedling treatment plan for rejuvenation. Pricing will be reviewed before any treatments take place.

What is better for acne scars, microneedling or laser?

When deciding whether microneedling or laser treatment is better for acne scars, the answer depends on the scars’ type, depth, and overall appearance, as well as the skin’s specific needs. Microneedling is commonly used to improve uneven texture and soften mild to moderate depressed acne scars by stimulating collagen production beneath the skin’s surface. This added collagen provides better structural support, improving firmness and making scarred areas appear smoother and less noticeable over time. Microneedling is especially helpful for scars that affect texture rather than color and is often chosen when the goal is gradual improvement in skin smoothness.

Laser treatments are often recommended for acne scars with more severe textural changes, redness, or discoloration. Different laser treatments can target specific layers of the skin and address concerns such as pigment irregularities, persistent redness, and texture. Some lasers also stimulate collagen at deeper levels, which can be beneficial for deeper scars. In many cases, microneedling and laser treatments are used together as part of a personalized plan to address different aspects of acne scarring, resulting in more balanced, comprehensive improvement. Determining which treatment or combination of treatments is most appropriate requires a personal evaluation, as no single approach is ideal for every type of acne scar.

Which is better for acne scars, microdermabrasion or microneedling?

Initially, microneedling and microdermabrasion may seem similar to cosmetic treatments, but they are actually quite distinct. Microdermabrasion uses exfoliating crystals to remove the surface layers of dead, dull, and discolored skin cells, resulting in a smoother, brighter, and clearer complexion without downtime. In contrast, microneedling uses ultra-fine needles to penetrate deeper into the epidermis, triggering the skin’s natural wound-healing response by creating controlled injuries. This process stimulates the production of new collagen and elastin. Microneedling is effective for treating acne scars, textural irregularities, enlarged pores, fine lines and wrinkles, uneven skin tone, dullness, and more.

Microneedling can be enhanced with additional serums and radiofrequency energy to improve treatment outcomes. Depending on the severity of a patient’s acne scars and their cosmetic goals, either microdermabrasion or microneedling may be suitable options. The best way to determine which non-invasive cosmetic treatment is more appropriate for your specific acne scars is to consult board-certified cosmetic dermatologist Dr. Michele Green. Dr. Green has extensive experience treating all forms of acne scars using advanced techniques. For patients with acne scars of any skin tone and type, Dr. Green will develop a customized treatment plan designed to yield optimal results.

Why do my acne scars look worse after Microneedling?

Some patients may notice a temporary worsening of their acne scars immediately after the microneedling procedure. Microneedling stimulates the wound-healing response by creating millions of microchannels in the skin. These micro-injuries can cause irritation and inflammation in some patients. Inflammation may manifest as increased redness and more noticeable skin texture issues. Fortunately, this temporary worsening is expected to resolve on its own within a few days after the procedure.

Will microneedling fix acne scars?

Microneedling can help improve certain acne scars, but its effectiveness depends on the scars’ specific characteristics. Acne scars vary in depth, shape, and severity, and not all respond to treatment the same way. Some scars extend deeper into the skin or involve more significant structural changes, which may respond better to other treatment options. In these cases, procedures such as laser treatments, subcision, or injectable treatments may be recommended to address the scarred tissue more effectively. Microneedling can also be combined with these treatments as part of a comprehensive plan to improve multiple aspects of acne scarring. Microneedling is most helpful for scars that primarily affect skin texture and involve mild to moderate depressions, where gradual improvement can be achieved over a series of sessions. Determining which scars are best suited for microneedling and which may benefit from alternative or combination treatments requires careful evaluation. Consulting with a board-certified dermatologist, such as Dr. Michele Green in NYC, allows for a proper assessment of acne scars and ensures the selection of the most appropriate treatment approach for safe, effective improvement.

How to do microneedling for acne scars

Microneedling for acne scars should be performed as a professional treatment tailored to the type and severity of scarring. The first step is a skin evaluation to identify the depth, distribution, and features of the acne scars, as well as any other concerns that may affect treatment planning. Microneedling is then performed using medical-grade devices designed to treat acne scars at appropriate depths, allowing the approach to be adjusted based on the specific areas being treated. Treatment sessions are typically scheduled as part of a series, with spacing that allows the skin time to heal between visits. Because acne scars vary widely and not all skin types respond the same way, microneedling for acne scars is most effective when performed by a board-certified dermatologist who can determine the safest technique, treatment depth, and overall plan to achieve gradual, natural-looking improvement.

Are at-home microneedling devices safe for treating acne scars?

At-home microneedling devices are generally not recommended for treating acne scars because they do not allow precise control over how deeply or evenly the needles penetrate the skin. Devices such as a dermaroller rely on manual pressure and rolling motions, making it difficult to adjust treatment based on the depth and location of individual scars. Acne scars often vary across the face, and effective treatment requires different needle depths and techniques in different areas, which at-home devices cannot provide. In addition, maintaining proper sterility and consistent technique at home can be challenging, increasing the risk of irritation, infection, pigment changes, or uneven results. Professional microneedling performed in a medical setting allows treatment to be customized to the skin, with controlled needle depth and technique that are better suited to safely and effectively improve acne scar texture under the guidance of a qualified skincare professional.

How to get started with Microneedling for acne scars today?

Microneedling for acne scars is a minimally invasive cosmetic treatment that improves uneven skin texture and softens the appearance of scarring from past breakouts. By stimulating collagen production, microneedling improves skin firmness and smooths areas where acne scars have affected the skin’s surface. Over time, this process helps scarred areas blend more naturally with the surrounding skin, creating a smoother, more even appearance. Microneedling can be customized to address different types and depths of acne scars and may be combined with other treatments when appropriate to enhance overall results, all while requiring minimal downtime. For patients seeking a gradual, natural-looking improvement in acne scars, microneedling offers a versatile and effective option under the care of an experienced dermatologist like Dr. Green.

Dr. Michele Green is an internationally renowned, board-certified cosmetic dermatologist with over 25 years of experience providing discerning individuals with the best non-invasive cosmetic treatment options, including microneedling for acne scars. She is consistently recognized by Castle Connolly, Super Doctors, New York Magazine, and the New York Times as one of New York’s best dermatologists for her dedication to her patients and expertise. When you consult with Dr. Green at her private dermatology office on Manhattan’s Upper East Side, she will work closely with you to create a customized rejuvenation treatment plan that addresses your unique skin concerns and achieves optimal cosmetic results. To get started on your personalized acne scar treatment plan and learn more about microneedling, schedule a consultation with Dr. Green by calling the NYC office at 212-535-3088 or contacting us online today.