Microneedling is a technique that has revolutionized tattoo removal by allowing for the creation of new collagen in areas where tattoo ink is desired. This method, which can be performed with a tattoo machine, can help stimulate the body’s natural healing and ink removal processes. However, it cannot remove tattoo ink by itself, but it can help the process by puncturing the skin and allowing laser light to penetrate the dermis layer better. It can also aid in the healing process of the tattoo scar by boosting collagen production.
Microneedling alone won’t make a difference unless there is scarring from the tattoo. It can help with the scarring but not the color. While microneedling can speed up laser tattoo removal and treat scars, it cannot work on its own. It can only serve as a complementary step to other tattoo removal procedures, like laser treatment.
As an esthetician who works at a medspa, I have been receiving tattoo removal with a PicoWay laser at a different business. My technician introduced me to microneedling after all the inks were removed to reduce raised skin scaring. I have read positive reviews about this treatment and have started researching it.
In conclusion, microneedling is a valuable technique for tattoo removal, but it cannot replace the benefits of laser treatment. It can only serve as a complementary step to other tattoo removal procedures, such as laser treatment, to improve the overall effectiveness and safety of tattoo removal.
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Microneedle salabsorption for removal of recent tattoos | by S Arbache · 2021 — We do not recommend microneedle salabsorption to remove old tattoos or deeply injected pigments. Although imiquimod can be an alternative … | pmc.ncbi.nlm.nih.gov |
Using Micro Needling To Increase Laser Tattoo Removal … | Using Micro Needling To Increase Laser Tattoo Removal Efficiency is a helpful technique to speed up laser tattoo removal and treat scars. | tattooremovalauckland.com |
Tattoo Removal and Microneedling : r/Esthetics | Microneedling alone won’t make a difference unless you have scarring from the tattoo. It can help with the scarring but not the color. | reddit.com |
📹 Testing out Microneedling on an unwanted tattoo
I am uploading this for educational purposes. This gives you a behind the scene look of what I do in my down time. I love to test …
Can Microneedle Technology Be Used For Tattoos?
Microneedle technology for tattoos is an innovative field, spearheaded by experts like Prausnitz, who has focused on using microneedle patches for painless drug and vaccine delivery through the skin. This technology can also enable temporary tattoos for transient medical or cosmetic needs, with potential applications in encoding information under the skin of animals. Researchers at Georgia Tech have developed single-use microneedle patches capable of depositing tattoos quickly, painlessly, and without blood, eliminating the risk associated with traditional sharp instruments.
The microneedle-based technique allows for self-administration, revolutionizing the tattoo process by providing a "press-on" method for imprinting designs into the skin. These patches can contain various colors of temporary ink, including specialty inks like black-light ink that only appear under ultraviolet light.
The advancements in microneedle technology promise a more efficient and less painful alternative to traditional tattooing methods. Instead of long sessions of painful puncturing, the microneedle patch application is rapid and bloodless, accommodating both medical and cosmetic uses. This includes capabilities such as covering scars and burns, providing medical alerts, or tracking animals post-neutering.
Successful early experiments on rats demonstrated the microneedle patches' ability to tattoo alphanumeric characters effectively onto bare skin, indicating significant potential for safe, single-use applications. The ease of use and low-cost nature of this technology could drastically change how tattoos are obtained, catering to a broader audience interested in non-invasive, customizable options.
Overall, microneedle tattoos represent a breakthrough in the tattoo industry, allowing for faster, painless applications that could serve diverse medical, cosmetic, and decorative purposes.
Will Microneedling Remove Tattoos?
Microneedling with a dermaroller is mainly utilized for skin rejuvenation purposes, such as reducing scars and fine lines, and enhancing skin texture. However, it is not a recommended method for tattoo removal or fading. While microneedling creates micro-injuries in the skin, inducing collagen production, it does not effectively or safely eliminate tattoos. Concerns arise regarding its potential to unintentionally remove or damage tattoos, as well as hinder future tattoo applications.
Despite its ineffectiveness for complete tattoo removal, some suggest that dermarolling may expedite the fading process of superficial tattoos if the ink is not deeply embedded. Nonetheless, microneedling alone cannot achieve significant results unless there is existing scarring, in which case it may help with scar treatment but not color reduction.
It's emphasized that microneedling should not be relied upon as a standalone solution for tattoo removal; rather, it might serve as a supplementary approach alongside more effective procedures like laser treatment. Current advancements in tattoo removal technology have superseded microneedling methods. Innovative developments, such as dissolvable microneedle patches, are being explored to release agents that help decolorize tattoo ink. Ultimately, microneedling is not a suitable option for tattoo removal and could lead to complications rather than effective results.
What Is The Best Option For Tattoo Removal?
Most experts agree that laser removal is the most effective and cost-efficient method for tattoo removal. While lasers may not completely eliminate a tattoo, they can significantly lighten or fade it, making it less noticeable. The primary tattoo removal techniques include laser therapy, surgical excision, and dermabrasion. Each method has specific procedures, advantages, and risks associated with them.
Salabrasion and dermabrasion are among the oldest tattoo removal techniques still utilized today, alongside methods like chemical peels and surgical excision. For optimal results, it's crucial to consult with specialists to determine which technique suits your tattoo type and skin condition.
Laser tattoo removal stands out as the most popular option among healthcare professionals. It works by using laser light energy to shatter tattoo ink into smaller particles, which the body's immune system can then eliminate over time. Two main types of lasers are predominantly used in clinics: the traditional Q-Switched laser, which usually requires more than ten sessions, and the advanced PicoSure laser, known for its speed and efficacy.
PicoSure technology, utilizing ultrashort pulses of light, has gained acclaim for its superior clearance of tattoo ink compared to conventional Q-Switched lasers. The FDA regulates both laser devices and tattoo inks for safety, ensuring users receive a safe treatment experience.
In this comprehensive examination of tattoo removal options, you'll gain insights into factors influencing the effectiveness of each method, including costs, pain levels, and the number of sessions required. With various options available, understanding their pros and cons will enable informed decisions regarding tattoo removal.
Can Microneedling Be Used With Lasers?
Microneedling and laser treatments can effectively enhance skin rejuvenation results when combined. Microneedling, which involves tiny needles puncturing the skin, and laser skin resurfacing, which uses laser technology to remove the top layer of skin, both stimulate the body's natural healing response, encouraging collagen production for the regeneration of a healthier skin layer.
Combining fractional laser treatments with microneedling allows for targeted skin correction whilst also providing overall rejuvenation. This synergy can address various skin concerns, including deep wrinkles and fine lines, yielding dramatic results. While microneedling is safer for a wider range of skin types and presents a lower risk of post-treatment pigmentation—especially important for individuals with darker skin tones—laser procedures can be more aggressive and typically deliver more significant results in fewer sessions.
At The Park MedSpa, two types of lasers are utilized: the Aerolase Era (ablative laser) and non-ablative options. Microneedling can be employed before or after laser treatments to enhance continued collagen and elastin stimulation. This combination not only results in fewer overall treatment sessions and reduced costs but also improves patient comfort.
While both treatments are minimally invasive and non-surgical, they each have unique benefits. Laser therapy excels in deeper skin concerns and targeted corrections, while microneedling is effective on various skin types. Thus, these procedures can be harmoniously integrated for optimal rejuvenation outcomes.
In summary, consulting a reliable cosmetic practice is essential when considering microneedling and laser treatments, as both can dramatically improve skin appearance and texture when performed correctly. Research indicates that utilizing both modalities can maximize rejuvenation results and overall patient satisfaction.
What Is The Fastest Method Of Tattoo Removal?
Laser treatments are the most effective method for tattoo removal, targeting pigment in the ink while causing minimal damage to surrounding skin. This procedure is primarily offered by dermatologists and is popular due to its efficiency in achieving significant results. Laser tattoo removal typically requires multiple sessions spaced over several months, but it ultimately offers the quickest timeline for effective results. Other tattoo removal methods include surgical excision, dermabrasion, chemical peels, salabrasion, and different forms of laser therapy, but laser removal stands out as the gold standard.
Lasers break apart ink molecules with high-speed pulses of light, which are then flushed from the body through the immune system, making the process effective for all ink colors and skin types. While surgical excision can provide immediate results depending on tattoo size and location, it is often more complicated and not suitable for smaller tattoos.
Overall, laser tattoo removal is the safest and most effective solution for individuals wishing to completely erase or significantly lighten unwanted tattoos. The technology used, such as picosecond lasers, enhances the efficiency and comfort of the process, requiring just 2-4 sessions to achieve desired results under the right conditions. Thus, for those exploring their options to remove a tattoo, laser removal remains the preferred choice for its effectiveness, safety, and reduced healing time.
Why Is My Tattoo Not Fading After Laser Treatment?
There are various reasons why laser treatment may not effectively remove a tattoo, primarily concerning the type of laser and its wavelength. Additional factors include the expertise of the technician and the tattoo's age. The laser treatment, such as the LightSense® laser, works by breaking down the tattoo ink pigment, after which the body’s immune system is responsible for removing the fragmented ink. Typically, tattoo removal allows individuals to refresh their canvas free from regrettable ink choices.
The fading timeline post-laser treatment varies. While it is common for tattoos to appear darker for a few days or even up to two weeks following treatment due to skin response, this can be misleading as the ink is indeed fading. Uneven tattoo removal may occur due to inconsistent application of the ink or variations in skin texture, affecting how the skin absorbs laser energy.
Factors that influence the effectiveness of laser removal include tattoo placement, as certain areas heal and respond differently. The type and complexity of ink colors also play a significant role, as lasers can more effectively target darker pigments than lighter or more complex hues. Additionally, there may be instances where ink is deeply embedded, creating a "treatment plateau," which can hinder progress.
For those experiencing slow removal after several sessions, boosting one's immune system may help facilitate the process. It's important to allow the body adequate time—sometimes 1-2 years—for the immune system to fully eliminate the ink. Seeking another laser session and considering products like Wrecking Balm may further assist in achieving desired results. Ultimately, consistent attention to the factors influencing laser therapy helps assure effective and permanent tattoo removal.
How Can I Maximize My Tattoo Removal?
La atención adecuada de la piel y un estilo de vida saludable son esenciales para acelerar el proceso de eliminación de tatuajes. Evitar la exposición al sol, mantener una buena hidratación bebiendo suficiente agua y seguir una dieta rica en nutrientes puede fortalecer el sistema inmunológico y preparar la piel para el tratamiento con láser. En este artículo, se presentan cinco técnicas que pueden ayudar a acelerar la eliminación del tatuaje, desde el uso de láser hasta la exfoliación química.
La rapidez de la eliminación dependerá de muchos factores, tanto antes de comenzar el tratamiento, como la edad y salud del paciente, como después. Se ofrecen siete consejos para acortar el tiempo necesario para deshacerse del tatuaje no deseado, respaldados por un equipo de expertos. Tratar bien a su cuerpo y tomar decisiones saludables en la vida cotidiana puede acelerar considerablemente el proceso de eliminación. Algunos de estos consejos incluyen usar protector solar, hacer ejercicio, dejar de fumar y seguir las recomendaciones del médico.
Un enfoque positivo y el reconocimiento de que la eliminación de un tatuaje lleva tiempo son fundamentales; se debe apreciar el viaje hacia una piel libre de tinta. Una dieta rica en frutas y verduras puede ayudar a fortalecer el sistema inmunológico, lo que es crucial para una adecuada sanación de la piel. Al seguir estas pautas y consultar con profesionales, se puede maximizar la efectividad de la eliminación del tatuaje y garantizar una recuperación adecuada, facilitando una transición más rápida hacia una piel más limpia.
Can Black Tattoos Be Fully Removed?
Black tattoos can be completely removed, although this process may require more sessions compared to tattoos of other colors. There are various methods for tattoo removal, including laser treatments, surgical excision, and dermabrasion. When considering these methods, it's essential to compare average costs, the number of sessions needed, their effectiveness, and the risk of scarring.
From personal experience over the past eight years, the only significant removals I've witnessed involved light grey tattoos with minimal outlines and stick-and-poke styles, often completing in a half dozen treatments. In my view, spacing sessions too close together, like 2-3 weeks apart, may not be ideal. The ease of tattoo removal varies by color; for instance, yellow or green-blue tattoos can fade but are less likely to be completely removed. In contrast, black tattoos can sometimes be entirely eliminated depending on the ink's depth.
Laser tattoo removal is widely recognized as the most effective method, specifically for black tattoos. Within my practice, I prefer using Picosure technology, which offers a short pulse duration that enhances photothermal action. While theoretically, tattoos can be completely removed, outcomes depend on several factors, including the age of the tattoo and the ink used. Generally, older tattoos and traditional stick-and-poke styles, particularly those in black, dark blue, or brown, are more straightforward to remove.
At-home removal methods are discouraged by healthcare professionals due to the potential for skin damage. Tattoos featuring substantial black ink tend to be the easiest to remove, while colored tattoos—especially red, yellow, and green—pose more challenges. White tattoos, in particular, can be nearly impossible to treat with lasers as they turn the ink black when exposed.
For individuals with darker skin, laser tattoo removal is safe and effective, provided the right technology is used and proper aftercare is followed. With today's advanced laser treatments, virtually any tattoo can be addressed effectively. Nevertheless, removing a black tattoo can be a demanding process, usually requiring more treatment sessions than those needed for colors.
Typically, achieving complete removal necessitates about 10-12 laser passes, spaced 6-8 weeks apart, resulting in a total timeframe of 1. 5 to 2 years. While tattoo removal is possible, it demands time, commitment, and selecting a reputable clinic. Smaller tattoos might need fewer sessions and could potentially be removed in just 2-3 visits; however, larger or blackout tattoos often require significantly more treatment.
Can A Microneedle Patch Tattoo Be Used On Animals?
Microneedle patch tattoos represent an innovative advancement in the way information can be encoded onto the skin of animals, providing a less invasive alternative to traditional methods of identification, such as ear clipping and tagging. Researchers at the Georgia Institute of Technology have developed a self-administered microneedle patch that painlessly deposits tattoos in mere minutes. This method is particularly promising for veterinary care, especially for tracking neutered animals.
As opposed to existing methods, which can be time-consuming and painful, this technology allows for a quick, bloodless, and discreet way to indicate an animal’s sterilization status through a simple tattoo.
Currently, some pet owners opt for tattooing as a form of identification; however, conventional tattooing procedures often involve considerable discomfort and invasiveness, necessitating anesthesia for the pet. The microneedle patches could revolutionize this approach by offering a safer method without creating biohazardous sharps waste. These tattoo patches could potentially be used for both veterinary and human medical applications, indicating a broader range of possibilities beyond mere identification.
The microneedle patches can function as biotags—a method providing an effective way to represent an animal's identity and sterilization status, devoid of trauma. The technology allows for versatility; researchers can alter the molds to imprint desired symbols, akin to the output of a dot-matrix printer, enhancing the customization of tattoos to meet specific identification needs.
Additionally, these patches solve the issues associated with conventional tags that can fall off and microchips that may migrate from their original placement. As part of ongoing research, scientists are investigating the use of microneedle patches to deliver tattoo ink, especially to the insides of animals’ ears, bolstering the efficiency of identification.
In summary, the introduction of microneedle patch tattoos provides an exciting new frontier not only for veterinary practices but also suggests future applications for human medicine. They promise to maintain essential identification features while ensuring minimal pain and inconvenience for animals. As research continues, the potential for microneedle tattoos to encode complex medical information directly onto the skin of both humans and animals could significantly change how we monitor health and identity without the need for invasive procedures.
📹 Microneedling vs Lasers – Which is Better? Dr Davin Lim
Microneedling and laser resurfacing are two popular treatment options for acne scars. It involves using a device with fine needles …
Our office is not a fan of dermarollers. Because of the angle that the needles penetrate the epidermis, you’re more likely to create scarring this way and the needles dull very quickly. In office, we recommend a derma pen. In addition, when using a dermapen, you are assured a brand new, sterile cartridge per each treatment. We love your content. Keep up the great work!
I had several microneedling t/x with plasma. I saw little to no real difference. It was super expensive! 2,000 for 4 sessions. I have switched to laser treatments and i absolutely love lasers. The results have been amazing! I have more pigmentation than scars so my skincare goals are different than others. I have one scar which i have filler put into and tcl cross.
I find with the rise in popularity of microneedling (celebs and models touting that they get this treatment done), it’s not nearly as cost-effective as you’d expect from a patient perspective. In my area, I can get C&B for $525 and microneedling for $400. So for me, I’d rather get an entry-level laser treatment for just a little more. If microneedling was $300, then yes, I would include it in rotation but it seems odd to me to choose microneedling when I get better results with lasers for my skin concerns (prerejuvenation/hyperpigmentation) and the device itself is much much much cheaper for the provider to purchase than a laser device. I’m paying for the provider’s time and expertise but I also feel like it’s more bang for my buck when I know the provider had to shell out $100k+ for a laser device versus $5k+ for a microneedling pen lol. The level of technology is vastly different. Same reason I wouldn’t spend a lot on a skincare product with niacinamide but willing to spend on a growth factor serum. I know it cost the company more to procure the growth factor. I wouldn’t pay a boatload of money for a niacinamide serum when I know it’s a fairly affordable ingredient. Doesn’t mean microneedling and niacinamide doesn’t work just my thought process on where I choose to splurge.
I am 70 years old. Began using a 2.0 derma roller (It has to be 2.0 size needles in order to force the body to send collagen up and into the skin) I began using this size roller in 2016. After the first 6 months my family and friends told me I was aging backwards. I roll my face…neck …chest…arms…legs…and it has absolutely worked. When I was 65 I was carded at my local store before I could buy champagne. It made my day !! My jaw line along with the rest of my skin is tight. 100% works.
Unfortunately I am very prone to acne scarring, which was the reason I went for Dermapen treatments (microneedling in a salon). Sadly, after two treatments I was left with new scars and also permanent discolouration. I know it was caused by the Dermapen since the marks have the shape of the tip of the Dermapen. I don’t know if the damage was caused by the technique of the technician, who had been successfully doing microneedling treatments for years. I am disappointed and of course feel let down by the facialist, since I think she should have told me that my skin wouldn’t be able to take the treatment. Instead, when I e-mailed her about the problem, she didn’t respond. I was too sad about it to contact her again. This was in 2018. I think maybe it would have been better if I had contacted a well-renowned dermatologist that offers laser treatments, since a dermatologist always knows far far more than a facialist with a Dermapen, regardless of how many years they have treated people.
Lasers can really f up your skin, and I’m one who was scarred badly (delayed pitting/melting of underlayers of my skin) by a low energy v beam treatment (non purpuric) at my derm’s office. I don’t think I’ve seen anyone online happy with their laser tx for scarring, and the before and after pics around here aren’t compelling. I’m not looking for perfection, just slight improvement, so I’d like to try microneedling. My derm is all about lasers, though.
Great content however let me add that in our practice, we have good effects with treatments such as Infini RF or Secret RF in particular when skin tightening is the expectation. Non-ablative fractional lasers, when compared to fractional RF, target fine wrinkles, skin texture, and pigment much better indeed. But for tightening the skin, most of our clients have better results with the RF microneedle treatments.
I had a microneedling session 3 weeks ago to help encourage healing & deal with side effects from a full face TRL 4 months ago. I had developed stubborn under eye hyperpigmentation a month after TRL and pin prick blood spots were constantly showing up on my face after physical exertion. I went back for a check up a week ago and was told i need another microneedling session. I’m so tired of all the downtime and wonder if i should just stop traumatizing my face :/
Had Erbium done with a well known double board certified plastic surgeon. A whopping $3500 later, it did nothing for my skin and it gave me more scarring. Never again. I bought a Dr. Pen. But have not used it yet. I have been studying every aspect of how to correctly use this device first so that I don’t cause more issues. Needless to say- I was pissed. If you go to a plastic surgeon make sure their main specialty is skin. Maybe you’ll get better results.
I have a lot of sun damage that has changed the texture of my skin and I absolutely hate it. I don’t eat a lot of sugar and some skin care specialist right away think it’s glycation from sugar.. but it isn’t.. what would you recommend to treat sun damage? I’m 50 and I spent my whole life in the summer sun. I thought spf in the makeup was enough.. I started using spf daily when I turned 40. Help! I wish I could send you pictures.. and get your honest opinion because I trust YOU!
I have been getting the Venus Viva microneedling treatments for almost a year now for the scars that i got on both my hands from nail scratches of my cat. However, I am not very satisfied with the results. the scars look a lot lighter now but haven’t really mixed in with my skin even after almost a year.
After great success with accutane, I was advised to deal with the minimal acne scarring…after my fraxel/microderm I got white hypopigmentation 🙁 it looks like I have white polka dots all over my jaw and neck, even behind my ears!!! I literally look like a cheetah from Star Trek and need to get it fixed because I have to wear make up now and I absolutely HATE make up!!! So sad!
I had 6 BBL treatments and it made hyperpigmentation worse. I don’t have melasma. I took before and after pics a few weeks after each treatment. It’s been 6 mths since my last treatment and the pigment is finally back to what it was prior to treatments. Is Pica láser better? What are your thoughts on microneedling Vs microchanneling. How can someone find a good provider?
Hi, thank you for your informativ articles. . Could you please comment on this, I am a little worried I have ruined my skin rather than built it: I had my very first Dermapen needling 3 weeks ago. They put a rich layer of 1 % retinol (from ZO skincare) on top of my skin just after the treatment and recommended to put 0.5 % retinol on my skin every night. I had never used retinol before. During the day I was recommended to use Illuminating AOX serum and also Power defense, all from ZO. My skin reacted with redness, dryness and cracking for almost 2 weeks. It was also painful every time I put on this cream for the same period. I do not mind the pain if this is healthy treatment for my skin, but I wonder if this a damaging way? MY skin is fair and my age is 63!
I have some static wrinkles on my lines, mainly the static frown lines that feel like indents between my eyebrows. Which is better to target? I have had 2 microneedling sessions with PRP and after the initial glow during the first week, my skin has gone back to normal. Should I continue or opt for lasers like CO2? I’m hesitant on lasers due to potential of fat loss in addition to the fact that I have Asian skin.
Hello Dr Lim I am doing extensive research and have already had Fraxel treatments on my legs. I have dark brown spots- sun damage, that I am trying to at least fade. I am thinking of trying PRP microneedling but laser maybe more effective. Which laser is better to fade dark spots on legs. I know the legs are hard to treat. Thank you!
Hi Dr .Davin I am so grateful for the knowledge you are sharing to me,I am bezawit w/selassie from Ethiopia am working also with skin care treatment, I plan to open skin care training School that can help more young people to get a job and to get better awareness about skin diseases so please can you share your knowledge at my school in Ethiopia by online training ?
I’m so sorry but I’ve had just about every treatment out there over the past 20 years. I started with subcision, yag laser and sculptra off label. Microneedling is the next trend and I will tell you I’ve had ever other skin tightening procedure: exilis, ultherapy, thermage. I’ve had IPL, BBL, I’ve had every injectable. Wanna know what works? Sculptra, filler in the lips, Botox. Nothing else. I’m absolutely skipping microneedling. I am looking at a thread lift. Cheek filler made me inflamed. Hydrafacials aren’t helpful, microdermabrasion was the rage for awhile and didn’t produce any long term result.
I had fractional co2 laser resurfacing about 4 years ago and I am still experiencing redness especially in my cheeks and sides. I tried everything as far as dietary restrictions, sebor. Derm. Topical meds, rosacea topical meds, and still nothing seems to improve my color. I’m not sure exactly what the issue is since I’ve been told many different things by dermatologists hence the wide variety of prescriptions. Currently I’m just applying aquaphor. What is the best plan of action here? I really just want my normal pigment/color to return and I’m not 100% sure what the cause of the prolonged redness/erythema is. Any thoughts?
I’ve been told that because I have Asian skin (I am half Asian) I should stay away from all lasers and opt for RF Microneedling (Morpheus). I have moderate to severe scarring. Will this be sufficient enough? I have been doing RF Microneedling and Pico for 3-4 years with maybe 20-30% improvement. But I always wonder if lasers will actually improve my scarring vastly. What are your thoughts Dr Lim??
Dr Lim, I’d really love you to answer my question if you would, what is your honest thoughts on doing micro needling at home with all these micro needling devices on the market now, personally for me I wouldn’t use one at home, I’d leave it to someone like yourself who has done years of training in your field of expertise, I’ve done some online research and some of the horror stories are horrendous, leaving people with scars they never had before and especially hyperpigmentation that they never had before doing at home micro needling. I do hope you are able to answer this question for me as a fellow Queenslander…you appear to have lost weight in your face, I Hope your health is okay, it’s very noticeable from previous articles I’ve watched in the past. Have a Great Australia Day tomorrow 🇦🇺🇦🇺🇦🇺🇦🇺
Dude, you’re not reliable. You used to say that lasers were a scam and don’t work on acne scars; microneedling’s better. Now you’re back to lasers are better? And I’m seeing unaddressed complaints about facial fat loss – couple that with importance of the technician and variety of devices in each category, and any advice becomes useless. I feel there aren’t specialists in my city, these concerns aren’t addressed, and with social hype, everything is generalized and inflated. What a mess for patients trying to navigate the best treatment among profiteers.