Microneedling with Hyaluronic Acid (Hyaron)
Yes, you can microneedle with hyaluronic acid (HA), and this combination is both safe and effective for skin rejuvenation and scar treatment. 1, 2
Evidence Supporting HA with Microneedling
The combination of microneedling with topical HA application has been validated in clinical studies:
Microneedling with HA demonstrates statistically significant improvement in acne scars, with one study showing 82.9% improvement when HA was applied topically during microneedling procedures 1
The combination enhances clinical outcomes compared to microneedling alone, with patients showing "good" and "very good" results more frequently when HA is added to the microneedling protocol 2
HA penetrates through the microchannels created by the needles and remains localized in the epidermis without diffusing into the dermis, which is ideal for cosmetic applications 3
Technical Protocol
Preparation
- Apply compounded topical anesthesia for at least 30 minutes prior to the procedure and ensure complete removal before beginning 4
- Ensure skin is well lubricated with the HA product to avoid dry tugging sensation 4
Needle Depth Settings
- Standard facial areas: 0.25-2.5 mm depending on indication 5
- Delicate areas (periorbital): 0.25 mm maximum depth 4
- Acne scars: Use stamping technique at greater depth for targeted treatment 4
Treatment Schedule
- 3-4 sessions spaced 3-4 weeks apart for initial treatment 2
- Maintenance every 6-12 months thereafter 4
Safety Profile
Microneedling with HA is remarkably safe with minimal complications:
- Most adverse events are transient (lasting up to 7 days), including erythema, edema, and mild pain 6
- Downtime is typically only 24-48 hours 4, 5
- Safe for all skin types, including Fitzpatrick types III-VI where lasers may pose higher risks 4, 5
- Minimal risk of post-inflammatory hyperpigmentation or scarring since maximum penetration is only 2.5 mm 4, 5
Post-Treatment Instructions
- Avoid sunlight for 24 hours post-procedure 4
- Avoid heavily scented facial creams/products for 24 hours 4
- Do not microneedle over tattoos or permanent makeup 4
Important Caveats
Contraindications to watch for:
- Active skin infections increase complication risk 6
- Metal allergies may cause reactions 6
- Darker skin types require extra caution to prevent PIH 6
Product considerations: