Thank you for your question.
You submitted your question without a photo.
And you’re stating in your question that you underwent microneedling and now you’re
noticing broken capillaries.
And you’re asking will they go away.
Well, I can give you some idea of what I’m thinking when I’m hearing a question like
this in the absence of a photo as well as in the absence of a timeframe.
A little bit of background, I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial
plastic and reconstructive surgeon.
I have been in practice in Manhattan and Long Island for over 20 years.
Microneedling is amongst a wide range of procedures, is something we do a lot in our practice.
And I would start by asking you whether or not you were aware of the presence of the
capillaries before the microneedling.
A lot of times, people look at themselves with much more detail after they undergo a
procedure.
In my practice, I routinely take a lot of photos and I review those photos with my patient.
An example for an indication for microneedling can be to help patients who have sun damaged
skin.
Sun damaged skin is basically characterized by discoloration, wrinkling and broken capillaries.
And so, it can be the case that you already had broken capillaries and you may be aware
of them after undergoing the microneedling process.
I can tell you that a lot of times people look at themselves and see detail of things
they haven't noticed before.
Now let’s say the broken capillaries occurred after you underwent the microneedling.
Well, the response to wound healing which is the principle of a lot of different treatments,
everything from chemical peels, lasers, all depend on a certain wound healing process.
During that wound healing process, there is the proliferation of blood vessels and therefore,
it can be possible that the blood vessels are a response of your body to the microneedling
treatment.
This is something that hopefully will make a distinction with the practitioner who performed
the treatment.
Well I would say that if you look at wound healing as a process, generally speaking,
the phase in which blood vessels can be produced would be in what’s called the proliferative
phase and that is the first month after any type of injury.
In addition, it might be well worth thinking that about whether or not these vessels has
become much more present and not necessarily caused by mirconeedling but just as essentially
the natural aging of the skin.
Now it doesn't mean that you aged significantly since the microneedling but it is a common
knowledge in the medical field that a lot of these vessels become more obvious as the
collagen diminishes in the skin.
Now to treat broken vessels and to treat what’s called telangiectasias, we typically use lasers
and we can close off those vessels with the lasers and we can watch and see how significant
of an issue they are.
And usually that takes a couple of treatments and is something that I think you can also
explore with your practitioner as far as the management of the vessels.
It’s always safe to observe.
You don't always have to jump on something quickly but I think that understanding the
indications for the microneedling and whether or not it is possible that the level of aggressiveness
or microneedling may need to be potentially adjusted.
In the absence of a photo and the details, it’s important for you to at least know
that microneedling can be superficial at half a millimeter all the way down to close to
2 millimeters.
And those levels of depth can also be marked by the aggressiveness and the rate in which
the mirconeedling is performed.
There is a lot of nuance in this treatment.
And a lot of times, well meaning practitioners will be very aggressive.
And from that aggressiveness may result to some untoward side-effects.
But generally speaking, it’s a very safe procedure.
I think most practitioners tend to lean on the conservative side to observe.
You know, when we do these treatments, we want to see how do our patients respond.
You know, a lot of cosmetic dermatologic procedures are done conservatively, basically to treat
and observe the response.
You can compare it to the way laser hair removal is done.
We tend to do a lower setting or a more conservative setting before you go up in the energy.
So I think it’s important for you to have a dialogue with your practitioner and look
at the overall strategy.
Look at the response that you’ve had with the microneedling.
You know the principle of microneedling is essentially something called collagen induction
therapy.
And in many ways, it does a lot of things that overlaps with lasers without the heat.
It has a lot of value but like any tool, it has to be applied in the correct way, in the
most optimal way I should say.
So I hope that was helpful, I wish you the best of luck and thank you for your question.