Medical Microneedling vs. Cosmetic Microneedling: Understanding the Differences

Microneedling has become a go-to treatment for improving skin texture, minimizing scars, and boosting collagen production. While both medical microneedling and cosmetic microneedling involve the same basic technique—using tiny needles to create controlled micro-injuries in the skin—their applications, depth of penetration, and results can vary significantly. Understanding the differences between these two types of microneedling will help you decide which treatment might be best for your skin goals.

What Is Microneedling?

Before diving into the differences, let’s break down what microneedling actually is. The procedure involves a device equipped with fine needles that create tiny punctures in the skin. These micro-injuries stimulate the body’s natural healing process, triggering collagen and elastin production. As a result, the skin becomes firmer, smoother, and more youthful.

Medical Microneedling

Medical microneedling is typically performed by licensed healthcare professionals, such as dermatologists, plastic surgeons, or other trained medical experts. This treatment is done with more advanced equipment designed for more serious skin issues. Here’s what you need to know about medical microneedling:

1. Deeper Penetration for Severe Skin Issues

Medical microneedling uses longer needles—usually ranging from 1.0mm to 3.0mm—allowing for deeper penetration into the skin layers, including the dermis. This depth is ideal for treating more significant skin concerns, such as:

• Deep acne scars

• Stretch marks

• Severe sun damage

• Fine lines and wrinkles

• Large pores

Because the treatment reaches deeper layers of skin, it can be particularly effective for addressing long-standing skin imperfections.

2. Performed by Medical Professionals

Medical microneedling is carried out by professionals who have extensive knowledge of skin anatomy and are trained to handle more complex treatments. They’re also able to provide additional treatments during the session, such as PRP (Platelet-Rich Plasma), which can enhance the skin’s healing and rejuvenation process.

3. More Intense Results

Due to the deeper needle penetration, medical microneedling stimulates a more profound collagen response, leading to noticeable improvements in skin texture, firmness, and overall appearance. The results are typically more dramatic than those achieved with cosmetic microneedling, but they may take a bit longer to show up—usually a few weeks to months after the procedure.

4. Longer Recovery Time

Because medical microneedling works at a deeper level of the skin, there is typically more redness, swelling, and potential discomfort after the procedure. Recovery time can range from a few days to a week, depending on the depth of the treatment. During this time, the skin may feel sensitive, and extra care will be necessary to avoid complications such as infection.

5. Cost and Accessibility

Since medical microneedling requires advanced equipment and trained healthcare professionals, it is generally more expensive than cosmetic microneedling. A session can range anywhere from £200 to £600+, depending on the location and the area being treated.

Cosmetic Microneedling

On the other hand, cosmetic microneedling is a gentler form of the treatment, typically performed by licensed estheticians or beauty professionals in a spa or clinic setting. While the technique is similar, cosmetic microneedling differs in terms of needle length, intensity, and the types of skin concerns it addresses.

1. Shorter Needle Lengths for Lighter Treatments

Cosmetic microneedling uses shorter needles—typically between 0.25mm and 1.0mm—that primarily affect the upper layers of the skin. These shorter needles are great for treating more superficial concerns, including:

• Fine lines and wrinkles

• Uneven skin tone

• Mild acne scars

• Hyperpigmentation

• Dull skin or lack of radiance

While cosmetic microneedling can still stimulate collagen production, it won’t reach the deeper dermal layers where more severe issues reside.

2. Performed by Non-Medical Professionals

Cosmetic microneedling is generally performed by licensed estheticians or skincare professionals rather than medical doctors. These practitioners are skilled in performing milder treatments and are well-versed in skincare techniques but don’t have the medical expertise to address more complex skin concerns like deep scars or severe sun damage.

3. Subtle, Gradual Results

Since cosmetic microneedling focuses on the upper layers of the skin, the results are often more subtle and gradual. It works well for people looking to improve overall skin texture, brighten their complexion, and reduce mild signs of ageing. Multiple sessions may be required to achieve the desired effect, and results typically take a few weeks to become noticeable.

4. Minimal Downtime and Faster Recovery

One of the main advantages of cosmetic microneedling is the shorter recovery time. The procedure is less invasive, meaning there’s typically no significant swelling or redness, and any post-treatment irritation fades within 24-48 hours. This makes cosmetic microneedling a great option for those who don’t want to experience a long downtime or risk interfering with their daily activities.

5. Affordable Treatment Option

Cosmetic microneedling is generally more affordable than medical microneedling, with prices typically ranging from £80 to £150 per session. This makes it an accessible option for those looking to improve their skin without breaking the bank.

Key Differences Between Medical and Cosmetic Microneedling

Which One is Right for You?

Choosing between medical and cosmetic microneedling depends on your specific skin needs and goals.

• If you're dealing with deep scars, stretch marks, or more significant signs of ageing, medical microneedling will likely give you the best results. It offers a more intense, effective solution for serious skin concerns but requires more downtime and a higher cost.

• If you're looking for a gentler treatment for overall skin rejuvenation, improved texture, or to treat minor fine lines and wrinkles, cosmetic microneedling could be the perfect fit. It’s more affordable, has less downtime, and still provides noticeable skin benefits.

Regardless of which treatment you choose, always consult with a professional who can assess your skin and recommend the best course of action. Proper consultation ensures you get the right treatment for your skin’s needs, ensuring both safety and effectiveness. Dr Sharyn Rai Aesthetics can help guide you regarding the best choice for your skin!