Sometimes, no matter how consistent your skincare routine is, your skin just doesn’t improve. Maybe it’s the acne scars that won’t fade, or the fine lines that deepen every day. But what if the problem isn’t just what you’re using on your skin, but how your skin heals itself?
Microneedling taps into your body’s natural repair power, awakening the skin beneath the old one. If you’ve been searching for a way to truly reset your skin, understanding what happens before and after micro needling could be the key.
Microneedling Definition
Microneedling is a type of cosmetic treatment that gently creates tiny openings in the skin to encourage natural healing. The procedure involves very small, sterile needles to help the skin heal itself and eliminate the appearance of fine lines, acne scars, enlarged pores, and other skin surface issues.
Those tiny needle pricks tell your body to start making more collagen and elastin, the proteins that keep your skin firm, smooth, and looking young.
Most people use microneedling on their face and neck, but it can also be done on other areas of the body. In fact, one study published in the Aesthetic Surgery Journal showed a 93.8% improvement in wrinkles, especially around the neck.
Now let’s take a closer look at how microneedling works specifically on the face.
What Is Micro Needling on Face?
During microneedling, a small device with tiny needles is gently rolled or pressed across your face. These little needles make tiny, controlled pricks at just the right depth.
Microneedling is especially popular for targeting:
● Acne scars and surgical scars
● Lines and creases in the skin
● Enlarged pores
● Uneven tone and texture
According to the latest studies published in the National Library of Medicine, microneedling can also enhance the absorption of topical skincare products, making treatments like hyaluronic acid or PRP (platelet-rich plasma) even more effective.
Skin Concerns Before Microneedling
From acne scars to crepey neck skin, these conditions are more common than you’d think, and they often prompt people to explore microneedling facial treatments.
How Skin Conditions Develop
Skin issues usually develop gradually over time, from months to years, thanks to things like aging, sun damage, hormones, or old breakouts. Understanding the root cause gives context to what microneedling is treating and what results to expect.
Acne Scars
Acne scars, especially the pitted kind, are persistent because inflamed breakouts damage the skin and the tissue around them. As the skin heals, it doesn’t always regenerate evenly, leaving behind indentations or dark marks like the one above.
Lines and creases in the skin
As we age, natural collagen production declines. Combined with facial expressions and sun exposure, this leads to visible lines, especially around the eyes, forehead, and mouth (as seen in the above photo).
Stretch Marks
Rapid skin stretching, such as during pregnancy, puberty, or weight fluctuations, can tear the dermis, leaving stretch marks like the ones above.
Neck Laxity (for “microneedling for neck tightening”)
Neck skin is naturally thinner and tends to lose firmness quicker. Microneedling helps by boosting collagen, which tightens and refreshes the area.
Before and After Micro Needling: Real Results With Photos
In this section, you’ll see real before and after micro needling photos and get a clear idea of what kind of changes to expect along the way.
Microneedling Before and After Acne Scars
Case 1: Acne Scars in a 43-Year-Old Patient

a) Before b) after
In the "before" picture, the 43-year-old patient shows clear pitted acne scars on both cheeks, which are a typical sign of atrophic scarring. Such irregularities and creases in the skin make it look dull and bumpy.
In the “after” picture, once five microneedling sessions are done, the “after” photo shows much smoother skin. You can notice softer-looking skin, scar depth is lower, and the complexion is smoother. Using PRP (platelet-rich plasma) with the treatment speeds up both healing and the production of collagen, which helps explain the clear improvement.
So while results take a bit of time, the difference, especially in texture, is totally worth it.
Case 2: Fine Lines and Wrinkles Around the Eyes and Mouth

a) Before b) After
In the “before” picture, the patient, who is middle-aged, shows crow’s feet and marionette lines. The tired appearance of the skin is caused by a lack of collagen.
By the third session, the photo after treatment shows softer wrinkles, a more balanced tone, and firmer skin, especially around the eyes. You can clearly see that collagen is rebuilding, since the skin has become firmer and rejuvenated.
Results become more noticeable after microneedling before and after 1 treatment, but true transformation typically occurs around session 3 or beyond.
Case 3: Stretch Marks on the Abdomen of a 37-Year-Old Woman

a) before
b) After
The "before" picture clearly shows white and silver stretch marks called striae alba on the lower abdomen. They stand out because they are textured differently, sunken and rough.
In the “after” picture, four sessions with 1.5mm needles and hyaluronic acid serum resulted in marks that are lighter and look better with the rest of the skin. The skin looks smoother and flatter and has better pigmentation and tone.
This treatment is especially helpful on thicker-skinned areas like the stomach, thighs, or butt. That’s why slightly longer needles (1mm or more) are usually used for stretch marks compared to treatments on the face.
Here’s what you can expect:
● Newer stretch marks (red or purple ones, called striae rubra) tend to respond faster.
● Older white marks (striae alba) take more sessions to fade, but they can still improve a lot.
● Most people start seeing changes after about 3 to 5 sessions, and results keep getting better as your skin keeps rebuilding.
● For stubborn stretch marks, combining microneedling with other treatments (like radiofrequency or skin-repair serums containing hyaluronic acid, peptides, or growth factors) can help speed things up.
While microneedling won’t make stretch marks disappear completely, it can make them way less obvious—enough that they blend in more with the rest of your skin.
Case 4: Neck Laxity in a 56-Year-Old Male
The neck is often overlooked in skincare, but microneedling can significantly improve its firmness and tone. Collagen loss in the neck area leads to sagging skin or what’s commonly called “neck laxity.”

a) Before b) After
The "before" picture presents the patient with a mild to moderate drooping neck, with horizontal bands and less tightness. The skin has deep lines and appears old.
In the “after” picture, six sessions of microneedling along with peptide-rich firming serum resulted in a firmer, smoother neck, fewer lines and a tighter look in the “after” photo. The skin around the neck looks smoother and more uplifted.
Why Does Microneedling For Neck Tightening Work So Well?
Microneedling for neck tightening works well because it jumpstarts collagen production, exactly what thinner skin needs to regain elasticity and firmness. Most professionals start with shallower needles here and slowly work up to deeper ones as your skin adjusts.
Pro Tip: Pair microneedling with hyaluronic acid or firming serums to keep your skin hydrated and support better results during healing. For an extra boost, antioxidants or peptide serums can help enhance the lifting and smoothing effect over time.
So while it takes a little patience, microneedling is a solid option if you’re aiming for a tighter, more refreshed-looking neck.
Before Your Treatment: What to Do
To get the best before and after micro needling results, it’s important to take good care of your skin ahead of time. Prepping properly not only makes the healing process smoother but also helps your results show up more clearly.
Here’s what to keep in mind in the days leading up to your session:
About 1 week before:
● Stop using retinoids, glycolic acids, or any exfoliating products.
● Talk to your doctor and pause any blood-thinning supplements like fish oil or vitamin E.
● Avoid sunbathing, your skin needs to be calm and not sunburned.
2 to 3 days before:
● Ditch any harsh skincare products.
● Drink plenty of water. Hydrated skin responds better to treatment.
● Cut back on alcohol to reduce swelling and irritation.
Picking the Right Professional
Who you choose to do your microneedling matters a lot. The right expert can make all the difference in your before and after micro needling results. Here’s what to look for:
● Make sure your provider is a board-certified dermatologist or a licensed aesthetician trained in microneedling.
● Ask what device they use. Automated pens usually give more even results than old-school derma rollers.
● Check that they follow strict hygiene rules and always use sterile, single-use needles.
Ask questions. A good clinic will explain the procedure, talk about possible side effects, and even share microneedling reviews before and after the procedure.
What Happens During the Treatment?
While it may sound intense, most patients find the session manageable, especially with a numbing cream applied beforehand. Here's a quick breakdown:
● Step 1: Numbing: A topical anesthetic is applied 20–30 minutes prior
● Step 2: Treatment: Once the skin is numb, a trained provider glides a microneedling device, either a pen or a roller, across your skin.
● Step 3: Aftercare: A soothing serum or mask is applied post-procedure.
Needle Depths and Treatment Types
The needle depth determines how deep the device penetrates, and what concerns it targets:
● .5 microneedling is often used for surface-level issues like pigmentation and enlarged pores.
● Microneedling 1mm reaches deeper into the dermis, making it suitable for mild acne scars and fine lines.
Advanced treatments may also pair microneedling with PRP (platelet-rich plasma) or radiofrequency for enhanced results.
How Many Sessions Are Needed?
Results build gradually. For minor issues, you may see improvement after one treatment. However, most people need a series of 3 to 6 sessions, spaced 4 to 6 weeks apart, for noticeable change.
Immediate Aftercare Post-Microneedling
What you do in the first 24 to 72 hours can make or break your before and after micro needling outcome.
What to Expect Immediately After Treatment
Microneedling causes micro-injuries in the skin, so some temporary side effects are completely normal. Here’s what most people experience:
● Redness (similar to a sunburn)
● Mild swelling or tightness
● Sensitivity and warmth
● Light peeling (in some cases)
These reactions usually subside within 24 to 72 hours. However, how you treat your skin during this time directly affects how fast you recover, and how dramatic your micro needling before after results will be.
What to Put on Face After Microneedling
Your skin’s barrier is temporarily compromised post-treatment, so you need to be extra cautious with your product choices. The goal is to soothe, hydrate, and protect, not irritate.
To get the best before and after micro needling results, here’s what’s usually recommended for the first 72 hours:
● Gentle cleanser: Use a fragrance-free, sulfate-free cleanser.
● Hydrating serum: Hyaluronic acid is a top choice. It plumps and supports healing.
● Soothing moisturizer: Look for ceramides, peptides, or ingredients like panthenol.
● Mineral sunscreen
Right after microneedling, your skin is extra sensitive and healing, so it’s important to steer clear of certain things to avoid irritation or damage:
● Active ingredients like vitamin C, retinoids, and acids such as AHAs (Alpha Hydroxy Acids) and BHAs (Beta Hydroxy Acids). These can be too harsh on your fresh skin.
● Products with fragrance or alcohol, since they can cause stinging or dryness.
● Heavy makeup, try to avoid putting it on for at least 24 to 48 hours to let your skin breathe and heal.
● Physical exfoliants or scrubs can irritate your skin and slow down the healing process.
Applying the wrong product after microneedling can cause stinging, inflammation, or even post-inflammatory hyperpigmentation.
Post Microneedling Care Routine
Let’s break down what your routine might look like in the first few days after treatment:
Day |
Morning |
Evening |
Day 1 |
Rinse with lukewarm water, apply hyaluronic acid, and use mineral SPF |
Gentle cleanser, hydrating serum, and lightweight moisturizer |
Day 2-3 |
Gentle cleanse, HA serum, SPF |
Clease, moisturize, no actives yet |
Day 4+ |
Resume regular routine gradually |
Introduce actives only if the skin feels fully healed |
Other Key Aftercare Tips
In order to see a positive difference in your before and after micro needling photos, especially after a procedure, you will need to:
● Avoid sweating: Skip workouts and saunas for 24-48 hours.
● Don’t touch or pick, and avoid applying makeup: Let your skin breathe and heal naturally before applying foundation and concealer
● Use a clean pillowcase: Your skin is more prone to bacteria post-treatment.
● Stay out of the sun: UV exposure can worsen irritation and delay healing.
● Avoid hot showers, saunas, and steam rooms: Heat can aggravate the redness and prolong the inflammation
● Avoid swimming: Chlorinated water can irritate and dry out the skin
Following these tips not only reduces discomfort but also enhances collagen production and skin texture over time.
Tailoring Microneedling to You
To get the best results, microneedling needs to be tailored for you. A good provider will adjust things like needle depth, how often you get treated, and which products are used based on your skin type and what you’re trying to improve.
What works for smoothing fine lines on your face might not be the same as what’s needed for deeper stretch marks or the more delicate skin on your neck.
Knowing what microneedling can (and can’t) do for different areas of your body and having realistic expectations will help you get the most out of your sessions.
Potential Risks and Considerations
Microneedling is generally safe, especially when done by a trained professional, but like any treatment, it’s not totally risk-free. Knowing the possible side effects and who should avoid them can help you decide if it’s the right choice for your skin.
a) Common, Short-Term Side Effects
According to Medical News Today, most people experience some swelling, swelling or mild redness for 1-2 days after microneedling treatment. Some also notice dry skin, light peeling, or tiny scabs as the skin heals. These are normal and usually clear up quickly with the right aftercare.
b) Rare But Possible Side Effects
In some cases, microneedling can cause:
● Redness or irritation that lasts longer than expected
● Bruising or tiny spots of bleeding
● Infection (especially if the skin isn’t cleaned properly afterward)
● Dark spots (hyperpigmentation), especially if you skip sunscreen. This is more common in darker skin tones
c) Who Should Avoid Microneedling?
You may need to skip or delay microneedling if you:
● Have ongoing skin conditions such as breakouts,, rosace,a or eczema
● Are pregnant or breastfeeding (always check with your doctor)
● Tend to scar easily or have a history of keloids
● Are on blood thinners or medications that weaken your immune system
A good provider will always start with a proper consultation to see if microneedling is safe and suitable for your skin. It’s the best way to reduce risks and get great results
Wrapping It Up
From softening fine lines to reducing acne scars, stretch marks, and even tightening loose neck skin, microneedling can tackle a range of skin concerns. With the right prep, solid aftercare, and a consistent plan, the results speak for themselves.
The above before and after micro needling transformation photos are a clear reminder that when your skin is supported properly, it can do amazing things.
Radiant Skin Starts with the Right Tools
From prep to aftercare, every step of your microneedling experience matters. But what often makes the biggest difference is the tool in use. And this is where Diaminy Nanosoft Microneedles 34G comes in.
With their ultra-fine, 4-pin design, they minimize discomfort while maximizing results, perfect for facial treatments, neck tightening, and even delicate under-eye areas. Don’t just treat your skin, transform it. Try Diaminy Nanosoft Microneedles today and see the difference in your before and after micro needling photos.