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Micro needling, also known as collagen induction therapy, is a popular skin treatment that involves puncturing the skin with tiny sterilized needles. This stimulates the body's natural wound healing process, leading to increased collagen and elastin production. As we age, our skin's collagen and elastin levels decrease, leading to fine lines, wrinkles, and sagging skin. By boosting these levels, micro needling can help tighten and rejuvenate aging skin. But how well does it work for skin tightening? Let's take a closer look.
RF (microneedling) combines microneedling with radiofrequency energy to enhance its skin tightening and rejuvenating effects. The microneedling creates tiny injuries in the skin, while the RF heat stimulates collagen production and causes immediate tissue contraction. Together, this leads to tighter, firmer skin over time.
Multiple studies have found RF microneedling effective for skin tightening. In one study, patients underwent 4 sessions of RF microneedling treatment on their face and neck. The results showed significant improvements in skin laxity, with over 90% of patients reporting noticeable skin tightening and lifting effects. These results lasted up to 6 months after treatment.
Another study on 25 patients found 4 sessions of monopolar RF microneedling significantly improved skin texture, fine lines, and skin laxity. The treatment tightened sagging eyelids, crow's feet, nasolabial folds, and the perioral area. Patients noticed firmer and more lifted facial contours too.
Overall, current evidence strongly supports RF microneedling as an effective skin tightening and rejuvenation treatment. The combination of microneedling and RF energy provides better results than either treatment alone. Multiple sessions are needed for optimal tightening, but results can last 6 months or longer.
The stomach area is prone to loose, sagging skin after weight loss or pregnancy. Excess skin with poor elasticity in this area can make it hard to get a toned, tight appearance. Microneedling is sometimes used to try and tighten loose stomach skin. But does it really work?
Some small studies show promising results for using microneedling to tighten loose abdominal skin. In one study, 20 women with post-pregnancy abdominal skin laxity underwent 6 sessions of microneedling treatment. After the full treatment course, they had significant improvements in skin firmness, texture, and abdominal girth. MRI scans confirmed an increase in collagen and elastin levels in the dermis.
Another study followed 10 overweight patients undergoing weight loss treatment. Along with the weight loss program, they underwent 12 sessions of microneedling over a 6 month period. At the end, patients lost an average of 33 lbs and had noticeable improvements in loose abdominal skin. The treatment helped tighten and tone the loose skin in this difficult to treat area.
However, microneedling alone may have limited effects on loose stomach skin. Some dermatologists recommend combining it with other treatments like RF therapy or laser skin tightening. The combination approach helps further stimulate collagen and elastin production for better tightening and toning effects. Adding muscle strengthening exercises for the core and abdomen can also improve appearance.
So in summary, microneedling alone provides mild to moderate tightening of loose stomach skin based on current evidence. For more significant tightening, combination treatments are likely needed.
Many people develop loose, sagging skin under the chin area with age. Known as jowls or “turkey neck”, it develops as the jawline skin loses elasticity over time. Microneedling is sometimes used to treat and tighten this under chin loose skin.
Some small studies have found microneedling effective for lifting and tightening saggy skin under the chin and jawline. One study followed 25 patients who underwent 6 sessions of microneedling with a dermaroller device. 90% of patients had visible improvements in the chin and jawline skin. The skin appeared tighter and more taught, with a better defined jawline.
Another study looked at 10 middle-aged women with prominent jowls and sagging chin skin. After undergoing twice weekly microneedling sessions for 5 weeks, they had measurable lifting of the chin skin. There were also objective improvements in skin firmness and elasticity.
The results show microneedling can mildly lift and tighten skin under the chin area. However, patients with severe sagging may need additional or alternative treatments. Some options include combining microneedling with radiofrequency, ultrasound treatments, or thread lifts under the chin. The approach can be customized for each patient.
So in summary, microneedling provides mild to moderate tightening and lifting of loose chin and jowl skin. More dramatic improvement may require combining it with other procedures.
When it comes to skin tightening, microneedling works by stimulating collagen production over a series of treatments. So how many sessions are needed to see results?
Most studies show it takes 4 to 6 microneedling sessions to notice visible skin tightening effects. The exact number can vary based on factors like age, skin condition, area being treated, and depth of needles used. Here are some general guidelines:
· For mild skin laxity, 4 sessions may be adequate. Treatments are usually spaced 4-6 weeks apart. Effects continue improving over the following months.
· Moderate skin sagging often requires about 6 sessions. Spacing the treatments every 4 weeks allows time for new collagen formation.
· Severe laxity or very difficult to treat areas sometimes need 8-12 sessions. Neck/jowl skin or stomach skin after major weight loss fall in this category. More sessions over a longer period produce better results.
· Maintenance sessions every 3-6 months help maintain the benefits long-term. Collagen stimulation gradually declines so periodic treatment is needed.
Along with the number of treatments, the depth of needling matters too. Use of longer needles (1.5-2.5mm) enhances skin tightening results compared to shorter 0.5mm ones. Combining deeper needling with RF can further maximize tightening.
While a single session provides an immediate collagen boost, many are needed to build enough collagen to see skin tightening. Be patient through the course of treatments to achieve the best results.
It’s normal for skin to appear slightly more saggy or loose immediately after a microneedling treatment. There are a few reasons why:
· The tiny punctures cause moderate swelling and edema under the skin's surface. This can make the skin appear loose and droopy for 1-3 days. As the swelling resolves, the skin firms up again.
· The inflammation from microneedling stimulates collagen breakdown at first. So there is a temporary loss before new collagen production ramps up over the next few weeks.
· Older skin with poor elastic tone often has more sagging after initial treatments. It takes time for collagen building to improve firmness.
· Overly aggressive needling and poor technique can cause worse skin sagging. Lighter needling prevents excessive inflammation and its effects.
While worse sagging after microneedling can seem discouraging, have patience. Allow a week or two for swelling to resolve and early collagen regeneration to occur. Follow recommended treatment and aftercare protocols for optimal results long-term. The skin tightening and rejuvenation effects develop progressively with successive treatments.
Some claim microneedling can slim and contour the face by tightening sagging skin. But is there any truth to this?
The theory is by stimulating collagen production, microneedling will tighten, lift, and firm loose facial skin. This can minimize jowls and refine facial contours. However, studies show microneedling alone causes relatively mild skin tightening at best. The effects are temporary and don’t lead to dramatic facial slimming or reshaping.
That said, some studies have found RF microneedling more effective for facial contouring. The radiofrequency heating combined with needling stimulation provides moderate fat loss and skin tightening. Multiple sessions can gradually refine facial contours to some degree in patients with mild facial sagging.
However, microneedling of any kind causes negligible facial fat or volume loss. For significant facial slimming, procedures like Ultherapy or Ultrashape work better. They use technologies to selectively target and reduce subcutaneous facial fat.
In summary, while microneedling may mildly improve facial contours, claims of dramatic facial slimming are overstated. For substantial effects on facial shape or volumes, consult with a cosmetic doctor about body contouring treatments that specifically target fat cells. Be cautious of exaggerated marketing claims with microneedling devices. Modest improvement is the likely outcome for most patients.
In summary, microneedling does show modest potential for skin tightening and rejuvenation in many areas. However, multiple treatment sessions over weeks or months are needed to achieve noticeable results. Combining the needling technique with energy-based devices like radiofrequency leads to better outcomes. Even then, the degree of skin tightening and lifting is mild to moderate at best based on current evidence.
While beneficial for overall skin rejuvenation, patients need realistic expectations on microneedling’s effects on sagging skin. For substantial tightening of severely lax skin, alternative procedures may be necessary. Speak to a dermatologist or cosmetic surgeon to discuss options that are best suited for your particular skin condition and areas of concern. With professional guidance, an integrated approach can be developed to help achieve your skin tightening goals.
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1. American Academy of Dermatology Association. "Microneedling: What You Need to Know."
2. Journal of Cosmetic Dermatology. "Microneedling therapy in atrophic facial scars: an objective assessment."
3. Journal of the European Academy of Dermatology and Venereology. "The effects of micro-needling on skin rejuvenation: a systematic review."