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Dermaroller treatment in London

Dermaroller for treatment of acne scars, fine lines and wrinkles

Introduction to dermaroller

Dermaroller treatment is a relatively new treatment and is a type of collagen induction therapy. It involves a process called "micro needling" where a simple handheld roller with an attached drum which has a number of needles (0.5mm- 2.0mm) is passed across the skin causing micro needling 0.5-1.5mm deep. Passing the dermaroller over the skin 15 times leaves 250 of these micro needle holes per cm.

This microneedling does not damage the epidermis and heals up withinn 2 days leaving no further issues. The micro injury to the scar tissue causes a number of changes including the breakdown of scar tissue and the formation of healthy new collagen, elastin and blood vessels. The process is again repeated at 6 weeks. For further details on exactly how it works see the clinical data section.

The dermaroller treatment is an effective treatment for remodelling the skin.

- It is a proven treatment for acne scars especially grades 1-3 (see clinical papers and grading).

- There is little recovery time involved in dermaroller treatments.

- Clinical studies have shown an improvement in 86% of patients with grades 1-3 acne scars.

- Minimal pain is involved.

Dermaroller for acne scars, fines lines and pigmentation

The dermaroller treatment for acne scars, fine lines and wrinkles and pigmentation is an innovative way of treating acne scarring without inconvenient downtime. The best acne scar treatments such as the dermaroller, work to break down abnormal scarring and encourage the body to gently replace it with a smoother skin without initiating a scar response. The medical micro needling of the dermaroller is an excellent way of obtaining these results.

The medical dermaroller for acne scarring

Not only can the dermaroller be used to treat acne scarring it can also be used to treat the face, hands, decolletage and neck. Unlike some of our laser treatments it can be used in the summer months and for all skin types. The dermaroller gives very good results not only for acne scars but also for pigmentation.

The dermaroller has hundreds of very fine medical grade microneedles

Grades of acne scarring

There are a number of grading systems for acne scars. We find that box scars and rolling scars respond well to dermaroller treatments. Grade 4 severely atrophic scars that do not improve on stretching the skin, only show and improvement in approximately 50% of treatments. We therefore concentrate our treatments on grades 2 and 3.

Grading of acne scars.

Grading of atrophic scars

Grade 1 Macular erythematous, hypo or hyperpigmented scars

Grade 2 Mild atrophy not obvious at social distances of >50 cm or easily covered by facial makeup or beard hair

Grade 3 Moderate atrophy obvious at social distances of >50 cm; not easily covered by makeup or beard hair, but able to be flattened by manual stretching

Grade 4 Severe atrophy not flattened by manual stretching of skin

Frequently asked questions

  • 1. What is a dermaroller?
  • 2. What will happen during the dermaroller treatment?
  • 3. How long does the dermaroller treatment take?
  • 4. How quickly will I notice an effect?
  • 5. How long will the dermaroller treatment last?
  • 6. What are the possible side effects of dermaroller?
  • 7. Post-treatment care with demaroller
  • 8. What areas can be treated?
  • 1. What is a dermaroller?

    A dermaroller is a device with hundreds of small medical grade microneedles arranged around a medical roller device. As the dermaroller is passed across the skin it causes small micro punctures in the skin surface.

    The dermaroller has hundreds of very fine medical grade microneedles

    Dermaroller with hundreds medical grade microneedles (hover mouse over photos for close-up)

    This controlled damage to the skin surface is not deep enough to elicit a scarring response however it will cause the body to have a milder healing response. The nearby tissue is broken down and new elastin and collagen are formed. This way scarring, lines, wrinkles and pigmentation are all gently removed, being replace over time with new scar free skin.

    2. What will happen during the treatment?

    Before any treatment at Medicetics you will have a full consultation with one of our Doctors to assess your skin and discuss possible treatment plans.

    If your skin is suitable for treatment, we will put strong anaesthetic on your skin for 30 minutes before treatment; this numbs the skin.

    The treatment is relatively pain free and consists of the roller being applied to the area of skin to be treated. This means thousands of tiny micro punctures are formed in the skin, this stimulates a controlled repair.

    The acne scarring, or area being treated, may look red, similar to moderate sunburn. This will settle within a few hours and the skin will look normal by the next day.

    3. How long does the treatment take?

    The dermaroller treatment takes 20-30 minutes depending on the area that is being treated. If the dermarolling is on the face alone it usually takes about 20 minutes. The neck takes approximately a further ten minutes. Dermaroller for the hand and decolletage take 10 to 15 minutes for each area.

    4. How quickly will I notice an effect?

    With dermarolling as we are breaking down the scar tissue and allowing the body to repair the skin, results take 4-8 weeks. For acne scarring we recommend three dermaroller treatments 6 weeks apart.

    5. How long will the dermaroller treatment last?

    The results from a dermaroller treatment are permanent. As it is a repair of the skin it does not revert after a given time period. Dermaroller for fine lines and wrinkles will improve the skin, however it will not stop skin ageing and new lines forming.

    6. What are the possible side effects of a dermaroller treatment?

    Side effects of dermaroller are minimal. After the treatment the skin appears red. In a very small percentage of people it can take 48 hours for the redness to fully settle. During this period camoflauge or foundation can be used. There can be a variation in results. Some patients get a 75% improvement whereas others only get a 50% improvement depending on the depth and severity of acne scars.

    7. Post-treatment care with demaroller

    After your dermaroller treatment your practitioner will put on a barrier repair cream to encourage the repair of the skin. You will also be given a sunscreen to wear between treatments. This helps protect the skin and provide optimum conditions for the skin to repair itself.

    8. What areas can be treated with the dermaroller.

    The most common area to be treated with the dermaroller is the face for acne scars. It can also be used to treat fine lines and wrinkles on the face.

    The dermaroller is also used to treat lines and wrinkles on the neck, decolletage and the backs of hands.

    We also treat stretch marks with the dermaroller.

    Before and after dermalroller images- mouse over image for large image

    Close up of skin before treatment

    Close up of severe acne scarring before treatment.

    Close up of skin after treatment

    Close up of severe acne scarring after two dermaroller treatments.

    Before and after photos after three treatments

    Dermaroller before and after 3 treatments for acne scarring right side

    Before and after photos after three treatments

    Dermaroller before and after 3 treatments for acne scarring left side

    Before and after photos after three treatments

    Severe forehead scarring before and after results.

    J Cutan Aesthet Surg. 2009 Jan–Jun; 2(1): 26–30.

    Journal of Cutaneous and Aesthetic Surgery.

    Microneedling Therapy in Atrophic Facial Scars: An Objective Assessment

    Author: Imran Majid



    Atrophic facial scars are always a challenge to treat, especially the ones that are deep-seated and/or involve much of the face. Microneedling or dermaroller therapy is a new addition to the treatment armamentarium for such scars that offers a simple and reportedly effective management of these scars.


    The aim of the present study was to perform an objective evaluation of the efficacy of dermaroller treatment in atrophic facial scars of varying etiology.

    Materials and Methods:

    Thirty-seven patients of atrophic facial scarring were offered multiple sittings of microneedling (dermaroller) treatment and their scars were evaluated and graded clinically and by serial photography at the start as well as at two months after the conclusion of the treatment protocol. Any change in the grading of scars after the end of treatment and follow-up period was noted down. The patients were also asked to evaluate the effectiveness of the treatment received on a 1-10 point scale. The efficacy of dermaroller treatment was thus assessed both subjectively by the patients as well as objectively by a single observer.


    Overall 36 out of the total of 37 patients completed the treatment schedule and were evaluated for its efficacy. Out of these 36 patients, 34 achieved a reduction in the severity of their scarring by one or two grades. More than 80% of patients assessed their treatment as ‘excellent’ on a 10-point scale. No significant adverse effects were noted in any patient.


    Microneedling therapy seems to be a simple and effective treatment option for the management of atrophic facial scars.

    Microneedling Therapy in Atrophic Facial Scars: An Objective Assessment link to full article on Pubmed

    Prices for dermaroller treatments.

    Dermaroller treatments can be purchased as individual treatments. For the maximum benefit we recommend a course of three treatments.

    One facial dermaroller treatment session £350

    Course of three facial dermaroller treatments £900

    Prices for other areas including hands, neck, decolletage and stretch marks are available on application.