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Do you feel as though your skin appears dull? Have wrinkles, fine lines, acne scars, or hyperpigmentation appeared out of nowhere? These can be caused by sun exposure, pollutants, or simply aging. Microneedling is an innovative treatment that calls on your body’s own reparative abilities to counteract these unwelcome skin concerns and leave your skin glowing!

Microneedling has become one of the most “must-have” skin treatments, getting more recognition in the media as more and more celebrities attest to its abilities.

If you are looking to achieve a more youthful appearance without a surgical procedure, microneedling may be right for you! Contact our office today and schedule your consultation with one of our skincare experts to find out how this treatment can help you obtain your aesthetic goals.

What is Microneedling?

Microneedling, otherwise known as collagen induction therapy, is a minimally invasive skin treatment that uses the skin’s natural ability to repair and heal itself in order to correct the signs of facial aging. The treatment can effectively reduce the appearance of wrinkles, scars, fine lines, and discoloration, and is also very beneficial in reducing the appearance of acne scars and improving texture. Microneedling does not use any synthetic material, no incisions, and no anesthesia; it is a completely natural approach to skin rejuvenation.

How Does Microneedling Work?

Microneedling works by using several tiny medical-grade needles to calculatedly puncture the skin and create micro-channels which enables the body’s own healing mechanisms. This will cause the release of cytokines and other chemicals in the body that stimulate the growth and development of new elastin and collagen. Through a series of treatments, the appearance of wrinkles and lines will decrease, the skin will become rejuvenated, and collagen growth will work to reduce the risk of these concerns arising in the future.

To go into deeper detail, after receiving the treatment, the body has three phases in which it goes through when healings.

These three steps of natural repair and rejuvenation go as follows:

Phase one: Once the treatment has been performed in the desired area, the skin will become inflamed. What this does is jump-start the immune system. The body will begin to disinfect the tiny wounds, remove any bacteria, create new tissue, and increase the amount of blood flow to the treatment area.

Phase two: The next step in the body’s healing process is proliferation. During this time, the body will rebuild the treatment area using new cells, as well as the fibroblasts, elastin, and collagen that are created to help smooth the skin. In addition to this, new blood vessels will be created, ensuring that the new blood flow remains constant to the new cells.

Phase three: This portion of the healing process is referred to as remodeling. During this time, the body has already obtained new dermal tissues and blood vessels within the treatment region and the temporary collagen will then be replaced with a stronger, longer-lasting form of collagen that takes its place. This development in the skin will allow for wrinkles, pores, lines, etc., to shrink and tighten, providing a more natural and subtle way to improve the condition of the skin.

Microneedling is very effective at providing long-lasting results without having to undergo a surgical procedure or synthetic treatment. This natural treatment can reverse time and leave you looking years younger in a matter of minutes.

The SkinPen

The skin experts at Cosmetic Surgery Associates use the SkinPen for their microneedling treatments. They find this to be the most effective microneedling device for their Maryland patients.

SkinPen’s advanced and innovative technology is the leader in patient safety, comfort, and overall satisfaction. The handheld device uses sealed, disposable needle cartridges that will not only provide amazing results but will also add to the patient’s safety when receiving the treatment. The main benefit to this particular device, making it the world leader in its market, is that it has the ability to reach deeper into the skin, actually getting down to the dermis and basal layer. This will help to engage the body’s healing system in deeper parts of the skin compared to competitors which barely scratch the surface, literally and figuratively. Competitor microneedling devices produce scratches and tears in the skin rather than micro-channels.

SkinPen’s technology has been proven to be much more effective and comfortable than traditional microneedling tools, seeing a drastic improvement in the overall look and feel of the skin in the treated area. Results like these are the reason that this treatment has become so popular in recent years. Our certified microneedling experts have worked to perfect their techniques using the SkinPen to provide patients with long-lasting rejuvenated results.

Microneedling Benefits

  • Jump starts the body’s own healing process
  • Stimulation of collagen production
  • Tighter, more youthful skin
  • Minimally invasive treatment
  • Short recovery time
  • Beneficial for almost all skin types


Patients considering microneedling should be looking to improve the look and feel of their skin, diminishing the appearance of wrinkles, lines, scars, and/or mildly lax skin in a non-invasive manner.

This treatment is safe for almost every skin type and can correct an array of skin concerns, making it very likely for the majority of interested women and men to be candidates. Patients looking to address severe skin laxity may be better suited for a facelift.


Patient Reviews

Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office. The day of my surgery the staff took amazing care of me and went above and beyond to calm my nerves, talk me through it and made it such a great experience. I highly recommend this office, I can’t thank them enough for all that they did for me!

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Microneedling consultations with one of our skin experts include a discussion about skin concerns, desired results, and an examination of the problem areas. If you are considered an ideal candidate for microneedling, it is possible for the treatment to be performed during this same appointment.

Microneedling Process

The duration of the microneedling procedure is about 15-30 minutes from beginning to end.

The microneedling expert will begin by applying an even layer of serum over the surface of the skin. This is to heighten results as the serum will get absorbed quickly through the microchannels.

They will then adjust the SkinPen needles to the appropriate length for the treatment area and cosmetic concern. By slowing moving the automated SkinPen over the treatment area, the pen will create small microchannels in the skin. This will immediately begin to stimulate new collagen production and healthier skin.


After undergoing the microneedling treatment, patients can expect their skin to be flushed and slightly tender for two to four days; however, some patients notice that they are fully healed within 24 hours. This will depend greatly on the depth of treatment and the severity of the problems treated. We recommend that you receive between three to six treatments scheduled a month apart from each other in order to receive optimal results. Once a year routine treatments can then be undergone as touch-ups. It is best to stay out of direct sunlight for a few days following the treatment and wear a lot of sunscreen when outside. This should be a general skincare rule.


Within days patients will notice that the overall look and feel of the skin in the treated area is smoother and more firm. The new collagen provides a “shrinking” effect of the skin, allowing it to tighten and look more youthful and radiant. You will notice a reduction in wrinkles, lines, and scars, not to mention the amazing rejuvenated glow that it will leave. These results are very long-lasting and will provide you with a more youthful appearance for years to come.

Contact our Bethesda, Maryland office today and schedule your one on one consultation to see how microneedling can benefit you!

How Many Treatments Will I Need?

The number of microneedling treatments a patient should undergo will depend on the treatment area and their desired results. Generally though, patients will require more than one session. If wrinkles and fine lines are the concern, about four to six treatments are recommended. If scars are the concern, six to eight treatments would be better. Again, this will depend though on the individual since it is the person’s own natural healing response that counteracts these skin concerns. Each treatment should be spread at least a month apart.


The cost of microneedling will depend on the treatment area and the number of sessions you will need to undergo to accomplish optimal results. Come in for a skin evaluation with one of our skin experts and they will be happy to recommend the number of treatments they believe will be necessary and from that provide you with a quote.

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Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers