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Microneedling aftercare

Redness like mild sunburn for a day or two, then dryness. Nothing on your skin but what I gave you.

Microneedling makes thousands of controlled channels in the skin, so it rebuilds collagen over the following weeks. For the first day those channels are open, which is the whole reason for putting nothing on your face.

What you see this week is the healing. What the treatment is aimed at happens over the next six.

The short version

  • Nothing on your skin for 24 hours except what I’ve given you.

  • Redness like mild sunburn for a day or two is the treatment, not a reaction.

  • No make-up, no gym, no heat until tomorrow.

Hour by hour

The first 72 hours

Skin doesn’t run to a timetable, so read these as the usual shape rather than a promise. Yours may be quieter or slower.

  1. 0 - 24

    hours

    First 24 hours

    What you may notice

    • Hot, red and tight, much like mild sunburn. Often stronger in the evening than it was in the room.

    • Some swelling by morning, particularly across the forehead and under the eyes.

    • Pinpoint marks where the needle went in.

    What to do

    • Hands off entirely. Nothing but the post-treatment serum and moisturiser I gave you.

    • Sleep propped on an extra pillow if you swell easily.

    • Water, and no exercise at all today.

  2. 24 - 48

    hours

    24 to 48 hours

    What you may notice

    • Redness fading to a flush. Swelling settling.

    • Skin tight, dry and slightly rough, like very fine sandpaper.

    What to do

    • You can cleanse very gently now: lukewarm water, a plain cleanser, fingertips.

    • Moisturise often. Mineral SPF from this point on.

    • Mineral make-up is fine after 24 hours if you have to be somewhere. Forty-eight is better.

  3. 48 - 72

    hours

    48 to 72 hours

    What you may notice

    • Dryness turns to a light flaking around day three.

    • Skin can look worse on day three than day one. It’s on its way, not going backwards.

    What to do

    • Keep moisturising past the point where it feels necessary.

    • No exfoliation of any kind, physical or chemical.

    • Gentle exercise is fine again.

Not yet

Leave alone

Timings are the cautious end of the range on purpose. Waiting a day longer than you needed to costs nothing. The other way round is what leaves a mark. If you’re not sure, I’m always happy to guide you.

Make-up
24 hours, ideally 48
Touching your face with unwashed hands
72 hours
Retinoids, acids, vitamin C, exfoliants
5 to 7 days
Gym, sauna, steam, hot yoga, hot showers
48 hours
Swimming pools and the sea
72 hours
Alcohol. It prolongs the redness.
24 hours
Waxing, threading, laser, IPL
14 days
Direct sun, with SPF 50 daily regardless
2 weeks

Safety

Contact me if

None of these are common, and none of them mean something has gone badly wrong. They mean I’d rather see it than hear about it in six weeks.

  • Redness or swelling getting worse after 48 hours rather than settling.

  • Yellow crusting, pus, or warmth spreading outwards. Infection is uncommon, but it needs seeing quickly.

  • Pain that increases instead of easing.

  • A cold sore starting.

  • A raised, itchy reaction across the treated area.

This page is general guidance for people I have already treated. It does not replace what I said in the room, and it is not medical advice. If you feel unwell, or something is worsening quickly, contact NHS 111 or your GP rather than waiting for me.

What happens next

Your next appointment

A course of three to six, four weeks apart. Collagen builds slowly. What your skin looks like at six weeks tells you far more than at six days. If you have an event coming, the last session should sit at least four weeks before it.