Skin Needling

Skin Needling

Renew & Refresh

Skin needling, or microneedling, is one of the most versatile cosmetic treatments on the market. It uses the power of your skin’s natural healing process to leave you with the youthful, healthier appearance you crave. Skin needling is a form of controlled injury to the skin, but the result is anything but scary. Tiny pinpricks into the surface of the skin cause targeted areas to essentially wake up and take notice, starting the body’s healing processes and boosting collagen production.

There aren’t that many cosmetic treatments that have quite as many applications as microneedling. The micro treatment improves acne scars and sun damage, boosts elastin production and smooths uneven skin texture. It can treat fine lines and wrinkles, reduce the appearance of stretch marks and improve the skin’s overall tone.

We’re not done yet.

Multi-purpose skin needling can also reduce the size of your pores and promote hair growth in areas where it’s thinned out.

If you’re looking to address several problems with your skin, revolutionary skin needling may be the treatment for you. Explore the kinds of things microneedling in Orange County can do for you. Our experts at the Med Lounge can develop a treatment plan for you that will leave your skin looking and feeling its best.

Benefits of Skin Needling


Increase in collagen production

Boost in elastin

Minimize scars and imperfections

Facial rejuvenation

Improved skin tone

Reduced fine lines and wrinkles

Brighter appearance

Minimal downtime

Frequently Asked Questions

Skin needling is a micro treatment that involves tiny punctures to targeted areas at the skin’s surface to boost collagen and elastin production. It is also known as microneedling or collagen induction therapy and is one of the safest, most effective cosmetic treatments out there targeting the skin’s surface.

Microneedling works by spurring your body’s natural healing processes into action. The tiny needles used in your procedure create a healing response from the skin that bumps up collagen and elastin production.

Essentially, your body is responding to micro-injuries during your treatment. That healing process results in fresh, rejuvenated skin and a return to a more youthful-looking appearance.

Skin needling has a wide range of applications. It targets fine lines and wrinkles, stretch marks, acne scarring, sun damage, uneven skin tone and even hair loss. Your provider at the  Med Lounge will be able to provide you with a treatment plan that will address any problems you’re having with your skin and determine whether microneedling is right for you.

Skin needling is not appropriate for anyone with active skin infections, problems with wound healing or painful, active acne breakouts. Pregnant women or women considering becoming pregnant should not be receiving skin needling treatments.

Most patients report they don’t feel much of anything during the procedure. Your provider will apply a topical anesthesia or numbing cream that will leave you more comfortable during your skin needling treatment. Tell your provider if you’re experiencing any discomfort during the procedure.

Some patients will experience tightness, dryness and swelling in treatment areas post-procedure. Those symptoms typically go away within a few days, but it’s important to be gentle with your skin in the days that follow your treatment.

For the best results, most providers will recommend a series of four treatments, spaced 4-6 weeks apart, depending on your skin concerns. Deeper set wrinkles or more extensive scarring may require additional treatments.

Most patients benefit from touchup treatments every six months after their initial series. Our experts at the Med Lounge can help come up with a treatment plan for you that will work to address your personal goals.

Results from a microneedling treatment vary based on targeted areas and skin concerns addressed during your treatment. Most patients will see results lasting anywhere from 3 to 5 months after their initial series of treatments. Being kinder and gentler with your skin and following any additional recommendations from your provider will allow your results to last longer.

What to Expect With Skin Needling

For the best results and to reduce the chance of any side effects after your treatment, our experts at the Med Lounge have a few tips around what to expect with skin needling before and after your procedure.


  • Let your doctor know if you have a history of cold sores. You’ll need a prescription to get rid of any active infection or prevent an infection after your treatment.
  • Avoid any anti-inflammatories or blood-thinning medications for up to 3 days before your treatment. Those include but aren’t limited to: aspirin, Motrin, ibuprofen, and Aleve. If you take daily aspirin for a history of heart disease, talk to your doctor before stopping your aspirin routine.
  • Avoid shaving the day of your skin needling treatment. Shaving can leave your skin more vulnerable to skin irritation. If you wax, use depilatory creams or electrolysis for your hair removal; avoid doing so for up to a week before your treatment.
  • Try to avoid too much sun in the two weeks before your skin needling treatment. You don’t want to come to your appointment with a sunburn, which would leave your skin more sensitive.
  • Avoid any topical treatments that include retinoids, exfoliants, topical antibiotics and acids, which may leave your skin more sensitive in the week before your skin needling procedure. 
  • Come to your appointment fresh-faced. You’ll want your face clean of any topical creams, sunscreens or lotions before your treatment.


  • Be gentle with your skin in the first 72 hours after your treatment. You can return to your regular skincare routine within a few days. That includes washing your face. Ask your provider about any retinols you use regularly and how long you should abstain from applying them to treatment areas.
  • Avoid intense exercise or any strenuous activities in the 24 hours after your treatment. It’s not about straining your face, but sweat causing a potential reaction. Avoid time at the pool for 24 hours post-treatment.
  • Avoid any direct sun exposure or lengthy time in the sun in the week after your treatment. You shouldn’t wear sunscreen in the 12 hours post-treatment but can apply it after that point if you must spend any time outside. Wear a hat if you need to be outside in the week after your skin needling.
  • Stay fresh-faced in the 24 hours after your treatment. That means no makeup.
  • Dry, sensitive skin is normal after your treatment. Redness and minor swelling may also happen with some patients but should go away within a few days. Be gentle with your skin to promote the healing process.
  • Talk to your provider if symptoms persist or if you’re experiencing more severe side effects like excessive bruising or signs of infection.

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BOTOX® Cosmetic (onabotulinumtoxinA) Important Information



BOTOX® Cosmetic (onabotulinumtoxinA) is indicated in adult patients for the temporary improvement in the appearance of:

– Moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity

– Moderate to severe lateral canthal lines associated with orbicularis oculi activity


– Moderate to severe forehead lines associated with frontalis activity





Postmarketing reports indicate that the effects of BOTOX® Cosmetic and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have an underlying condition that would predispose them to these symptoms. In unapproved uses and approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and spasticity and at lower doses.


BOTOX® Cosmetic is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.


Lack of Interchangeability Between Botulinum Toxin Products

The potency units of BOTOX® Cosmetic are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, units of biological activity of BOTOX® Cosmetic cannot be compared to nor converted into units of any other botulinum toxin products assessed with any other specific assay method.

Spread of Toxin Effect

Please refer to Boxed Warning for Distant Spread of Toxin Effect.

No definitive serious adverse event reports of distant spread of toxin effect associated with dermatologic use of BOTOX® Cosmetic at the labeled dose of 20 Units (for glabellar lines), 24 Units (for lateral canthal lines), 40 Units (for forehead lines with glabellar lines), 44 Units (for simultaneous treatment of lateral canthal lines and glabellar lines), and 64 Units (for simultaneous treatment of lateral canthal lines, glabellar lines, and forehead lines) have been reported. Patients or caregivers should be advised to seek immediate medical care if swallowing, speech, or respiratory disorders occur.

Serious Adverse Reactions With Unapproved Use

Serious adverse reactions, including excessive weakness, dysphagia, and aspiration pneumonia, with some adverse reactions associated with fatal outcomes, have been reported in patients who received BOTOX® injections for unapproved uses. In these cases, the adverse reactions were not necessarily related to distant spread of toxin, but may have resulted from the administration of BOTOX® to the site of injection and/or adjacent structures. In several of the cases, patients had pre-existing dysphagia or other significant disabilities. There is insufficient information to identify factors associated with an increased risk for adverse reactions associated with the unapproved uses of BOTOX®. The safety and effectiveness of BOTOX® for unapproved uses have not been established.

Hypersensitivity Reactions

Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, serum sickness, urticaria, soft-tissue edema, and dyspnea. If such reactions occur, further injection of BOTOX® Cosmetic should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent and, consequently, the causal agent cannot be reliably determined.

Cardiovascular System

There have been reports following administration of BOTOX® of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including pre-existing cardiovascular disease. Use caution when administering to patients with pre-existing cardiovascular disease.

Increased Risk of Clinically Significant Effects With Pre-existing Neuromuscular Disorders

Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from onabotulinumtoxinA (see Warnings and Precautions).

Dysphagia and Breathing Difficulties

Treatment with BOTOX® and other botulinum toxin products can result in swallowing or breathing difficulties. Patients with pre-existing swallowing or breathing difficulties may be more susceptible to these complications. In most cases, this is a consequence of weakening of muscles in the area of injection that are involved in breathing or oropharyngeal muscles that control swallowing or breathing (see Boxed Warning).

Pre-existing Conditions at the Injection Site

Caution should be used when BOTOX® Cosmetic treatment is used in the presence of inflammation at the proposed injection site(s) or when excessive weakness or atrophy is present in the target muscle(s).

Dry Eye in Patients Treated With BOTOX® Cosmetic

There have been reports of dry eye associated with BOTOX® Cosmetic injection in or near the orbicularis oculi muscle. If symptoms of dry eye (eg, eye irritation, photophobia, or visual changes) persist, consider referring patients to an ophthalmologist.

Human Albumin and Transmission of Viral Diseases

This product contains albumin, a derivative of human blood. Based on effective donor screening and product manufacturing processes, it carries an extremely remote risk for transmission of viral diseases and variant Creutzfeldt-Jakob disease (vCJD). There is a theoretical risk for transmission of Creutzfeldt-Jakob disease (CJD), but if that risk actually exists, the risk of transmission would also be considered extremely remote. No cases of transmission of viral diseases, CJD or vCJD have ever been identified for licensed albumin or albumin contained in other licensed products.


The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for glabellar lines were eyelid ptosis (3%), facial pain (1%), facial paresis (1%), and muscular weakness (1%).

The most frequently reported adverse reaction following injection of BOTOX® Cosmetic for lateral canthal lines was eyelid edema (1%).

The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for forehead lines with glabellar lines were headache (9%), brow ptosis (2%), and eyelid ptosis (2%).


Co-administration of BOTOX® Cosmetic and aminoglycosides or other agents interfering with neuromuscular transmission (eg, curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated. Use of anticholinergic drugs after administration of BOTOX® Cosmetic may potentiate systemic anticholinergic effects.

The effect of administering different botulinum neurotoxin products at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by

administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin.

Excessive weakness may also be exaggerated by administration of a muscle relaxant before or after administration of BOTOX® Cosmetic.


There are no studies or adequate data from postmarketing surveillance on the developmental risk associated with use of BOTOX® Cosmetic in pregnant women. There are no data on the presence of BOTOX® Cosmetic in human or animal milk, the effects on the breastfed child, or the effects on milk production.


Please see BOTOX® Cosmetic full Prescribing Information including Boxed Warning and Medication Guide.