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Messages - SarahVaughter

Dermarolling / Microneedling / FORUM RULES Please read before posting
« on: February 03, 2012, 01:35:44 PM »
By posting here, you agree to the following rules:

1. This is not a general forum about dermaneedling but an information database for our products. Only a very small range of questions are on-topic here.

This forum is only intended to give support pertaining our products to our customers, it is not a general forum about dermaneedling. We reserve the right to delete postings that ask questions about products that we don't sell as off-topic. Examples of what is off topic here: "Can I use <product we don't sell> after dermarolling?" or "Why don't you sell <product we don't sell>?" or "My doctor disagrees with <statement you made>" or "I read XYZ and it seems to disagree with what you say" or "why don't you sell <x> instead of <y>?". The reason these questions are off-topic is that we often would have to spend a lot of time researching and formulating an answer, and we simply do not have time to spend answering questions that have nothing to do with actual support (how to use our products to treat skin problems). If you have a question such as "why don't you sell <x> instead of <y>, please do the research yourself as to the benefits of <x> vs. <y> and email us, don't post it here. We only sell products we think are really useful, so if we don't sell it, we think it's not very useful by definition.

2. This is not a place for shipping- and warranty-related customer service

If your shipment is taking too long to arrive or if you have any other questions or remarks related to our service, this forum is not the right place because it is a database for product use only. Where your package is etc. is of no interest to others on this forum. Any type of service-related talk (payment, shipping, tracking, transit times, returns etc.) should be emailed to

3. Search before posting

Please use the forum search feature to see whether your question has already been answered, before you post any questions. We reserve the right to delete postings that are effective duplicates of previous postings or to which the answer can be found using a forum search. If, after extensive searching, you did not find the answer to your question, make sure you read our instructions, our sales page, the extended product descriptions in our store and the articles on our site. Then and only then, the question may be appropriate here. Every time we answer a question with just a link or links to material on our site, the posting was in violation of our forum rules.

4. Descriptive post titles please

Please don't use meaningless post titles like: "Question" or "Help!!" or "2 mm dermaroller" or "Newbie with scars". Before posting, think of a descriptive title that explains the main topic of your posting in such detail that when someone has the same problem, they can find it in a search or by browsing the forum. We reserve the right to modify nondescriptive titles.

5. Proper English please

When posting, please use proper English, or at least try to do so. Postings with SMS-talk like "ur" instead of "your" etc. will be deleted for being disrespectful. It's not just that such postings hurt the eyes, it's also that search engine rankings increasingly depend on reading comprehension level and syntactical and grammatical correctness. This forum provides a spell-checker and most browsers do as well nowadays.

6. Insulting us means you won't be able to read this forum anymore and you won't be able to buy from us either

We know the IP address and email of those who post here. Any type of insult to our character, products or business may result in a read-ban on this forum and a buy-ban in our store.

7. If you post here and you did not get an answer (yet), please do not email with the same question(s).

This will cause us extra work so we will usually ignore the email version of the question(s). Also, if your posting remains unanswered for more than a week, it could be that we forgot to answer, but more likely it is because we thought it did not warrant an answer or was otherwise unanswerable.

8. Please no product marketing

We do not allow "spamming" for any products. Spammers are so clever with their tricks nowadays, it's impossible to be sure who is a genuine customer and who is paid to advertise certain wares on forums. Any reasonably suspicious mention of any products - especially directly competing products - will be considered spam and we will reserve the right to remove the posting and, in case of posting links, we may ban the account or even the IP address. Someone who posts links to competing products will be IP-banned, even if it was a "genuine mistake" (due to not reading these rules beforehand..)

9. Please no product complaints

There are some unscrupulous competitors who, in the past, have done some outrageously unethical things to damage our business, so we can never be sure that any complaints on this forum are genuine. We therefore ask customers to email us with a refund- or replacement request instead. Product complaints should be handled by our service department and have no place in a forum that is a "how to use" questions-and-answers resource. Our customer service people do not read these forums. We always refund people who have a legitimate complaint.

10. Do not ask for advice with finding "alternatives" to our products

We offer excellent products at an unbeatable price. If you for some reason don't want to buy our products, you can't expect us to spend time helping you find a competing product. Especially not on a public forum intended to answer questions about our products.

11. Do not ask for advice on products that are not ours

Any type of questions related to any product we don't sell is strictly off-topic on this forum and is usually considered SPAM. Questions in that regard should be directed to the manufacturer or vendor of that product. We do not have time to investigate the countless products out there. You have to do that yourself or ask the vendor. A first violation of this rule will usually result in the deletion of the posting, subsequent ones will likely result in a posting ban.

12. If you are going to complain about how dermaneedling ruined your skin, please provide photographic evidence

We are not able to distinguish between bona-fide complaints and attacks by the laser/botox mafia if you don't provide evidence. We are not paranoid, see for example this posting for how people spread fake horror stories about damaged skin to discredit dermaneedling.

13. Posted pictures can not be removed or modified and by uploading them here, you license us an unlimited, non-exclusive, non-expiring right to use them on our websites or marketing materials as we see fit. You grant us the right to watermark them. You otherwise retain full Copyright.

This forum is intended as a resource for others. If you upload pictures, everyone, including we, know what the skin issue is about. If you later remove the picture, the thread loses important information, sometimes to the point of meaninglessness. If you are concerned about privacy, omit or mask your eyes, mouth etc. We can also do that for you after you posted the pictures to ensure your anonymity. Regular forum users do not have image modification/removal privileges. Please do not to link to pictures posted elsewhere but post them here. Linking to pictures posted elsewhere nearly guarantees they will soon disappear. This forum is a symbiosis between you and us. You get expert advice, we get your picture so that this forum remains the internet's #1 skin improvement resource. If you disagree with this policy, please do not post pictures - but then again, without picture it is very hard to give the best advice.

14. Post your own pictures - not pictures you found online

We are not allowed to use pictures from other sites, since we do not own the Copyright. If you are worried about getting recognized, you can put a black bar over your eyes. You can email us the photo so that we can do that for you and attach it to your posting.

15. Please do not post bad quality pictures or too large pictures

This is not a strict rule but a request: Pictures made by a webcam are of too bad quality, as well as pictures made in the dark. Do not compress pictures to a tiny size (20 KB or so) JPEG because all the detail will be lost. Make sure that when you make a picture of your skin, that you use sufficient light and that it is in focus. Please do not attach images straight from your camera, because those are many MB in size, as well as being absolutely huge in physical size. Resize them to for ex. a width of at most 1200 pixels and use 20 to 30% JPEG compression. Postings with blurry pictures will be deleted. Only post sharp, well-lighted pictures please.

16. Please do not post links to pictures but the pictures themselves

Otherwise the links will inevitably become "dead links" eventually.

17. Please do not ask for medical advice.

Dermaneedling instruments with a needle length longer than 0.25 mm are classified in the entire Western world as "medical instruments". In spite of what other vendors may claim, their sale is illegal, worldwide, and the FDA takes action against the sellers:

Our payment processors - all payment processors - actively police what a vendor sells and whether the items are in compliance with the applicable laws in the seller's country as well as in the buyer's countries. We were not so long ago forced by PayPal to stop selling a product that was perfectly legal in the US, but it was prohibited in the EU. Even though we did not sell it to the EU. The total damage done to our company was more than one million dollars and we had to fire people. I mention this to illustrate that we're talking about real danger to our company as soon as we even give a faint impression to MAYBE violate any law, anywhere. Merely indicating to PayPal that we "give medical advice for medical products" might be sufficient to shut our company down forever. PayPal still allows all our competitors to sell the same product. They gave us one hour to stop selling ours or they would blacklist us forever. This is unfortunately how things work nowadays.

This means that we are taking a big risk, selling dermaneedling instruments, and we hope our customers appreciate the fact that we sell the best quality instruments for an honest price, and give the most comprehensive, well-researched dermaneedling information in the business in the form of various PDF's, articles and thousands of forum replies.

Even though the sale of dermaneedling instruments is a criminal offense because they are classified worldwide as unlicensed, unapproved medical instruments, it is not an offense to give general dermaneedling information. However, if we answer a specific question to a customer who purchased or will purchase one of our dermaneedling instruments, then the act of answering this question is a criminal act, namely the offense of practicing medicine without a license. Giving any kind of personalized or specific advice is a criminal offense (in all western countries), as can be verified here:

Our risk of answering any question, however remotely related to the actual dermaneedling treatment you may think it may be, is very severe. If a customer for example would sue us for perceived bad advice, the customer would win litigation by default because we illegally sold a prohibited medical instrument and unlawfully dispensed medical treatment advice. A court would rule for us to pay damages and penalties.

Answering ANY question about dermaneedling, ESPECIALLY questions of which incorrectly implementing the answer could negatively affect treatment outcome such as questions about disinfection procedures, needle length, needling techniques, pre- and post-treatment products and procedures, needling duration, intervals, intensity and frequency is therefore impossible for us, since it would be adding a second crime to the crime of selling you the medical device in the first place. We can most likely get away with the crime of having sold you a dermaneedling instrument, as long as we don't make the mistake of adding the additional crime of practicing medicine without a license, because statistically, if we do this with tens of thousands of customers, there will inevitably be some who will later sue us, and we would lose all cases.

Thank you for your understanding.

Dermarolling / Microneedling / Acne Scars
« on: February 01, 2012, 06:05:32 PM »
Dermarolling can be used on raised scars but not on keloids.  Actually, I have heard about cases of keloids being improved by dermarolling however, keloids react unpredictably and dermarolling, excision, laser treatment or any other serious disruption can trigger the keloid to grow more. Steroids (e.g. Kenalog) cause skin atrophy and are therefore used to reduce keloids.


  If you can, avoid rolling them or try a dermastamp on a very small part of your keloids and you will see. There is no other way to find out.

You meant vit. A instead of vit. E, correct?

Why use Tretinoin for stretch marks:


Tretinoin however is not a good moisturizer, it actually dries out the skin so you have to apply a good moisturizer such as Infadolan on top of Tretinoin.

Dermarolling / Microneedling / acne after dermarolling
« on: February 01, 2012, 05:20:21 PM »
Tiny red bumps that appear after dermarolling are normal. Most "homerollers" do not get them but it is not uncommon. The same happens after acid peels or laser treatments in some people. It doesn't mean you are allergic to it. Usually, the skin gets used to dermarolling after a while and the red bumps do not appear any more.

Dermarolling / Microneedling / Kelo-cote cream for hypertrophic scars
« on: February 01, 2012, 05:19:27 PM »
If the scars are raised, you should definitely perform the pressure massage, both with and without needling:


I'm afraid I cannot say what is the most effective cream for raised scars in combination with needling. So far there is no cream that would reliably reduce every type of raised scar. You will have to improvise.  Please let us know your results.

(1) Either in the same session (if you have just a few stretch marks) or spread it out. It means roll the whole area with a regular 1.5 mm roller and during the next five weeks, single needle or use a 1.5 mm one liner dermaroller on stretch marks whenever you have time. You can for example thoroughly single needle every day five stretch marks (every day different ones) until they are all done. You should complete the single needling or one liner rolling of all your stretch marks within five weeks.


(2) We hoped to have Tretinoin for sale at the end of January but we encountered quite a few problems and it got delayed. In a day or three, we will start selling a 0.025% Tretinoin cream for sensitive skin - price $17,- for 18 grams. We plan to sell 0.05% and 0.1% as well. However, a high percentage can irritate the skin without having more effect than lower percentages.

(3) You must keep the treated area moisturized. Using oils is a good choice, except for acne prone skin:


(4) Single needling is more laborious and more difficult to do than the one liner roller. Needling is the most aggressive, intensive and targeted treatment for stretch marks however many customers got great results with the one liner (roll densely). In any case, for the best results, dermarolling of stretch marks with a regular dermaroller should be combined with the intensive methods – single needling or/and the one liner dermaroller. The fewer the needles a dermaroller has, the deeper they penetrate.  A 1.5 mm one liner penetrates deeper than a regular 1.5 mm dermaroller.

Because that question is off-topic here, I answered your question in a new thread:

Dermarolling / Microneedling / Meladerm and dermarolling
« on: January 30, 2012, 01:21:43 PM »
>Also, I am using a cream called meladerm by civant for hyperpigmentation, it is all

>natural extracts, no bleaching agents that are harmful to the skin. Would it be okay to

>use something like that the 1st day after rolling to get the benefits of it really getting

>into the skin, or would it be best to wait until the following day? And any other

>suggestions you might have on hyperpigmentation would be appreciated


  Meladerm contains:

  Kojic Acid, Alpha-Arbutin, Niacinamide, Mulberry Extract, Bearberry Extract, Licorice Extract, Tego® Cosmo C250, Gigawhite, Lemon Juice Extract, and Emblica Extract.


  Kojic acid is a skin-lightening agent (a mild inhibitor of melanin). In some individuals it causes dermatitis.


  You can certainly apply it the first day after rolling with a 1.5 mm dermaroller. Nevertheless, skin-lightening agents have to be applied frequently to continuously prevent melanin production.


  Regularly using short-needled (0.2 mm) dermarollers to enable the enhanced and deep penetration of skin lightening products can be very useful in pigmentations that are in the dermis (deeper skin layer) such as dermal Melasma. Unfortunately, some skin lightening agents such as hydroquinone are not completely side-effect free (hydroquinone is banned in Europe) their application should be discontinued for fourl weeks every three months.


  Kojic acid sometimes causes dermatitis and regularly enhancing its absorption through dermarolling will increase its effectiveness but it may also enhance the likelihood of dermatitis in certain individuals. If the skin gets too irritated, stop applying it with dermarolling or reduce the frequency of application.


  Related topics:

Dermarolling / Microneedling / Using microderm with needling
« on: January 29, 2012, 02:25:58 PM »
If glycolic acid worked for you, I see no reason to stop using it. Salicylic acid is even better for acne and blackheads-prone skin because it has a comedolyitic (de-clogging) effect. It penetrates the pores and disrupts the sebum that plugs them. There is a popular myth that blackheads consist of dirt and they are caused by poor hygiene. Blackheads are in fact a mixture of sebum (oily substance produced by sebaceous glands inside the pore) and keratin (a tough, protective protein in the outer layer of the skin). The dark color of blackheads is due to accumulated melanin pigment deposition. Melanin is a pigment normally present in the skin, making up our skin color. The blackheads are only pigmented at the tip.

  To get rid of blackheads, you have to soften the keratin-sebum mixture. It is not an easy task. Keratin is very strong and tough material. In combination with oily sebum, it basically forms "glue" that plugs the pore. Keratolytics are substances that soften keratin. Salicylic acid is a keratolytic. Prolonged exposure to warm water also softens keratin however, oily sebum repulses water, and moreover you cannot dissolve the plugs with water or soap.

  Salicylic acid is oil-soluble (contrary to glycolic acid and other Alpha Hydroxy Acids) and therefore can penetrate the oily pore and soften the plug. Prolonged contact with the skin is needed. Cleaning the skin with a product containing salicylic acid is good but not enough. Every now and then, you have to apply a higher percentage of salicylic acid, massage it into the pores and leave it on the skin for an hour or longer.

  Furthermore, it has anti-inflammatory and anti-microbial properties, making it ideal for acne control.

  To make a long story short, I think you will be much better off with salicylic acid than microdermabrasion.

  The plugs can also be softened by prolonged contact with oils:

Dermarolling / Microneedling / Proper age
« on: January 29, 2012, 12:20:38 PM »
Yes, you can use it at your age. Oily skin and skin texture tend to improve with regular rollings and since you have no scars, a 0.5 mm dermaroller is a good size for you.  It will speed up the turnover of the skin and thus partially prevents clogging of the pores, excessive oiliness and post acne red marks. Nevertheless, dermarolling is much more successful in improving acne scars than enlarged pores. Pores are ducts in the skin and there is currently no reliable method to permanently reduce their size. Very many customers reported improvement of acne scars and much fewer customers reported improvement in pore size after dermarolling. Let us know if you succeed.

Sorry about your experience. Infadolan usually doesn't cause breakouts in acne-prone individuals if used for a day or two but obviously sometimes it does. Rarely, dermarolling itself can trigger a few breakouts, especially at the beginning before the skin gets used to rolling.


  Using A-Ret all over the face after dermarolling is not a good idea. It contains an acidic form of vit. A and it would unnecessarily irritate the skin and cause pain. You should pre-treat your skin with the A-Ret cream /gel prior to dermarolling and restart using it about two days after dermarolling with a 1.5 mm dermaroller.

  Grapeseed oil or vit. E oil are good alternatives. The skin's protective layer is partially compromised for a day or two after dermarolling (especially if using needle length > 0.5mm). To enable optimal healing and protection, the skin should be kept as moisturized as possible after rolling/needling.


  I explain here why oils are excellent moisturizers:

Dermarolling / Microneedling / Why use Tretinoin for stretch marks?
« on: January 28, 2012, 12:20:20 PM »
Canada sometimes confiscates the A-Ret (Tretinoin) because in some countries such as in Canada, it is only available on prescription. Your family doctor can prescribe it for you. Tell him/her for example you want it for anti-aging purposes.


  All your other mentioned products are OK to be sent to Canada.


  You can apply any creams you like, however concerning Tretinoin, there are medical studies showing that Tretinoin improves stretch marks. Tretinoin was much more effective for early stretch marks than old stretch marks however, a mature scar such as an old stretch mark consist of tough collagen bundles that basically prevent absorption of Tretinoin whereas a fresh stretch mark is still penetrable. Dermarolling /needling will crush the hard collagen bundles scar tissue of an old stretch mark and make it penetrable for Tretinoin. That is why I recommend using Tretinoin even for old stretch marks. It is certainly worth trying. Dermarolling highly enhances the absorption of any creams so there is no reason using very high percentages of Tretinoin.  We will soon sell a 0.025%, 0.05% and 0.1% Tretinoin cream in our shop.

  Unfortunately, Tretinoin cannot be used when pregnant, planning a pregnancy or while breastfeeding.



  Topical Tretinoin (Retinoic Acid) Improves Early Stretch Marks

Sewon Kang, MD; Kwang J. Kim, MD, PhD; Christopher E. M. Griffiths, MD; Tai-Yuen Wong, MD; Harvinder S. Talwar, PhD; Gary J. Fisher, PhD; David Gordon, MD; Ted A. Hamilton, MS; Charles N. Ellis, MD; John J. Voorhees, MD

Arch Dermatol. 1996;132(5):519-526.

Background and Design

Stretch marks are disfiguring lesions usually caused by excessive stretching of skin. We investigated the response of early, clinically active stretch marks to topical 0.1% tretinoin (retinoic acid) cream. In a double-blind, randomized, vehicle-controlled study, 22 patients applied either 0.1% tretinoin (n=10) or vehicle (n=12) daily for 6 months to the affected areas. Patients were evaluated by physical examination monthly and by analysis of biopsy specimens of stretch marks obtained before and at the end of therapy in comparison with untreated normal skin.  




After 2 months, patients treated with tretinoin had significant improvement in severity scores of stretch marks compared with patients who received vehicle (P<.05). After 6 months, eight (80%) of the 10 tretinointreated patients had definite or marked improvement compared with one (8%) of the 12 vehicle-treated patients (P=.002). Targeted stretch marks in patients treated with tretinoin had a decrease in mean length and width of 14% and 8%, respectively, compared with an increase of 10% (P<.001) and 24% (P=.008), respectively, in patients who received vehicle. There were no significant differences in various measures of quality and quantity of dermal collagen and elastic fibers in stretch marks when tretinoin and vehicle treatments were compared.


Topical application of tretinoin significantly improves the clinical appearance of early, active stretch marks. The processes that are responsible for the clinical improvement remain unknown.

Topical tretinoin 0.1% for pregnancy-related abdominal striae: An open-label, multicenter, prospective study

Onésimo Rangel, Isabel Arias, Edith García and Sergio Lopez-Padilla


In an open-label, multicenter, prospective study, 20 women applied tretinoin (retinoic acid) cream 0.1% daily for 3 months to pregnancy-related stretch marks in the abdominal area. Efficacy was evaluated by analysis of one preselected target lesion, which was rated on a six-point scale (−1 = worse to 4 = cleared). At week 12, significant global improvement was noted from baseline in all stretch marks, and the target lesion decreased in length by 20% (P = .01). Erythema and scaling, the most common adverse events, occurred in 11 patients, decreased in severity after the first month of treatment, and were controlled with continued application of tretinoin and petroleum jelly ointment. In this small study, topical application of tretinoin significantly improved the clinical appearance of pregnancy-related stretch marks.

More about Tretinoin

Dermarolling / Microneedling / Saline injections for acne scars
« on: January 26, 2012, 04:28:31 PM »
Subcision is a different technique than saline injections. Those two are sometimes combined in one session but the insertion of the needle is done differently.


  In subcisson, a strong needle is inserted horizontally under the scar and moved left to right under the scar to cut off the fibrous attachments that hold the scar down. The space that is formed under the scar by subcision is then filled by saline solution. The saline solution is injected approximately under a 45-degree angle. This is the angle:

  Q is the skin,

  R is the needle.


  Saline solution injections do not have to be combined with subcision. I do not recommend doing a subcision at home. It is quite difficult procedure and it can leave scars or nodules.


  Instead of the subcision, needle the scar with the single needle from various angles and various depths (max. 2 mm).


  In any case, saline injections are not inserted horizontally under the scar but directly into the scar, under an angle of approximately 45 degrees.


  Anyway, you should only resort to saline injections if you do not get satisfactory improvement by needling, stamping or dermarolling.

The combination of a 0.5 dermaroller and a 1.5 mm dermastamp proved to be very effective for acne scars and uneven skin texture. Good choice.

  You do not have to use Infadolan but keep the skin well moisturized after dermarolling or stamping. Infadolan is a semi-occlusive ointment that prevents water evaporation from the skin and thus keeps it extra moisturized. Adding "water creams" or glycerin to the skin does not moisturize it for more than several minutes. Topically added water actually increases the evaporation of water from the skin. The skin contains enough water. The top layer of the skin works as a barrier that prevents evaporation from the skin. If this barrier doesn't work properly or is temporarily compromised, the skin becomes dry. Adding water does not solve it. Establishing a barrier that prevents water evaporation solves it. That is why oils are much better moisturizers than any light moisturizing cream because oils form a film on the skin that prevents the evaporation of water. The film however can be a problem with acne prone skin.

  If you are prone to acne,  apply a cream you are used to. Preferable a little heavier cream than a very light hydrating cream. Especially after rolling with long needles.

  No, you do not have to stop using your skin care products with salicylic acid but do not use it on the day after rolling or stamping with long needles (> 0.5 mm). A day after is already OK, provided the skin is not "raw" any more.

Dermarolling / Microneedling / Acne Scars
« on: January 26, 2012, 02:53:53 PM »
The most efficient method for your type of skin texture and scars is to roll your whole face twice a week with a 0.5 mm dermaroller and use a 1.5 mm dermastamp on your scars every three weeks. You do not have to stamp all scars on both cheeks in one go. It is better to stamp thoroughly the scars on one cheek and some time later on the other cheek.


  Are you sure the scars are real keloids and not just raised scars? Keloids are very rare. The difference between a keloid and a hypertrophic scar is that a hypertrophic scar is raised but it is more or less within the boundaries of the original injury. Keoloid scars totally outgrow the original boundaries of the injury and they grow to all directions.


  The only way to find out how your skin reacts to rolling/stamping is trying it on a small patch of skin and letting it heal.


  You can definitely roll or stamp over the hyperpigmented scar that is in the photo.


  If your pores are clogged, use salicylic acid or/and you can try this:


  The oil cleansing method works wonders for many but in some prone individuals, it triggers a breakout of acne. It is wise trying it first on a small part of the face.