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Microneedling for Facial Rejuvenation: A Systematic Review.

Jose A Foppiani1,2,3, James E Fanning1, Kassandra Beltran3

  • 1Department of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis St, Suite 5A, Boston, MA, USA.

Aesthetic Plastic Surgery
|June 20, 2025
PubMed
Summary
This summary is machine-generated.

Microneedling (MN) offers high patient satisfaction for facial aging concerns. This minimally invasive treatment shows a low incidence of adverse effects, supporting its use as a non-surgical option.

Keywords:
AgingEstheticFacial rejuvenationMicroneedlingPlastic surgery

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Area of Science:

  • Dermatology
  • Aesthetic Medicine
  • Evidence-Based Medicine

Background:

  • Microneedling (MN) is a popular non-surgical cosmetic procedure for facial skin aging.
  • Patient-reported outcomes (PROMs) and safety are key considerations for MN efficacy.

Purpose of the Study:

  • To evaluate patient satisfaction and safety profiles associated with microneedling for facial rejuvenation.
  • To synthesize existing evidence on microneedling outcomes through a systematic review and meta-analysis.

Main Methods:

  • Systematic review conducted following PRISMA guidelines.
  • Screening of 346 identified articles in a two-stage process.
  • Descriptive statistics and proportion meta-analysis of patient satisfaction data.

Main Results:

  • 21 articles involving 723 patients were included; the cohort was 72% female, average age 48.
  • Common endpoints included wrinkling (71%), skin texture (33%), and photoaging (29%).
  • 83% of patients reported satisfaction; adverse effects were low, including transient erythema (6.8%) and scaling (1.7%).

Conclusions:

  • Microneedling demonstrates high patient satisfaction and a favorable safety profile for facial rejuvenation.
  • MN is a viable non-surgical option, but standardized outcome measures are needed for further efficacy assessment.
  • Continued research is warranted to optimize microneedling protocols for treating facial aging signs.