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Before and After photos of scar improvement with needling on our Facebook site:

http://www.facebook.com/#!/photo.php?fbid=189030387793715&set=a.189030057793748.51674.148514725178615

Skin Needling or Micro-Needling is a process that induces the formation of deep dermal collagen and enhances the appearance of deep rolling acne scars.

Acne and depressed scars are treated using very fine sterile needles (such as the Keith needle). The most depressed part of the scar is treated with repeated shallow (1-2mm) penetrations of the sterile needle. This procedure effectively separates the top scarred skin tissue from the deeper bound down scar tissue. These, in turn, produce autologous growth factors and Interleukins. The body is essentially fooled into thinking that trauma has occurred at the depths of the rolling acne scars and repairs itself.

Several treatments two weeks apart are necessary to get a significant improvement. Eventually deep rolling scars level off with the surrounding skin. The needling process can be followed by the application of TCA acids or long wavelength lasers to further stimulate the production of collagen and elastic fibers.

The procedure is performed by Dr. A. David Rahimi and takes about 30 minutes to perform. A thick layer of topical anesthesia (EMLA cream) or local injection of Lidocaine with epinephrine significantly reduces any discomfort.

Like other procedures there are risks of excessive bleeding, infection, and even scarring. I have had good results with Needling; especially with difficult and depressed acne scars and self-inflicted sores on the face and chest area.

The cost depends on the area treated and can range from $250 to $500 per treatment.

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A. David RAhimi,MD,FAAD,FAACS.