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DermaPen 4 Microneedling Contraindications & After Care

Updated: Sep 22, 2021


Unfortunately not all treatments are for everyone. Please check our contraindications list to make sure you avoid disappointment.

Conditions that would mean you were not able to have this treatments:

  • Hemophilia, blood clotting problems (ie poor wound healing)

  • Papulopustular rosacea

  • Acne Vulgaris stage III-IV

  • Solar Keratosis

  • Undergoing chemotherapy or immune therapy

  • Connective tissue disorders / auto immune disorders (e.g. lupus)

  • Long term use of Prednisone and other steroid medications (treatment will increase inflammation)

  • Pregnant/Nursing


  • Anticoagulants / Blood thinners (including but limited to Warfarin or aspirin)

  • Nickel or stainless steal allergies

  • Scleroderma

  • Collagen vascular diseases

  • Solar keratosis

Conditions that need a doctors letter to confirm the treatment is suitable before treatments can begin:

  • Transplant Anti-Rejection Drug

  • Heart Disease

  • Hypertension (High blood pressure treated with medication)

  • Cancer - after 12 months

  • Insulin Dependent Diabetes

The list below is of things that require a waiting period until you can start treatments:

Wait until completely clear and healed

  • Active bacterial, fungal or viral skin infection of any type in the area to be treated

  • Active Herpes – cold sores — (even if inactive take anti-viral medication 2 weeks pre and post treatment (peels & needling)

  • Warts in area to be treated

  • Sunburn in the treatment area

  • Inflammation

  • Open Lesion on area to be treated

Waiting times for specific procedures (on area to be treated)

  • Recent facial operations - At least 3 months post surgery

  • Isoretinoin (e.g. Roaccutane) - 6 - 12 months post treatment

  • Tattooing / Cosmetic Tattooing – 3 months

  • IPL / Laser hair removal – 2 weeks

  • IPL skin treatments - 2 weeks

  • Laser Resurfacing/Ablative – 8 weeks

  • Strong chemical peels - PH lower than 3.1. – wait 2 weeks

  • Botulinum Toxin - 2 weeks

  • Dermal Fillers – Hyaluronic Acid & Vital Hydrate – 2 weeks

  • Dermal Fillers - Sculptra & Radiesse - 6 week

Stop using/taking 1 week before commencing treatments:

  • Fish Oils / Plant oils / Omega 3s

  • Ginseng / Gingko Biloba / St Johns Wart

  • Retinoids

  • Topical antibiotics

  • Exfoliants and/or AHA or BHA

  • Benzoyl peroxide / adapelene (Differin)

  • Hydroquinone / kojic acid / azelaic acid

  • Anti-inflammatory medications such as ibuprofen. These will interfere with the natural inflammatory process that is critical for your skin rejuvenation.

  • Waxing or depilatory creams on the area to be treated


  • Psoriasis and other dermatosis that can be koebnerized, can potentially be triggered by needling even if they have been quiescent for years.


  • 60 minutes: Reddening and possible pot bleeding

  • Up to 24 hours: Erythema (reddening or rash like appearance) , Petechiae (pinpoint, round spots), minor oedema (swelling)

  • 1-2 days: Mild erythema , petechiae, reduced oedma, minor itching, dry/tight sensation.

  • 2-3 days Reduced erythema, fading petechiae, dissipated oedema, reduced itching, minor skin flaking

  • 3-4 days: Potential dryness

  • 4-5 days: Full Recovery with normal function

  • 3weeks: improved pigmentation begins

  • 4-6 weeks: Improvements in lines, wrinkles and scarring begins


  • Please avoid the following activities for up to 2 days following a microneedling clinical procedure: • Direct ultra violet exposure (sun and sunbeds) • Intensive cardio, exercise or gym regimens • Excessively hot showers, bathing, spas or sauna • Swimming in chlorinated pools or the ocean • Tattooing (including cosmetic tattooing) • Further clinical treatments (including, but not limited to): microdermabrasion, laser, intense pulsed light, chemical peels, muscle relaxant injections and dermal fillers) should be avoided for up to two weeks.

  • Please avoid the use of skin care products containing any of the following active resurfacing ingredients for up to 5 days following a microneedling clinical procedure: • Alpha hydroxy acids (AHAs) (including but not limited to) glycolic, lactic or malic acid • Beta hydroxy acid (BHA) including salicylic acid • Benzoyl peroxide • Retinoids (including but not limited to) tretinoin, retinol and retinaldehyde • Hydroquinone • High levels of Kojic or azelaic acid • Alcohol (including but not limited to) isopropyl alcohol/de-natured alcohol/rubbing alcohol

  • Do not apply spray tans or fake tan creams for 2-3 weeks after the treatment If in doubt with any of the above activities or products, please contact us for clarification to when normal activity or use may be resumed.


  • For the first 1-3 days the skin may feel tight and dry. Frequent use of post session topical will help with this.

  • Light, non-occlusive and non-comedogenic make-up may be applied 24 hours post-procedure and a SPF is advised for at least 3 days after your treatment.

  • After 2-3 days you can return to your regular skin care products with the exclusion of the products listed above

  • Low does Vitamin A products are recommeneded

  • Avoid direct sunlight and always wear SPF30 or above. Do not apply a chemical sunscreen the same day as the treatment, only approved physical defense sunscreen can be used.

  • Microneedling serves to stimulate collagen and the skin can benefit from higher amounts of collagen then normal to have optimal results. Collagen stimulating peptides assist in this process.

  • Its important to hydrate before and after the procedure to help skin heal and rejuvenate faster.

  • Gently exfoliate the skin after 3-5 days to remove flaky skin that can form after the treatment.

  • Omega 3, Zinc & glucosamine oral supplements can help with your treatment results

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