Micro-needling FAQ

Here are some frequently asked questions about the Collagen Induction Therapy (CIT), also know as micro-needling.

What skin conditions does the CIT Pen target?

Scarring- surgical, thermal, and acne (scars must be at least 6 months old)

Stretch marks

• Cellulite

• Enlarged pores

• Dyspigmentation (due to sun damage and/ or hormonal imbalances e.g. Melasma)

Fine lines and wrinkles • Loose skin

• Dehydrated skin

How is the CIT treatment administered?

A licensed skin care professional glides the CIT pen over professional strength HSS Enhancement Serum or sterile saline in a cross link or circular pattern over the skin to puncture the epidermal layers of the skin and create microscopic subcutaneous injuries. These microscopic channels in the skin allow for optimal product absorption. The microscopic injuries created with the CIT Pen stimulate a repair response & new collagen production with minimal to no downtime for the patient.

How does CIT work on a cellular level?

As the CIT pen creates micro-channels into the skin, pores are temporarily opened allowing the enhancement serum to be fully penetrated. Micro-point punctures in the skin are created. This is a controlled injury to the skin and is perceived by the body as damage. This stimulates the release of growth factors that trigger the production of Collagen and Elastin. Skin reacts to this CIT treatment by initiating the healing process which encourages the patients’ skin to continue to regenerate.

When should I expect to see results?

With CIT Pen micro-needling treatments, the skin is tricked into repairing itself. The process of micro-needling skin remodeling can continue to enhance for months after treatment as the skin continues to repair itself. Results can be seen within a few days to a week. Skin naturally heals itself every 45 days so by simply adding micro-needling stimulation the changes can be accelerated and your client will see results. Depending on the patients’ expectations and personal goals we recommend a series of CIT Pen sessions to speed up the process and achieve optimum results. However; skin improvement is noticeable after just one treatment!

What to expect after a CIT pen treatment?

Immediately following treatment, the skin will have some redness and flushed in appearance like a moderate sunburn. The client will also experience skin tightness and mild sensitivity to the treated area as well as some peeling depending on the depth. 24 hours and up to 36 hours there is little to no evidence of injury to the treated area, however tightness and peeling can occur.

Can the CIT Pen be used on ethnic skin types?

Skin needling can be safely performed on all skin colors and types. There is no risk of post-inflammatory hyper-pigmentation as the melanocytes remain intact (as long as post-care instructions are followed).

Other invasive procedures such as laser resurfacing are not recommended for Asian or African American skin due to the potential risks of delayed wound healing, pigment changes, and scarring. However, with Collagen Induction Therapy/ Micro-needling, the potential risks on ethnic skin are unlikely due to the epidermis remaining intact.

How many treatments will I need?

The number of CIT treatments depends on your current skin condition and goals. Three to four treatments may be needed for moderate acne scars. Scars from thermal burns and stretch marks may require between 6-10 CIT sessions. The added Collagen lasts up to 12 months and a refresher treatment is recommended every 6 months to 1 year in order to fight the signs of aging. You should be advised that multiple sessions may be needed to reach the desired results in order to meet your expectations.

Is Micro-needling/CIT painful?

The variety of needle cartridges along with the CIT Pen’s ability to gage the needle depth allows this treatment to be customized to fit each of your clients’ needs and comfort levels. Application of local anesthetic numbing cream can prevent treatment discomfort.

Cosmetic vs. Medical Micro-Needling:

Results are seen at the cosmetic depth of 0.25mm.

Cosmetic micro-needling is considered to work only in the granular & mid spinosum layers. Working on a cosmetic depth (0.3 and below) releases growth factors by stimulating Keratinocyte cells.

Clinical studies have shown that regardless of the depth of injury to the skin, new collagen forms no deeper than 0.6mm. Working above 0.5mm is considered a medical treatment. Micro-Needling at “medical depths” has shown to be dramatically effective for scar removal, cellulite reduction, stretch marks, hyper- pigmentation and reduction of fine lines and wrinkles.

What should I use post-treatment?

The professional strength CIT Enhancement Serum can be needled into the skin, and used post treatment care. It is recommended for continual daily use to reduce the appearance of hyper-pigmentation, scaring, fine lines, Rosacea and enlarged pore size. Continuation of daily usage of our CIT Serum will benefit in boosting and extending the effects of CIT. It also adds much needed hydration to treated and or aging skin which provides a more supple and youthful glow. The CIT Enhancement Serum is included in your micro-needling service for you to use at home.

Key ingredients in CIT Enhancement Serum:

• Vitamin C- strong antioxidant that lightens pigmentation from scaring, sun

damage and increases melanin production.

• Vitamin E- Protects lipids in the skin cell membrane from free radicals. Aids in

cellular turn over.

• Hyaluronic acid- Naturally occurring polysaccharide that provides moisture,

plumpness, firmness, and suppleness to the skin. Plant derived of low

molecular weight to penetrate the skin.

• Ferulic Acid - Strengthens and stabilizes the collagen promoting effects of

Vitamins C & E as well as fighting free radicals and photo damage

Are there any side effects to micro-needling/CIT?

This treatment typically recovers at a rapid rate & redness subsides within 24 hours. Negative side effects should not take place if you are following proper protocol. Professionals should never treat a client with any listed contraindications (see below). Swelling during the recovery phase can occur, skin infection with bacteria (rare) or herpes simplex virus (cold sores), Milia, which can be easily removed and mild acne flare ups may occur after the treatment. If any of these symptoms persist and/or worsen please seek immediate medical attention. As the microscopic channels to the skin close quickly, postoperative wound infection is extremely rare. Emollients and/ or topical antibiotics may be prescribed, if considered necessary.

What are the contraindications for CIT treatment?

CIT Pen treatments must be avoided in the following cases:

Keloid or raised scarring.

Pregnancy due to the lack of clinical studies.

Herpes Simplex infections.


Any facial injections within the past 10 days.

Patients on any blood thinners.

Collagen vascular diseases or cardiac abnormalities.

Active bacterial or fungal infection.

Immune-suppression diseases.

Scars less than 6 months old.

Raised moles, warts or raised lesions.

Nodular or Pustular Rosacea

Eczema, Psoriasis, Scleroderma and other chronic conditions.

Treatment cannot be performed if the following is present: Any open cuts, wounds, abrasions, and active acne or cold sores.

Is the CIT Pen FDA approved?

Herbal Skin Solutions is not affiliated with the FDA. Currently there are no dermal needling device that is approved by the FDA. The fact that a company lists a device as a Class One medical device—low risk and least regulatory controls— does not mean that the FDA agrees with that designation. In fact, in official correspondence, the FDA rejects the assertion that skin needling devices are Class One simply because a company claims that it is skin to dermabrasion or other similar brushes and tools. Anyone can get a device or instrument listed (or registered) by completing a simple form and filing it with the FDA. This does not mean the device is approved.

If you have any more questions, please do not hesitate to reach out and ask me.

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