From the Guidelines
Microneedling and dermal fillers are contraindicated in patients with active skin infections, open wounds, active acne, psoriasis, eczema, and other inflammatory skin conditions, as well as those with a history of keloid or hypertrophic scarring, on anticoagulant therapy, or with blood clotting disorders. When considering microneedling, it is essential to avoid areas with tattoos or permanent makeup 1. Additionally, patients should be advised to avoid sunlight and heavily scented facial creams/products for 24 hours post-op 1. For dermal fillers, contraindications include active infections at the injection site, known allergies to filler components, autoimmune disorders, pregnancy and breastfeeding, and a history of severe allergies or anaphylaxis. Some key points to consider when evaluating contraindications for these procedures include:
- Active skin conditions that may be exacerbated by the procedure
- History of abnormal scarring or bleeding disorders
- Current use of anticoagulant therapy or blood thinners
- Presence of tattoos or permanent makeup in the treatment area
- Recent use of isotretinoin (Accutane) within the past 6-12 months
- Autoimmune disorders or severe allergies It is crucial to conduct a thorough medical history and consultation with a healthcare provider before undergoing either microneedling or dermal fillers to ensure safe and effective treatment 1.
From the Research
Medical Contraindications to Micro Needling and Derma Fillers
- Keloid formation: Patients with a history of keloid formation may be at risk of developing keloids after micro needling or derma fillers, as these procedures involve dermal injury or inflammation 2, 3.
- Autoimmune diseases: Patients with autoimmune diseases such as lupus erythematosus, rheumatoid arthritis, psoriatic arthritis, dermatomyositis, and scleroderma may be at risk of developing skin manifestations or exacerbating their condition with micro needling or derma fillers 4, 5, 6.
- Skin conditions: Patients with certain skin conditions such as cutaneous lupus erythematosus (CLE) may require special consideration before undergoing micro needling or derma fillers, as these procedures may trigger or worsen their condition 6.
- Immune system disorders: Patients with immune system disorders or those taking immunosuppressive medications may be at risk of developing infections or other complications after micro needling or derma fillers 5.
Specific Considerations
- Keloid disease: Patients with keloid disease may be at higher risk of developing keloids after micro needling or derma fillers, and may require combination therapy to manage their condition 3.
- Lupus erythematosus: Patients with lupus erythematosus may require special consideration before undergoing micro needling or derma fillers, as these procedures may trigger or worsen their condition, and may require topical or systemic treatments to manage their skin manifestations 6.