I have done microneedling for 19 years and I always apply vitamin A, C and E to the skin immediately after the treatment. I have never seen a reaction ever and my experience covers about 2000 personal cases and in excess 10,000 when including my associates using the same regime. The product we use is Environ vitamin ACE Oil which has no added preservatives, colourants or perfumes. This is the same oil as used by Zeitter et al in their research at Hannover Medical School to test needling skin at weekly intervals. In their research the vitamin A,C E oil vastly increased the magnitude of the result.
Article Facial Allergic Granulomatous Reaction and Systemic Hypersen...
Interesting. As well as topically-added serums, it might be worth them checking for any signs of silicone in their biopsies. Silicone is applied to the outsides of needles and might contribute to retention of any particles or substances driven into the skin. AND silicone causes granulomas! So a finding like theirs could represent a difference in their needling hardware, as much as their topical appllications.
Thanks Ciaran. That certainly is something we easily forget and enforces the concept that when uncommon events occur in medicine, we should consider uncommon causes.
- I think cleaning the skin properly with a suitable anti septic and anti microbial agent will help in preventing granulomas.
- post exposure to unsuitable environment especially malls, road dust house dust soaps or even dirty hands also may contribute.
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