Adrienne Dooling O.M.D., L.Ac
Micro-needling ~ Nano-needling ~ Facial Acupuncture & Omega Light Therapy
Medical micro-needling is considered a safe non-invasive, effective procedure with a low rate of adverse affects. It is a cosmetic skin procedure that promotes and accelerates natural skin regeneration and repair. It is a type of collagen induction therapy which is stimulated as the body repairs itself when it encounters a perceived external stimulus such as needling, cuts or abrasions. The body’s stem cells are activated which stimulates the production of collagen and elastin up to 400% after 3 sessions. Micro-needling is a procedure that improves fine lines and wrinkles, crows feet, hyperpigmentation, skin scarring from acne or surgery. The epidermis and melanocytes in the basal layer keep their integrity and this is done by piercing micro channels between .5 and 2.5 through the epidermis (top layer) of the skin and into the dermis (middle layer) of the skin. The creation of micro channels induces a controlled skin injury with minimal epidermal damage and stimulates dermal wound healing cascade (inflammation, proliferation and remodelling) to take place. This leads to the release of platelet derived growth factor (FGF), fibroblast growth factor and transforming growth factor alpha and beta. (TGF-a, TGF-b). This is done with a micro-needling pen that has a needle cartridge with small fine sterile needles attached and which glides over the skin several times on a base of herbal serums that are formulated in Oriental medicine’s herbal pharmacopia and apple stem cell hyaluronic acid.
Post treatment recovery is fast and with its impressive clinical results, micro needling is a valuable alternative to more invasive procedures such as laser skin resurfacing and deep chemical peels.
WHAT DOES MICRO-NEEDLING TREAT?
Loss of elasticity and epidermal thickness.
Rough skin texture, fine lines, crow’s feet, wrinkles, hyperpigmentation and dark spots.
Scars, dry skin, post-surgical scars, acne scars.
AM I A SUITABLE CANDIDATE?
If you suffer from any of the following micro needling is not indicated:
Keloids or raised scars, raised moles or warts, extensive broken capillaries, pustular acne, active bacterial viral or fungal skin infections. Active herpes labialis. Cosmetic facial surgery in the past 6 months. Patients taking blood thinners, heart immunosuppression medications, chemotherapy, diabetes, botox (wait 2 weeks). Fillers, microblading, platelet rich plasma, IPL (laser) wait 4 weeks.
WHAT IS MICRO-NEEDLING USEFUL FOR?
It’s useful for skin scarring issues from injuries or acne, fine lines and wrinkles, and uneven skin tone. It also helps shrink pores and tightens the skin. It’s practically like reverse ageing. Everything simply looks smoother, firmer and younger afterwards.
WHAT HAPPENS DURING THE TREATMENT?
On arrival to the clinic you can relax on the table where a numbing cream is applied and a red lamp therapy light is placed over your face. If you wish to have a mini acupuncture treatment while lying down we can do this at this point on distal points of the body. We let the cream sit for about 20 minutes and place you under the Omega light therapy lamp (see below) until you can’t feel anything. Once you are numb, herbal serums are applied to the skin which are absorbed up to 3000% more with micro needling. We begin needling over and back across the face, neck and chest area. Once the entire face has been treated, I like to press harder on target areas like crows feet, smile lines, and scars. The entire treatment takes up to 50 minutes.
WHAT WILL MY FACE LOOK LIKE AFTER A TREATMENT?
There will be slight reddening of the face afterward and this may last for 24 hours.
This varies for everyone. There may be dryness in patches and by day 5 your skin will be back to normal. I’d say a week of redness/bruising is the maximum downtime thought this is unusual. Aloe vera can help reduce redness. Stay out of the sun and do not use facial soap. No make-up on the day of treatment.
HOW LONG BEFORE I SEE RESULTS AFTER THE TREATMENT?
Clients report noticing a difference by week 4 and the results get continuously better for the next 2-5 months.
DOES IT HELP WITH PIGMENTED/DEEP SCARS OR UNEVEN SKIN TONE?
Yes. The deeper the scar, the more sessions it may take to see a result you’re happy with. There is generally at 60-70% improvement in scars within 4-6 treatments. Also, the higher your pain tolerance, the “harder” and more “intense” can be with the tool, which will help produce results faster.
HOW LONG SHOULD I WAIT BETWEEN TREATMENTS?
3 to 4 weeks on average is a good time to wait. This gives the skin a chance to breathe and settle down, and it also gives you a chance to start seeing results. Three treatments 4 weeks apart is standard for best results but it also depends on your age and skin condition. Older clients may need extra treatments for desired results.
HOW MANY TREATMENTS SHOULD I GET?
This is completely up to you and the condition being treated. 3-4 treatments are recommended for mild to moderate acne scarring. For deeper scars expect 6. After those treatments are done, it’s a good idea to schedule a maintenance needling once every 6-12 months to keep things looking fresh, smooth, and bright.
HOW DO YOU MAINTAIN THE RESULTS AFTERWARD?
You shouldn’t really see results ‘fade’ unless your daily routine is lacking. Stay hydrated and eat a clean diet. For products a nice vitamin C serum will prevent hyperpigmentation and a good sunscreen is also recommended.
I recommend herbal products by bond skin care who also stock white lotus beauty products.
WHAT IS NANO-NEEDLING?
Nano-needling uses the same typo of oscillating motion to treat the skin but the cartridge has 81 silicone tips. These microscopic hair-like separate the cells within the epidermis to allow active products to be pushed into the skin. Nano-needling only affects the epidermis, treatment within the upper .15mm of the skin. The benefits of this serum infusion treatment include pigmentation reduction, increased cell turnover, skin rejuvenation and an immediate glow with no downtime. This treatment can be done weekly to exfoliate the skin.
WHAT IS FACIAL COSMETIC ACUPUNCTURE?
Facial acupuncture has long been known to treat the whole body and is better at lifting, firming and tightening sagging neck, cheeks and eyelids. It addresses the whole body as we use body points in addition to the face. It takes an average of 10 treatments to see good results and can be used in between micro-needling sessions. You can feel the sensation of qi in the face as the tiny needles move Qi and blood circulation. Both modalities are based on 2,000 years of Chinese medical principals and in biomedical terms there is an increase of keratinocytes and stem cells which produce more collagen and elastin in the face. If you incorporate both acupuncture and micro-needling into your routine it brings the best outcomes.
DO YOU HAVE OTHER RECOMMENDATIONS?
I am passionate about diet and lifestyle as a way of life. I work with professional grade Nutri-Advanced supplements based in Cork and can order products for your dietary needs including high grade probiotics, vitamins and minerals.
WHAT IS OMEGA LIGHT LOW LEVEL LED THERAPY?
Omega light is a 287 special near-infrared SMD LED machine. LL is short for Low level LED Therapy. The high power laser is focussed on the local area to treat a wide range of areas with appropriate light power. The LED light source is due to a narrow wavelength bandwidth which gives off light at a specific wavelength. For example the 640nm RED LIGHT LED is to promote the activation of mitochondria of collagen and energy substances in cells to help skin regenerate, normalise blood circulation and relieve pain to suppress inflammation. While your face is numbing for a micro-needling session you can relax under the light therapy lamp for added treatment and relaxation.
PURPLE LED (400nm)
BLU-RAY ( 423nm 1mm deep)
BLUE GREEN LED (490nm)
WHITE LED (laser light (510nm)
GREEN LED (523nm 0.5-2mm)
YELLOW LED ( 583NM 1-2 mm)
RED LED (640nm 1-6mm)
All about the serums
Stem cell builder - Ping Guo (apple peel).
5% apple stem cells.
TCM actions: Tonify facial Qi and the reproduction of facial cells under the epidermis.
Biomedical actions: 5% is the highest concentration available on the market. From the famous Uttwiller Spatlauber trees of Switzerland. Scientists of Mibelle biochemistry had an in-house study on cell viability and showed at a concentration of .1% and extract of Uttwiller Spatlauber stem cells stimulated the proliferation of human stem cells by 80%. For your treatment it is mixed with hyaluronic acid and applied to the facial area and for take home use.
Collagen builder - Xiang gu (shiitake mushroom).
TCM actions: Facial Qi strengthener, expel wind and best for dry deficient skin.
Biomedical actions: Promotes firmer skin, boots the synthesis of collagen, reduces the deterioration of collagen, improves the quality of collagen, prevents the degradation of matrix proteins like collagen and elastin, antioxidant, improves the structure and organisation for a firmer, smoother complexion.
Acne prone or greasy skin - Fu ling (poria mushroom).
TCM actions: Spleen and Kidney Qi deficiency commonly seen with older thinning skin.
Biomedical actions: Natural collagen and elastin builder. Builds skin thickness, microcirculation and radiance. Lessens the appearance of fine lines and wrinkles characteristic of ageing. Best for menopause or mature skin. In Oriental medicine Fu ling is a celebrated fungus where it is used as a purifying and softening agent. The part used in Elastin FL+ is the sclerotic (mycelium) which is rich in triterpenes and polysaccharides (pachyman). CDRR is a trans-membrane glycoprotein which acts as the main receptor of hyaluronic acid and maintains its homeostasis to strengthen tissues. During menopause and aging expression of hyaluronic acid and the DD44 receptor diminishes leading to reduced skin firmness and thickness and cell renewal. Elastin FL+ rolls back the effects in skin microcirculation, radiance, skin thickness and firmness resulting in younger and brighter skin. There are many imaging research studies behind this product.
Mature older skin - Tian men dong (asparagus root).
TCM actions: Boosts Primal Kidney Qi and essence of facial cells
Biomedical actions: Helps the cells regain their ability to grow and divide. Best for mature / older or thin skin.
Tian man dong substantially increases firmness and thickness of the skin. Its unique action is to reduce the process known as senescence which delays the appearance of skin ageing. It accelerates the skin’s detoxifying process independent of age and delivers a skin rejuvenation effect.
Nano-needling for eye-bags - Hai Zao (sargassum seaweed).
TCM actions: Moves blood and interstitial fluid. Resolves damp fluid retention
Biomedical actions: Helps clear bilirubin and fluid buildup around the eyes. Removes eye bags, dark circles and puffiness. Eye puffiness appears due to liquid retention as a consequence of higher permeability of blood vessels which when added to bilirubin accumulation (from haemoglobin breakdown) induces vascular pigmentation and therefore dark circles. In addition the deterioration of skin support proteins like collagen and elastin contributes to an increased visibility of such signs alongside the development of wrinkles. Oculus promotes the production of type 1 collagen and elastin by dermal fibroblasts and diminishes glycation of collagen to maintain strength and elasticity of the dermis. In vivo it improves the appearance of all signs of aging in the eye contour area including dark circles, puffiness and wrinkles.
Age spot remover - Zao Lei (sea algae).
TCM actions: Moves blood and fluids.
Biomedical actions: Clears melanin pigmentation from the skin and reduces age spots and melasma. Acts on diverse stages of melanin deposition and production in the skin to improve luminosity and decrease visibility of hyper - pigmented areas to balance out skin tone. Diminishes the amount of human tyrosinase protein by up to 48.9% and decreases the amount of melanin pigment produced by melanocytes in culture by 61.3%. Neutralises hyper-pigmentation which is related to age spots in the epidermis.
REJUV XUE CAO
Repair and aftercare serum - Ji Xue Dao (gotu kola).
TCM actions: Clear heat, resolve swelling, removes toxicity.
Biomedical actions: Helps speed up facial repair process post micro-needling. Rejuv Xue Dao is used to support faster healing of scratches, superficial burns and small wounds. It is traditionally used in the management of dermatological conditions. Active ingredients are pentacyclic triterpenoids which have activation and regulating functions. Asiatic acid madecassic acid and asiaticosides increases collagen synthesis to improve the firmness of the skin.