What is microneedling?

Microneedling, also known as collagen induction therapy, is a cosmetic procedure that involves the use of tiny, sterile needles to create micro-injuries in the skin. These micro-injuries stimulate the body’s natural healing response, leading to increased collagen and elastin production. This can result in improved skin texture, firmness, and a reduction in the appearance of scars, wrinkles, and other skin imperfections.


Do you have microneedling before and after results?


Microneedling face before and after

Microneedling PRP for hair RestorationMicroneedling Face just after microneedling

What machine does the doctor use for microneedling?

Employing the FDA-approved Rejuvapen NXT, we concentrate on treating peri-orbital wrinkles. This efficient procedure is swift, virtually painless, and entails minimal downtime. With its cutting-edge technology, the Rejuvapen NXT® offers both impressive outcomes and financial benefits.

What are the common areas to treat with microneedling?

  1. Face: Microneedling is a sought-after solution for addressing fine lines, wrinkles, acne scars, enlarged pores, and uneven skin tone.
  2. Neck: This technique can elevate the texture and resilience of the skin on the neck region.
  3. Décolletage (Chest): Often applied to minimize sun damage, fine lines, and wrinkles on the chest area.
  4. Hands: Microneedling effectively rejuvenates the skin on the hands, reducing the visibility of age spots and fine lines.
  5. Stretch marks on the abdomen, hands, and legs: This treatment is a viable option for reducing the appearance of stretch marks. These marks, also called striae, develop when the skin undergoes rapid stretching or shrinking, causing the collagen and elastin fibers to break. The process involves creating controlled micro-injuries in the skin, initiating the body’s natural healing process, and encouraging collagen and elastin production. Consequently, this enhances the texture and visibility of stretch marks.


What are the common conditions treated with microneedling?

  1. Acne Scars: This method aids in enhancing the texture of acne scars by stimulating collagen production and smoothing the skin’s surface.
  2. Wrinkles and Fine Lines: It effectively reduces the appearance of fine lines and wrinkles, particularly those associated with aging.
  3. Hyperpigmentation: This technique assists in achieving a more uniform skin tone, reducing the visibility of dark spots and hyperpigmentation.
  4. Uneven Skin Texture: It addresses concerns about rough or uneven skin texture, resulting in a smoother complexion.
  5. Stretch Marks: This approach can be employed to refine the appearance of stretch marks by encouraging collagen production in the affected areas.
  6. Large Pores: It helps minimize the appearance of enlarged pores.It’s important to emphasize that this procedure should only be administered by a trained and licensed professional such as Dr. Anuja Garg. Depending on individual concerns and objectives, it may be complemented with topical serums or additional treatments for enhanced outcomes. We highly recommend using ZO skincare products during and post-treatment. As with any cosmetic procedure, consulting with a qualified healthcare provider or dermatologist is crucial to ascertain if this treatment aligns with your needs and skin type. They can also offer insights regarding potential risks and side effects.


How many microneedling treatments are needed to treat these conditions?

The number of treatments needed to effectively address specific skin conditions can vary depending on several factors, including the severity of the condition, the individual’s skin type, and their body’s natural response to the treatment. As a general guideline:

  • Acne Scars: For mild to moderate acne scars, a series of 3 to 6 treatments spaced about 4 to 6 weeks apart may be recommended. More severe scarring may require additional sessions.
  • Wrinkles and Fine Lines: Typically, a series of 3 to 6 treatments spaced 4 to 6 weeks apart is recommended. Maintenance treatments may be advised for long-term results.
  • Hyperpigmentation: Improvement in hyperpigmentation can often be seen after 3 to 6 treatments spaced about 4 to 6 weeks apart. Some individuals may require ongoing maintenance.
  • Uneven Skin Texture: Visible improvement in skin texture may be noticed after a series of 3 to 6 treatments spaced 4 to 6 weeks apart.
  • Stretch Marks: Treating stretch marks can be more challenging, and results can vary. Generally, a series of 3 to 6 treatments with 4 to 6 weeks between sessions may be recommended.
  • Large Pores: A series of 3 to 6 treatments spaced 4 to 6 weeks apart can help reduce the appearance of large pores.

Keep in mind that individual responses can vary, and some people may see improvement after fewer treatments, while others may require more. It’s crucial to follow the guidance of a qualified healthcare provider or dermatologist who can assess your specific needs and monitor your progress throughout the treatment process. Additionally, after completing a series of treatments, maintenance sessions may be recommended to help maintain the results achieved. Always consult with a healthcare professional for personalized advice and treatment planning.


Shall I consider microneedling with or without PRP?

Utilizing Platelet-Rich Plasma (PRP) alongside microneedling involves applying a concentrated platelet solution derived from the patient’s own blood. This combined approach is thought to amplify the treatment’s advantages. Now, let’s explore the distinctions between microneedling with and without PRP:

Microneedling without PRP

  • Operation Principle: Microneedling as a standalone procedure hinges on inducing micro-injuries in the skin to trigger collagen synthesis and foster skin revitalization.
  • Advantages: Enhanced skin texture and evenness. Diminished visibility of scars, wrinkles, and fine lines. Minimized pore size. Augmented absorption of topical skincare formulations.
  • Recovery Period: Slight redness and swelling are typical post-treatment, usually resolving within a day or two.
  • Pricing: Typically, the solo microneedling treatment tends to be more economical compared to the combined approach involving PRP.


Microneedling with PRP

  • Mechanism of Action: Microneedling induces micro-injuries in the skin. PRP, abundant in growth factors, is administered to the skin with the belief that these growth factors can further stimulate collagen generation and expedite the healing process.
  • Benefits: All the advantages of microneedling in isolation have the potential for enhancement. Accelerated recovery and healing.The possibility of heightened collagen production, thanks to the introduction of growth factors.
  • Recovery Time: Comparable to microneedling alone, some individuals may experience marginally quicker healing owing to the application of PRP.
  • Cost: Microneedling combined with PRP typically entails a higher cost than microneedling itself, primarily due to the added expenses associated with PRP preparation and application.


Choosing Between the Two

  • Skin Goals and Concerns: Microneedling is suitable for mild to moderate skin issues. If you have more significant concerns or desire enhanced results, microneedling with PRP is often recommended.
  • Budget Consideration: Keep in mind that microneedling with PRP tends to be pricier due to the inclusion of the PRP component. Make sure to factor your budget into your decision-making process.
  • Professional Consultation: Consulting with a certified healthcare provider or dermatologist is essential. They can evaluate your specific skin condition, discuss your objectives, and recommend the most suitable treatment plan.

Ultimately, both microneedling options with or without PRP can be effective treatments. The choice hinges on individual factors and desired outcomes. Consulting with a qualified professional is crucial to determine the best option for you.


How does PRP enhance the collagen production?

Platelet-rich plasma (PRP) is abundant in platelets, tiny blood cells crucial for the body’s innate healing process. When administered during treatment, PRP fosters collagen production through various mechanisms:

Growth Factor Release: PRP contains platelet-derived growth factor (PDGF), transforming growth factor-beta (TGF-β), vascular endothelial growth factor (VEGF), and insulin-like growth factor (IGF), pivotal for cell repair and regeneration.

Stimulating Cell Proliferation: PRP’s growth factors spur fibroblasts, responsible for generating collagen and other extracellular matrix components, leading to increased collagen synthesis.

Angiogenesis: VEGF in PRP encourages new blood vessel formation, enhancing oxygen and nutrient delivery to the skin and supporting collagen production.

Matrix Synthesis: PRP prompts extracellular matrix component production, including collagen, elastin, and hyaluronic acid, crucial for skin structural integrity and elasticity.

Anti-Inflammatory Effects: PRP houses anti-inflammatory proteins, creating an environment conducive to collagen production by reducing skin inflammation.

Accelerated Healing: PRP’s growth factors expedite tissue regeneration, including collagen fibers, expediting the healing process.

In summary, PRP acts as a natural catalyst for the body’s collagen production. When combined with microneedling or other treatments, it can lead to heightened skin rejuvenation, refined texture, and diminished fine lines, wrinkles, and scars. It’s important to note that PRP’s effectiveness may vary based on factors like PRP quality and concentration, as well as application technique. Consulting with a certified healthcare provider or dermatologist is pivotal for achieving optimal results.


How does collagen help with skin tone?

Collagen, an intrinsic structural protein in the skin and various connective tissues, is pivotal in maintaining skin tone, texture, and elasticity. Here’s how collagen contributes to skin tone:

1. Provides Structural Support: Collagen fibers form a robust network within the skin’s middle layer, the dermis. This network ensures structural integrity, firmness and prevents sagging.

2. Maintains Skin Elasticity: Teaming up with elastin fibers, collagen imparts elasticity to the skin. Elastin allows for stretching and returning to its original state, while collagen establishes the foundational structure.

3. Enhances Skin Texture: Collagen fosters a smooth and uniform skin surface. Adequate collagen levels result in a plump, soft, and supple appearance.

4. Diminishes Wrinkles and Fine Lines: Optimal collagen levels fill the gaps between skin cells, reducing the visibility of fine lines and wrinkles.

5. Boosts Hydration: Integral to the extracellular matrix, collagen aids in retaining moisture, ensuring well-hydrated skin for a radiant complexion.

6. Facilitates Wound Healing: Collagen participates in the healing process, offering a scaffold for new tissue growth and supporting granulation tissue formation, which is critical for effective recovery.

7. Enhances Skin Resilience: Strengthening the skin, collagen fibers fortify it against damage from external factors such as UV rays, pollution, and environmental stressors.

As we age, natural collagen production diminishes, resulting in a loss of skin tone, elasticity, and firmness. This progression leads to wrinkles, fine lines, and sagging skin. External factors like sun exposure, smoking, and poor diet can expedite collagen breakdown.

To bolster healthy collagen production and preserve skin tone, individuals may consider practices like maintaining a balanced diet rich in collagen-boosting nutrients (such as vitamin C and amino acids), using topical skincare products infused with collagen-enhancing elements, and exploring treatments like microneedling or laser therapy that invigorate collagen synthesis. Consulting with a dermatologist or skincare professional ensures tailored recommendations based on individual skin requirements.

What are the risks involved with microneedling?

Microneedling, performed by a licensed and trained professional, is widely considered a safe cosmetic procedure. Nevertheless, as with any aesthetic treatment, it’s essential to be mindful of potential risks and side effects, which may encompass:

1. Redness and Swelling: It’s common to experience mild to moderate redness and swelling immediately after the procedure. Typically, these effects subside within a day or two.

2. Bruising: In certain cases, individuals with sensitive skin or those prone to bruising may develop minor bruises.

3. Pain or Discomfort: The process involves fine needle punctures, which may cause some discomfort. Topical numbing creams are often applied to alleviate any pain.

4. Skin Sensitivity: Individuals with sensitive skin may notice increased sensitivity following the treatment, but this usually diminishes shortly.

5. Infection: Although rare, there is a small risk of infection if proper sterilization procedures are not strictly followed.

6. Pigment Changes: Microneedling can stimulate melanin production, potentially resulting in temporary hyperpigmentation, particularly in individuals with darker skin tones.

7. Scarring: If the procedure is not performed correctly or if post-treatment care is inadequate, there is a risk of scarring.

8. Allergic Reactions: Some individuals may have allergies to topical products or serums used during or after the procedure.

9. Acne Flare-Up: In rare instances, individuals with acne-prone skin may experience a temporary exacerbation after the treatment.

10. Herpes Simplex Virus Reactivation: Individuals with a history of oral or genital herpes face a small risk of reactivation post-treatment.

11. Post-Inflammatory Hyperpigmentation (PIH): This is the development of dark spots on the skin after inflammation or injury. It’s more prevalent in individuals with darker skin tones.

Remember, the likelihood and severity of these risks can be significantly minimized by seeking treatment from a qualified and experienced professional, ensuring proper equipment sterilization, and adhering to post-treatment care instructions.

Before undergoing microneedling or any cosmetic procedure, it is imperative to undergo a comprehensive consultation with a licensed healthcare provider or dermatologist. They can assess your suitability for the treatment and provide personalized advice based on your specific skin type and concerns.


How Microneedling PRP and PRP injections help with hair growth?

You can refer to our Hair restoration page for more information. Below describes the PRP’s Role in Hair Growth:

1. Revitalizing Hair Follicles:  The growth factors and bioactive proteins found in PRP rouse dormant hair follicles, coaxing them into an active growth phase.

2. Improving Blood Circulation: Rich in growth factors like vascular endothelial growth factor (VEGF), PRP encourages the formation of new blood vessels, intensifying the flow of blood to the hair follicles. This supplies them with essential nutrients and oxygen for robust growth.

3. Cell Proliferation and Differentiation: PRP’s growth factors support cell proliferation and specialization, fortifying the renewal and expansion of hair follicle cells.

4. Anti-Inflammatory Properties: PRP contains anti-inflammatory proteins that aid in mitigating scalp inflammation, often associated with specific types of hair loss.

5. Prolonging the Anagen Phase: The anagen phase denotes the dynamic growth period in the hair follicle’s life cycle. PRP injections may elongate this phase, resulting in lengthier and denser hair.

It’s vital to remember that while PRP can be effective for certain forms of hair loss, its efficacy can vary from person to person. Results may also be influenced by factors such as the underlying cause of the hair loss and the individual’s overall health.

Seeking guidance from a qualified healthcare provider or dermatologist is imperative to determine if PRP injections are suitable for addressing your specific type of hair loss. They can provide personalized recommendations and treatment plans tailored to your distinct circumstances.


What kinds of hair loss can be treated using PRP scalp injections and microneedling PRP?

Platelet-Rich Plasma (PRP) treatments, encompassing both PRP scalp injections and microneedling with PRP, have shown promise in addressing various forms of hair loss. However, it’s important to acknowledge that the effectiveness of these treatments depends on the specific type and root cause of hair loss, as well as individual factors. The following are types of hair loss that may potentially benefit from PRP:

Androgenetic Alopecia (Male and Female Pattern Baldness): This hereditary form of hair loss is prevalent. PRP scalp injections and microneedling with PRP can stimulate hair growth in individuals affected by androgenetic alopecia.

Alopecia Areata: Characterized by patchy hair loss due to an autoimmune condition, PRP, while not a primary treatment, has been explored as a supplementary therapy in certain cases.

Telogen Effluvium: A transient hair loss type triggered by factors like stress or hormonal changes. PRP treatments may expedite hair regrowth in instances of telogen effluvium.

Traction Alopecia: Resulting from physical strain on hair follicles, often due to tight hairstyles or hair treatments. PRP holds the potential to stimulate hair growth in affected areas.

Certain Forms of Scarring Alopecia: Permanent hair loss arises from follicular damage. PRP therapies, involving both scalp injections and microneedling with PRP, might be employed alongside other treatments to enhance hair growth in specific cases.

Postpartum Hair Loss: Temporary hair loss, known as postpartum telogen effluvium, is common after childbirth. PRP treatments may expedite the regrowth of hair in such cases.

Chemotherapy-Induced Hair Loss: While not typically a primary approach for chemotherapy-induced hair loss, some studies have explored PRP’s potential as a complementary therapy.

It’s crucial to recognize that while PRP treatments can be advantageous for specific hair loss types, they may not yield the same effectiveness for every individual or all types of hair loss. Moreover, individual responses to PRP can vary, and multiple sessions may be required for noticeable results.

Before undergoing any PRP treatment for hair loss, consulting with a qualified healthcare provider or dermatologist is imperative. They can evaluate your condition and provide tailored recommendations based on your circumstances. They can also discuss potential risks, benefits, and anticipated outcomes.


How much is the cost of microneedling?

We offer very attractive pricing for microneedling treatments. It is a non-covered service. You can check pricing and book online at this page.

What other Medical Spa services do you provide?

You can look at our list of medical spa services including Botox, dermal fillers, laser skin resurfacing etc at this page.


Where can I book an appointment for this treatment?

You can visit the book online page to book the appointment online.


About Livermore

Nestled in the heart of California’s scenic Tri-Valley region, Livermore is a vibrant city known for its rich history, picturesque landscapes, and dynamic community. Located in Alameda County, this charming city is approximately 45 miles east of San Francisco, making it an attractive commuter residential hub.

Livermore’s history dates back to the mid-19th century when it was established as a ranching and farming community. Over the years, it evolved into a thriving city, blending its agricultural heritage with a burgeoning technological and scientific presence. Today, Livermore is renowned for its contributions to nuclear research and is home to the renowned Lawrence Livermore National Laboratory, a leading institution in scientific innovation.

The city’s scenic beauty is exemplified by its surrounding vineyards and rolling hills, contributing to the region’s reputation as a prominent wine-producing area. Livermore Valley, with its Mediterranean climate and fertile soil, has gained acclaim for producing award-winning wines, attracting wine enthusiasts from near and far.

Livermore takes pride in its top-tier educational institutions, including the Livermore Valley Joint Unified School District. The district’s schools are recognized for their commitment to academic excellence and offer diverse educational opportunities for students of all ages.

Outdoor enthusiasts will enjoy abundant recreational activities, with numerous parks, hiking trails, and open spaces dotting the landscape. Sycamore Grove Park, nestled along the banks of the tranquil Arroyo del Valle, offers scenic trails and picnicking areas, providing a perfect retreat for nature lovers.

Livermore’s lively downtown area is a testament to its thriving community spirit. Quaint boutiques, charming eateries, and cultural attractions create a welcoming environment for residents and visitors alike. The Bankhead Theater, a cultural centerpiece, hosts diverse performances, ranging from musicals to concerts, enriching the city’s cultural tapestry.

In summary, Livermore, California, seamlessly blends its agricultural legacy with modern scientific achievement, creating a city that thrives on innovation and community vitality. With its scenic beauty, exceptional educational opportunities, and rich cultural offerings, Livermore is an inviting destination for families, professionals, and individuals seeking a harmonious blend of tradition and progress in a welcoming hometown.