Microneedling

Curious About Microneedling But Not Sure What to Expect?

Boise's dry climate, high altitude, and year-round sun exposure can leave skin looking uneven in texture, with visible pores, fine lines, or lingering acne scars. Many patients tell us they've searched online for microneedling before and after photos, hoping to get a realistic sense of what the treatment can actually do for their skin.

Before booking anything, it helps to understand the process, who performs it, and what a well-tolerated, medically guided treatment plan looks like. That's where our team comes in.

What Is Microneedling?

Microneedling is a minimally invasive skin treatment that uses fine, sterile needles to create controlled micro-injuries in the skin. This process encourages the body's natural collagen and elastin production, which can support smoother, more even-textured skin over time.

• Performed by our master aesthetician at Treasure Valley Dermatology using SkinPen, an FDA-cleared microneedling device
• Can be used on the face, neck, and other areas of concern
• Often combined with topical serums to support the skin's response
• Suitable for most skin types and tones
• Typically performed as a series of sessions spaced several weeks apart

What to Expect During Treatment

• Consultation: Cosmetic consultations are led by Morgan Hollowell, our master aesthetician, who evaluates your skin, discusses your goals, and determines whether microneedling is a good fit
• Numbing time: A topical numbing cream is typically applied 20 to 30 minutes before treatment to support comfort
• Treatment time: The SkinPen device is passed over the treatment area, usually taking 20 to 40 minutes depending on the size of the area
• Sensation: Most patients describe mild discomfort, similar to light sandpaper or a vibrating sensation
• Downtime: Redness and mild swelling, similar to a sunburn, are common for 24 to 72 hours after treatment
• Aftercare: Gentle cleansing, sun protection, and avoiding harsh actives for several days following the session

What Results Can Look Like

Every patient's skin responds differently, so we avoid promising specific outcomes. What we can share is what many patients typically experience with a full course of treatment.

• Many patients find gradual improvement in skin texture and tone over several weeks
• Collagen remodeling continues for months after treatment, so results tend to build over time rather than appear immediately
• A series of 3 to 6 sessions, spaced 4 to 6 weeks apart, is often recommended for meaningful changes in texture
• Maintenance sessions may be recommended periodically to support long-term skin quality
• Results vary based on skin type, treatment area, and consistency with aftercare

Patients researching microneedling before and after results should know that outcomes are gradual and cumulative, not a single dramatic change after one visit.

Who Is a Good Candidate for Microneedling?

• Adults concerned with fine lines, uneven texture, or enlarged pores
• Patients with acne scarring looking for a non-surgical option
• Those with sun-exposed skin common to Idaho's outdoor lifestyle, looking to support overall skin quality
• Patients who want a treatment with minimal downtime compared to more invasive procedures
• Adults of most skin tones and types, following a consultation to confirm candidacy
• Patients who are not currently pregnant, do not have active skin infections, and do not have certain bleeding disorders (confirmed during consultation)

Frequently Asked Questions

How many microneedling sessions will I need to see results?

Most patients benefit from a series of 3 to 6 sessions spaced 4 to 6 weeks apart, though this varies based on your skin's specific concerns. Your provider will recommend a care plan tailored to your goals during your consultation.

Is microneedling painful?

A topical numbing cream is applied before treatment to support comfort, and most patients describe the sensation as mild discomfort rather than pain. Sensitivity can vary depending on the treatment area and individual pain tolerance.

How long does it take to see microneedling before and after results?

Because microneedling works by stimulating your skin's own collagen production, changes typically appear gradually over several weeks to months following treatment. Many patients find continued improvement even after their final session in a series.

What is the downtime after microneedling?

Most patients experience redness and mild swelling for 24 to 72 hours, similar to a mild sunburn. Many people return to normal activities the next day, though we recommend avoiding sun exposure and strenuous exercise for a few days after treatment.

Can microneedling be combined with other treatments?

Yes, microneedling is often paired with topical serums during treatment to support skin response. Your provider may also discuss how it fits alongside other services offered at Treasure Valley Dermatology as part of a broader care plan.

Why Choose Treasure Valley Dermatology

• Microneedling performed under the guidance of a board-certified dermatology team, not a med spa with limited medical oversight
• Led by Dr. Dustin Portela, DO, Dr. Kelsey Ferrell, DO, and Dr. Ben Buttars, DO, all board-certified dermatologists
• Board-certified dermatologists and experts in skin cancer surgery, reflecting the depth of clinical expertise behind every service we offer
• 700+ five-star reviews from patients who describe the practice as "a breath of fresh air" with a team that is "so busy but you still feel like you're their only patient"
• Full-family dermatology care, from pediatric skin concerns to adult cosmetic treatments, under one roof
• Two convenient locations serving Boise, Meridian, Eagle, Nampa, Caldwell, Star, Kuna, and surrounding communities
• Access to clinical trials and the latest dermatologic technology, including SkinPen microneedling, Radiesse filler, CoolSculpting, and more

Ready to Talk About Microneedling?

If you've been comparing microneedling before and after results online and want to know what's realistic for your own skin, our team is ready to help you build a personalized care plan. Schedule a consultation today at dermatologyboise.com/schedule-an-appointment and visit us at our Boise or Meridian location.