Microneedling – A New Way to Make Collagen

The process is called Collagen Induction Therapy and is used to improve

• Texture and tone
• Surface scarring
• Fine wrinkles

Read this Wall Street Journal Article

How does it work?

Microneedling is based on the use of tiny needles to create micro channels (tiny holes) in the skin.  The process stimulates your skin’s natural ability to heal itself and in the process produces collagen and elastin.

This repair process begins almost immediately and results in a thicker dermis and softened wrinkles or scars. (Acne Scars are more easily improved when treated earlier. Read this article When Should I Treat My Acne Scars? )

We use SkinPen™ for optimal results and a comfortable procedure. More intense skin problems? Learn about Intensif, micro needling with radio frequency.

There is no tissue destruction with microneedling. The small channels in the epidermis close very quickly and the skin begins a healing response right away. Depending on the depth of the skin defect, you may see only redness or you may experience some pinpoint bleeding which stops almost immediately.

If you’d like to learn more about Microneedling, please call our office at  (949) 727-3800 today to schedule a consultation or fill out the form on this page and one of our trusted staff members will reach out to you promptly.



An outstanding product absorption booster

These superficial micro-channels also allow topical gels, creams and serums to be absorbed more effectively into the skin. Specific treatment products can be selected to achieve accelerated results. We’ll employ various topicals depending upon your needs

  • Hyaluronic serums
  • Lightening or bleaching serums
  • Stem cells to multiply new young cells
  • Vitamin C for strengthening and antioxidant boost

PRP Therapy via Microneedling Alone

Topical PRP (Platelet Rich Plasma) Therapy utilize microneedling to advance the healing of lasers and resurfacing treatments. PRP treatments are also used to boost the freshness of the skin and improve skin texture and tone. About PRP Therapy

What areas can be treated?

Microneedling can safely be used on nearly all parts of the body with the most frequent treatments being on the

  • Face
  • Neck
  • Decollete
  • Arms

Who performs the treatment?

Dr. Pilest and our trained Registered Nurses will provide your treatment.

Is Microneedling New?

Microneedling has been used for decades in Europe in various forms, from blocked stamps to hand rollers to the new automated pens that make the process fast, consistent and for the most part, quite comfortable. Only in recent years have the public and physicians embraced the concept. (It’s almost as if something so simple couldn’t possibly work well, right?) But we’re discovering that this simple action of creating a tiny wound without heat or any other high technology works remarkably well.

Why we use the automated SkinPen®

  • SkinPen® is the most advanced MicroNeedling tool on the market.
  • The SkinPen®’s needles are sterile and designed to penetrate the dermis at a 90-degree angle for optimal stimulation of collagen and elastin.
  • Adjustable needle penetration depths allows Dr. Pilest to choose a custom treatment program for your specific skin problems and preferences for treatment aggressiveness.
  • Microneedling is safe for ALL skin types. This is a boost for skins that have a tendency to overreact to heat-based treatments or those with ultra-sensitive skins which do not tolerate heat treatments well.
  • Dr. Pilest prefers the cordless SkinPen® because it allows unrestricted movements to reach all facial areas without the interference of cords or wires.


We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.

read more

*Individual Results May Vary

What does microneedling feel like?

The high-speed motor causes the needle penetration to occur very quickly which means it will feel more like a sandpaper sensation than needles. Some patients describe it as similar as the feel of a cat’s tongue. Scar treatments require longer needles which invade “nerve space” and thus, produce more sensation.

After the Treatment

You’ll likely look as if you have a sunburn following treatment. This can last the rest of the day, to several days or a week depending on treatment depth.  Treat your skin gently and refrain from acid-containing products for a week or longer if advised by our nurse or Dr. Pilest.

How Is SkinPen® different from Dermal Rollers?

Automated microneedling devices move in a vertical direction for better precision when treating the skin. Manual needle rollers do not create a precise vertical action and many of these rollers are made from inferior metals which are not smooth and it is impossible to sterilize them at home.

The lack of precision and sterilization issues can contribute to inconsistent effects to the skin, plus the risk of infection when the skin is not antiseptically cleansed.

How is SkinPen® different from Lasers?

SkinPen® breaks up pigment mechanically instead of with light (heat) and remodels the collagen without heat. Removing heat from the equation makes for a safer, more comfortable treatment with a very low complication rate.

No heat also equals less downtime! Most SkinPen® patients are red for 24 hours or less. That advantage means you can get the procedure performed on a Friday and be back to normal for work on Monday.

Take the First Step – Request A Consultation

Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA today by calling (949) 727-3800

*Individual Results May Vary