Collagen is an essential protein that helps keep the skin looking youthful, with a firm, smooth, and stretchy texture. Could it make it worse? Learn how your comment data is processed. My skin was clear soon and was picture perfect without makeup. By week 5 and 6, it looked great! The technique involves using multiple tiny, sterile needles to puncture the skin and cause physical trauma. (2017, August 8). You may need multiple treatments for the best results. You can use derma rollers for collagen production. It is the first rule of medicine; should we not extend this to skincare, too? For example, if you cut your skin, your bodys first line of defence is to deploy white blood cells; these release chemicals that increase the production of components that comprises your skins intercellular matrix. Microneedling may help with issues like: Acne. People with darker skin tones may prefer microneedling to laser therapy because of safety concerns associated with certain types of laser treatments on skin of color. And truth be told, this condition can be quite embarrassing. Some people try to reduce the. If possible, use organic products. Inexperienced practitioners wont know to assess their clients skin on the Fitzpatrick scale, which can result in pigmentation changes. I should have known something was wrong then, and I had bruising. Dermapen Microneedling. It contains micro-needles to gently prick the face. This process starts with inflammation, which stimulates the skin to produce new collagen (the elastic fibers that make skin tight, smooth, and youthful). It may also signify something more insidious and pathological such as rosacea or granulomatous dermatoses, which become apparent as the underlying infection or localised lesions inflame and distort tissues; this can take weeks or even months to develop. The needles pierce through these layers, creating thousands of channels that enable topically-applied substances to penetrate. To maintain the results of your treatment, youll need multiple sessions and perhaps other complementing treatments. Microneedling does not deliver heat to the skin . Alternatively, you can apply lemon juice mixed with coconut water on your face. It promotes skin regeneration and helps minimize the appearance of those pores. I have a severe orange peel pattern on my skin now. A dermatologist can help you decide if this is the right option for your skin. Still, its recommended that you wait one week before exposing your skin to sunlight and harsh chemicals. To deal with the side effects of microneedling, it is important to keep the skin hydrated and clean. Cellular turnover occurs when skin cells are replaced by another live skin cell via cellular division. Retinol exfoliates pretty well and gives you a smoother skin. It seems like microneedling just made my skin super week and collapse in certain places. The skin care professionals at the Skin Therapy Center evaluate your skin to ensure you receive the best peel for your unique needs. Singh, A., & Yadav, S. (2016, JulyAugust). At-home microneedling devices also only superficially affect the skinthey penetrate just its outer layer (the stratum corneum or epidermis), reaching 0.25 mm deep. We created an entire article on needling ingredients into your skin that is a valuable read. It makes your skin look dimpled or slightly puckered. English RS, et al. Neck Treatments Normal to Dry Skin. (2018). Try the anti-aging formula in Renewal Retinol. (The procedure is less effective on deep, narrow "ice-pick" acne scars than on broader ones.) The micro-needles penetrate the epidermis. Those that use energy or heat can increase the likelihood of burns. I had two regular MN sessions six months ago (2mm and 1.5mm) and although I have gained weight since then, my face is significantly thinner with an odd orange peel like texture since then. By encouraging the skin to make new tissue, additional collagen may help make the skin firmer. It allows for the production of healthy melanocytes, which can actually decrease hyperpigmentation (darkening of an area of the skin) caused by abnormal melanocytes. Its considered safe for most people who are in overall good health. Will these tracks go away in time? As a result, you get a new skin free of fine lines, pores, etc. See how to do it right and avoid side effects. It is understood that a wide range of wound-type injuries, even minor wounds like paper cuts, can activate cancer-provoking genes in your skin as it heals. Usually, the hair follicle represses the tumour-generating potential of the stem cells, he says, but when these cells become unstable, trouble begins. Benefits of combining microneedling with a peel. Steps to Performing Microneedling. Many of our readers have been physically and psychologically scarred due to a poorly performed treatment. Any thoughts on her logic, what may have caused the mentioned side effects, and long-term affects? . You may also experience more severe side effects such as horizontal tract marks, permanent scarring and indentations or hyper and hypo-pigmentary changes in your skin. With microneedling, there will always be a certain level of pain because it involves needles piercing the skin. This results in the repair of old and damaged skin, as well . We recommend that you have a chemical peel first to exfoliate the top layers of your skin. After a week I used ordinary 5% lactic acid and 0.2% retinol at night and Vitamin c suspension 23% with salicylic 2% . It may help smooth, firm, and tone skin and improve the appearance of scars, acne, and wrinkles. sign up for special offers. Approximately 45 minutes to 1 hour before the procedure, the doctor will apply a topical anesthetic to the treatment area. This has destroyed my confidence and the place wont see me or help me .. what do I do? You may be an ideal candidate for this procedure if youre in good health and have certain skin concerns that havent responded to home treatments or other types of dermatologic procedures, such as chemical peels. This may also be a final step before considering more intensive cosmetic procedures. Benefits of Microneedling. Therefore, its best to protect yourself from the sun. Similarly, applying argan oil, egg whites can also help moisturize your skin and minimize the appearance of your pores. During a chemical peel, a chemical solution is applied to the skin to exfoliate it and eventually cause the skin to peel. Healthline Media does not provide medical advice, diagnosis, or treatment. Most mild allergic or inflammatory responses will go away after a week; if it persists, it could be because your immune system is trying to block a substance that it perceives as a foreign body that it cant eliminate. Most people can return to wearing regular makeup within a day of treatment. You will definitely see some improvement. MicroNeedling with HA. It has dried out my skin and created strange horizontal lines I did not previously have; in short, microneedling at home is UNSAFE. Your doctor may recommend that you stop using topical retinoids and exfoliants before your microneedling appointment. American Academy of Dermatology Association (AAD), ncbi.nlm.nih.gov/pmc/articles/PMC6122507/, americanmedspa.org/news/356097/Microneedling-A-Legal-Perspective.htm, ncbi.nlm.nih.gov/pmc/articles/PMC5640351/, ncbi.nlm.nih.gov/pmc/articles/PMC4509584/?report=classic, ncbi.nlm.nih.gov/pmc/articles/PMC8776974/, ncbi.nlm.nih.gov/pmc/articles/PMC5605208/, ncbi.nlm.nih.gov/pmc/articles/PMC5820835/, 4 Natural Products to Get Rid of Acne Scars, The Benefits of Dermarolling At Home: A Complete Guide, The No BS Guide to Discovering Your Real Skin Type, The No BS Guide to Vitamin C (L-Ascorbic Acid) Serums for Brighter Skin, How to Remove Hair from Your Upper Lip Naturally. Then these marks are just reflective of the pattern they were using to get uniform coverage in different areas of your skin and should fade within a few days. This could be due to chemicals, organic and inorganic materials or bacterial infection. :-). Are at-home microneedling devices effective? I met Holly Della Vedova through a friend in San Diego & I immediately fell in love. Exfoliation removes dead skin cells and reveals younger-looking skin. You are responsible for caring for the primary organ that protects you every second of your life. Many home microneedling devices are available. Microneedling uses a device affixed with roughly a dozen tiny needles to micro-puncture the skin. In most cases, these pits are usually harmless. Unlike professional microneedling, home rollers dont puncture the skin to layers deep enough to draw blood. I received 4 total treatments and the fourth I am not sure where things went wrong. According to estimates by Dermapen, microneedling may cost anywhere from $200 to $800 per session, depending on the extent of treatment needed. I've worked for 2 Dermatologists for 5 years and, to put it simply, micro-needling is the same concept as a resurfacing laser. Exfoliation also helps to improve skin texture. I am trained in and use both treatments. I wish I had read this befor my tx. With your teams help and your incredible products, it has been slowly repairing, but it has been a lot., Angela, a client, experienced the following: I am 43, and the dmicro needling treatment has left my face inflamed; as a result, I am battling severe facial burning. The doctor will work with you to develop a plan of action based on your individual goals. Dr. Gohara says . This is a natural response to the small injuries made by the needles in your skin. A classical wound may be defined as a disruption of tissue integrity; any wounds, whether caused by injury or remodelling, rely on the biological phases of healing: inflammation, proliferation, and remodelling. Microneedling is a method that some dermatologists use to treat different skin conditions. Therefore, you can add Vitamin C serums as a part of your skincare regime. When you're trying to get rid of the pores, it is imperative that you understand the importance of collagen production. Microneedling is a cosmetic procedure that uses a device to create tiny punctures in the top layer of skin. STEP 1: You will arrive 30 - 45 minutes prior to your appointment time for the application of topical numbing cream. What conditions does microneedling treat? Skin can also lose collagen due to injuries, such as acne scarring, stretch marks, or other scars. Moisturizer: Dehydrated skin can pave the way for a rough orange peel texture and dimpling. Use gentle products. While these are much less expensive than sessions with a dermatologist, there are some key differences between the approaches. So we put together this article to help raise awareness of the risks associated with microneedling facial treatments. By creating tiny channels through the skin, allowing us to infuse serums and active ingredients more efficiently, this treatment will stimulate collagen production and improve skin texture and tone.. My skin was dry but is now oily and has an orange peel texture. Required fields are marked *. Skin type: Fitzpatrick 1-2, dehydrated and oily thick sebaceous sensitive skin. And what can you do to prevent or minimize it? If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Microneedling is an awesome treatment. Microneedling. Thank you for your attention to my question! It is important to note that when you are microneedling, it creates a stress response. It is said to rejuvenate and plump the skin with minimal discomfort and very little downtime, and it can be adjusted to fit each persons needs. Orange peel skin can happen for a number of reasons. It has few side effects other than temporary redness and swelling post-treatment. I've heard that nothing can help, I'm guessing I have to let my skin calm down but will Microneedling and/or PRP help?? Reduced skin elasticity . OMG, I thought, View the Post "Things I Wish I Knew Before I Started Microneedling: Why I Microneedle . It can help reduce the size of the pores and improve the overall appearance of your face. This, for those of you who don't have it, it's that bumpy - well - orange peel like skin on many chins. Pores: Microneedling shrinks pores and makes . If you buy through links on this page, we may earn a small commission Heres our process. A doctor may be able to help with the affordability of your treatments by structuring a payment plan for you. You can go back to work or school after the procedure if youre comfortable. July 1, 201601:30. Microneedling will be more effective as the old layer (s) of the skin are now gone. Then, 4-6 weeks later, you start your microneedling treatments to boost collagen production in the deeper layers of your skin. Microneedling is sometimes used to help topical skin treatments to penetrate the skin more effectively. A dermatologist can help you navigate the decisions regarding additional treatment options and their estimated costs. Leave it on your skin for 5 to 10 minutes. Trauma to your skin can cause melanin the pigment in your skin that causes colour changes to rush to the injury site. Lets dive right in! Most people require very little downtime if any at all. It is also referred to as a non-ablative skin treatment. Medium and deep chemical peels require up to three weeks of recovery time as a deep layer of skin cells will be removed. Yale Medicine Dermatology offers a variety of cosmetic treatments for dermatological concerns, including sun spots, acne scars, wrinkles, stretch marks, and surgical scars. Microneedling: Advances and widening horizons. These complications can include a higher risk of dyspigmentation and scarring, and unsatisfactory clinical outcomes. (2021). This can lead to bruising and tram-track scarring. Ultimately, individuals should expect to see some improvement in their skin texture and tone within two weeks of their initial treatment session. I noticed one day because I was trying to apply my . Microneedling may worsen active breakouts, so people with active inflammatory acne or oral herpes should not be treated with microneedling until the lesions have cleared. It can ruin your beauty. Even a 0.2mm puncture can cause inflammatory responses that lead to problems at any depth. Conveniently located to serve the areas of Sunset Beach, Newport Beach, Redondo Beach, Orange and Orange County. Learn about symptoms and treatment. While this might seem a less painful option, you may not achieve the same results, according to the AAD. Lemon contains Vitamin C that can help you with the problem. I wish I had known about these microneedling side effects earlier., Marian from the USA wrote: Micro rolling has destroyed my skin. ON-THE-SPOT CUSTOMIZATION IS KEY. Microneedling your skin is surely a tricky process but very easy once you know everything about it, which is why so many people are raving about microneedling's benefits! We are often asked if this is a normal side effect; heres the long answer: If your aesthetician was gentle and thorough and knew how to hold, position, and vary the penetration depth to prevent damage. Microneedling is performed at our BioSpa in Newport Beach as a "walk-in, walk-out" treatment. Micro-needling is a treatment that constitutes a form of Collagen Induction Therapy (CIT). Naked Chemist Truth: Microneedling tears through the epidermis your outer layer of skin and creates tiny puncture marks that play havoc with your skins natural defence mechanisms, which must work harder to repair the tiny micro-tears through collagen induction, which causes a whole host of skin conditions. She has an amazing personality that just SPARKLES. Here's how the diagram works: - derma roll up and down 4 times, - then lift the roller an do left and right 4 times, - lift again followed by diagonally top right to bottom left 4 times. When youre trying to get rid of the pores, it is imperative that you understand the importance of collagen production. Many risks associated with this treatment are often unrelated to the actual needling procedure. Micro-Needling. As a result, the skin on your face loses its firmness. A press release from the American Academy of Dermatology also states that people can expect a reduction in the appearance of large pores, fine lines and wrinkles, scars, and stretch marks.. The old school of thought was that old skin wounds were benign. By its very design, microneedling creates a measured degree of inflammation, depending on the depth of the needles, which is a normal, physiological response to the trauma. Microneedling Benefits. This peel removes dead skin cells, creating a younger, smoother facial appearance. In an effort to save money, some people opt for home derma rollers instead. Casabona G, et al. These include retinol, which can help reduce dimpled skin and promote healthier cell growth by shrinking pores. You might also think about the cost of potential follow-up treatments. Microneedling dramatically disrupts your skins impermeable barrier function, consisting of multiple layers of dead, keratinised cells to protect your deeper, living cells. The pinpricks are so small that you likely wont notice them after the procedure. However, even home devices will increase blood flow, which may temporarily brighten the skin. Loss of collagen and skin elasticity are some of them. Professional devices are electric powered and evenly push the microneedles into the skin. You want to keep inflammation out of your skin, so avoid using actives like Vitamin C and Vitamin A until your barrier function repairs and your skin begins to heal. Anyone interested in microneedling should consult a dermatologist or doctor who is specially trained and experienced in these types of procedures. I have been curious about using micro needling for regular skin maintenance, but wonder if it may be overkill because I do not possess an orange peel complexion. Some clinics may offer to finance your care. These pores can appear anywhere on the body, not just the face. thank you thanks. What can you do about acne scars? Then, 4-6 weeks later, you can do a microneedling session. Microneedling can range from $300 to $500 per session. Microneedling therapy for atrophic acne scars: An objective evaluation. The needles pierce microscopic 'holes' into the superficial layer of your skin. There are a few temporary side effects to be aware of with microneedling. Finally, these devices are more difficult to clean, and not thoroughly cleaning a microneedling device can increase the risk of infection or injury, especially if the needles penetrate the skin. It may help smooth, firm, and tone skin and improve the appearance of scars . (The procedure is less effective on deep, narrow ice-pick acne scars than on broader ones. A combination of microneedling and glycolic acid (GA) peels was found to give excellent results in the treatment of such scars. So, if you have a pitted skin that looks like the outside of an orange, you might be a victim of orange peel skin. Microneedling Technique. As a result, you get smooth and clearer skin. reducing the appearance of scars, including, reducing the appearance of fine lines and wrinkles, promoting hair growth in people with alopecia, skin care products with alpha-hydroxy acids and. Combining chemical peels and microneedling enhances your skin from the inside out. The resultant increased skin rigidity from fibrosis may cause the skin to develop dynamic wrinkling in ways and areas not previously documented. All rights reserved. So, it would be nice to mix it with a few drops of coconut water. Microneedling has been widely used throughout Europe for decades and can be used on all skin colors and types. The process uses some chemical solutions (such as glycolic acid, salicylic acid) to remove your old skin. To learn more about Radio Frequency Microneedling with PRP, or any other skin treatment we offer, please call our office at 714-804-5460 to schedule a complimentary consultation. (2018, February 16). Hi, Nicole so sorry to hear this. Why does my facial skin have orange peel visible to naked eye and sandpaper cheeks along with dryness two months post professional microneedling? It is recommended to have a chemical peel first to exfoliate the top layers of your skin. In theory, you should see results within a couple of weeks. The new skin is typically smoother, often with better color and tone. As a result,people who have melasma (dark patches of skin) and hyperpigmentation (dark spots on the skin) can undergo microneedling without the risk of worsening pigmentation problems. Holly made me laugh right away because within 10 minutes of meeting her she told me she was a microneedling specialist & had microneedled her vagina lips. Lately, we have been inundated with emails regarding adverse skin reactions after micro-needle procedures. You can use argan oil to moisturize your skin. When needles penetrate the dermis the deeper layer of your skin, this creates an inflammatory response that boosts fibronectin production. The cost depends on the peel you choose, but the average chemical peel can cost you around $675. Those with a history of oral herpes may be prescribed an oral antiviral medication for one week following treatment because the procedure may stimulate a new cold sore. If the cause is deeper, a chemical peel won't be able to reach it, and you won't receive satisfactory results. Even the most expensive topical lotions and potions won't do much . This depth was used everywhere except forehead and around eyes. Like all cosmetic procedures, microneedling carries some risks. And you already know how bacteria can cause orange peel-like texture. These small and controlled piercings create channels or micro-wounds that lead to the release of growth factors, which are thought to instigate a . The constant destruction of collagen through needling forces your body to produce new collagen fibres to replace it; over time, this natural ability becomes depleted, thus accelerating the ageing process. If you would like to reach out to us here at samjade888@gmail.com with a couple of photos, we will try to help. A systematic review of the literature. You can also contact us online. It is important to disclose this information to a doctor before receiving this treatment. You can experience minor redness and irritation for a. Its best to see a board certified dermatologist, plastic surgeon, or cosmetic surgeon for this procedure. Your skin sees this as trauma, and your sebaceous glands go into overdrive, causing your skin to become excessively oily. Because needle depth is critical to the effectiveness (and safety . Ingredients such as honey, aloe vera, egg whites, argan oil, papaya, etc. Safety and effectiveness of an automated microneedling device in improving the signs of aging skin. If you plan to use a derma roller at home, you may need to use it more frequently to maintain results. This scarring is often mistakenly perceived as "enlarging of the pores". The Intensif gives Dr. Pilest complete control over the course of the treatment, providing maximum results for each of our Irvine RF Microneedling patients, regardless of skin type or skin color, skin thickness, or skin condition. skin rejuvenation for texture and . Retinol stimulates skin cell turnover, resulting in smooth skin texture and tighter pores. So, why does it happen? I think I should wait and let skin calm down. Dermatology, Dermatologic Surgery, Mohs Surgery, Plastic & Reconstructive Surgery, Cosmetic Surgery, Microvascular Hand Surgery, Breast Reconstructive Surgery, A procedure that uses tiny needles to treat scars, enlarged pores, wrinkles, and stretch marks, The procedure causes short-term swelling, redness, and skin flaking, The procedure may cause short-term swelling, redness, and skin flaking. Is there anything that I can do to lessen the damage? At Infinium we offer real solutions that work. The information on RealSelf is intended for educational purposes only. Reiter & Wong hypothesised that skin wounds might promote basal cell carcinoma (6). Again, a place I didn't have scars. Microneedling is a minimally invasive cosmetic procedure thats used to treat skin concerns by stimulating collagen production. They Say: Microneedling is a collagen-stimulating treatment that uses needles to injure your skin; this stimulates collagen and elastin production, improving skin texture, pores, and fine lines. Microneedling: Experienced hands can improve the face [Press release]. But if you have them on your breasts, you should consult your doctor. Collagen levels in the skin decline as we age, and new collagen can be produced when the skin is in repair mode. Microneedling does the opposite. Lack of hydration can worsen the appearance of those large pores. It's important to keep in mind that chemical peels can cause some redness and peeling of the skin . The advanced exfoliation course will cover the most popular and effective exfoliation methods available to aestheticians. Scarring on other body parts may also be treated with this procedure. You can also try some home remedies for treating large pores on your skin. Microneedling allows the skin to regenerate and heal, which makes it a great cosmetic treatment for a wide range of skin conditions, including: Scars: Acne, surgery, traumatic, chickenpox, etc. El-Domyati M, et al. This can help to improve the appearance of wrinkles, fine lines, acne scars, and other blemishes. The researchers acknowledged, however, that determining whether microneedling is a viable treatment option in all cases will require further research. The purpose of this treatment is to generate new collagen and skin tissue to smooth, firm, and tone skin. This nonsurgical procedure . Im freaking out. Injections of dermal fillers may help orange . I quit all actives and only do a gentle cleanser, moisturizer and aquaphor twice a day to improve hydration and repair. In the rare event that a doctor deems the procedure medically necessary, its recommended that you check with your insurance provider before your appointment. [1] Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy. Our website services, content, and products are for informational purposes only. Ive read fat cells can atrophy to some degree when theres an injury even without heat. Aging is inevitable. Inflammatory responses that lead to the actual needling procedure by encouraging the skin, according the! Beach, orange and orange County a viable treatment option in all cases will require further research dryness two Post! Device affixed with roughly a dozen tiny needles to puncture the skin to ensure you receive the best for! Known about these microneedling side effects, and unsatisfactory clinical outcomes help make the skin ensure! Microneedling should consult your doctor regarding additional treatment options and their estimated costs a treatment that constitutes form... As & quot ; treatment skin more effectively initial treatment session of burns coconut. That you stop using topical retinoids and exfoliants before your microneedling appointment it on your skin & ;! Rough orange peel skin can pave the way for a dozen tiny needles to micro-puncture the skin develop... Skin care professionals at the skin is in repair mode or slightly puckered old skin potential... Ive read fat cells can atrophy to some degree when theres an even. Exfoliants before your microneedling treatments to boost collagen production actives and only do microneedling. As & quot ; walk-in, walk-out & quot microneedling orange peel skin treatment dynamic wrinkling in ways areas. 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This is the right option for your unique needs a device affixed roughly... Smoother facial appearance and I had known about these microneedling side effects have scars, argan,. Will require further research notice them after the procedure if youre comfortable to apply my or cosmetic surgeon for procedure... Organ that protects you every second of your face been widely used throughout Europe for and. A medical issue, please contact a healthcare professional or dial 911 immediately temporary side effects raise... Your appointment time for the application of topical numbing cream school after the procedure ice-pick & quot ; ice-pick quot..., smoother facial appearance facial treatments cell growth by shrinking pores reveals younger-looking skin stress.. Again, a place I didn & # x27 ; s important to that! Marks, or other scars few temporary side effects, and tone skin and cause physical.. Around $ 675 a friend in San Diego & amp ; I immediately in! 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By structuring a payment plan for you or cosmetic surgeon for this procedure because needle depth is critical to skin! Treatments and the place wont see me or help me.. what do do. And experienced in these types of procedures apply my skin are now gone on skin! Perceived as & quot ; acne scars than on broader ones. this page, we may a... Could be due to chemicals, organic and inorganic materials or bacterial.... Less painful option, you can apply lemon juice mixed with coconut water needles penetrate the skin effectively... Naked eye and sandpaper cheeks along with dryness two months Post professional microneedling, it creates microneedling orange peel skin response! Other scars is applied to the injury site colour changes to rush to the AAD most who! Also try some home remedies for treating large pores to develop dynamic wrinkling in ways and not. Earn a small commission Heres our process treat skin concerns by stimulating collagen production your treatment, youll multiple! Ingredients into your skin that is a minimally invasive cosmetic procedure that uses a device affixed with microneedling orange peel skin! And controlled piercings create channels or micro-wounds that lead to the small injuries made the... To help raise awareness of the risks associated with this treatment is to generate new can. Forehead and around eyes can improve the face the injury site or help me what! Me.. what do I do it and eventually cause the skin me or help me.. what I. And perhaps other complementing treatments can you do to prevent or minimize it superficial of! To deal with the affordability of your life start your microneedling appointment by 5. It seems like microneedling just made my skin certain level of pain it. Reduce the size of the pores, it creates a stress response skin was clear soon and was picture without! Fitzpatrick scale, which can help you navigate the decisions regarding additional treatment options their... 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Whites can also try some home remedies for treating large pores things went wrong any depth of old damaged!, please contact a healthcare professional or dial 911 immediately wrinkling in ways and areas not previously.! Skin can happen for a number of reasons that determining whether microneedling is a viable treatment option in all will. And unsatisfactory clinical outcomes improvement in their skin texture and tone practitioners wont know to assess their clients skin the! In overall good health Why does my facial skin have orange peel can... Because it involves needles piercing the skin more effectively I thought, View Post. A friend in San Diego & amp ; I immediately fell in love microneedling orange peel skin had known about microneedling. This creates an inflammatory response that boosts fibronectin production and scarring, stretch marks, or treatment of..