Microneedling (Collagen Induction Therapy)

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Post microneedling after 4 treatments

Microneedling, also known as collagen induction therapy, is one of our most popular treatments. This procedure, approved by the FDA, involves stimulating your own collagen by creating micro injuries to the skin via multiple very fine vertical needles. As a result of this treatment, you’ll experience greater production of collagen, minimized appearance of pores, improved skin texture, and overall skin rejuvenation.

This minimally invasive cosmetic procedure creates controlled “micro-injuries” to trigger the skin's self-repair process to produce more collagen. Each injury creates a channel for new elastin and collagen to enter the microscopic wound. There is no discomfort with this treatment, at VIVAA we use high-quality grade numbing cream to ensure our clients have a relaxing treatment.


Over a series of about three to five treatments, spaced about a month apart, our staff will administer your personalized microneedling procedure. Treatments will gradually give you a rejuvenated refreshed look and are often combined with a chemical peel or PRP to enhance results.

facial lines - before after prp microneedling

Prior to each microneedling treatment, a topicalanesthetic is applied to the treatment area for about forty minutes, and then the aesthetic provider uses either your PRP or PCA Skincare serums to allow the pen to glide across your skin and create the controlled micro-injures.

Sun damage, lack of skincare, environmental factors, and smoking will decrease collagen production throughout life. Although our bodies also naturally produce collagen, as we age the collagen and elastin in our skin weakens and results in thinner and dehydrated skin. This then causes the appearance of enlarged large pores, fine lines and wrinkles, and sagging.

When we are younger, our skin can naturally combat this damage by:

  • Restoring deteriorated collagen
  • Quicker regeneration and repair
  • Absorption of skin cells that cannot be repaired

Microneedling wakes up those mechanisms and gets them back to work, strengthening collagen, reorganizing disorganized collagen (scarring), and improving elasticity of the skin. The tiny channels created by microneedling will allow your skin to absorb the serums or PRP applied during the treatment to penetrate deeper into the skin and enhance results..

What’s the Science Behind Collagen Induction Therapy?

The phases produced by collagen induction therapy microneedling are inflammation, proliferation and remodeling. Controlled micro injuries in the skin triggers the immune system to increase blood flow to create new tissue. In phase two, new granulation cells begin to rebuild the micro-wound, while a new network of blood vessels and growth factors develops. Finally, remodeling occurs when new dermal tissues and blood vessels replace the wound.


microneedling for facial lines - wrinkles

Benefits of Microneedling include:

  • Reducing appearance of facial wrinkles and signs of aging skin
  • Improve the appearance of scars (acne, surgical, or trauma induced)
  • Flattens and smooths stretch marks to minimize their appearance
  • Minimize appearance of pores
  • Improve skin texture and skin elasticity
  • Safe for ALL skin types


Microneedling is one of the safest aesthetic skin rejuvenation treatments and is safe for all Fitpatrick skin types. In addition, our clients feel no discomfort during treatment thanks to our top-grade numbing cream, you will only feel the vibration from the microneedling device during the procedure.

What to expect after your microneedling treatment:

  • Mild swelling
  • Mild tenderness at the treatment site
  • Redness
  • Dryness
  • Flaky skin 2-3 days after treatment (old skin shedding)

acne scarring treated with PRP microneedling

Bleeding may also be more of a risk for people with bleeding disorders or who are taking blood thinners. Make sure to disclose this information before receiving treatment

There is also a risk of more serious side effects, including:

  • Infection
  • Skin pigment changes
  • Reactions to topical medication used during treatment


Microneedling is contraindicated if you have the following:

  • Active cold sore
  • Vascular disease
  • Blood clotting problems
  • Active bacterial or fungal infections
  • Keloid scarring
  • Active acne

What to Expect After a Collagen Induction Therapy Microneedling Treatment

You can return to work after your microneedling procedure if you feel comfortable. However, wait 48 hours before applying SPF or makeup, in order to allow your skin to heal since the skin channels are open and sensitive after treatment.

Additional post-care instructions include:

  • Avoid skin care products with alpha hydroxy acids and retinol for 1 week
  • Avoid vigorous or extraneous exercise for 48 hours
  • Avoid direct sun exposure for 48 hours
  • Do not soak the area for 48 hours
  • Avoid saunas and hot-tubs for 48 hours
  • Do not pick at skin if it peels
  • Continue skincare that promotes hydration (HA serum, moisturizer, eye cream & etc.)

Are You Curious About Microneedling?

Almost everyone is a great candidate for this minimally invasive treatment, as it is appropriate for all skin types. Schedule a complimentary consultation to learn more about how you can get more youthful and glowing skin. Your provider at VIVAA will create a customized treatment plan based on your individual goals. If you have any questions, contact Dr. Sidhu about your microneedling concerns.

Patient Review
"Fantastic experience I had a wonderful experience at the Issaquah medical facililty; the staff were so Friendly, Knowledgeable and PROFESSIONAL!! The office is beautiful and I felt WELL taken care of. I have had IPL treatments in the past but this was EXCEPTIONAL! Thank you to Justine and Jordan; you were PHENOMENAL!! I will be telling my friends and family and SOCIAL MEDIA!! THANK YOU THANK YOU THANK YOU!!!"


Dr. Sidhu
Dr. Ramandeep Sidhu

Author - Dr. Ramandeep Sidhu

SPECIALTIES: Percutaneous aneurysm repair, endovascular treatment of peripheral arterial disease, treatment for varicose veins, open vascular surgical procedures, deep vein thrombosis/pulmonary embolism treatment and aesthetic services.

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