DERMAROLLER
dr. Stefani Marietta 1880721009
dr. Felicia Hartono 1880 721033
dr. Adellia Nike 1880721039
Dermaroller
Microneedling with dermaroller is a treatment
modality for the treatment of scars, especially
acne scars, stretch marks, wrinkles, and for
facial rejuvenation. It is a simple and
relatively cheap modality that also can be
used for transdermal drug delivery.
History
Important milestones in the development of
microneedling are as follows:
1995-Orentreich and Orentreich described
subcision or dermal needling for scars
1997-Camirand and Doucet described needle
dermabrasion using a "tattoo pistol" to treat
scars
2006-Fernandes developed percutaneous
collagen induction therapy with the
dermaroller
Dermaroller – The Instrument
The standard dermaroller used for acne scars is a
drum-shaped roller studded with 192 fine
microneedles in eight rows, 0.5-1.5 mm in length
and 0.1 mm in diameter. The microneedles are
synthesized by reactive ion etching techniques on
silicon or medical-grade stainless steel. The
instrument is presterilized by gamma irradiation.
Medical dermarollers are for single use only.
THE PRINCIPLE-COLLAGEN INDUCTION THERAPY
The medical dermaroller needles are 0.5-1.5 mm in length. During
treatment, the needles pierce the stratum corneum and create
microconduits (holes) without damaging the epidermis.
It has been shown that rolling with a dermaroller (192 needles, 200
µm length and 70 µm diameter) over an area for 15 times will
result in approximately 250 holes/ cm2.
Microneedling leads to the release of growth factors which
stimulate the formation of new collagen (natural collagen) and
elastin in the papillary dermis.
In addition, new capillaries are formed-this neovascularisation and
neocollagenesis following treatment leads to reduction of scars.
The procedure is therefore aptly called "percutaneous collagen
induction therapy" and has also been used in the treatment of
photoageing.
INSTRUCTIONS FOR COLLAGEN-INDUCTION-
THERAPY
GENERAL
THE STANDARD PROCEDURES FOR SKIN
REJUVENATION such as dermabrasion, acid-
peeling or laser re-surfacing have one and
the same target: to remove the protective
epidermis, and set a 2nd degree burn. Once
that protection layer against environmental
influences such as dirt, bacteria, etc.
is removed, certain health risks must be
accepted: long prevailing inflammation and
redness, long healing period (like on all
burns), extreme light-sensitivity over months,
possible irreversible pigment changes and
scars.
Due to different skin structure on neck and
décolleté a laser re-surfacing is not possible.
And the most negative point is: The skin
becomes thinner, and in most cases the
procedure can’t be repeated a second time.
The COLLAGEN-INDUCTION-THERAPY with
the DERMAROLLER™ is not only a perfect
alternative, the best thing about this device
is: that it produces new collagen fibers
without destroying the epidermis!
The Dermaroller (models: CIT8, MF8 & MS4)
are stud with nearly 200 extreme fine needles
of medical grade stainless steel. If these fine
needles penetrate the dermis, tiny micro-
wounds are set.
The skin reacts to these pricks like it reacts to
any other wound with the distribution of the
various growth factors. This process of
additional production of collagen tissue is a
normal physiological reaction and called:
Natural-Collagen-Induction.
The new collagen develops on top of the
dermis and underneath the epidermis. In the
course of the next month the collagen is
transformed from collagen-type III to type I,
resulting in more fiber strength and elasticity.
A single needle prick as such is not worth
consideration, but we get a totally different
picture when countless tiny pricks are set to
each other.
The formation of the new collagen layer
becomes confluent, and forms a new tissue
layer, which to a certain extent can
compensate the age-degraded skin.
Compared with the conventional peeling
methods, the MICRO-NEEDLING with the
Dermaroller has undisputable advantages.
The most important one is that the
epidermis, the natural skin protection barrier,
remains intact!
Due to the fact that the epidermis is NOT
removed or otherwise damaged, most of the
risks and negative side effects of chemical
peeling or laser resurfacing are eliminated.
While the prick channels in the epidermis
have closed within hours, under its protection
shield a new collagen-structure starts to form
on the dermis.
COMPARISON
• The epidermis, the natural barrier against
environmental influences, remains intact.
• Therefore more or less all negative side-
effects of laser re-surfacing do not occur
• The CIT can be repeated – many times!
• Back to public in almost NO time
The repeated performance of a CIT depends
on the physiological process of the organism.
Therefore the factor time plays a vital role.
The formation of new tissue has reached its
peak in about 10 to 12 weeks .
Only after that period it can be decided if the
CIT should be repeated (in acne-scars this is
mostly the case).
In reference to that point it is important to
know that the final strength and elasticity of
the collagen fibers can take up to one year.
The needles not only induce new collagen
fibers, they also loosen old and hardened
collagen strands, especially in scary tissue.
CIT Procedure
1 . Prepare the patient like for any other
surgery
2. Numb the skin (a numbing cream needs
about 30 to 40 minutes)
Thank You
