Microneedling Treatment London (Holborn)

We use the XCellarisPRO Twist, a Class IIa medical microneedling device made in Germany by Dermaroller GmbH. It uses motor-driven active needle retrieval, operates at 150 insertions per second and offers adjustable depth from 0.25mm to 2.5mm with individually sealed, single-use sterile needle modules.

All three are professional microneedling devices that create controlled microchannels, and all can produce good results in trained hands. The differences are mechanical: the XCellarisPRO Twist uses a motor to actively retract the needles on every cycle rather than relying on a spring, runs at 150 insertions per second rather than the 100–120 typical of most pens, and uses cone-shaped needles on a flexible plate that follows the contours of the treatment area. In practice this means cleaner channels, more consistent depth and less surface trauma per pass. We would encourage you to ask any clinic which device they use and why.

That depends on your skin. We select from NCTF®, polynucleotides, Purasomes®, Calecim® Professional and AQ Skin Solutions growth factors, or a combination across your course. Your practitioner will recommend the most appropriate option at your consultation based on your skin condition, concerns and goals.

The device creates the stimulus; the serum determines what the skin has to work with while it repairs. Microneedling temporarily increases how readily the skin absorbs actives, so applying a targeted regenerative formulation during that window supports the repair response rather than simply moisturising the surface afterwards.

A topical anaesthetic is applied for approximately 45 to 60 minutes before treatment to help keep the procedure comfortable. Most clients notice pressure, vibration or a light scratching sensation, although some areas can feel more sensitive than others.

A course of three to six microneedling sessions is often recommended, with appointments generally spaced four to six weeks apart. The exact number will depend on the concern, its severity and how your skin responds.

The skin can begin to feel smoother and look more refreshed within the first one to two weeks. More substantial changes linked to collagen renewal generally develop from four to six weeks and can continue over three to six months.

Improvements in texture and skin quality can remain visible for an extended period, although the skin will continue to age naturally. Sun exposure, skincare, lifestyle and maintenance treatment can all influence how long the results are retained.

Microneedling can be suitable for a broad range of skin tones because it does not target pigment in the same way as some laser treatments. Careful assessment, suitable treatment settings and consistent sun protection remain important for reducing the risk of irritation or pigmentation changes.

Microneedling can soften the appearance of selected indented acne scars by encouraging remodelling within the affected tissue. Deeper, tethered or mixed scar patterns may require additional treatments as part of a combined plan.

Microneedling can refine the texture and firmness of the skin surrounding enlarged pores, helping them appear less prominent. It cannot permanently close pores, and genetics, oil production and congestion will continue to influence their appearance.

Makeup should be avoided while the skin is freshly treated and sensitive. Your practitioner will provide specific guidance, but clients are generally advised to wait at least 24 to 48 hours before applying clean, non-irritating products.

Standard microneedling creates controlled microchannels mechanically, while RF microneedling also delivers radiofrequency energy beneath the skin. RF microneedling is a separate treatment that can be considered for more pronounced laxity or deeper textural concerns.

Microneedling can be combined with a professional exosome-based formulation as part of a separate treatment protocol. London Real Skin uses Purasomes for clients seeking additional support for skin renewal and recovery.