Microneedling, otherwise known as collagen induction therapy, is a procedure where the skin is pricked with small sterile needles. This helps to produce new collagen in the skin, and it results in smooth and even-toned skin. This is usually done on the face, and it is used to treat wrinkles and large pores present on the skin. Microneedling is done in multiple sessions, and it is minimally invasive.

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How to treat dark lines on the upper lip?

Query: Hello doctor, I have recently developed dark lines that align with my upper lip and curves downwards when I smile. I have no idea what this can be and how to treat it. Please let me know if you can help me. I use a cream to help with my acne, but I have been using it for the past four years now an...  Read Full »

Dr. Sneha Mariam Varghese

Answer: Hello, Welcome to icliniq.com. I have seen the attached photo (attachment removed to protect patient identity) and read your history, and what you are having is pigmentary demarcation lines. Pigmentary demarcation lines can cause an appearance of uneven pigmentation over the face that can be wors...  Read Full »

I have black scabs after RF microneedling. Kindly help.

Query: Hi doctor, I did radio frequency (RF) microneedling procedure at home a few days ago using a needle depth of 3 mm with radio frequency 200 MHz. Can it cause permanent scarring? Thanks.  Read Full »

Dr. Dhepe Snehal Laul

Answer: Hi, Welcome to icliniq.com. Fractional radio frequency devices have been recently tried for scars. It stimulates collagen remodeling and collagenesis. The mechanism of action is that it causes hemostasis, inflammation, proliferation, and tissue remodeling. The microneedling causes the release ...  Read Full »

Does microneedling cause keloids?

Query: Hi doctor, When I was a teenager, I got severe acne on my chest. I put 95% ethyl alcohol on them for months every day, thinking I would treat them. Instead, it left me with keloid scars all over my chest. Four years later, last week, I went to do microneedling on my face. It was pretty harsh, and I...  Read Full »

Dr. Shama Naaz

Answer: Hi, Welcome to icliniq.com. If you are genetically predisposed to get keloids over your body, you can get it after some trauma to your skin, for example, burns, dermabrasion, and even chemical peeling.  Read Full »

How can I even out my skin tone naturally?

Query: Hi doctor, I have an uneven skin tone on my face since from way back, perhaps 9 years back. Like some parts on the face are darker whilst others are lighter in complexion. I do not have any symptoms for my skin condition but I would like to ask if any of this is normal or what?  Read Full »

Dr. Sneha Mariam Varghese

Answer: Hello, Welcome to icliniq.com. I understand your concern, from your history, it looks like you have pigmentary demarcation lines (PDL), which is just uneven pigmentation of the skin. Kindly send me a photo of the areas you find these pigmentary issues, so that I can grade your condition and give...  Read Full »

How do alcohol drinking decrease the healing process after dermapen microneedling?

Query: Hello doctor, My question is, when can I drink more than two glasses of wine a day or a whole bottle without it hindering the healing process after my dermapen session of micro needling? And also, because I was occasionally drinking a few bottles of beer after I had gotten it done, does that mean my...  Read Full »

Dr. Subhash Kashyap

Answer: Hi, Welcome to icliniq.com. Alcohol use can diminish wound healing, it increases the blood flow so it can also cause bleeding. Excessive alcohol intake also reduces the immunity of the body which can lead to delayed wound healing. Same principle applied to micro needling. Micro needling is also a...  Read Full »

I have a hypertrophic scar in the base of my nostril. Can I make it look better?

Query: Hello doctor, I met with a mountain biking accident about two years ago. What I believe is I have a hypertrophic scar from the base of my nostril to my upper lip, which is about 3/4 inches. It is flattened a lot and is no longer red. Can I make it even better?  Read Full »

Dr. Ashwini. V. Swamy

Answer: Hello, Welcome to icliniq.com. Yes, it is a hypertrophic scar (attachment removed to protect patient identity). It still looks bumpy and elevated in the picture, and it can be flattened with intralesional Kenalog (Triamcinolone Acetonide) injections. You may need two to three sessions to bring it ...  Read Full »

I have been on Isotretinoin for four months. How to stop it?

Query: Hello doctor, I had a severe skin infection and almost cured under my doctor's medication. I have been prescribed Sotret 20 mg (Isotretinoin) for four months. I am married. So, should I continue this? Already four months are done, and progress is 80%. Whenever I am under Isotretinoin medication, p...  Read Full »

Dr. Rashmi Singh

Answer: Hello, Welcome to icliniq.com. Isotretinoin is a wonderful drug. The usual course of 20 mg a day lasts for around six months for an average weighed female. Different doctors do it differently. I prefer not to stop it abruptly but taper it gradually over a period of a month or two to decrease the ch...  Read Full »

Other than laser, is there a way to treat acne marks?

Query: Hello doctor, I am having acne since one month. I am currently applying Epiduo gel at night. Now, my acne is calming down. I am using sunscreen at daytime. But, after clearing of pimples, my face becomes red. I am currently using Retino-A .025% on scars. Does Retino-A reduce red marks? Or should I g...  Read Full »

Dr. Asmeet Kaur Sawhney

Answer: Hi, Welcome to icliniq.com. I have reviewed the attached photographs (attachment removed to protect patient identity). I can appreciate multiple scars on your face. You should continue with Epiduo gel (combination of Adapalene and Benzoyl peroxide) and sunscreen, so that the pimples are treated...  Read Full »

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