Beyond Beauty: The Synergy of Microneedling + Chinese Medicine

Beyond Beauty: The Synergy of Microneedling + Chinese Medicine

By Brandy Plunk, MSAOM, Dipl.OM, L.Ac

In Traditional Chinese Medicine (TCM), beauty is a true reflection of inner health and harmony. The skin acts as the body’s ‘mirror,’ showcasing the condition of our internal state. When Qi, Blood and Yin are plentiful, Qi flows freely, and the meridians are balanced, the skin glows reflecting this state of vitality. 

To help my patients achieve this natural radiance, I blend microneedling with acupuncture, creating a treatment that nurtures both skin health and overall well-being. This truly holistic treatment provides a natural and effective alternative to more invasive conventional treatments.

What is Microneedling?

Microneedling is a minimally invasive treatment designed to rejuvenate the skin by harnessing the body’s natural healing processes. Using a device with fine, sterile needles, micro-channels are created in the skin, prompting the body to produce collagen and elastin—essential proteins for maintaining firmness and elasticity. As we age, the production of these proteins naturally declines, leading to fine lines, wrinkles, and reduced skin resilience.

These micro-injuries trigger the body’s wound-healing response, encouraging the release of growth factors and regenerative cells to the treated area. This process promotes new cell formation, supporting smoother, firmer, radiant skin over time. Microneedling has proven incredibly effective in reducing the appearance of fine lines, rosacea, melasma, chronic facial inflammation, acne scars, uneven texture, discoloration, and skin dullness.

From a TCM perspective, microneedling does more than just refine the skin’s surface. It stimulates the flow of Qi and Blood, which is essential for nourishing the skin from within. By enhancing circulation and promoting the flow of qi, microneedling helps address internal imbalances that can manifest as dull, dry, or prematurely aged skin, resulting in skin that radiates health and vitality.

Key Findings from Published Studies on Microneedling:

  • Significantly improved the appearance of atrophic acne scars in patients. After 4 treatment sessions, 60% of the patients had a greater than 50% improvement in scar texture.
  • Microneedling stimulated significant hair regrowth in patients with hair loss. The study reported that 80% of participants saw visible hair growth after 12 weeks of microneedling treatment.
  • Microneedling helped reduce pigmentation and improved skin tone in patients with melasma after 4 treatment sessions. Over 70% of participants reported an improvement in the intensity of their melasma.
  • The study reported a significant improvement in scar texture and depth. After 6 sessions, patients saw a 50-75% improvement in the appearance of scars.
  • The study showed that microneedling increased collagen and elastin production, improving skin texture, firmness, and appearance. Patients experienced a 40% increase in skin elasticity after 8 weeks.
  • Patients experienced a 50% reduction in the appearance of fine lines and wrinkles around the eyes after 5 microneedling sessions.
  • Microneedling improved the symptoms of rosacea by reducing redness and inflammation in patients after 3 sessions.
  • The study found that microneedling reduced the size of enlarged pores and improved overall skin texture after 3 treatments.
  • The study reported a significant improvement in scar texture and depth. After 6 sessions, patients saw a 50-75% improvement in the appearance of scars.

Why Combine Microneedling with Acupuncture?

While microneedling works on the skin’s surface, acupuncture addresses the deeper layers of health, harmonizing the body’s internal systems–and in turn, a reflection of deeper beauty. During a combined session, acupuncture needles are placed to support meridian imbalances, tonifying the yin, qi, and blood, and promoting healthy qi and blood circulation. This dual approach amplifies the benefits of microneedling and addresses underlying imbalances that outshow in our skin and complexion.

For example, acupuncture points may be selected to support the Liver and Kidney meridians, which in TCM are believed to play vital roles in nourishing the skin and hair, reducing facial puffiness, reducing stress, and tonifying the adrenals. By treating these deeper layers, long-term improvements that go beyond surface-level are achieved. 

In Chinese medicine, everything in the body is deeply connected. Each meridian and organ system communicate and support each other, creating a balance that supports overall health. When one area is out of harmony, it can affect the whole system. True beauty and wellness comes from nurturing this interconnected flow of energy, where body, mind, and spirit move as one. ☯︎

Hyaluronic Acid + Custom TCM Herbal Serums

Microneedling creates micro-channels in the skin, allowing topical serums to penetrate deeper than they would with surface application alone, increasing product absorption by up to 3000%, ensuring that active ingredients reach the lower dermal layers where they can support deep cellular repair and regeneration.

Hyaluronic acid is a key component in this process. Known for its ability to hold up to 1,000 times its weight in water, hyaluronic acid hydrates and plumps the skin, enhancing elasticity and reinforcing the skin’s natural barrier. When applied during microneedling, it penetrates below the surface, encouraging long-lasting hydration and a rejuvenated appearance.

In my practice, I go beyond standard treatments by integrating custom-formulated herbal serums rooted in TCM in addition to clinical-grade hyaluronic acid. These serums are tailored with carefully chosen herbs that balance the skin and target individual needs. The micro-channels created by microneedling allow these botanical formulations to deliver their benefits deep into the skin, maximizing their efficacy.

Herbs Commonly Included in These Serums:

  • Ping Guo (Malus domestica): Swiss apple stem cells, renowned for their regenerative properties, are rich in antioxidants and phytochemicals. They support cellular turnover, improve skin elasticity, and minimize the appearance of fine lines, helping the skin become more resilient and youthful. Research shows that apple stem cells affect stem cell proliferation up to 80% and are just as effective as exosomes, vegan, and without the biocompatibility risks of exosomes. Not to mention, much more affordable! 
  • Xiang Gu (Lentinula edodes): Shiitake mushroom extract is packed with natural kojic acid, which helps brighten the skin and diminish hyperpigmentation. It is also rich in polysaccharides and beta-glucans, which support the skin’s moisture barrier and elasticity. In TCM, Xiang Gu is used to tonify Qi, promoting a healthy, radiant complexion.
  • Chenpi (Citrus reticulata): Dried tangerine peel has long been valued in TCM for regulating Qi and reducing Dampness, which can help minimize puffiness and fluid retention. Its natural flavonoids and essential oils boost circulation, brightening the complexion and evening out skin tone. Chenpi also has antioxidant and anti-inflammatory properties that support overall skin health.
  • Hai Zao (Sargassum): This seaweed extract is rich in vitamins, minerals, and polysaccharides, hydrating and detoxifying the skin. Its ability to drain Dampness makes it particularly effective for reducing puffiness and dark circles around the eyes. Hai Zao also enhances circulation, helping deliver nutrients to the skin and supporting firmness.

These custom herbal serums enhance the microneedling experience, working synergistically to nourish and revitalize the skin from within. By blending TCM principles with modern skincare, each treatment supports deep, long-term skin health.

How Long Does It Take to See Results?

Collagen production is a gradual process. For those under 50, the skin’s natural regeneration cycle typically takes 28-42 days. However, as we age and cellular turnover slows, this timeframe can extend to up to 80 days for individuals over 50. Some patients notice improvements in skin texture and brightness shortly after their first session, as microneedling increases blood flow and stimulates the initial healing response. However, for more significant changes—such as enhanced firmness, reduced fine lines, and minimized scars—a series of monthly treatments is needed–with most noticeable results after 3-6 treatments.

Consistent sessions allow the skin to build layers of collagen over time, producing cumulative results that strengthen skin resilience and elasticity. Unlike temporary, surface-level treatments like Botox or fillers, this gradual improvement supports long-term skin health with lasting results, potentially for years to come. 

Why Choose Microneedling Over Botox and Fillers?

While Botox and fillers can offer fast results, they come with important risks that must be considered. Botox, a neurotoxin, temporarily paralyzes facial muscles to reduce the appearance of wrinkles. However, studies show that Botox can migrate beyond the injection site, affecting nearby muscles and potentially causing asymmetry, drooping, or unintended muscle weakness. Not to mention the widespread neurological effects of a known neurotoxin migrating to other areas of the brain. With the widespread use of Botox, I encourage everyone to further educate themselves and hear the debilitating stories of Botox injuries – www.toxsafety.com

Further concerning is emerging research suggesting that Botox migration can have neurological effects. When Botox spreads, it may interfere with nerve pathways and alter brain activity in areas associated with emotional processing, including empathy. This raises questions about its long-term impact on emotional health and how it might subtly affect our interactions and connections with others.

Fillers, which are used to add volume and smooth lines, have their own set of potential complications. Contrary to popular belief, fillers may not dissolve entirely over time. Due to their deeper penetration into the dermis they can also migrate to unintended areas, creating a “pillow face” effect and disrupting natural facial contours. This migration can also block the lymphatic system, leading to fluid retention and chronic puffiness. 

FAQ: Common Questions About Microneedling

Q: How many sessions will I need, and how often should they be scheduled?
A: The number of sessions varies based on individual skin concerns and goals. Typically, 3-6 sessions spaced 4-6 weeks apart are recommended for optimal results. This schedule aligns with the skin’s natural regeneration cycle and allows collagen and elastin to build gradually. For deeper concerns, such as significant scarring or skin laxity, additional treatments may be needed.

Q: Is microneedling safe for all skin types, including darker skin tones?
A: Yes, microneedling is safe for most skin types, including darker skin tones. Unlike some laser treatments that can pose a risk of hyperpigmentation for those with higher melanin levels, microneedling does not involve heat and carries a much lower risk of post-inflammatory hyperpigmentation. If you are prone to facial herpes outbreaks, starting medication and/or supplements to prevent an outbreak prior to microneedling is highly recommended. 

Q: What can I expect immediately after treatment?
A: Post-treatment, you will likely experience mild redness, warmth, and a sensation similar to a sunburn, which typically subsides within 12-48 hours. As your skin heals, some flaking or dryness may occur as new skin cells regenerate. A cooling mask applied after treatment helps soothe the skin and accelerate recovery. 

Q: How should I care for my skin after a microneedling session?
A: Post-treatment care is essential for optimal results. For the first 24-48 hours, avoid direct sun exposure, strenuous exercise, and makeup. Use a gentle cleanser and focus on hydration to support your skin barrier. Refrain from using active ingredients such as retinoids, acids, or vitamin C, as these can cause irritation while the skin is healing. To soothe and calm any post-treatment redness, products containing aloe vera can be highly effective.

As part of your post-care routine, I will provide a take home serum tailored to your skin’s needs for use in the first 24 hours following your session. This serum is designed to enhance the effects of microneedling, promoting optimal absorption and deep nourishment during this critical healing window.

Q: Are there any risks or side effects associated with microneedling?
A: Microneedling is considered a safe, minimally invasive procedure with few risks when performed by a trained professional. Potential side effects are typically mild and may include temporary redness or slight peeling. Rare complications can include infection or scarring, particularly if microneedling is performed by an unqualified provider that needles too deep or aggressively. This is why it’s essential to choose an trained medical practitioner.

Also, if you are prone to facial herpes outbreaks, starting medication and/or supplements to prevent an outbreak prior to microneedling is highly recommended. 

Q: How does microneedling compare to laser treatments?
A: Both microneedling and laser treatments aim to improve skin texture and boost collagen production, but they do so in different ways. Microneedling is mechanical and does not involve heat, making it safer for all skin types and less likely to cause pigmentation issues. Laser treatments use light energy and can be more aggressive, offering faster results for certain concerns like pigmentation but also carrying a higher risk of side effects, especially for darker skin tones. Microneedling, with its more natural, gradual approach, is ideal for those seeking a treatment that aligns with the skin’s own healing processes.

Q: Can microneedling help with hair loss?
A: Yes, microneedling is effective for hair restoration. By creating micro-channels on the scalp, microneedling stimulates blood flow and the delivery of nutrients to hair follicles, promoting growth. When combined with targeted TCM herbal treatments that nourish the Liver and Kidney meridians, microneedling can further support the health and vitality of the hair.

Q: Will I need any downtime after treatment?
A: One of the benefits of microneedling is its minimal downtime. Most patients can return to daily activities within 24-48 hours. The initial redness and mild swelling should subside within a day or two, but it’s best to follow post-care guidelines to maximize results and minimize any risks. Makeup can generally be worn after 48 hours, but it’s essential to use clean, non-irritating products.

Brandy Plunk, MSAOM, L.Ac
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