Skin needling for treating wrinkled upper lips and
difficult scars. - An alternative to laser resurfacing.
I started with upper lip lines in this lady. As you can see they are quite deep and a single treatment did not make much difference except to the texture of the skin. She used vitamin A and C as a home treatment at the same time because I believe this is essential to maximise the healing potential. At that time I did not realise that the improvement can take longer than six months so I repeated the procedure after three months and did her lower eyelids at the same time. A further procedure was done to her forehead and the upper and lower lips and then we did the whole face.
The second case that I show proved that improvements take time to manifest. She has moderate creases on her upper lip which were treated with needling. Three months after the procedure I thought that the result was inadequate and I suggested that we should repeat the process. However, the patient had to return to her home in Europe and came back to Cape Town only after 9 months. By that time the upper lip had become smoother and a second procedure was not necessary as you can see from the photographs.
|Lower eyelid skin
The same process of needling can be used for the lower eyelid. Before the process you can see thatthere is excess skin whereas after six months there ismvery little excess skin. The patient has been using a vitamin A and C gel as skin care which I believe enhances the neo-collagen formation.
I believe the indications are : To restore skin tightness in early skin laxity to avoid laser Acne scarring Fine wrinkles Scars
Not for type IV, V and VI skin where pigmentation of the scars may occur
cost, Short healing period so less time off work Does not damage the skin. Skin becomes thicker No sun sensitivity Procedure can be done on people with thin skin improves dilated blood vessels. Needs either a general anaesthetic or extensive local anaesthetic and may even be done with simple topical anaesthetic cream
Blood aerosol potential exposure may require second or third treatment Over-aggressive needling may cause scarring potential hyperpigmentation
I think that needling puncturing of the upper lip skin offers a lot in treating upper lip creases. An important point is that it is simple to do, has minimal side effects and is almost as effective as laser re-surfacing. I think it is important to notice that the skin does not become de-pigmented as seen in laser resurfacing. The longest results that we have are just 2 years old but at this stage I have not noticed any deterioration of those early results. I am sure that with the passage of time, the collagen will gradually be absorbed just the same as for laser and for Phenol peels. To try and minimise this I have advised the patients to use high doses of topical vitamin A and C.
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