Microneedling of Skin

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Not everyone can manage to have the specialised treatments of iontophoresis and sonophoresis, so mi-croneedling offers an important way for patients to enhance penetration. Minute holes are made through the stratum corneum only, so this is not a painful procedure. I have designed a special instrument to do this and patients are requested to use it daily before applying their skin care [3]. Significant improvement may be achieved in those patients who are diligent about using the tool every day for about 3-5 min. The results are not due to the microtrauma, but are due to enhanced penetration of vitamin A, vitamin C and

Topical Vitamin Before And After
Fig. 62.5. a Typical photodamage. b After topical vitamin A and C, an upper blepharoplasty, and 6 months after percutaneous collagen induction (percutaneous collagen induction was done with the Environ Roll-Cit). Continuous daily skin care.
Note the younger skin texture, the melting away of solar keratoses, the healthier colour of the skin. No make-up has been used on the facial skin
Eyelids Microneedling

Fig. 62.6. a Typical photodamaged skin with wrinkling of the upper eyelids. b After 6 months of continuous daily skin care with topical vitamin A and antioxidants (Environ Proactive Mild Day and Night creams) after a series of monthly peels using 2.5% trichloracetic acid (TCA) cream for four peels, and 5% TCA cream for two peels (ACM no. 1 and ACM no. 2 from

Environ Skin Care). The peels are so safe that they can easily be done on the upper eyelid. The brows are at the same position and the improved elasticity is probably also due to increased penetration of topical vitamin A, vitamin C and antioxidants. No surgery has been done

Fig. 62.6. a Typical photodamaged skin with wrinkling of the upper eyelids. b After 6 months of continuous daily skin care with topical vitamin A and antioxidants (Environ Proactive Mild Day and Night creams) after a series of monthly peels using 2.5% trichloracetic acid (TCA) cream for four peels, and 5% TCA cream for two peels (ACM no. 1 and ACM no. 2 from

Environ Skin Care). The peels are so safe that they can easily be done on the upper eyelid. The brows are at the same position and the improved elasticity is probably also due to increased penetration of topical vitamin A, vitamin C and antioxidants. No surgery has been done other active agents (Fig. 62.5). The use of simple mois-turisers will not cause any tightening of skin.

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