Microneedling instructions | Persimmon

Microneedling

Pre & Post Treatment Care Instructions

Standard | PDRN | PRP

Contraindications — Do Not Proceed If Any Apply

Please inform your provider before treatment if any of the following apply to you:

  • Open wounds, active sores, or irritated skin at the treatment area

  • Active skin cancer

  • Allergy to stainless steel or anesthetic ingredients (benzocaine, lidocaine, tetracaine)

  • Bleeding or clotting disorders

  • Currently pregnant or nursing

  • Current or recent use of Accutane (isotretinoin)

  • Keloid scarring

  • Active infection or fever

Pre-Treatment Instructions

Use the timeline below to prepare for your appointment:

7 Days Before

  • Avoid chemical peels, waxing, electrolysis, laser treatments

  • Discontinue blood thinners (aspirin, NSAIDs, vitamin E, fish oil, ginkgo) — if approved by your physician

  • Avoid excessive sun exposure

3 Days Before

  • Discontinue retinoids, tretinoin, AHAs, BHAs, glycolic/salicylic acids, and other exfoliating agents

  • If you have a history of herpes/cold sores, begin antiviral medication (contact your PCP for a prescription)

  • Minimize alcohol consumption

Day of Treatment

  • Arrive with a clean face — no makeup or skincare products

  • Drink plenty of fluids

  • If receiving PRP, do not come fasting — eat a normal meal beforehand

Additional Pre-Treatment Notes

  • Shave the treatment area 1–2 days before your appointment if applicable.

  • Avoid active tanning or sunburn before treatment.

  • Disclose all current medications, supplements, and relevant medical history to your provider.

If you are taking blood thinners or anticoagulants (e.g., Warfarin, Plavix, Heparin), consult your physician before stopping them. Do not discontinue prescription medications without medical guidance.

Day of Treatment

  • Arrive with a completely clean face — no makeup, moisturizer, or skincare products.

  • If you are receiving PRP microneedling, eat a normal meal beforehand — do not come fasting.

  • Drink plenty of fluids throughout the day.

  • Let your provider know if you feel unwell, have a fever, or have developed any skin irritation since booking.

Post-Treatment Care

Follow the timeline below for your recovery:

First 24 Hours

  • No makeup, cleansers, lotions, or skincare products on treated area

  • Rinse with cool water only if needed

  • Apply post-care ointment at bedtime and at other times as needed

  • No exercise, sweating, or activities that increase blood flow

  • Strict sun avoidance — no sunscreen directly after treatment

  • Use a clean pillowcase

Days 2–3

  • Apply post-care ointment in place of your regular moisturizer

  • Reapply post-care ointment as needed

  • Begin using mineral sunscreen (SPF 30+)

  • Continue to avoid exercise and sun exposure

  • Continue to avoid exfoliating products

  • Avoid saunas, swimming, and hot tubs

Days 4–7

  • You may return to your regular skincare routine (unless skin is still sensitive)

  • Continue to avoid corrective/exfoliating products if you have any sensitivity

  • Continue sun avoidance and daily SPF 30+

  • Avoid aggressive exfoliating agents for the full 7 days

What to Expect

  • Redness and warmth (like a moderate sunburn) for 24–72 hours is completely normal.

  • Mild swelling, skin tightness, or tenderness at the treatment site.

  • Pinpoint bruising (tiny red/purple dots under the skin surface) — this resolves within 3–14 days.

  • Skin flaking or peeling may occur in days 2–5. Do not pick or peel the skin.

  • A burning or itching sensation is common for the first 24 hours. After 24 hours, a thin layer of hydrocortisone mixed with a mild moisturizer may help relieve itchiness.

  • Full recovery typically takes 1–2 weeks. Collagen production continues for up to 6 weeks after treatment.

Absence of visible peeling does not mean treatment was ineffective — your skin is still repairing and producing collagen internally.

Additional Notes for PDRN & PRP Microneedling

  • If you received PRP or PDRN, leave any residual serum on your skin until your nighttime skincare routine — do not rinse it off immediately after treatment.

  • Your provider will apply a post-procedure face mask before you leave. Leave it on for a minimum of 10–15 minutes after arriving home.

  • Avoid vigorous exercise for 48 hours post-treatment.

  • Avoid NSAIDs (Advil, Motrin, Ibuprofen, Naproxen) for 48 hours after treatment — Tylenol (acetaminophen) is acceptable for pain relief.

⚠ Contact Your Provider Immediately If You Experience:

  • Drainage or pus from the treated area

  • Increasing warmth, significant swelling, or redness that worsens after 48 hours

  • Fever of 101.5°F or higher

  • Severe pain that is unresponsive to over-the-counter pain relievers

  • Vision changes, difficulty breathing, or signs of allergic reaction

  • Cold sore or herpes outbreak at or near the treatment site

For Best Results

A series of 3 or more treatments spaced 3–6 weeks apart yields the best outcomes. Ask your provider about the right schedule for your skin concerns.

Questions? Contact your Persimmon provider or message us through the Persimmon app.

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