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Cosmetic

Microneedling

Microneedling is a minimally invasive, skin-rejuvenating treatment designed to improve the texture, tone, and overall appearance of the skin. In Midtown Manhattan, Dr. Brian Hibler, a board-certified and fellowship-trained cosmetic dermatologist, offers advanced microneedling treatments for patients looking to refresh their skin, reduce signs of aging, and restore a youthful glow. This treatment is often enhanced with platelet-rich plasma (PRP), providing natural support for collagen remodeling and skin healing.

Microneedling, sometimes referred to as collagen induction therapy, is a cosmetic dermatology procedure that uses a specialized device equipped with fine, sterile needles to create controlled micro-injuries in the skin. These tiny punctures trigger the body’s natural healing response, stimulating the production of collagen and elastin, the two key proteins responsible for skin firmness, elasticity, and resilience.

As the skin heals over the following weeks, it becomes smoother, firmer, and more even in tone. Because it works with the body’s natural regenerative processes, microneedling is a popular choice for patients seeking natural, noticeable skin improvement without surgery or prolonged downtime.

Microneedling is a versatile procedure that can address a range of common skin concerns on the face, neck, décolletage, and other areas. Patients often seek microneedling to improve:

  • Fine lines and early wrinkles
  • Acne scars and other types of scarring
  • Uneven skin tone or texture
  • Enlarged pores
  • Sun damage and pigmentation irregularities
  • Stretch marks
  • Skin laxity

Because microneedling promotes collagen production, it is particularly effective for early signs of aging and scarring that have not responded well to topical treatments.

Platelet-rich plasma (PRP) microneedling is an advanced version of traditional microneedling. After a small amount of the patient’s blood is drawn, it is processed to isolate the platelet-rich plasma, a component rich in growth factors that aid in tissue repair and regeneration. The PRP is then applied to the skin either before, during, or after microneedling to enhance the healing process and optimize results.

The addition of PRP can further improve skin texture and tone, accelerate recovery, and deliver a natural radiance. PRP microneedling is sometimes referred to as the “vampire facial” due to its use of the patient’s own blood-derived growth factors.

It is an advanced skin rejuvenation treatment that combines traditional microneedling with radiofrequency energy. While the microneedles create tiny, controlled punctures in the skin to stimulate collagen production, RF energy is simultaneously delivered into the deeper layers of the skin to tighten and firm tissue through gentle heat.

This combination enhances the benefits of standard microneedling by improving skin texture, reducing fine lines and wrinkles, minimizing acne scars, and tightening mild to moderate skin laxity. Because RF energy reaches deeper layers without damaging the surface using insulated needles, the treatment is effective for both collagen remodeling and skin tightening with minimal downtime.

Microneedling with PRP is focused on improving skin tone, treating mild acne scars, fine lines and early signs of aging. RF microneedling is best for patients with early to moderate skin laxity, who seek firmer and lifted skin without surgery and have deeper wrinkles, atrophic acne scars and texture concerns.

Every treatment with Dr. Brian Hibler begins with a comprehensive consultation to assess your skin health, discuss your concerns and expectations, and determine the most appropriate approach for your goals. Dr. Hibler will examine the skin, review your medical history, and tailor a microneedling plan to suit your needs.

Whether you are looking to improve acne scarring, reduce the appearance of fine lines, or simply rejuvenate dull or uneven skin, your consultation allows Dr. Hibler to answer your questions and provide honest guidance and realistic expectations. For patients considering PRP microneedling or radiofrequency microneedling, Dr. Hibler will explain the process in detail and determine if it is the right choice for you.

Microneedling is performed in-office and typically takes about 30 minutes. Before the procedure begins, a topical numbing cream is applied to minimize any discomfort. Most patients describe the microneedling sensation as a light prickling or scratching, and discomfort is generally very minimal.

Once the skin is numb, Dr. Hibler will use a microneedling device to make tiny, controlled punctures across the treatment area. For patients choosing PRP, the plasma is either applied topically during the session or may be injected directly into deeper scars or lines for enhanced results. The depth of the microneedles can be adjusted depending on the thickness of skin, depth of scars and wrinkles, personalized goals of treatment, and individual anatomic considerations.

After the procedure, the skin may appear slightly red, similar to a mild sunburn, with pinpoint bleeding. This reaction typically subsides within 24 to 72 hours, and most patients can resume normal activities shortly after treatment.

One of the major advantages of microneedling is that it delivers gradual and natural-looking results with minimal downtime. Most patients begin to notice smoother, firmer skin within a few weeks of treatment, with improvements continuing over the following months as collagen production increases. Whether a single treatment or a series will be determined in discussion with Dr. Hibler.

Why choose Dr. Brian Hibler?

As a board-certified and fellowship-trained cosmetic dermatologist, Dr. Brian Hibler combines clinical expertise with an artistic approach to skin rejuvenation. He is highly skilled in both traditional and advanced microneedling techniques, including PRP, and works closely with each patient to ensure safe, effective, and personalized results.

Dr. Hibler offers state-of-the-art treatments in a welcoming and professional environment. If you are interested in microneedling or PRP-enhanced skin rejuvenation, we invite you to schedule a consultation with Dr. Hibler to explore how this proven, non-surgical procedure can help you achieve smoother, clearer, and younger-looking skin.

At a Glance

Dr. Brian Hibler

  • Board-certified dermatologist
  • Fellowship-trained dermatologist
  • Ivy League educated at Cornell and Harvard Medical School
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