Interrogate the setup

Ask who will perform each step, what training they have, the exact device and settings, whether that device is legally marketed for the intended use, and how the plan changes for your skin tone, medications, scarring history, and prior procedures.

  • What outcome is realistic after one session and after a full course?
  • What are the common, uncommon, and potentially permanent complications?
  • Who manages a burn, infection, pigment change, or poor result—and at what cost?
  • What must stop before treatment, and what should be avoided during recovery?

Treat combinations as separate questions

A device can be authorized for one use without being cleared to deliver a serum, drug, blood product, or cosmetic into skin. ‘We always combine them’ is not evidence that the combination has been reviewed for safety or effectiveness.

Open the source file

These links support the claims above. Source dates, disclosures and limits are documented in the article and source list.

  1. FDA — microneedling devices (opens in a new tab)
  2. FDA — RF microneedling safety communication (opens in a new tab)
  3. American Academy of Dermatology — questions to ask (opens in a new tab)