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Messages - SarahVaughter

Dermarolling / Microneedling / Please help a newbie fix his acne scars!
« on: February 23, 2012, 12:48:22 PM »
I think a 0.5 m dermaroller and a 1.5 mm dermastamp would be an excellent choice in you case. As far as I can judge it, you have plain old boxcar scars and some rolling scars. They are not very deep. There is a good chance they will respond to dermarolling.


  You bought way too much... I will think of a regimen for you tomorrow or over the weekend, and will post it here.

Dermarolling / Microneedling / pigmentation on upper lip
« on: February 23, 2012, 12:46:56 PM »
The area above the lip is the most painful, with dermarolling from my experience. Maybe in this case, you should go with the laser treatment.  In some rare cases, the heat from the laser stimulates the melanocytes (pigment producing cells) and the melasma worsens.

   If you want to try dermarolling, buy a 0,2 mm regular dermaroller (this needle size is not painful) and roll the melasma every second day.


  Apply hydroquinone cream right after rolling to get it into the dermis.

   Apply hydroquinone only for three months, then have a long break and then you can do another three months course and so on.

   You must use a high factor sunscreen all the time and avoid spending extensive time in the sun.

It is not the same for everybody. It is usually gone within several days.

  You must apply a sunscreen when you go outside. Hyperpigmentation after deep single needling or aggressive dermarolling can sometimes last for a couple of weeks.


The skin becomes darker after invasive procedures, such as chemical peels, lasers, dermabrasion etc.

   The skin after a deep acid peel:



                      Attached files

Dermarolling / Microneedling / pigmentation on upper lip
« on: February 20, 2012, 12:01:12 PM »
Do you know what kind of pigmentation it is? Melasma, pigmentation from laser epilation, post acne pigmentation etc?

   For the time being, read my posting #4, it applies to all skin colors:>

Dermarolling / Microneedling / Co2laser nightmare
« on: February 20, 2012, 12:00:29 PM »
First try to improve your hypopigmentation and later buy for example a 1.5 mm dermastamp or a 1 mm dermaroller for your scars. You should stay in the sun for at least 10 minutes. While you are in the process use SPF15 or higher.

Just to be sure I understand correctly - you are of caucasian descent and your skin became black after dermarolling? Or just darker? Or do you have dark skin naturally?

Could you post a picture where you compare both skin colors side-by side?

It's normal that the skin becomes a few shades darker after rolling. If your skin is normally dark, it could become black, yes.

But that is only temporary.

Dermarolling / Microneedling / Corner-of-mouth scars
« on: February 19, 2012, 08:36:32 AM »
Damo2363;3057 wrote: Just to clarify, needling of a groove does generally result in some gradual 'fill-in' from the resultant collagen stimulation - correct?


    We have never had a customer with this kind of problem, neither have I ever heard of a similar problem in connection to dermarolling.


  In general, dermaroling often fills-in or partially fills-in indented skin but it depends what is the cause of the indentation.

   Also, the tissue in the corners of the lip is quite specific and I do not know whether needling can fill in this kind of badly healed tissue or make it heal better.


  Do not needle at an angle. Just a few gentle straight pricks.

Dermarolling / Microneedling / no painkiller?
« on: February 19, 2012, 08:34:50 AM »
I can also roll my face with a 2 mm roller without a numbing cream, with the exception of the skin above the lips. There I have to use a numbing cream.

  In the beginning it was difficult but I somehow got used to dermarolling pain.

   Just roll a small part of your face with the 1 mm roller to try it. A part of the cheek or so.

   I hope other forum members will share here whether they manage rolling without a numbing cream.

Dermarolling / Microneedling / Scar Treatment
« on: February 18, 2012, 07:30:20 AM »
Thank you, Julie for your praise.

  I am surprised that a mole removal left you with such a long scar. I think you should use a 1.5 mm ONE LINER roller. It will be difficult to roll with your left hand (if you are right handed) but you will learn it.

  Roll the scar very densely every 20 days. Apply Infadolan afterwards.

  No pre-treatment is necessary in your case.

  Tretinoin cream, applied every second day on the scar would also be beneficial. Tretinoin is contraindicated in breastfeeding and pregnancy due to potential Tretinoin side effects to the fetus and the lack of studies determining its safe levels in pregnancy. In spite of this, you would apply it on such a small area of skin that the amount of Tretinoin is minuscule. I certainly do not advocate using Tretinoin in pregnancy, especially not after dermarolling, which greatly enhances its absorption.  Some experts suggest that topical Tretinoin does not increase the risk of malformations, while others recommend avoiding it in pregnancy.



  First trimester topical tretinoin and congenital disorders.

  Jick SS, Terris BZ, Jick H

  Boston Collaborative Drug Surveillance Program, Boston University Medical Center, Massachusetts 02173.


  We used information from the Group Health Cooperative of Puget Sound, Washington, USA, to evaluate the risk of birth defects in mothers exposed to topical tretinoin--a retinoid preparation used to treat acne--in the first trimester of pregnancy. We identified 215 women who delivered live or stillborn infants at Group Health Cooperative hospitals and who were exposed to topical tretinoin early in pregnancy, and 430 age-matched nonexposed women who delivered live or stillborn infants at the same hospitals. The prevalence of major anomalies among babies born to the exposed women was 1.9% and among babies born to the nonexposed women was 2.6%. The relative risk estimate for having a baby with a major congenital anomaly for exposed versus nonexposed women was 0.7 (95% CI 0.2-2.3). We conclude that topical tretinoin is not associated with an increased risk for major congenital disorders.



Minor malformations characteristic of the retinoic acid embryopathy and other birth outcomes in children of women exposed to topical tretinoin during early pregnancy.

  Loureiro KD, Kao KK, Jones KL, Alvarado S, Chavez C, Dick L, Felix R, Johnson D, Chambers CD


  ..........................First-trimester topical tretinoin exposure in this study was not associated with an increased risk of any adverse pregnancy outcome evaluated. Specifically, there was no indication that topical tretinoin is associated with an increased risk for minor malformations that are consistent with the retinoic acid embryopathy. Although it is impossible to exclude the possibility that some women/infants may be uniquely susceptible to topical tretinoin exposure, this study provides further reassurance for women who are inadvertently exposed early in pregnancy.




Concerning Tretinoin safety in non-pregnant individuals:


  In the study below, a person took 1000 mg Tretinoin orally with no serious consequences.


  For comparison:


  A 30g tube of 0.05 % Tretinoin contains a total 15 mg of Tretinoin.

  (You would have to eat 66 tubes in one go to reach 1000 mg).


  Our 18g jar of 0.025 % Tretinoin contains a total 4.5 mg of Tretinoin.

  (You would have to eat 222 jars in one go to reach 1000 mg)



  Tretinoin overdose: a first case report.



  A 31-year-old man ingested 1000 mg of tretinoin (100 pills of Vesanoid 10 mg) in a suicide attempt. He developed nonbloody diarrhea, but otherwise had no complaints. Clinical examination was normal. The patient was treated with activated charcoal and was hydrated. The patient's blood results did not show any deterioration on the third consecutive day. He was discharged well on the third day, but was subsequently lost to follow-up.


  Although there has been no reported experience with acute tretinoin overdose in humans, our patient took a dose approximately 3 times the recommended maximum tolerated daily dose in patients with myelodysplastic syndrome or solid tumors (195 mg/m2 per day). Overdose with other retinoids such as isotretinoin have been associated with only minor symptoms that resolved quickly. Our patient had diarrhea, which also resolved quickly with symptomatic treatment and hydration.

I don't really know what could be the cause of such a skin condition that you described.. A-Ret can irritate the skin and you should discontinue it to see whether that helps.

Dermarolling / Microneedling / Corner-of-mouth scars
« on: February 16, 2012, 10:43:09 AM »
The corners of the lips are mucous membranes and you should not apply any acids or exfoliation. Do not pre-treat it in any way. Take vit. C orally and buy just the single needles and Infadolan.

   Every form of vit. A has its pros and cons.


  Retinyl palmitate is cheap, stable, non-irritating but it is a large molecule so it may not penetrate the skin easily. Retinyl acetate is stable, easily penetrative, non-irritating. Retinol is unstable and more irritating.

  Retinoic acid is unstable and most irritating. They are all efficient and useful, some more than others in specific situations (such as directly after dermarolling, or specifically for acne etc). They are converted to Retinoic acid in the skin.

Retinoic acid is the most potent form but it has to be protected from the air (keep the jar tightly closed when you do not use it - it has an airtight inner lid) and to greatly prolong its shelf life, keep it in the fridge.

Tretinoin's shelf life is an inverse exponential function of the storage temperature.

Our tiny jars contain only 18g of Retinoic acid cream therefore it will be used up rather quickly.

Whenever it hurts, you should think: "This is the feeling of improving skin!".

You can certainly use your serums in the morning.


  How long the inflammation lasts:

If your serums do not contain strong anti-inflammatories, you can apply them right after dermarolling.

Avoiding strong anti-inflammatory right after dermarolling only applies to dermarolling with long needles.

 If you roll with a 0.5 mm or shorter, you do not have to worry about it.

I do not see any problem with facial exercises a day after dermarolling, except if the face is still "raw" from dermarolling.

Dermarolling / Microneedling / Corner-of-mouth scars
« on: February 15, 2012, 10:00:07 AM »
Single needling is the most targeted and probably the best approach in your case but needling that area will be quite painful.

   The photo you had posted is actually of Angular Cheilitis, which is a bacterial or fungal infection of the corners of the mouth.

   But I know what you mean, your lip corners look similar but it is not from an infection but it is a scar or some kind of crease left after a badly healed skin trauma.


I do not think laser treatment is a good idea because lasers use heat and this could burn the sensitive corners of the lips and actually make it worse.


Try single needling in one corner and you will see what happens. Needling will make the skin temporarily more red and the redness can last many days so it will temporarily look worse. Start with just a few pricks; do not do any aggressive or dense needling. You can needle very subtly every ten days and if everything heals OK you can slightly increase the number of pricks (extend the gap between needling) but keep needling always subtle. This is an extremely delicate area with unpredictable healing.


  It is really hard to say whether microneedling or anything else can help in your case because as you said it looks like your corners were basically ripped and when they healed they kind of extended.

Dermarolling / Microneedling / Hypopigmentation picture posted on RealSelf
« on: February 15, 2012, 06:47:33 AM »
Thank you for letting us know. I found the link:

But she posted her picture there before needling.

After that, she posted a thread here with the after needling picture, where she was extremely happy, she said that needling made a huge difference and she provided the evidence in the form of the picture we posted.


I quote:

"I had so much success with needling for hypopigmentation scars on my  chest from an IPL laser burn. I was burned in Sept. 2009 and suffered  with the scars for almost 2 years before I discovered this  website/article on needling. I will try to attach before and after pics.  Believe me, it WORKS!! I can have my life back now and wear V necks  again. These scars literally made me so ashamed and I would only wear  turtlenecks. If you have hypopigmented scars, please at least try  needling. I followed Sarah's instructions and I had success!! Thanks  Sarah!!"

And on RealSelf she does not provide a picture of how she looks now. We are the only site with her most recent picture.

And in that same thread she actually says dermarolling improved her condition (her currently last forum posting).

Worst case, she could simply roll regularly and her decollete will look as on the after-photo she sent us.

She never later informed us that the improvement was only temporary. The after-picture she let us use has no visible inflammation and looks spectacularly better.

We would like her to contact us and send us pictures of her current situation, so that we can verify that she indeed did not improve, as you claim.

In the latest update on RealSelf (December 1, 2011) she says she's making good progress with dermarolling and  single needle:

"Hey there Sarah!! Good to hear from you! I'm so glad that you've had  success with dermarolling!! I've been rolling my entire chest and I have  gotten it back to somewhat an even skin-tone, except for 1 small spot  where the nurse must have burned it worse than anywhere else because it  is about the size of a dime and it feels hard when I rub my finger  across it... I have been using just a plain single needle to try and  break down the scar tissue... I needle it every morning and put copper  peptide serum on it. If I can get the texture back to the way it should  be, then I can work on the pigment more. Yes, trusting ourselves sounds  much better than trusting the "over qualified idiots"!!! That is too  funny and quite true!! Please do keep me posted on your continued  progress and if you discover any new methods/treatments/products for  hypopigmentation.      "

She left a comment on our website:

"Hello, I am csd and my picture is the first one above with the white bar marks on my chest. As for your question about the length used, I think I started with 1.0 and used it all over my chest about 2 to 3 times per week intitially. If your scars are less "deep" you could use the .5 length, but at least 2 of my scars were so severe that I could literally feel that they were harder than the rest of my skin, if that makes sense... the white scars felt really dense, so I was aggressive in trying to break up that scar tissue. This site has a very good section on what length roller to use for different areas of the body. Each area and scar are different, but the administrator of this site tries to answer as many questions as possible, either in a response directly or by putting the information to answer your question on this site. Good luck and I hope you have great success!!"

Dermarolling / Microneedling / Newbie questions
« on: February 13, 2012, 11:03:41 AM »
Your questions are more or less answered here:


      Anti-oxidants are not necessarily strong anti-inflammatories.


  Do not worry too much about it because it only applies to strong anti-inflammatories.


  Almost all vitamins have anti-inflammatory effects but they are not so strong to completely inhibit the inflammation.


  The reason ascorbic acid or retinoic acid or other acids are not  recommended to apply right after dermarolling with long needles is  because they are acidic and it can irritate and even burn the skin in  sensitive individuals.

  If your skin can handle your preparations with acidic forms, no problem applying them.


  I once applied 0.025% Retinoic acid (Tretinoin) right after  dermarolling with a 0.2 mm dermaroller and I was suffering for hours  with burning skin. I do not have sensitive skin at all. Yet, some of our  customers said that their skin has no problem handling immediate  application, so it is individual.

   If you have a problem with hyperpigmentation, both retinoic acid and  ascorbic acid can help diminishing it however try to avoid irritating  your skin with too high percentages, especially if you apply it right  after dermarolling.

  The skin in some prone individuals can actually react with pigment  production to strong or repeated irritation. The more is not always the  better.

Thank you Lisa for your help and kind words on our products!