or other damages.
Library of Congress Cataloging‐in‐Publication Data Name: Houshmand, Elizabeth Bahar, editor. Title: Microneedling : global perspectives in aesthetic medicine / edited by Elizabeth Bahar Houshmand. Other titles: Cosmetic and aesthetic dermatology series. Description: Hoboken, NJ : John Wiley & Sons, Inc., 2021. | Series: Cosmetic and aesthetic dermatology series | Includes bibliographical references and index. Identifiers: LCCN 2020055815 (print) | LCCN 2020055816 (ebook) | ISBN 9781119431923 (cloth) | ISBN 9781119431831 (adobe pdf) | ISBN 9781119431947 (epub) Subjects: MESH: Skin Diseases–therapy | Cosmetic Techniques | Minimally Invasive Surgical Procedures–instrumentation | Needles Classification: LCC RD119 (print) | LCC RD119 (ebook) | NLM WR 650 | DDC 617.9/5–dc23 LC record available at https://lccn.loc.gov/2020055815 LC ebook record available at https://lccn.loc.gov/2020055816
Cover Design: Wiley
Cover Image: © Mark Nazh/Shutterstock.com
List of Editors and Contributors
Michael H. Gold, MD Gold Skin Care Center Tennessee Clinical Research Center Nashville, TN, USA
Elizabeth Bahar Houshmand, MD, FAAD, FABIM Houshmand Dermatology and Wellness Dallas, TX, USA
Atchima Suwanchinda, MD, MSc School of Anti‐aging and Regenerative Medicine, Mae Fah Luang University Ramathibodi University Hospital, Mahidol University Bangkok, Thailand
Chytra V. Anand, MD Kosmoderma Clinics Bangalore, India
Desmond Fernandes, MB, BCh, FRCS (Edin) Department of Plastic and Reconstructive Surgery Faculty of Medicine University of Cape Town
Matthias Aust, MD Aust Aesthetik Landsberg am Lech, Germany
Parinitha Rao, MBBS, MD Kosmoderma Clinics Bangalore, India
Richard Bender, MD St. Vinzenz Hospital Cologne Plastische Chirurgie Cologne, Germany
Stuti Khare Shukla, MD Elements of Aesthetics Clinics Dr. Stuti Khare’s Skin & Hair Clinics Mumbai, India
Cosmetic and Aesthetic Procedures in Dermatology Series
The scope and field of cosmetic surgery have changed and grown over the past decade. We have a myriad of new and exciting noninvasive or minimally invasive techniques and treatments that have helped propel this growth. With injectables, energy‐based devices, and skincare, we now have the tools at our disposal to reverse signs of aging and to successfully treat cosmetic concerns with minimal downtime and with outstanding clinical results.
Several years ago, we began discussing the idea of producing a series of cosmetic dermatology textbooks edited by masters in their fields and written by some of the best minds in our discipline. While it is not always easy to get these kinds of projects off the ground, we are pleased that with persistence and great guidance from the Wiley teams, we are now able to present an entire series on the various aspects of cosmetic dermatology.
Through this textbook series on cosmetic and aesthetic dermatology, clinicians will have the tools available to help treat patients with the most advanced techniques and with the most appropriate guidance that has been presented to date. Each volume in this series has been meticulously thought out; each is edited by one of the most significant thought leaders in our field, and each chapter will bring to life this incredible field we live in, and illuminate how we are able to transform lives and make our patients better.
We hope you enjoy this series of books as they are rolled out. It is our joy and pleasure to bring them to you.
Michael H. Gold, MD
Series Editor
Preface
The skin is our canvas. As a board certified dermatologist, it is my mission to help all my patients achieve healthy, beautiful skin. Through education, teaching, and research this is possible. This textbook is a continuation of this mission, inspired by the drive to create the best possible outcomes for my patients, and the love of being a physician and educator.
Over the last several years, minimally invasive procedures have significantly increased in the worlds of dermatology, plastic surgery, and aesthetic medicine. This textbook is a global consortium of the leaders in these fields and experts on microneedling.
Microneedling is an outstanding option for patients of all skin types and ethnicities who desire measurable clinical results from treatments with little to no downtime. It is a relatively new option in dermatology and has been utilized for a broad range of applications, including skin rejuvenation, acne scarring, rhytides, surgical scars, dyschromia, melasma, enlarged pores, and transdermal drug delivery.
Microneedling is a safe, minimally invasive, and effective aesthetic treatment for several different dermatologic conditions. Given its expedient post‐treatment recovery, minimal side effect profile, and significant clinical results, microneedling is a valuable alternative to more invasive procedures. The chapters of this book discuss the various applications in detail.
I want to thank my family and mentors for their support always. I also want to give a special thank‐you to Dr. Michael Gold. He is an innovator in our field and I am happy to call him my dear friend, mentor, and colleague.
Elizabeth Bahar Houshmand, M.D.
Diplomat American Board of Dermatology
Diplomat American Board of Internal Medicine
Fellow American Society of Laser Medicine
Instagram: @HoushmandMD
Website: Houshmanddermatology.com
1 Introduction to Microneedling
Elizabeth Bahar Houshmand
Houshmand Dermatology and Wellness, Dallas, TX, USA
Introduction
Microneedling is a minimally invasive procedure that uses fine needles to puncture the epidermis. The microwounds created stimulate the release of growth factors and induce collagen production. The epidermis remains relatively intact during the procedure.
Microneedling initially was utilized as a collagen induction therapy for facial scars and skin rejuvenation, but it is now widely used for multiple indications, including transdermal delivery system for therapeutic drugs and in combination therapies. The indications for microneedling have grown as research and clinical applications have expanded widely in dermatology and dermatologic surgery.
In this textbook, the authors highlight the constantly evolving research and developments in microneedling techniques and instruments, along with microneedling’s applications in dermatology and aesthetic medicine. We are honored to provide a comprehensive
