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Microneedling: what it is, what it treats and why autumn is the best time

There is one treatment that dermatologists and aesthetic doctors often recommend starting in September, not because it cannot be performed at other times of the year, but because autumn offers particularly favourable conditions.

At our clinic in Como, microneedling is one of the most requested treatments during autumn. For patients looking to improve skin texture, minimise the appearance of enlarged pores, reduce scars or restore firmness after summer, this season can be an ideal time to begin.

In this article, we explain what microneedling is, how it works, which skin concerns it can address and why September and October are particularly suitable months for treatment.

What is microneedling and how does it work?

Microneedling is an aesthetic medicine treatment that uses a device equipped with extremely fine needles to create controlled micro-injuries in the dermis, the deeper layer of the skin.

These micro-injuries are so small that they are invisible to the naked eye, but they are sufficient to activate the skin’s natural healing response.

The mechanism is entirely biological: the skin interprets these micro-injuries as a signal of damage and responds by producing new collagen and elastin to repair the tissue.

As a result, the skin gradually becomes firmer, smoother and more even, using the body’s own natural regenerative processes without adding synthetic substances.

The depth of the needles is adjusted by the doctor according to the area being treated and the individual condition of the skin.

Before the procedure, a topical anaesthetic cream is applied to make the treatment more comfortable. A session generally lasts around 30 to 40 minutes.

What is microneedling used for?

Microneedling is one of the most versatile treatments in aesthetic medicine because it works on the structure of the skin itself rather than only on its surface.

Its main indications include:

  • Uneven skin texture and enlarged pores, which may become more noticeable after summer or with age
  • Acne scars, including older scars, which may gradually improve as new tissue is produced
  • Fine lines and superficial wrinkles, particularly on the forehead, cheeks and around the eyes
  • Loss of skin elasticity and firmness, often associated with a dull or less toned appearance
  • Pigmentation and uneven skin tone, particularly when combined with specific serums
  • Recent or established stretch marks, on both the face and body

Microneedling can be performed on the face, neck, décolletage and other areas of the body, with the treatment adapted to the specific needs of each patient.

What happens during a microneedling session?

The session begins with a thorough cleansing of the skin followed by the application of a topical anaesthetic cream, which is usually left to act for around 30 minutes before treatment.

This makes the procedure generally well tolerated for most patients.

The doctor then moves the microneedling device evenly across the skin, adjusting the depth of the needles according to the treatment area and the desired result.

During the session, specific serums may also be applied. The microchannels created by the needles can facilitate their penetration into the skin, enhancing the overall treatment protocol.

Immediately after treatment, the skin usually appears red, similar to a mild sunburn.

This redness is normal and generally subsides within 24 to 48 hours.

During the first few hours after treatment, it is important to avoid make-up, direct sun exposure and potentially irritating skincare products.

Why is autumn the best time for microneedling?

Microneedling can be performed throughout the year, but autumn provides particularly favourable conditions that can make treatment easier to manage.

The first reason is reduced sun exposure.

After a microneedling session, the skin is temporarily more sensitive to UV radiation. Sun exposure in the hours or days immediately following treatment may increase the risk of post-inflammatory hyperpigmentation, meaning darker patches may develop on the treated areas.

During autumn, when sunlight is generally less intense and the days are shorter, this risk can be easier to manage.

The second reason relates to the way the skin responds to treatment.

The collagen stimulated by microneedling develops and matures gradually over approximately four to six weeks. Patients beginning a treatment cycle in September may therefore see the full effects develop during November or December.

The third reason is practical.

In autumn, it is generally easier to follow post-treatment recommendations consistently. There are fewer beach holidays, prolonged periods of sun exposure or summer activities that might interfere with scheduled sessions.

This makes it easier to complete the treatment programme according to the intervals recommended by the doctor.

How many microneedling sessions are needed?

A standard microneedling treatment programme generally involves three to four sessions, spaced approximately three to four weeks apart.

This interval allows the skin to complete the healing process between sessions and gradually stimulate new collagen production.

Improvements in skin texture and radiance may become noticeable after the first or second session.

Deeper benefits linked to collagen production and skin remodelling tend to develop more gradually, becoming increasingly visible in the weeks following the final treatment.

To maintain the results over time, the doctor may recommend one or two maintenance sessions per year, depending on the condition of the skin and the individual patient’s goals.

FAQ

Is microneedling painful?

Thanks to the topical anaesthetic cream applied before treatment, microneedling is generally well tolerated. Most patients describe a sensation of light pressure or warmth rather than significant pain. Sensitivity can vary depending on the area treated and individual tolerance.

How long does a microneedling session take?

The treatment itself generally lasts around 30 to 40 minutes. An additional 30 minutes should be allowed for the topical anaesthetic cream to take effect. Overall, patients can expect to spend approximately one and a half hours at the clinic.

Can I go out immediately after microneedling?

Yes. No significant recovery period is usually required. The skin may appear red for several hours, similar to a mild sunburn, and this generally subsides within 24 to 48 hours. It is advisable to avoid make-up and direct sun exposure during the first 24 hours.

Is microneedling suitable for all skin types?

Microneedling may be suitable for most skin types and phototypes. However, it is generally not recommended in the presence of active skin infections, active rosacea, a tendency to develop keloid scars or during pregnancy. Suitability should always be assessed by a doctor during the initial consultation.

How many sessions are needed to see results?

Initial improvements in texture and radiance may become visible after the first or second session. Deeper benefits linked to new collagen production develop progressively in the weeks following the final treatment. A typical programme usually consists of three or four sessions.

Where can I have microneedling in autumn in Como?

At Esthelia, located at Via Mentana 11 in Como, microneedling is performed by specialised doctors who assess the condition of the skin and personalise the treatment according to each patient’s individual goals. Consultations are free and without obligation.

Would you like to improve your skin texture before winter? Book a free consultation at our clinic in Como. We will assess your skin and explain whether microneedling is the most appropriate treatment for your needs.

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