MICRONEEDLING By Joshua Zuckerman, MD, FACS in New York City

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Microneedling makes microscopic punctures through the outer layers of skin, which stimulates the body’s healing mechanism and collagen production. This helps address fine lines and wrinkles, hyperpigmentation, scarring, and other aesthetic skin issues.

Microneedling is one of the most popular recent trends in medical beauty and is used to perform facial rejuvenation. The microneedling device contains multiple fine needles that create tiny punctures in the upper layers of the skin. These tiny wounds trigger the body’s healing mechanism and the production of collagen and elastin, which both decline as we age. Collagen and elastin are largely responsible for maintaining youthful firmness, skin smoothness and texture consistency, and microneedling is an effective method to stimulate production. In addition, the treatment is relatively painless, because Dr. Zuckerman applies a topical anesthetic, or numbing cream, prior to start. As detailed below, microneedling’s popularity also comes from its convenience: treatment requires little to no downtime. Treatment typically involves three rounds over the entire facial area, but it is customized to each patient with increased focus on problem areas. Patients can undergo microneedling treatment directly with Dr. Zuckerman or with a member of his certified medical professional staff.

While research is still being conducted on the efficacy of microneedling, Dr. Zuckerman has seen good treatment results for the addressable conditions below. Several of these issues are also addressable via laser skin resurfacing treatments, and Dr. Zuckerman can help you decide which form of treatment may best suit you.

Microneedling for Fine Lines and Wrinkles

Because microneedling induces collagen production, treatment can address fine lines and wrinkles formed as a result of aging or due to sun damage.

Microneedling for Dyschromia, Age Spots (Liver Spots), or Sun Damage

Increased collagen production resulting from microneedling can also address pigmentation issues, which are typically also due to aging or sun damage.

Microneedling for Skin Texture, Smoothness, or to Reduce Overly Large Pores

Similar to the above, skin dullness, texture irregularities, lack of firmness or overly large pores can also be treated via microneedling. Overly large pores in particular may appear as a result of declining collagen and excess skin cells or debris, which are effectively addressed with this treatment.

Microneedling for Stretch Marks

Stretch marks are actually tears in the fascia, connective tissue below the skin. As a result, microneedling does not directly address them but has shown some efficacy in improving the condition of the skin above them and therefore their overall appearance. However, results vary by individual and may not fully eliminate the problem. Dr. Zuckerman can recommend a customized treatment regimen depending on the severity of these issues.

Microneedling for Acne Scars

Microneedling can be effective at improving the appearance of acne scars and can help patients regain self-esteem. Results vary by individual and require several treatments.

Microneedling combined with Platelet Rich Plasma (PRP)

This treatment combination is among the most popular uses for microneedling and involves platelet rich plasma (PRP) rubbed over the treatment area between rounds of microneedling.



Key Aspects of Treatment

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Dr. Zuckerman performs a microneedling treatment on the forehead of a patient to address fine lines and wrinkles and skin texture issues.

Microneedling Recommended Regimen

Depending on the aesthetic issues to be treated, Dr. Zuckerman may recommend regular treatments every six months or a series of 4-6 treatements spaced a few weeks apart.

Microneedling Longevity

Treatment results last three to six months but vary by individual.

Microneedling Procedure Time

Approximately 30 minutes

Microneedling Pretreatment Guidelines

Dr. Zuckerman advises patients to avoid irritants, such as retinoids, or exfoliants for several days before and after treatment. The skin will also be more sensitive after treatment, and Dr. Zuckerman advises patients to use high SPF skincare.


Microneedling Recovery (Downtime)

Microneedling involves little recovery time, and typically patients do not require time off from work. Skin may appear slightly red for 24-48 hours after treatment, but this should resolve. Most patients are able to wear makeup the following day.

Microneedling Associated Risks

Microneedling is minimally invasive and involves few risks when performed correctly in a sterile medical environment. However, possible risks include bruising, infection, scarring or pigmentation issues. Please inform Dr. Zuckerman if you are prone to keloid scar formation, hyperpigmentation, or have other skin conditions prior to treatment. He will be able to discuss your options.



Skin and facial rejuvenation with microneedling is among the fastest growing trends in medical beauty. By creating small punctures in the skin, Dr. Zuckerman employs microneedling to stimulate the body’s natural collagen production mechanism, which otherwise declines as we age. Microneedling can help address fine lines and wrinkles, age spots (liver spots), skin pigmentation or texture irregularities, and even facial and acne scars.


Frequently Asked Questions About Microneedling

Can I buy my own microneedling product for at-home use?

There are some microneedling products for retail use that allow you to perform the procedure at home, but the needles used in the medical professional Rejuvapen device are generally longer than those in retail procedures and puncture deeper in the skin’s surface. These deeper punctures increase the effectiveness and rejuvenative capabilities of the procedure beyond what is possible with a retail appartus.

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ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.



Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


For Mothers' Day, Dr. Zuckerman introduced two of his patients to the New York Post who were interviewed and said how much they enjoy their experience at Dr. Zuckerman's office.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.



Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.



Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


About Us

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Zuckerman Plastic Surgery is the cosmetic surgery practice of board-certified plastic surgeon Dr. Joshua D. Zuckerman, MD, FACS located in New York City. Dr. Zuckerman specializes in tummy tuck surgery, liposuction, buttock augmentation, and cosmetic breast surgery. Zuckerman Plastic Surgery also offers an array of non-surgical treatments including musculoparalytics such as Botox, lip augmentation, tear trough rejuvenation for dark eye circles, laser resurfacing, microneedling, medical grade skincare and more. Zuckerman Plastic Surgery is a d.b.a. name for Joshua D. Zuckerman, MD, FACS, P.C., a Professional Corporation registered in the state of New York (DOS ID #: 5192265)
800A Fifth Avenue Suite 101
New York, NY 10065
Phone: 212-231-9897
Specialty: Plastic Surgery
Joshua D. Zuckerman, MD, FACS, P.C.
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