What It Is
Microneedling is a skin rejuvenation treatment that uses controlled micro-injuries to trigger your body's natural healing response. The process activates three phases of repair: inflammation, new tissue production, and collagen remodeling. The result is smoother texture, reduced scarring, smaller pores, and firmer skin built from within.
Charlotte Medical Aesthetics uses SkinPen, the first FDA-cleared microneedling device in the United States. SkinPen received De Novo FDA classification for acne scars and 510(k) clearance for neck wrinkles, giving it a level of regulatory validation that many competing devices do not have. In clinical trials, 90% of participants said they would recommend the treatment for acne scars.
What makes microneedling distinct from laser and energy treatments is that it works entirely through mechanical stimulation, with no heat and no chemicals. This makes it one of the safest options for all skin types and tones, including darker complexions that carry a higher risk of hyperpigmentation with heat-based treatments.
Brands and Products
SkinPen by Crown Aesthetics
The first and only FDA-cleared microneedling device with De Novo classification. SkinPen creates thousands of precise micro-channels at controlled depths, triggering collagen and elastin production without thermal energy. Its adjustable needle depth allows your provider to customize treatment intensity for different areas of the face and body. Backed by robust clinical data including a 90% patient recommendation rate for acne scar treatment.
Topical Add-Ons (PDGF, PDRN, and More)
Microneedling can be paired with topical serums that are driven into the freshly created micro-channels to speed healing and enhance results. Options include PDGF (platelet-derived growth factor) and PDRN (polynucleotides), among others, selected by your provider based on your skin and goals.
Who It's For
Microneedling with SkinPen is appropriate for patients concerned about acne scars, fine lines, uneven texture, enlarged pores, dull complexion, or neck wrinkles. It is effective across all Fitzpatrick skin types (I-VI), making it accessible to patients who may not be candidates for certain laser treatments.
Ideal candidates include patients looking for gradual, natural improvement in skin quality over a series of treatments. Microneedling is also a strong option for patients who prefer treatments without heat or chemical agents, or who want to enhance the absorption and effectiveness of their existing skincare routine.
Patients with active acne breakouts, open wounds, active skin infections, or a history of keloid scarring should consult with their provider before scheduling treatment.
What to Expect
Before Your Treatment
A topical numbing cream is applied approximately 30 minutes before treatment to ensure comfort. Your provider may recommend discontinuing retinoids or exfoliating acids for several days beforehand. Arrive with clean skin free of makeup.
During Your Treatment
The SkinPen treatment itself takes approximately 30 minutes. Your provider moves the device across the treatment area in a systematic pattern, creating micro-channels at a depth calibrated to your specific concerns. Most patients describe the sensation as a mild vibrating or scratching feeling. The topical numbing makes the process comfortable throughout.
After Your Treatment
Expect mild redness similar to a light sunburn for 24-48 hours. Your skin may feel tight or slightly sensitive during this time. Most patients are comfortable returning to work and normal activities the next day. Avoid direct sun exposure, active skincare ingredients, and makeup for the first 24 hours. Visible improvement typically begins at 4-6 weeks, with skin continuing to improve for up to 6 months as new collagen matures. A series of 3-6 treatments spaced approximately 4 weeks apart produces the best results.
Treatment Areas
Frequently Asked Questions
How Many Microneedling Sessions Do I Need?
Most patients see optimal results with a series of 3-6 treatments spaced approximately 4 weeks apart. The exact number depends on your concern and its severity. Mild texture issues may improve in 3 sessions. Deeper acne scarring typically benefits from 4-6. Your provider will recommend a treatment plan during your consultation.
Does Microneedling Hurt?
Most patients find microneedling comfortable thanks to the topical numbing cream applied before treatment. During the procedure, you may feel a vibrating or light scratching sensation. Discomfort is minimal and well managed. The treatment itself takes approximately 30 minutes.
Is Microneedling Safe for Dark Skin Tones?
Yes. SkinPen microneedling is safe for all skin types and Fitzpatrick tones (I-VI) because it does not use heat or target melanin. This makes it one of the safest options for patients with darker complexions who may be at risk for hyperpigmentation with laser or light-based treatments.
What Is the Difference Between Microneedling and Laser Treatments?
Microneedling works through mechanical micro-injuries that trigger natural collagen production without heat. Laser treatments like CoolPeel use thermal energy to ablate and resurface skin. Both stimulate collagen, but microneedling carries less risk for darker skin tones and involves no thermal damage. For some patients, combining both technologies delivers the most comprehensive results.
How Long Until I See Results From Microneedling?
Initial improvement is typically visible at 4-6 weeks as new collagen begins forming. Skin continues to improve for up to 6 months after each treatment session. Results are cumulative, meaning each session builds on the one before it. Most patients notice meaningful improvement after 2-3 sessions.
Can Microneedling Help With Acne Scars?
Yes. SkinPen is the first microneedling device to receive FDA clearance specifically for acne scars through the rigorous De Novo classification process. In clinical trials, 90% of participants said they would recommend the treatment. Microneedling works by breaking down scar tissue and stimulating new collagen production that fills and smooths the scarred area over time.
Can I Combine Microneedling With Other Treatments?
Yes. Microneedling pairs well with other skin rejuvenation treatments including chemical peels, CoolPeel laser, and targeted skincare protocols. It is commonly used as part of a multi-treatment approach to address multiple concerns simultaneously. Your provider will recommend the right combination and spacing for your treatment plan.