Understanding Microneedling for Hair Restoration

David Brackett
3 min readJun 20, 2024

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What Is Microneedling for Hair Loss?

Microneedling for hair loss, also known as microneedle therapy or microneedle roller treatment, involves using tiny needles to create micro-injuries on the scalp. This technique stimulates the body’s natural healing response, producing collagen and elastin, essential proteins for hair growth and skin health. The microchannels created during microneedling also enhance the absorption of topical treatments, boosting their effectiveness in promoting hair regrowth.

The Science Behind Microneedling for Hair Restoration

Microneedling stimulates the WNT-pathway, crucial for cell-to-cell communication and nutrient transmission. This pathway declines with age, limiting nutrient supply. Microneedling re-establishes these connections, supporting cellular health and hair regrowth. It can be combined with medications and regenerative therapies for enhanced results.

Microneedling vs. Similar Treatments

Microneedling differs from derma rolling and derma pen treatments. While microneedling uses a stamping motion, derma rolling uses a rolling motion, and derma pens are electronic devices that can come in a roller format. Radiofrequency needles stimulate collagen and elastin production but may cause more discomfort. Not all electronic devices penetrate deep enough to produce substantial effects.

Microneedling for Medication Delivery

Microneedling enhances the delivery of topical medications like finasteride, dutasteride, minoxidil, spironolactone, latisse, and latanoprost by creating micro-wounds in the skin. This allows deeper penetration and increased effectiveness but may raise the risk of systemic side effects due to enhanced absorption.

Combining Microneedling with PRP/CRP

Combining microneedling with platelet-rich plasma (PRP) or cell-rich plasma (CRP) treatments enhances hair regrowth. PRP and CRP utilize the body’s own platelets or cells to promote healing and tissue rejuvenation. Microneedling enhances the absorption and distribution of growth factors released during these treatments, maximizing hair regrowth potential.

Microneedling’s Effect on Hair Growth

Research shows that microneedling can promote hair regrowth. It improves hair follicle diameter but typically does not significantly increase hair density. The optimal needle depth for microneedling is around 1.5mm, which allows access to a greater supply of blood capillaries and triggers a potent inflammatory response.

Microneedling Frequency and Potential Side Effects

Microneedling should be performed once per month with a 1.5mm depth needle to avoid scarring and limit blood circulation issues. Potential side effects include itchiness, redness, hair shedding, infection risk, and scarring.

Microneedling for Different Types of Alopecia

Microneedling is effective in treating various forms of alopecia, including:

  1. Androgenetic Alopecia (AGA): Stimulates collagen and growth factors to rejuvenate hair follicles.
  2. Alopecia Areata: Induces controlled inflammation and growth factor release to promote hair regrowth.
  3. Telogen Effluvium: Promotes a healthier scalp environment and reduces hair shedding.

Consulting with a healthcare professional is essential to determine the suitability of microneedling for specific alopecia types and to develop a personalized treatment plan.

Summary

Microneedling is a versatile and effective cosmetic procedure for hair restoration, skin rejuvenation, and improving acne scars. It stimulates the WNT-pathway, enhances medication delivery, and boosts regenerative therapy effectiveness. Consulting with a qualified healthcare provider is crucial for achieving optimal results and ensuring a safe microneedling experience.

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