Microneedling Training

[Audio] Microneedling Training. A person getting a face lift treatment.

[Audio] Nevada Advanced Estheticians Microneedling Regulations Nevada Nurses LPN – microneedling to a depth <0.5mm is approved with direct supervision. Depths > 0.5mm out of scope. RN- can microneedle with direct supervision. Direct Supervision is defined in NAC 632.048 - supervisor of nurses is periodically available at the site where care is provided to a patient or available for immediate guidance Microneedling approved to a depth of 1.5mm without supervision. Depths greater than 1.5mm require healthcare professional supervision in accordance with NRS 644A.545. Collaborating Agreement with an Advanced Esthetician (NRS 644A.545)– supervising healthcare professional: Is readily available for immediate consultation in real time. Remains within 60 miles or 60 minutes of the location at which the procedure is performed and readily available to provide care in person if any problems arise during the procedure..

[Audio] • Radiofrequency microneedling is a minimally invasive modality that creates perforations in the skin and delivers radiofrequency-generated thermal energy into the underlying tissue • The perforations created by microneedles improve transcutaneous absorption of topical products and transcutaneous elimination of skin debris • The mechanical and thermal effects of radiofrequency microneedling cause dermal coagulation, collagen remodeling, and neoelastogenesis via a wound-healing response • Dermatologic conditions with numerous high-quality evidence supporting its use include skin rejuvenation, acne scars, acne vulgaris, and axillary hyperhidrosis • Other potential dermatologic indications include striae, rosacea, androgenetic alopecia, cellulite, and melasma. • Radiofrequency microneedling is a safe option with low risk of postinflammatory hyperpigmentation, even in individuals with darker skin phototypes • Radiofrequency microneedling can be safely combined with several other therapeutic modalities to augment clinical outcomes without significant increase in risk of adverse events Radiofrequency microneedling (RFMN) is a minimally invasive modality that creates perforations in the skin and delivers radiofrequency-generated thermal energy into the underlying tissue via microneedle electrodes. The perforations created by microneedles improve transcutaneous absorption of topical products and transcutaneous elimination of skin debris. The mechanical and thermal effects of RFMN cause dermal coagulation, collagen remodeling and neoelastogenesis via a wound-healing response. Dermatologic conditions with numerous high-quality evidence supporting its use include skin rejuvenation, acne scars, acne vulgaris and axillary hyperhidrosis. Other potential dermatologic indications of RFMN include striae, rosacea, androgenetic alopecia, cellulite, and melasma. RFMN is a safe option with low risk of postinflammatory hyperpigmentation, even in individuals with darker skin phototypes. RFMN can be safely combined with several other therapeutic modalities to augment clinical outcomes without significant increase in risk of adverse events.

[Audio] How Does Microneedling Work? Radiofrequency devices have been used in the medical field for decades to achieve hemostasis, electrocoagulation, and endovenous closure. Within the realm of esthetic medicine, the first radiofrequency device (ThermaCool, Bausch Medical, Bothell, WA) was approved for the treatment of periocular rhytides in 2002, then facial rhytides in 2004, and subsequently extra-facial sites in 2006. Numerous radiofrequency devices for esthetic purposes have since been approved and utilize various methods of delivering radiofrequency energy to the underlying dermis and subcutis (Table 12.1). Radiofrequency energy can be delivered to the underlying dermis and subcutis via noninvasive probe-based electrodes, or minimally invasive needle-based electrodes..

[Audio] Microneedling Works At The Cellular Level 1. Micro-Injuries: The tiny needles of a microneedling device create microscopic punctures in the epidermis (outer layer of the skin) and extend into the dermis (deeper layer). These micro-injuries are small and controlled, ensuring minimal damage. 2. Inflammation and Healing Response: The body perceives these micro-injuries as wounds, triggering an inflammatory response. This response activates the immune system and releases growth factors, signaling the need for repair. 3. Collagen and Elastin Production: Fibroblasts, specialized cells in the skin, respond to the signals by migrating to the wounded area. These cells then stimulate the production of collagen and elastin – essential proteins that provide structure and elasticity to the skin. 4. Tissue Remodeling: The newly formed collagen and elastin work to repair and remodel the skin. Collagen is responsible for maintaining skin firmness, while elastin contributes to skin elasticity. 5. Improvement in Skin Texture: As the skin heals, it becomes firmer, smoother, and more rejuvenated. The increased collagen and elastin production contribute to improved skin texture, reduced fine lines and wrinkles, and an overall youthful appearance. 6. Enhanced Product Absorption: The micro-channels created during microneedling also allow for better absorption of topical skincare products. This heightened absorption can improve the effectiveness of serums and creams applied to the skin after the procedure. Microneedling works at a cellular level by inducing controlled micro-injuries to the skin, initiating a natural healing response. Radiofrequency (RF) microneedling offers several benefits for the skin. This technique combines traditional microneedling with the application of radiofrequency energy, which enhances the overall effectiveness of the treatment. Here are some key benefits: Collagen and Elastin Production: RF energy stimulates the production of collagen and elastin, essential proteins that provide structure and elasticity to the skin1. This leads to firmer, smoother, and more youthful-looking skin1. Improved Skin Texture: The combination of microneedling and RF energy helps improve skin texture by reducing fine lines, wrinkles, and scars1. The controlled micro-injuries and RF energy promote skin remodeling and rejuvenation1. Enhanced Product Absorption: The micro-channels created during microneedling allow for better absorption of topical skincare products1. This heightened absorption can improve the effectiveness of serums and creams applied to the skin after the procedure1. Minimized Pore Size: RF microneedling can help minimize the size of enlarged pores by promoting collagen formation, which tightens and firms the skin2. Overall Skin Rejuvenation: RF microneedling is used for overall skin rejuvenation, enhancing the skin's natural glow and vitality3..

[Audio] Types of Microneedling Devices. Types of Microneedling Devices.

[Audio] Dermal Rollers Design: Derma-rollers consist of a cylindrical drum-shaped tool covered with tiny needles. The roller is manually rolled across the skin during the procedure. Needle Configuration: The needles are evenly distributed across the roller, and they protrude from the surface. The needle length can vary, and different rollers may have different needle arrangements. Application: Derma-rollers are rolled in various directions over the skin to create micro-channels. The manual rolling can sometimes result in uneven pressure and coverage. Depth Control: The depth of needle penetration is determined by the pressure applied during rolling. This can lead to variations in the depth of micro-injuries. The features of importance for a dermal roller include the length of the needles, the quality of materials and the design of the roller. Needle Materials: Titanium supposedly holds its edge for longer-lasting sharpness, while silver or gold plating acts as an antimicrobial and prevents oxidation and pitting of the needle surface. Needle Length: Just about every length between 0.2 mm and 3mm exists. It is important to consider the depth of your target in a particular patient and choose the needle length accordingly. Needle Diameter: A diameter greater than 0.25 mm may end up causing scarring. Small diameters hurt less. Number of needles: numbers average 24 in a single row device to 540 in a 9 row device. Wider devices for the body include 340-1080 needles. While more needles logically allow trauma to occur in a shorter timeframe, the principles of weight distribution over many more points may result in less penetration and greater force required to enable the needles to break the skin surface. Not all rollers are created equally. Some cheaply manufactured models are prone to needles falling out. Some devices vibrate to lessen sensation on the skin and increase absorption of topical products while others have built-in LEDs to create a distinctive difference. There are some devices with various spectrums of light such as blue light for acne. Whlie this sounds good in theory, it disregards the physics required for it to function at a cellular level. The effective band width of light is narrow and not all LEDs are created qual. Cells also need a specific amount of light exposure which is not achieved with needle rolling. Additionally, needling is generally done in a well-lit area and ambient light reduces the effectiveness of LED light therapy. Some advantages of dermal rollers They are single use devices. It elimitates the possibility of cross contamination from blood products on the device itself Faster treatment time for large areas Needles don't get hung up in scar tissue No need to adjust speed or needle length which reduces incidence of inadvertent contamination of gloves The pressure applied during treatment can be adjusted to light feathering over the eyelids, whereas the speed and depth of the needles with pens is a constant. One can slow down and make very cautious calculated moves in high risk areas with a roller..

[Audio] Microneedling Pens Design: Microneedling pens, also known as electric or automated microneedling devices, are electronic handheld devices with a disposable cartridge containing needles. The pen automatically moves the needles up and down during the procedure. Needle Configuration: Needles in the pen's cartridge are precisely arranged and may be adjustable in terms of length. This design allows for more controlled and consistent needle penetration. Application: Microneedling pens provide a more controlled and precise application. The automated movement ensures uniform coverage, and some pens even allow for adjustable needle depth. Depth Control: Microneedling pens offer more precise control over the depth of needle penetration, as it can be adjusted based on the specific requirements of the treatment..