Microneedling – Narben

Scars are the visible end state of a skin healing process. Any disruption of tissue integrity ends up in a scar, at least when the disruption is deeper than 0.5 mm. Most common are acne scars in the face of patients. But scars also occur after you had surgery e.g. after breast or blepharo-eye surgery as well as after a C-section. As wounds heal, scar tissue forms. First it is often red and prominent. Over several months, yours scar usually becomes flat and pale. If there is a lot of tension on that healing wound, the healing area is getting thicker than usual. This is known as a hypertrophic scar tissue or eventually keloid.

Mechanism of action in microneedling

It is a very complex process, but the principle is quite easy to understand. The microneedling is a medical instrument. It is applied on the skin with the aim of stimulation of new collagen. This treatment is also known as CIT (Collagen-Induction-Therapy) oder Perkutane Collagen Induktion (PCI). The final effect is skin revitalization and rejuvenation without damage. Because of these tiny “wounds,” your body produces elastin and collagen to heal them. Through this healing process, the dermis becomes thicker and lines and wrinkles become less noticeable. It helps the body’s self-healing mechanisms.

What skin microneedling devices are on the market?

There are various skin needling devices on the market. One medical device is the Dermaroller® (Dermaroller GmbH), the Dermapen™ (Equipmed Pty Ltd; Australia) or the Derma-Stamps™ (Dermaroller USA). The fine micro-needles have various diameter and length. There are used for small areas only.

There are used for small areas only. For larger areas we recommend the micro needling RF (so called Microneedling radiofrequncy).

Professional medical microneedling is considered to be one of the safest skin treatment procedures. You will tolerate it well. It will take just a few minutes up to an hour to complete. All depends on the skin area to be treated and of course of the severity of your problem.

How microneedling works?

We will apply a local numbing cream on your treatment area for around 45 minutes and up.

The skin is punctured in a specific pattern using a skin-needling device. The device is rolled or touched (if it is a pen not a dermaroller) multiple times over your skin in a specific pattern for achieving best results. These very fine needles puncture the skin. They create channels or micro-wounds stimulating the skin cell regeneration.

Depending on the condition treated, it may take 5-60 minutes to complete the procedure. A minimum of six weeks is recommended between two treatments as it takes that long for new natural collagen to form.

Microneedling treatment interval

After the microneedling, your body needs time to produce, organize and transform into new collagen and new blood vessels. This process takes some months.

How many micro needling treatments are needed?

One or two follow-up procedures, with minimum separation of 6–8 weeks or more, depending on the scar type. It is most important that you know: the first treatment brings a significant change (and visible improvement) in the range of 30 to 40%. Then the follow-up treatment may bring you another 10 to 20% improvement. Aftercare is the most important part. Always follow our instruction and do not do exercise 1-2 days after the procedure.

If you would like to learn more about the Cosmetic Treatment at our Zurich clinic to enhance your skin health and appearance, request a consultation with Dr Liv Kraemer or call us (044) 211 88 11 during our phone-hous to schedule your appointment.

Please have a view on my blog about microneedling and how does it work.


Min Zhao, Electrical fields in wound healing—An overriding signal that directs cell migration, Department of Dermatology, 2008, Seminars in Cell & Developmental Biology 20 (2009) 674–682

Schwarz, A Prospective Controlled Assessment of Microneedling with the Dermaroller Device, Plastic and reconstructive Surgery, June 2011

Aust et al., Medical needling: improving the appearance of hyperthrophic burn-scars, GMS Verbrennungsmedizin 2009, Vol. 3, ISSN 1869-1412

Lilli Fan, Don Owen, DNA Microarray Analysis of Microneedle Effects on MatTek FT Skin Equivalent, 2010 Baton Rouge

Gary W. Cleary, Microneedles for Drug Delivery, 17 November 2010, © Springer Science + Business Media

Kalluri et al. Characterization of Microchannels Created by Metal Microneedles: Formation and Closure, The AAPS Journal (# 2011) DOI: 10.1208/s12248-011-9288-3

Safonov, Percutaneous Collagen Induction in correction of post-burn, scars. Translation article FACE 1/2011

 Microneedling – Narben