Microneedling
Doctor led microneedling in Colombo using a sterile motorised pen, not a derma roller. Collagen induction for acne scars, enlarged pores, fine lines and dull skin, at depths set safely for Sri Lankan skin tones.
What is microneedling?
Microneedling is a collagen induction treatment that uses very fine sterile needles to create thousands of microscopic channels in the skin. That controlled injury switches on your own collagen and elastin repair, which softens acne scars, refines enlarged pores and smooths fine lines over the following 3 to 6 months. At Luxskin in Colombo it is performed by Dr Dineli with a motorised medical pen and a sterile single use cartridge, not a derma roller.
The distinction matters more than most clinics admit. A derma roller is a microneedling device, so the honest comparison is roller versus pen. A roller's needles enter and leave the skin on an arc, so each puncture drags into a tear shaped wound. A pen stamps straight down and straight back up along the same axis, leaving a clean vertical channel that heals with less inflammation. Same needle length, very different wound.
That difference is not cosmetic detail in Sri Lanka. Most patients here sit at Fitzpatrick type IV to V, where excess inflammation is the trigger for post inflammatory hyperpigmentation. Dr Dineli treats brown skin one step more conservatively than the depth charts written for Western patients, spaces sessions further apart, and insists on strict sun protection between visits. It is slower on paper and considerably safer in practice.
Microneedling is a course, not a single appointment. Most people need 3 to 6 sessions spaced 4 weeks apart, and acne scarring often needs 6 or more. Collagen remodelling continues for 3 to 6 months after your final session, which is why the honest before and after photograph is taken months later, not at the 4 week review.
- Softens rolling and boxcar acne scars
- Refines enlarged pores and uneven texture
- Smooths fine lines and early photoageing
- Depths set conservatively for Fitzpatrick IV to V skin
- Sterile single use cartridge opened in front of you
- Performed by a doctor, not delegated to a therapist
Treatment at a glance
- Duration
- 45 to 60 minutes including numbing
- Anaesthesia
- Topical numbing cream
- Downtime
- Redness 24 to 48 hours, light peeling day 3 to 5
- Results visible
- Glow in 1 week, collagen builds over 3 to 6 months
- Results last
- 6 to 12 months per completed course
- Maintenance
- 3 to 6 sessions, 4 weeks apart
Note: The figures above are averages and can vary from client to client.
Microneedling pen vs derma roller: the real difference
A derma roller is a microneedling device, so the useful comparison is roller versus motorised pen. Most clinics in Sri Lanka still list the two as one treatment. Mechanically they are not the same, and the gap widens sharply above 0.5mm.
Needle entry
Microneedling pen
Stamps straight down and straight back up, leaving a clean vertical channel
Derma roller
Enters and exits on an arc, dragging the skin into a tear shaped wound
Depth control
Microneedling pen
Set mechanically from 0.25mm to 2.5mm and adjustable mid treatment
Derma roller
Fixed per device, and real depth still varies with hand pressure and skin laxity
Sterility
Microneedling pen
Single use sterile cartridge, opened in front of you
Derma roller
Reused, needles bend and dull, and home sterilising does not kill spores
Eyes, nose and hairline
Microneedling pen
Tip is a few millimetres wide, so it works flush on every curve
Derma roller
A cylinder cannot sit flush against the nose, inner eye corner or hairline
Risk in brown skin
Microneedling pen
Lower, clean channels carry less inflammatory signal
Derma roller
Higher risk of tram track marks and post inflammatory hyperpigmentation
Consistency
Microneedling pen
Motorised and uniform across every zone of the face
Derma roller
Depends entirely on how hard the operator presses
An honest caveat: most published efficacy data used rollers, simply because those studies are older. Nobody has proven that pens grow more collagen. The case for the pen is safety, depth accuracy and reproducibility. Below 0.5mm the difference is small, and a clean 0.25mm roller used at home for product absorption is genuinely low risk. Above 0.5mm the roller starts causing damage rather than just being inefficient.
How deep does microneedling go for each concern?
Depth is the single biggest variable in microneedling, and the one patients are almost never told about. Here is what Dr Dineli selects for each concern and what that depth realistically achieves.
0.25 to 0.5 mm
What it treats
Glow, product absorption, mild texture and pore appearance
What to expect
Epidermis only. No bleeding, no downtime, and results are subtle and short lived
0.5 to 1.0 mm
What it treats
Fine lines, enlarged pores, early photoageing and melasma support
What to expect
Papillary dermis. Pinpoint bleeding is the endpoint, redness for about 24 hours
1.0 to 1.5 mm
What it treats
Rolling and boxcar acne scars, moderate wrinkles
What to expect
The workhorse depth. Redness 24 to 48 hours, light peeling on day 3 to 5
1.5 to 2.5 mm
What it treats
Deep boxcar scars and thick skinned areas such as the nose and mid cheek
What to expect
Expect bruising and 3 to 5 days of social downtime. Never used near the eyes
Eyes and forehead
What it treats
Fine lines only, whatever the concern elsewhere on the face
What to expect
Capped at 0.5 to 1.0 mm. Thin skin over bone bruises badly at deeper settings
For Fitzpatrick IV to V skin, which covers most Sri Lankan patients, Dr Dineli deliberately treats one step shallower than these ranges and spaces sessions further apart. Aggressive depth in brown skin can trigger rebound hyperpigmentation that takes months to clear, which is a far worse outcome than a slower course of treatment.
What happens during your visit
Microneedling at Luxskin is a doctor led procedure from consultation to review. Here is exactly what a session in Colombo looks like.
- 01
Consultation and skin mapping
Dr Dineli examines your skin under magnification, confirms your Fitzpatrick type and maps which zones need which depth. Contraindications such as active acne, recent isotretinoin, a keloid history or a cold sore tendency are ruled out here.
- 02
Numbing
A topical anaesthetic cream sits on the skin for 30 to 45 minutes. Most patients describe the treatment itself as a light sandpaper or vibration sensation rather than pain.
- 03
The treatment
Skin is cleansed and a sealed single use cartridge is opened in front of you. Dr Dineli passes the pen across each zone at its mapped depth until the clinical endpoint, usually mild redness or pinpoint bleeding, is reached. This takes 20 to 30 minutes.
- 04
Post treatment care
Only sterile, injectable grade serums go onto freshly needled skin. Nothing with fragrance, vitamin C or standard preservatives, which can drive foreign body granulomas into the dermis. You leave with sunscreen and a written aftercare sheet.
- 05
Four week review
You are reviewed before every following session. Photographs are taken at the same angle and lighting each visit, so progress is measured rather than guessed, and depth is adjusted based on how your skin actually healed.
Your microneedling results timeline
Microneedling results arrive in stages, and the biggest change happens long after you leave the clinic. Knowing the sequence stops people abandoning a course two sessions too early.
Day 0
Skin looks flushed, similar to mild sunburn, and feels tight and warm. This settles within 24 to 48 hours at standard facial depths.
Day 3 to 5
Light flaking or peeling as the epidermis turns over. Do not pick at it. Sunscreen is non negotiable, particularly under Colombo sun, because fresh skin pigments easily.
Week 1 to 2
The early glow phase. Skin looks brighter and feels noticeably smoother. This is accelerated cell turnover rather than new collagen, so it is real but not yet the main event.
Month 1 to 3
New collagen is laid down. Scar depth and pore size begin to visibly change, usually becoming obvious after the second or third session rather than the first.
Month 3 to 6
Peak result. Collagen remodelling carries on well after your final session, which is why your best photograph is taken months later, not at the four week review.
Microneedling or Pico Laser for acne scars?
The most common question at consultation. Both treat acne scarring through completely different mechanisms, they are not interchangeable, and a lot of patients do best on a combination of the two.
How it works
Microneedling
Mechanical micro channels trigger a collagen repair response
Pico Laser
Ultra short laser pulses shatter pigment and stimulate collagen
Best for
Microneedling
Rolling and shallow boxcar scars, texture and pore size
Pico Laser
Pigmented scars, dark marks and uneven tone
Ice pick scars
Microneedling
Limited. The needle cannot reach the base of the scar
Pico Laser
Limited. These need TCA CROSS or punch excision instead
Downtime
Microneedling
Redness for 24 to 48 hours, light peeling on day 3 to 5
Pico Laser
Minimal, usually mild redness for a few hours
Course
Microneedling
3 to 6 sessions, four weeks apart
Pico Laser
4 to 6 sessions, three to four weeks apart
Skin tone considerations
Microneedling
Safe in brown skin at conservative depth
Pico Laser
Safe in brown skin at correct settings, and often the better choice when pigment is the main issue
Neither treatment reliably fixes ice pick scars, and any clinic that promises otherwise is overselling. If your scarring is predominantly ice pick, Dr Dineli will tell you at consultation and recommend TCA CROSS or punch excision instead of selling you a course that will not work.
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FAQ
Microneedling: frequently asked questions
Microneedling in Colombo generally runs from around LKR 8,000 to LKR 15,000 per session, depending on the depth used, the area treated and whether serums or PRP are added. At Luxskin the exact quote comes at your consultation, once Dr Dineli has examined your skin and confirmed how many sessions you genuinely need. We do not quote a package before seeing your skin, because the honest number depends on whether you are treating glow, texture or scarring.
A derma roller is a microneedling device, so technically yes, but the two are not equivalent in practice. A roller's needles enter and exit on an arc and drag a tear shaped wound, while a motorised pen stamps a clean vertical channel and holds a set depth. Rollers also reuse needles that bend and dull, and cannot be properly sterilised at home. Below 0.5mm the difference is small. Above 0.5mm the roller carries a real risk of tram track scarring and pigmentation, especially in brown skin.
Yes, when the depth is chosen correctly. Most Sri Lankan patients are Fitzpatrick type IV to V, where excess inflammation triggers post inflammatory hyperpigmentation. Dr Dineli treats one step shallower than the depth charts written for Western skin, spaces sessions further apart and requires strict daily sunscreen between visits. Microneedling is actually one of the safer resurfacing options in darker skin, because it does not rely on heat or light energy that pigment can absorb.
Most acne scarring needs 6 or more sessions spaced 4 weeks apart, compared with 3 to 6 for general texture and glow. You will usually see the first clear change after the second or third session. Because collagen remodelling continues for 3 to 6 months after the final session, the full result of a course finished in January is properly visible around April.
Not significantly. A topical numbing cream is applied for 30 to 45 minutes beforehand, and most patients describe the sensation as light sandpaper or vibration. Bonier areas such as the forehead and jawline feel sharper than the cheeks. Deeper settings used on boxcar scars are more uncomfortable, which is one reason those areas are treated last.
For product absorption and mild glow at 0.25mm to 0.3mm, an at home roller used carefully on clean skin is low risk and reasonably useful. It will not treat acne scars, deep wrinkles or significant texture, because that needs depths above 0.5mm which are not safe to self administer. The two genuine dangers at home are infection from a roller that cannot be sterilised, and pigmentation from uncontrolled depth on brown skin.
Expect redness like mild sunburn for 24 to 48 hours, then light flaking around day 3 to 5. Most patients return to work the next day and can wear makeup after 24 hours. Deeper settings used for boxcar scarring can bruise and need 3 to 5 days of social downtime, which Dr Dineli will tell you before the session so you can plan around events.
No, and this is worth being direct about. Ice pick scars are narrow and deep, and the needle cannot reach the base of the scar to remodel it. They need TCA CROSS or punch excision. Microneedling works well on rolling and shallow boxcar scars, and many people have a mix of scar types, so a realistic plan often combines methods. If your scarring is mostly ice pick, we will tell you at consultation rather than sell you a course.
It can, but carefully. Microneedling improves pigmentation indirectly by accelerating turnover and by allowing better delivery of topicals such as tranexamic acid. The catch is that in Fitzpatrick IV and above, aggressive depth can trigger rebound hyperpigmentation and make melasma worse. Dr Dineli treats melasma at conservative depth, often pre treats with a tyrosinase inhibitor, and will sometimes recommend Pico Laser or a dedicated pigmentation protocol instead.
Not while you are taking it. The conservative standard is to wait 6 months after finishing isotretinoin, although newer data suggests a shorter gap may be adequate. Luxskin follows the conservative standard. Tell us at consultation if you have taken it in the past year, along with any blood thinners, as anticoagulants are also a contraindication.
Nothing that is not sterile and injectable grade. Vitamin C serums, hyaluronic acid with standard preservatives, fragranced products and most retail skincare can cause foreign body granulomas when driven into the dermis through open channels. This is the single most common serious mistake in the industry, and it is why we supply your post treatment products rather than letting you use your own. Avoid actives, exfoliants, swimming pools and direct sun for at least 5 days.
The published evidence shows a modest additional benefit for acne scarring, not a dramatic one. PRP uses your own platelet rich plasma applied after needling, and it is sterile by definition, which makes it a safe pairing. Whether it is worth the price difference depends on your goals and budget, and Dr Dineli will give you a straight answer at consultation rather than defaulting to the more expensive option.
Makeup after 24 hours, and most patients go back to work the next day with visible but manageable redness. If you have an event, book at least 7 days before it. For the deeper settings used on scarring, allow 5 to 7 days.
Anyone with active acne, an active skin infection, eczema or a cold sore outbreak in the treatment area, a history of keloid scarring, current isotretinoin use or recent completion, anticoagulant use, recent radiotherapy, or pregnancy. A cold sore history is not a bar to treatment, but it does require valacyclovir prophylaxis beforehand. All of this is screened at consultation.
Luxskin offers doctor led microneedling in Colombo, performed by Dr Dineli using a motorised pen with sterile single use cartridges rather than a derma roller. Consultations are free, and depths are set specifically for Sri Lankan skin tones. You can book a consultation through the site or by WhatsApp.
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Whether you have questions about our services, want to schedule an appointment, or simply wish to learn more about Luxskin by Dr Dineli, feel free to reach out to us.



