The Rocky Road to Flawless Skin: Contraindications and Health Restrictions in Using Dermarolling Therapy

The Rocky Road to Flawless Skin: Contraindications and Health Restrictions in Using Dermarolling Therapy


Are there any health conditions that restrict the use of dermarolling therapy?

Don’t get it wrong, dermarolling therapy is one of the best and most effective treatment in treating scars, skin marks, wrinkles, post acne scarring and so on. But there are certain conditions wherein dermarolling treatment is never allowed or contraindicated and or you have to wait for certain period before you can have skin needling.

For some having a flawless skin is not a hard thing to do. They just have to do this and that treatment and they could already achieve a fairer and fabulous skin in no time. But there are some people who are not a good candidate for dermarolling therapy.

There are certain contraindications to dermarolling treatment which does not allow them to perform the treatment.  People with the following conditions are restricted to have skin needling treatment:

  • Diabetes
  • Skin Allergy
  • Immunosuppressed Individuals
  • Nodular and Pustular Rosacea
  • Use of Anticoagulant Medications
  • Blood Disorders
  • Keloid formers
  • Skin Diseases
  • Recent Skin Treatment like Invasive Laser Therapy and other skin treatments
  • Use of Botox injections and other injectables
  • Use of Dermafillers
  • Recent Facial Surgery
  • Pregnancy and Breastfeeding



Persons with diabetes are restricted to use dermarolling treatment because they have poor wound healing which delays the complete recovery of the skin.  It may also increase the risk of getting secondary infection caused by dermarolling.

Skin Allergy

Persons with skin allergy are not a good candidate for skin needling particularly if they use it in the abdomen or in the thigh areas. Aggressive dermarolling in these areas may trigger an allergic reaction which increases histamine production that leads to the appearance of urticaria or hives.  This allergic skin reaction may cause itchiness which may last for days.

Immunosuppressed Individuals

Persons who are immunosuppressed are restricted to have skin needling. Immunosuppressed individuals are those who are suffering from a chronic diseases or long-term diseases. A poor immune system makes them more prone to develop infection which is secondary to post needling treatment.

Nodular or Pustular Rosacea

Rosacea is a common skin disease wherein the affected person has a strong tendency to flush or blush than most people. The skin redness usually appears on the nose and cheeks and then to the forehead and chin. There are also times when the ears, chest and back are also affected.

People with nodular or pustular Rosacea are restricted to use skin needling particularly on the zones of inflammatory response or those with redness.  But it is okay to perform skin needling particularly on the areas with no redness or inflammation.

Using Anticoagulant Medications

Persons taking anticoagulant medications such as Coumadin are contraindicated to perform skin needling treatment. Anticoagulant medications may cause prolonged bleeding particularly when dermarolling treatment is done. Keep in mind that you should not sacrifice your health for the sake of aesthetic purposes.

Blood Disorders

If you have any blood disorders or any condition wherein your body has poor ability to produce adequate platelets to stop any bleeding or bruising, then skin needling treatment is not for you.

Keloid Formers

Keloids are hard, smooth, and benign growths in the skin that forms when the scar tissues grows excessively. When the skin is injured, the scar tissue or fibrous tissue forms over the wound to protect and repair it against injury. In some cases, the scars grow excessively forming a keloid.

The keloids are larger than the usual wound. It can be found on the cheeks, earlobes, shoulders and chest. However, keloid can affect all parts of the body. Although, keloids are not harmful to health but it can cause cosmetic problems in the long run.

If you are a keloid former and you use dermarolling treatment, most likely this can activate more collagen formation hence this will stimulate the keloid to grow further. Ofcourse, this is the last thing that you want to happen. Keep in mind that skin needling further stimulates collagen production, so you are definitely doomed if you use dermarolling treatment in your face or in any part of your body!

Skin Diseases

If you are suffering from any sorts of skin diseases, skin needling is definitely contraindicated particularly if you have an active acne infection, cold sores, shingles or chicken pox, and other forms of skin diseases and infection.

Recent Skin Treatment like Invasive Laser Therapy and other Skin Treatment

If you recently had an invasive skin laser treatment and other skin treatment it is advised not to have a dermarolling treatment procedure done. You have to wait for your skin to heal completely before having a skin needling treatment.

Botox Injections and other skin injectables

If you had botox injection and other injectables, it is recommended to wait for at least two months before having another treatment.

Use of Dermafillers

For those who had a dermafillers, it is adviced that they get dermarolling treatment done two weeks prior to putting of dermafillers or two weeks after the procedure.

Recent Facial Surgery

Patients who had a recent facial surgery are advice to wait for at least six months before having a dermarolling treatment.  This is a safe estimate to allow the skin to heal completely and fully recover from the recent surgery.

Pregnancy and Breastfeeding

Women who are pregnant and breastfeeding are advice not to undergo dermarolling treatment. At this point in the time, the body is having a lot of physiological and hormonal changes. Having a dermarolling treatment may further aggravate this stressful condition.  Keep in mind that there are some pregnancies that can be complicated by other disease condition such as gestational diabetes, which is definitely a contraindication to dermarolling treatment.


If you have any of these conditions, it is best to avoid having a dermarolling treatment or wait until the condition is treated. You should not sacrifice your health for the sake of having a beautiful skin.



American Academy of Dermatology. (2016). American Academy of Dermatology. Retrieved December 18, 2016, from

Kossoko H1, Allah KC, Assi Djè Bi Djè V, Yéo S, Koffi KE, Richard Kadio M. (2012). Palmar and plantar keloid in a black African male. Chir Main. , 210-3.


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