The tiny post-procedural marks also faded more and more each day. Blue light is helpful for those who suffer from acne, as the light and heat target bacteria that cause breakouts., [Editor's Note: This illustration features a derma-roller, a tool that penetrates skin more superficially than a professional microneedling pen, making it safer for at-home use.]. Shaving and waxing make the skin super sensitive. It treats textural issues dealing with pores, acne scars, wrinkles, tightening sagging skin, and more," Shah explained to me while my numbing cream settled in. var referer="";try{if(referer=document.referrer,"undefined"==typeof referer||""==referer)throw"undefined"}catch(exception){referer=document.location.href,(""==referer||"undefined"==typeof referer)&&(referer=document.URL)}referer=referer.substr(0,700); There it is; 7 rules to follow pre and post-micro-needling. ). Your email address will not be published. Your doctor may then apply a … I met with a plastic surgeon to chat about everything microneedling, plus experience the procedure myself. Microneedling with PRP is generally well tolerated but erythema may be seen after treatment, lasting for 2-3 days. Dermaarolling and/or microneedling are becoming increasingly popular every day. Microneedling is an FDA-approved electronic fractional device that is used to rejuvenate the skin and improve the skin surface by reducing fine lines, expression lines, wrinkles, enlarged pores, and acne scars. These are a normal side effect and should clear up in a few days. Sun protection is advised for a week and local antibiotic creams may be prescribed to help prevent a bacterial infection. rcel.id = 'rc_' + Math.floor(Math.random() * 1000); To create a good environment for proper healing, there are certain skincare products that shouldn’t touch your skin. How to Manage Food Addiction with Cannabis? We are excited to see your microneedling before and after the image. At the top of my list is acne scars. Some things to think about before deciding to try it: It’s not a quick fix. Microneedling Face Pigmentation. I'm letting my skin soak up every second of this effect from my topical products. https://www.belezamedicalspa.com/microneedling-before-after Summer is so amazing especially when she took the time to explain the how, what, where and why concerning my skin before, during and after treatment. BEFORE AFTER. I load up on hydrating oils every morning because of my inherently dry skin, and I'm addicted to how soft it leaves my skin feeling. Click Images to Enlarge. Microneedling near me While some forms of microneedling can be safely performed at home, surgical needling that reaches the deepest layer of skin can only be performed by a qualified professional. Drinking plenty of water the day before and during the hours leading up your treatment can also reduce the chances of bruising and inflammation. Immediately after my face mask, I snapped this selfie. Browse 606 Microneedling before & after photos shared by doctors on RealSelf. Next, you'll likely be slathered in numbing cream, so the pain won't be quite so intense. The needles deliver RF energy waves, boosting your body’s natural production of collagen and elastin over time. Apply makeup or sunscreen immediately on the treated area after micro needling. The alternative is certainly not worth exploring. (function() { 1. As you can see, my cheeks and the top of my forehead were slightly red. Sun protection: It is highly recommended that you should use chemical free sunscreen for at least one week after taking this micro needling treatment. After letting the numbing cream seep into my skin for a half-hour, having a bunch of needles continuously puncture my skin was honestly an easy process. It also stretches the skin. I received a facial for the first time and I was euphoric. Emory University says the actual microneedling process takes approximately 30 minutes. You can safely repeat the procedure every 4-6 weeks until you achieve your desired results. Rachel is a board-certified dermatologist and Assistant Clinical Professor at Mount Sinai Hospital Department of Dermatology. MICRO­NEEDLING TREATMENT BEFORE AND AFTER CARE INSTRUCTIONS Micro Needling is a safe, natural, holistic alternative for resurfacing of the skin using micro needles to produce optimal results. This site uses Akismet to reduce spam. Micro-needling results start to show about 1 month after treatment with continuing improvement for as long as a year. What products to use when Dermarolling or Microneedling is a question I get a lot. Or is sunscreen one of those things that’s pretty much always good to use? "Physicians can select the exact depth best for each patient's skin type and condition and use robotic precision delivery to go as deep as 3.5 millimeters at 0.1-millimeter increments—no other device can." After one microneedling treatment During the procedure there may be slight discomfort. var rcel = document.createElement("script"); Microneedling can help improve aging, sun-damaged and scarred skin. Microneedling & PRP Facial TREATMENT INFORMATION. According to a 2009 study, almost 100 percent of microneedling participants reported a noticeable difference and vast improvement in the appearance of their acne scars after a treatment. This solid fact was all I needed to say, "Yes." No question is ever too “crazy” or out of the box. I've been dealing with them ever since and am game to try every fading, brightening, and lightening treatment under the sun. The week prior to the treatment, avoid waxing at all costs. penetrates your skin’s surface with tiny needles to improve its appearance I’ve been looking into this procedure and remembered something about not using topical skincare products beforehand. But I literally woke up with cushion-like skin without all of the extra work. This is our medical needling photo gallery of before and after pictures showing typical results following treatment. This was the morning after microneedling, and I was so impressed by the radiance of my skin. It improves skin texture and tone, to … By day four, my itchiness has almost completely gone away. * However, these Microneedling before and after pictures depict real patients and demonstrate the dramatic results that are possible when treatments are performed by skilled professionals from a reputable medical spa. Do not go out in the sun for at least a day after the treatment. Background: Microneedling is a relatively new treatment option in dermatology and has been touted for a broad range of applications including skin rejuvenation, acne scarring, rhytides, surgical scars, dyschromia, melasma, enlarged pores, and transdermal drug delivery. This treatment or the tiny therapy is safe, clean and … Microneedling opens the skin pores and when you will go out after Microneedling UV rays will damage the skin. Interested about the microneedling treatment? True to any cosmetic procedure, results may vary. So after hearing countless praise for microneedling, I had to get the low-down for myself. I checked with several practitioners, they were split on sun screen, but agreed that if you could avid using sunscreen at least five days before it would be better. But this literally went away in an hour. Here’s what you should know about this popular skin treatment. … Two to three days before Stop using: This 45-Minute Facial Gave Me Skin as Smooth and Tight as a Dumpling, Eyeliner Tattoos Exist, and They're Surprisingly Very Subtle—Here's What You Need to Know, Here's What It's Really Like to Get Botox, Watch: Our Editorial Director Gets Her Eyebrows Microbladed, New to Dermarolling? Also, make sure your hands are clean, and every tool you are using is clean and sterilized, if possible. Another disclaimer to note: I have extremely sensitive skin, so this may not happen to you. Our intent is to be as transparent as possible with realistic outcomes. See for yourself why microneedling is a growing part of the 2.5 million annual skin rejuvenation and renewal procedures worldwide in our gallery of SkinPen pre- and post-procedure ® photos. Immediately after micro-needling, apply SPF 25+ sunscreen on your skin and keep this up every day after that. If you're using any intense topical treatments (such as those containing retinol), you'd be wise to discontinue use a few days before your microneedling treatment. The only makeup worn is mascara and in the last photos you can see I filled in my brows. Results vary from person to person, but most people report to seeing a positive change one to two weeks after the first treatment. Once you are done cleaning your face, pat it dry with a clean towel. Patti had to calm me down before my first session because I was very nervous about microneedling. 2012;15(4):223-236. doi:10.1016/j.drup.2012.07.001, Singh A, Yadav S. Microneedling: advances and widening horizons. I've been loving this hydrating moisturizer this month. At least two weeks before microneedling, avoid any laser procedures or direct exposure to the sun. Learn how your comment data is processed. And when they add the PRP facial with it, it’s even more effective! Also, ensure your hands are clean before touching the affected area to keep germs at bay. Based on those comments you should discuss with your practitioner. Review of applications of microneedling in dermatology. Real talk, this lit-from-within glow is probably my favorite benefit from the procedure thus far. My pores feel so open and exposed—so I feel like my skin has been efficiently absorbing product (which is why I've decided to take it easy on the face makeup). But by day two, my skin felt really raw and itchy. There are a plethora of reasons why people do micro-needling. After all, it is in the best interest of your skin and overall health. Sorry, your blog cannot share posts by email. In a Genius treatment, ultrafine needles penetrate the skin and cause micro injuries that stimulate wound healing from the inside out. On a normal day, topical treatments such as exfoliants, retinoids, vitamin A, acids, and topical antibiotics have tremendous benefits for the skin. You should arrive to your appointment with clean, dry skin (if not, the technician will wash your face so it's clean before the procedure). Others include treating hyperpigmentation, stretch marks, large pores, and acne scars. Micro-needling Before and After Your Treatment. The sun won’t go easy on you just because you are healing from cosmetic treatment. Most of the visible recovery from microneedling happens in the first day or two after treatment, but healing will still be happening under the surface of your skin for up to 2 months afterward. For those seeking at home treatment, commercial microneedling tools range from $20 for a basic dermal roller to $600 for a portable radio frequency microneedling kit. Microneedling for hair loss treatment Microneedling is a type of cosmetic treatment that addresses various effects of aging. Overall, I've had six microneedling sessions - one treatment a month over six months - and they sell them in packs of three, with each session costing around $250. American Society for Dermatologic Surgery. I am amazed at the change and had no idea my skin looked that blotchy and uneven, until seeing the new updated photos. I’m sharing the whole procedure, as well as before and after pictures, so you can see if you think this treatment might be right for you too. This process works to rejuvenate your skin by boosting collagen production, which in turn reduces the appearance of wrinkles and fine lines and elevates the overall texture of your skin., The particular microneedling treatment I underwent was done with a tool called the Vivace (in my particular experience, we used the microneedling device in tandem with a laser, which is more intense than microneedling alone). These include Alpha Hydroxy Acids (AHA), Beta Hydroxy Acid (BHA), Vitamin C scrubs (low pH formulation), Vitamin C, and any other product that is in the active category. Before & After Overview. Theoretically, when the skin is injured with needles, small channels are created that go all the way to its deep layers. So to definitively answer that, it doesn't hurt, but it doesn't feel good. Microneedling with PRP is generally well tolerated but erythema may be seen after treatment, lasting for 2-3 days. BEFORE AND AFTER . Sensitive skin is a bad idea when it comes to micro-needling as it makes it prone to irritations. 2017;10:289-298. doi:10.2147/CCID.S142450, Dai T, Gupta A, Murray CK, Vrahas MS, Tegos GP, Hamblin MR. Blue light for infectious diseases: propionibacterium acnes, helicobacter pylori, and beyond? —Rebecca Shaw. After the microneedling treatment the soothing collagen serum is applied. 3 days after. Female – Age: 40 Procedure Details: 3 treatments 4 weeks apart. Browse 606 Microneedling before & after photos shared by doctors on RealSelf. A gentle cleanser and tepid water will do the job just fine. J Cutan Aesthet Surg. She has contributed to Byrdie, as well as Harpers Bazaar, Marie Claire, Allure, Vogue, and the New York Times, and more, Byrdie takes every opportunity to use high-quality sources, including peer-reviewed studies, to support the facts within our articles. That cheekbone glow is not from highlighter, people. https://lifeanddiy.com/microneedling-before-and-afters-8-treatments-16-mos I also was surprised by how soft my skin felt and how the size of my pores shrank significantly. "Microneedling is a collagen-stimulating treatment great for general skin rejuvenation. Before we go any further, let me just put this out there: You can group me in the "down for anything" category when we're talking beauty. It’s the collagen-boosting treatment that derms swear by, but the skincare you use before after microneedling could make all the difference between smooth and sore. Emory University says the actual microneedling process takes approximately 30 minutes. Your email address will not be published. Imagine using your body’s natural healing process to look younger! Usually, after the treatment, the doctors recommend a microneedling aftercare serum, like Hyaluronic serum, to avoid excess flaking or peeling. Make up: You should not take any make upin the treated area for next 3 days and even you cannot use any make up brush in … Microneedling is a procedure that uses a bunch of tiny needles to puncture the very first layer of skin. I spoke to Gabe Lubin, founder of Cartessa Aesthetics, and Sejal Shah, MD, FAAD, a dermatologist at SmarterSkin Dermatology in New York, for more about the process—and underwent a microneedling procedure myself. Most facilities probably offer a similar treatment kit, but you may be required to purchase the kit, whereas our kit comes with the procedure. These little marks decided to make their presence known in my life when I was 23. Applying these can cause the skin to be severely irritated and negatively affect its natural ability to heal itself. Studies show that your topical products are more deeply penetrating after microneedling. This is so, so true. However, they are not suitable for pre-treatment products for micro-needling. Micro-needling is just one of those things you have to play by the rules. Natural Solutions Magazine – dedicated to teach people how to live better. Ironically, even after the numbing cream wore off a couple of hours later, it didn't feel like I had just been poked hundreds of times. Unlike peels and lasers, micro-needling treatments can be done close to the eyes and mouth. As with other types of microneedling, you’ll need more than one treatment to see full results. RF Microneedling before and after images showcase the skin rejuvenating effect of this non-invasive treatment. Because of its ability to trigger the generation of new skin cells, dermatologists have found that a few sessions will noticeably reduce fine lines, crow’s feet, and deep wrinkles on the forehead. Skin may also feel warm, tight and itchy after treatment however this normally resolves in 12-48 hours. Most people need anywhere from three to six sessions, with one … Sun protection is advised for a week and local antibiotic creams may be prescribed to help prevent a bacterial infection. Micro-needling is just one of those things you have to play by the rules. Shah, who performed my procedure, told me the biggest benefit of microneedling is its ability to radically enhance the texture of your skin. To get the best result, you should follow the microneedling aftercare tips as well. For hydration, use hyaluronic acid which will further help restore the perfect balance of the skin apart from adding moisture to it. Microneedling Before and After Pictures in Los Angeles, CA. This is done about an hour before your treatment. Stay away for dilapidated creams and electrolysis as well. Others have also recorded their journey showing how incredible microneedling is on stretch marks.. After microneedling, expect changes in your appearance. keep copies of records and take before and after photos; where the risk of infection may be present, ask for bacterial culture or swab to be done on your skin; a small biopsy can be carried out for “tissue culture” to look for deeper or unusual bacteria or other organisms Microneedling is a procedure that uses a bunch of tiny needles to puncture the very first layer of skin. I am broken out from it and my skin texture seems bumpy. Bleeding is an uncommon reaction to microneedling, though it may be more likely to occur after a deeper treatment. I get a lot of inquiries about using my GHK-Cu Copper Peptide Amino Complex before or after a treatment. It should be continued even after the treatment. Harsh products could aggravate the skin, so milder is the key. On the day of treatment, do not shave at all. Natural Solutions Magazine's website that is an extension of the magazine. 2009;2(1):26-30. doi:10.4103/0974-2077.53096, Iriarte C, Awosika O, Rengifo-Pardo M, Ehrlich A. Her face looks firmed up and healthier after microneedling. This is a normal side effect of the minimal bleeding that happens during the treatment. I was shook because the only time I experience redness is after a crazy workout. If you don’t have SPF 25+ use SPF 15+. Warts, moles, and solar keratosis are untreatable. In terms of pain, I experienced a tolerable treatment that lasted all of 20 minutes. Maya was an assistant editor at Byrdie for a year and a half. Then I lay down to begin the treatment. Read on for more about how microneedling works, what it does, and what my experience was like. rcel.async = true; I barely felt the tool when it passed over my cheeks, which Shah surprisingly confirmed was the deepest level of depth. 2016;7(4):244-254. doi:10.4103/2229-5178.185468. Some things to think about before deciding to try it: It’s not a quick fix. Your technician will counsel you on … WIFH Microneedling Treatment Kit. We disclose the time between the ‘before’ and ‘after’ photo and the specialist providing the treatment. Finally, you add in blue and red LED, and you have a trifecta of modalities to treat multiple skin concerns," explains Lubin. So, what are rules to follow before and after micro-needling? This is why you should be careful to not irritate it by using strong cleansers. While the downtime after microneedling before your skin returns to normal is just a day or two at most, you should wait a few weeks to repeat the treatment. "What excited me about the Vivace was, of course, the combination of radiofrequency and microneedling, but more so how precisely, cleanly, and deeply it could deliver both. My skin was perfect before. More than any other treatment, we have questions from clients about micro-needling. Before your microneedling session, you will need to avoid anything that exacerbates the issue of dry skin. This includes swimming, going to the gym, and participating in cardio even at home. Here’s what you need and what you really don’t… Whether at-home or in-clinic, microneedling has gone macro in beautyland. Here's Everything You Need to Know, I Didn't Think At-Home Microneedling Really Worked Until I Tried This Tool, Derma-Rolling: the Secret to Flawless Skin, The 11 Derma Rollers That Make At-Home Microneedling a Breeze, I Had a Really Sun-Damaged Chest, so I Lasered the Dark Spots Off, I Got a Laser Facial With My Own Blood, and It Was Honestly So Worth It, How to Get Rid of Dark Circles 6 Different Ways, I Got Botox, Filler, and Vitamins Stamped Into My Face—and It Was Amazing, Treat Your Body Like Your Face: 6 In-Office Treatments With Real-Time Results, I Tried PRP for Crow's-Feet, But Bizarrely, It Fixed This Other Skin Concern Too, How to Get Rid of Pitted Acne Scars, According to a Dermatologist, Celebrity Dermatologists Share How to Get Rid of Acne Scars, Byrdie uses cookies to provide you with a great user experience. Like vitamin A-based treatments, anti-inflammatory medications like Advil, ibuprofen, and Motrin should be avoided at all costs before a micro-needling treatment. Right after treatment, your skin is super sensitive. My forehead, hairline, and jawline areas were more sensitive than other areas. Now you can with microneedling treatments at Rejuva Medical Aesthetics. Go swimming for a day as the chemicals in the water may damage the skin and slow down the injury recovery. "The great thing about this treatment is there's really no significant downtime," says Shah. To combat this, I slathered on Cortizone Anti-Itch Cream ($6) in the morning and before I went to bed. How Microneedling Smooths Your Wrinkles. })(); Post was not sent - check your email addresses! "Afterward, there's a little bit of redness and might be some areas of pinpoint bleeding, but really, it's a no-downtime kind of treatment, so most people leave here a little bit red. Skin may also feel warm, tight and itchy after treatment however this normally resolves in 12-48 hours. Clin Cosmet Investig Dermatol. One of the main benefits of microneedling is its ability to stimulate the growth of collagen and elastin, which is the key to new, youthful-looking skin. More about Microneedling Narrow by: All - Gender Female Male All - Age Age 18-24 Age 25-34 Age 35-44 Age 45-54 Age 55-64 Age 65-74 Age 75 and up All - Popular Tags Front view Side view Microneedling Oblique view Face 1 month post-op Drug Resist Updat. Radiofrequency microneedling (RF microneedling) is a noninvasive skin rejuvenation treatment that enhances the collagen-inducing effects of microneedling with the simultaneous delivery of radiofrequency energy. Continued Microneedling Healing and Risks. "In addition to having a cleansed and toned face, you should also avoid using retinol at least 48 hours prior and avoid direct sun exposure for about three days prior and three days following," notes Josie Holmes, esthetician at SKINNEY Medspa. We disclose the time between the ‘before’ and ‘after’ photo and the specialist providing the treatment. rcel.src = "//trends.revcontent.com/serve.js.php?w=14911&t="+rcel.id+"&c="+(new Date()).getTime()+"&width="+(window.outerWidth || document.documentElement.clientWidth)+"&referer="+encodeURIComponent(referer); Both sweating and gym environments are filled with harmful bacteria that can cause reactions in your skin. See dramatic before and after photos and read testimonials from real microneedling patients seeing amazing ... My Vivace Experience made me a believer that the microneedling technology and specially formulated skincare products ... With one treatment I walked out looking noticeably better even without makeup. Learn more about our free treatment kit promotion and how to submit your SkinPen images by emailing. Best results are achieved with 6 treatments, but most people stop when they're happy with their skin. I'll pretty much try whatever—especially if the alleged benefits aid one of my many skin concerns. One Week Before Avoid these products and/or procedures prior to your Micro-needling treatment: Electrolysis; Waxing; Depilatory creams; IPL/Laser/LHE; Please inform the aesthetician if you are having any other procedure over the treatment area. Before you order that microneedle roller Amazon, think over these rules and adjust yourself accordingly. This process works to rejuvenate your skin by boosting collagen production, which in turn reduces the appearance of wrinkles and fine lines and elevates the overall texture of your skin. Medical needling is excellent for improving skin tone and quality, resolving fine lines and improving pigmentation. var rcds = document.getElementById("rcjsload_454a48"); Additionally, avoid using Clarisonic or any other powdered cleansing brush one week after the treatment for the same reasons as above. Microneedling. It’s very important that you ask any questions you may have regarding the treatment.. What to Know Before Your Treatment There may be some bleeding and mild discomfort during the treatment which is temporary. Not sure on result yet. The first ones were taken right before I began microneedling and the others were taken one month after my most recent microneedling session. MicroNeedling with HA. Needle depth 1mm – 1.5mm for fine lines (crown feet) and pigmentation. Here’s my question: Does this include sunscreen? Does it hurt? rcds.appendChild(rcel); After looking into a few different treatments, I decided that microneedling was a great start! It takes time to notice a difference. Keep away from the rays and light of the sun for 5 -7 days after the treatment to prevent any harm. The primary one is to reduce the effects of aging – wrinkles, fine lines, and sagging skin. So when you use these harsh products, you can easily irritate the layers of the skin and develop redness and swelling. The best sunscreen is a chemical-free, broad-spectrum UVA/UVB SPF 25+. 4 Ways to Save Your Body from the Lasting Effects of Hard Labor, More individuals prioritizing their health through health food choices, Sorting Through Various Face Masks Infectious Disease Expert Suggests Nano-Silver Technology, Can Stretch Marks Be Eliminated Naturally, Natural Solutions Magazine - dedicated to teach people how to live better. Currently, she serves as Marie Claire's digital beauty editor. The alternative is certainly not worth exploring. Read our, These Vitamin C Serums Will Give You Glowy Skin, Instantly, Microneedling therapy in atrophic facial scars: an objective assessment, Review of applications of microneedling in dermatology, Blue light for infectious diseases: propionibacterium acnes, helicobacter pylori, and beyond, Microneedling: advances and widening horizons, Can help reduce scars and hyperpigmentation. However, you might want to buy the former when going outdoors for long periods at a time when the sun is high in the sky. It’s also nicknamed skin needling because of … To be real, it felt like five minutes, and by the end of it, I was fine. Nowadays micro needling is growing one of the most popular treatments for your skin to keep tighten, healthy and attractive. But this week, after my treatment, it's literally felt so incredibly soothing on my skin—to the point that I look forward to cleansing my skin and applying this the second I walk into my apartment at the end of the day. This includes medication such as Accutane®, which will need to be avoided for 6 months before your microneedling procedure, and any topical drying agents (retinol, benzoyl peroxide 3, etc. At WIFH, we provide a post-treatment kit that we recommend using for 72 hours after your microneedling treatment for best results. "I would also advise against using any aggressive acids within the week of the procedure.". Whatever your reason is, you may want to arm yourself with the rules of the game before pricking your face. Here’s how to prepare for a great microneedling experience and take care of yourself after. Genius RF Microneedling before & after photos. Her video proves that microneedling indeed works. Indian Dermatol Online J. This may affect your suitability for treatment. If there’s hair on the treatment area, shave it off the day before the treatment. Treatment for complications after microneedling. I also noticed tiny imprint marks (on my forehead especially) from the needles. The before and after images in the video are encouraging. All our pictures are unretouched, of our actual clients and we do our best to take photos from similar angles and in similar lighting. … My skin looks and feel different which makes me feel very confident. After the microneedling, the procedure was followed up with a soothing serum and hydrating face mask that honestly felt like heaven. I just wanted PRP injections with microneedling to bring a glow to skin and diminish my slight fine lines around mouth and dark circles.. Our microneedling before and after gallery shows you how our double board-certified plastic surgeon, Kian Karimi, MD, FACS, uses micro-injuries in the skin to improve tone and texture. Dr. Thomas Kaniff, MD, FACS is a double-board certified facial plastic surgeon who has performed over 10,000 facial procedures. Areas such as the hairline, jawline, and forehead are the most sensitive. I hope my video helps answer questions how you can get rid of acne scars. Avoid the following at least one week before microneedling, Anything that increases the sensitivity of the skin, for example, exfoliating masks, skin-care products with salicylic acid, and retinoids. It is perhaps one of the best anti-aging skin care treatments preferred by a vast majority. After the micro needling, a soothing serum is applied, which serves two purposes: 1) to help the area heal 2) since during an MDPen micro needling treatment thousands of micro channels are created, it’s best to take advantage of this opportunity and infuse the skin with pure, high quality products that will help to maximize your results. The final rule in the micro-needling book is to avoid doing strenuous activities 72 hours post-treatment. Your doctor may then apply a serum or calming treatment. A couple of hours later, you're pretty much back to normal, and the next day, you can resume your normal skincare and normal activities.". Microdermabrasion is a painless and quick treatment, which accelerates the exfoliation of your dead skin to jump-start the proliferation of new skin cells.

microneedling before and after one treatment

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