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This document has been prepared to help provide you with information about Acleara™ Acne Clearing System of the skin, its risks, and alternative treatments. It is important that you read this information carefully and completely.

Introduction

Microneedling was developed by Dr Michel Pistor in France in 1950. Until a few years ago it was practised primarily in France, South America and Spain. It has gained importance in recent years as some treatments can also be used in aesthetic medicine to benefit the skin.

Microneedling is a medical speciality that involves injecting microscopic quantities of natural extracts, homoeopathic agents, pharmaceuticals and vitamins into the skin. It can be used to eliminate cellulite, promote weight loss, treat ageing and sagging skin, and rejuvenate the hands and neck.

This is a cosmetic procedure and will not be covered by your medical aid.

Explanation /Procedure

Microneedling is a recognized medical treatment for various pathologies and also including aesthetic medicine. The concept of facial rejuvenation with microneedling is based on nourishing and stimulating the healing cascade for collagen and elastin synthesis. Microneedling is a treatment involving injections of medications, amino acids, vitamins, minerals, and homoeopathics just under the skin using short needles and specific injection techniques.

Technique

Superficial nappage – superficial injections to the epidermal layer (1mm depth).

Superficial intradermal – multiple papules (2mm depth) made to the intrabasal layer.

Deep intra-dermal – point-by-point injections (4- 10 mm depth).

Nappage is the most commonly used technique and is carried out with a multi-pricking technique. It is described as a technique where 2 – 4 injections are made per second, every 2-4 mm apart at an angle of 30 – 60 degrees from the skin surface. The needle penetrates to a depth of 2 – 4 mm while constant unchanging pressure is applied to the piston of the syringe. Nappage involves using a 30G 4 mm needle and a syringe of 3 – 10 ml.

Advantages include significant cutaneous stimulation and ability to cover large surface areas. It is associated with minimal pain and it has a rapid action.

Mechanism of action

Mechanism of action in mesotherapy is a combination of multiple injection points stimulating the body’s natural healing cascade for rejuvenation results and also that of the ingredients, amino acids and vitamins being injected.

  • 12 vitamins – A, B, C and D stimulates vital cell functions
  • 23 amino acids – promote elastin and collagen production
  • 6 coenzymes – catalyse biochemical reactions between cells
  • 5 nucleic acid – bases facilitates and promotes cellular communications
  • 6 minerals – prevents and acts on skin deficiencies
  • 1 anti-oxidant – captures free radicals
  • HYALURONIC ACID – helps hydrate and add volume to the skin

Alternative Treatments

Given that microneedling for skin rejuvenation can treat many indications please discuss alternative options specific to your aesthetic needs. Some alternative treatments can include:

  • Platelet Rich Plasma (PRP)
  • Botulinum Toxin and dermal fillers
  • Chemical peels
  • Fraxel™ laser rejuvenation

Contraindications

It is advised that you do not undergo microneedling for facial rejuvenation should you be affected by any of these contraindications:

  • An active infection
  • Pregnancy
  • Auto-immune diseases
  • Diabetes
  • Poor wound healing or keloidosis
  • Patients on anticoagulants
  • Skin cancers

Risks / Side Effects

Please find below a list of common side effects and risks, for a more comprehensive list and explanation, please refer to the consent form and discuss this with your NoviSkin physician.

  • Pain and burning: mild irritation may occur during the injection process but local anaesthetic is applied to the skin to ensure the treatment is comfortable.
  • Redness and swelling may occur but that will resolve in 2 days.
  • Bruising around the delicate areas (i.e. eye area) may occur but will resolve in 7 – 10 days.
  • Skin discolouration and temporal numbness may occur, which is rare but will resolve after 3 months.
  • Scarring may occur at the injection site if post-treatment protocol was not performed correctly.

Pre and Post Care Instructions

Patient can experience some redness, which should resolve within 24 hours. There is no downtime and patients can continue with normal skin care regime after 48 hours.

Bruising is common if delicate or sensitive areas are to be treated but this will resolve within 7 – 10 days. Scabs from wound healing should not be picked or removed, as it can result in pigmentation or scarring.

If the patient experiences any side effects other than above mentioned, they should contact NoviSkin immediately on 012 460 4646/50.

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