A thorough consultation keeps clients safe and sets expectations everyone can agree on. Here is what a good microneedling consultation covers.

Medical history

Practitioners commonly screen for:

• Active acne, infection or cold sores in the treatment area
• Eczema, psoriasis or dermatitis on the face
• Isotretinoin use, usually within the last six months
• A history of keloid or raised scarring
• Blood-thinning medication or bleeding disorders
• Pregnancy or breastfeeding
• Recent sunburn, tanning or other skin treatments

Some of these rule treatment out. Others mean adjusting the plan or getting sign-off from a doctor first.

Skin assessment

The practitioner looks at skin type, Fitzpatrick type, sensitivity and the concern itself, and takes photos in consistent lighting to compare against later.

Goals and expectations

Microneedling improves texture, fine lines, pores and many acne scars. Results build over months and usually need a course of sessions. It doesn't lift sagging skin or replace lost volume, and an honest consultation says so.

Preparing for the day

• Stop retinoids and exfoliating acids a few days before, as advised
• Arrive with clean skin and no make-up
• Avoid heavy sun exposure the week before
• Ask about antiviral cover if you get cold sores