The aim of medical needling is to injure the skin in a “sensible” way. What does this mean? It may sound terrible, but in actual fact the micro-injuries only occur on the top layer of the skin. The aim of medical needling is to increase skin thickness by prompting cell regeneration processes, which in turn make the skin softer, smoother and more elastic.


Medical Needling Specialist Bonn


Nowadays there are a whole range of therapies available to treat undesirable changes to the skin like wrinkles, acne scars, stretch marks and scarring from burns. For many years, methods such as chemical peeling or dermabrasion were considered the treatment options of choice for sun-induced wrinkles. These procedures involved removing the top layer of skin, causing it to regenerate over the subsequent weeks and months. This makes the skin thinner and more sensitive. Yet the skin is actually an important protective organ and should be as thick and resilient as possible.

The medical needling that we perform in our clinic has a completely different treatment approach: the top layer of skin is penetrated using a derma roller (a handheld wheel fitted with tiny needles) or the Morpheus 8. The subsequent high-dose application of vitamin A then stimulates skin regeneration and the formation of new collagen. This causes the skin to become thicker, more supple and tauter. Wrinkles are flattened out, scars become less noticeable and pigment disorders are minimised. Medical needling also reduces scars, as the scar tissue becomes much softer and more elastic.

At a glance


15-30 minutes


Local anaesthetic upon request


Cooling the treated area




After one day


Wrinkles on the face and in the décolleté • Stretch marks • Acne scars • Smoking wrinkles • Laughter lines • Scars from burns • Pigment disorders • Scar contractures

Following a detailed consultation and in-depth examination, we will provide you with a custom quote. Do not take any aspirin or other blood-thinning medication 14 days prior to the therapy. Medical needling can/must be performed as an outpatient or as part of a hospital stay, depending on your specific case. For outpatients, a local anaesthetic cream is applied before the treatment is carried out. If you require a hospital stay, the treatment will be performed under general anaesthetic. A handheld wheel fitted with tiny needles (1 mm or 3 mm) – known as a derma roller – or the Morpheus 8 is manoeuvred across the area in question in different directions until the skin has been sufficiently penetrated. This must be ensured in order to be able to subsequently introduce a sufficient concentration of vitamin A.

General rule: All medical needling aesthetic treatments and small scars can be treated on an outpatient basis under local anaesthetic. Larger scars and scar contractures must be treated in hospital under general anaesthetic or sedation.

The procedure lasts around 20 minutes. It causes localised redness and swelling, which disappears within 3-7 days. The treated areas look similar to sunburn after the operation. During the first 24 to 48 hours, the wound surfaces must be washed regularly. A vitamin A oil must also be applied regularly. The local administration of vitamin A must continue twice a day for 4 weeks after the operation. Do not take any anti-inflammatory medication such as ibuprofen or Voltaren during this period.

You can see the results of the treatment after 4-8 weeks. The skin needs sufficient time to regenerate.

You can generally return to your normal life immediately after aesthetic medical needling and within 3 to 7 days after therapeutic medical needling.

There are hardly any risks. Not a single case is known in which the appearance of wrinkles or scars has deteriorated after medical needling. However, in order to achieve good long-term results, the treatment must be repeated at regular intervals.