Overview
What is it?
Microneedling is a minimally invasive dermatological procedure that involves using fine needles to create tiny punctures in the skin. It is not naturally occurring but is a therapeutic technique introduced in the 1990s. Microneedling is commonly used to treat various skin conditions, including hair loss, by stimulating the skin's natural healing processes.
How does it work?
Microneedling works by creating controlled micro-injuries in the skin, which triggers the release of growth factors and promotes collagen production. This process enhances blood flow to the treated area and stimulates hair follicles, potentially leading to improved hair growth. Additionally, microneedling can enhance the absorption of topical treatments like minoxidil or platelet-rich plasma (PRP), making them more effective .
What are the benefits?
Microneedling offers several benefits for hair loss, including increased hair density, thickness, and overall hair quality. It is particularly effective when combined with other treatments like PRP or minoxidil, as it helps these treatments penetrate deeper into the skin. Microneedling is also minimally invasive, with a low risk of serious side effects, making it a popular choice for individuals seeking non-surgical hair loss solutions .
Effectiveness
What does the research say?
Research shows that microneedling can significantly improve hair growth, especially in cases of androgenetic alopecia (AGA). Studies have demonstrated increased hair counts, hair diameter, and hair density when microneedling is used alone or in combination with other therapies. For example, one study found that microneedling combined with PRP resulted in a 92.30% hair coverage improvement in animal models, compared to 32.84% in untreated models . While more research is needed to establish standardized protocols, current evidence suggests that microneedling is a promising treatment for hair loss .
Side Effects
Erythema (redness)
Erythema, or redness, is a common and expected side effect that usually resolves within a few hours to days .
Pain
Pain during or after the procedure is mild and can be managed with topical anesthetics .
Edema (swelling)
Edema, or swelling, is temporary and typically subsides within a day or two .
Temporary skin irritation
Temporary skin irritation, such as dryness or sensitivity, is common but resolves quickly .
Postinflammatory hyperpigmentation (PIH)
Postinflammatory hyperpigmentation (PIH) is a potential side effect, especially in individuals with darker skin tones, but it is usually temporary .
Tram-track scarring
Tram-track scarring is rare and occurs when the needles are pressed too deeply into the skin .
Milia
Milia, or small white bumps, can form as a result of blocked pores but are treatable .
Pruritus (itching)
Pruritus, or itching, is a mild side effect that usually resolves on its own .
Pustules
Pustules, or small pus-filled bumps, may occur but are rare and treatable .
Crusting
Crusting or scabbing can occur as the skin heals but is temporary .
Infection (rare)
Infection is extremely rare but can occur if proper sterilization protocols are not followed .
Evidence
Clinical Studies & Trials
[1] Radiofrequency Microneedling: A Comprehensive and Critical Review
This review evaluates the efficacy and safety of radiofrequency microneedling (RFMN) in dermatologic conditions, though its comparison with other treatments remains unclear.
View study[2] Platelet-Rich Plasma (PRP): Current Applications in Dermatology
PRP is an autologous serum with high platelet and growth factor concentrations, used in dermatology for hair restoration, skin rejuvenation, and more. Combining PRP with microneedling enhances results.
View study[3] Female pattern hair loss: A comprehensive review
This review discusses female pattern hair loss, its systemic associations, and treatments like microneedling, low-level laser therapy, and autologous fat transfer.
View study[4] Microneedling for Hair Loss
Microneedling is a minimally invasive procedure used for various dermatological conditions, including androgenetic alopecia (AGA).
View study[5] Microneedling and Its Use in Hair Loss Disorders: A Systematic Review
This review highlights the benefits of combining PRP with microneedling for hair loss, showing improved hair counts and diameters.
View study[6] Microneedling: A Comprehensive Review
Microneedling stimulates growth factors and collagen production, making it a widely used treatment in dermatology.
View study[7] Treatment of Androgenetic Alopecia: Current Guidance and Unmet Needs
This review discusses PRP's role in increasing hair growth, density, and thickness, with mild side effects like scalp sensitivity.
View study[8] Microneedling for the treatment of hair loss?
Microneedling promotes hair growth by enhancing the penetration of hair growth treatments like minoxidil and PRP.
View study[9] Management of androgenic alopecia: a systematic review of the literature
This systematic review highlights the efficacy of various treatments for androgenic alopecia, including microneedling and PRP.
View study[10] Microneedling in androgenetic alopecia; comparing two different depths of microneedles
This study explores the therapeutic effects of microneedling in AGA, though the optimal protocol remains unclear.
View study[11] Micro needling: A novel therapeutic approach for androgenetic alopecia, A Review of Literature
This review summarizes the use of microneedling for AGA, showing promise in increasing hair density and thickness.
View study[12] Microneedling: Where do we stand now? A systematic review of the literature
This review discusses microneedling as a non-ablative treatment for aesthetic concerns, including hair loss.
View study[13] Curcumin-zinc framework encapsulated microneedle patch for promoting hair growth
This study demonstrates that microneedling with ZnMOF-MN patches promotes hair growth by reversing hostile microenvironments under hair loss conditions.
View study[14] A Systematic Review Examining the Potential Adverse Effects of Microneedling
This review examines the side effects of microneedling, including erythema, pain, and rare complications like infection.
View study