What are the risks and cons that accompany microneedling?
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Just try as much as possible to be careful with which derma roller you buy. The real ones have needles that have a consistent diameter throughout. However most you will find online are not actually needles as I described, but are blades that have sharp tips, and then become wider closer to the base. These can be dangerous as the harder you push, the larger of a hole you are making in your face. Unfortunately I have been using a derma roller with these blades, and although I have noticed an improvement with fine lines and wrinkles, I also noticed very small slice type scarring on my cheeks.
I really don’t have an exact answer for your question. Are you getting it done at a cosmetic dermatologist or esthetician? Also I think it will be a bad idea to try microneedling done if you have history with Keloid scars! Your skin might, as it might not tolerate micro-needling.