Can microneedling cause permanent pigmentation?

Author: Justus Bechtelar  |  Last update: Friday, November 14, 2025

There is a chance that microneedling post-inflammatory hyperpigmentation can occur in some individuals. This happens as a response to the way that the skin heals, leading to an overproduction of melanin in the treated areas.

Can microneedling cause permanent damage?

Risks that May Occur From Microneedling

Other microneedling side effects include: Damage to blood vessels. Skin irritation. Temporary or permanent nerve damage that could result in numbness or pain.

Why do I look older after microneedling?

Why Do I Look Older After Microneedling? You might look older after microneedling because your skin is temporarily inflamed and shedding older layers.

Will microneedling marks go away?

Because microneedling actually creates numerous tiny but controlled injuries in the skin, you might also see very small marks on your skin after the procedure. However, these marks are temporary. Once your body's healing process kicks in, your skin can become clear, smooth, and revitalized.

How long does it take for post-inflammatory pigmentation to go away?

Epidermal PIH can last for 6 to 12 months or more. Dermal PIH can take years to fade, and spots may be permanent. There is also a chance new spots can show up, or that your PIH will come back again after fading. Treatment for post-inflammatory hyperpigmentation often involves more than one method.

Microneedling: 5 Tips You MUST Know BEFORE & AFTER | Doctorly + Esthetician

Can hyperpigmentation be permanent?

Epidermal hypermelanosis will appear tan, brown, or dark brown and may take months to years to resolve without treatment. Hyperpigmentation within the dermis has a blue-gray appearance and may either be permanent or resolve over a protracted period of time if left untreated.

What does post inflammatory pigmentation look like?

Post-inflammatory hyperpigmentation is characterised by flat, tan, brown or black spots on the skin. This condition can occur on any area of the body, including in the mouth, the genital areas and on the nails.

Can microneedling cause hyperpigmentation?

When used incorrectly, microneedling can actually make pigmentation worse!

Does microneedling damage skin over time?

Any microneedling device has the potential to cause side effects that last a short time or a long time. Skin damage is a risk that commonly occurs with microneedling devices.

How to fix microneedling damage on face?

5 AFTERCARE PRACTICES THAT CAN ENHANCE THE RESULTS OF YOUR MICRONEEDLING TREATMENT
  1. Avoid Skin Care Products Containing Strong Active Ingredients After the Treatment. ...
  2. Use A Mild Cleanser Or Moisturizer. ...
  3. Avoid Direct Sun Exposure. ...
  4. Keep The Treated Area Clean To Avoid Infection.

What are the cons of microneedling?

Microneedling is a safe procedure, but risks may include:
  • Bruising.
  • Scarring.
  • Skin infection.

Does microneedling bring out age spots?

As collagen production increases the skin gets plump and thicker, smoothing out fine lines and wrinkles. The process of microneedling also breaks up melanin in the skin absorbing it into the body, so it is an effective treatment for age spots.

What is the average price of a microneedling session?

The average cost of microneedling in the US is about $640 per session, according to over 300 patient experiences on RealSelf. This can vary between $300 to $700, however, depending on: Your location: Prices may be higher in major cities or upscale clinics.

Does skin go back to normal after microneedling?

However, most people will notice skin flaking and peeling starting 3 days after their microneedling session. These changes are normally observed when the skin is trying to repair itself. You may notice some improvement of your skin's tone and texture as early as 2-3 weeks after your first session.

Is microneedling a waste of money?

Although it can significantly improve the look and health of the skin, it is not a long-term fix. The effects can last for several months, but as the skin continues to age naturally, it will eventually start to fade. But most people will require routine maintenance treatments to keep the effects of microneedling.

What happens if you overdo microneedling?

Even though microneedling benefits the skin, overdoing it can cause serious risks, including skin irritation, redness, and inflammation, leading to discomfort. Overdoing treatments or not allowing ample time between sessions can lead to scarring and even hyperpigmentation.

Can microneedling cause permanent scarring?

When microneedling is performed by someone who lacks this medical training and in-depth knowledge of the skin, there's an increased risk of developing side effects like infection, scarring, or long-lasting skin discoloration. You can further minimize these risks by following your dermatologist's aftercare instructions.

What can I do instead of microneedling?

Of course, if you're unable to get microneedling or Plasma Pen therapy, other options have excellent results and few complications. Below are such alternatives procedures that you can explore: Injectables: For wrinkles and fine lines, especially on the forehead. Laser Resurfacing: For advanced skin rejuvenating.

Can you look worse after microneedling?

The quick answer is NO. But, there is no definitive answer to this question as the results of microneedling can vary from person to person. However, some people report that their skin looks worse, red, or sensitive after a microneedling treatment, particularly if they have any adverse reactions to the treatment.

What are the long term effects of microneedling?

Despite its many advantages, there are some risks associated with microneedling such as infection, inflammation and discoloration. Long-term effects may include scarring or changes in pigmentation so caution should be taken when undergoing this treatment.

Why has my hyperpigmentation gotten worse?

Triggers include sun exposure, hormonal changes, and trauma to the skin, for example, due to acne or an injury. Picking at scabs and spots may make it worse. Some face creams can irritate the skin, leading to further hyperpigmentation.

Does microneedling bring out spots?

A common concern about microneedling is whether it can cause acne breakouts. While the procedure itself does not cause acne, it can temporarily exacerbate existing skin issues.

Can post-inflammatory hyperpigmentation be permanent?

PIH doesn't always fade away on its own. In some cases, it's more or less permanent. Some treatments will help.

How to treat hyperpigmentation after microneedling?

To treat hyperpigmentation after microneedling has been done in order to reduce its appearance, protection from the sun is critical. You should make sure to wear an SPF that is at least 30, with broad spectrum protection and zinc oxide as its main active ingredient.

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