When home skin care products are not effective, but you are not ready for surgery, consider nonsurgical skin rejuvenation treatments, like microneedling. Double board-certified plastic surgeon Dr. George A. Toledo and his trained aesthetic team are pleased to offer microneedling (also known as collagen induction therapy) at our office in Dallas, TX. Microneedling uses many fine-gauge needles to safely and effectively create micro-injuries in the needed areas of the skin. The micro-injuries trigger the body's natural production of collagen and elastin, two nutrients that improve the health and appearance of your skin. Easily combined with other skin treatments, like serums or PRP (platelet-rich plasma), microneedling can help reduce pores, scars, and stretch marks. Schedule a consultation at Highland Park Plastic Surgery Center to learn more about the benefits of microneedling and ways to customize the treatment for your skin needs and goals.
Microneedling with PRP
As an added benefit to microneedling, your own platelet-rich plasma (PRP) can be applied to the same area to further help tissue heal and allow the skin to grow new cells. These two treatments together can reduce the appearance of scars, fine lines, wrinkles, age spots, and other skin issues. The texture of your skin can be greatly improved to appear smoother and more even without damaging the skin.
Prior to the microneedling section of your treatment, someone from our medical staff will draw your blood for the PRP collection. The drawn blood will then be taken to our lab for the separation process where your viable cells, platelets, and growth factors will be condensed into PRP. Once the microneedling is complete, the PRP serum will be applied to the skin to sink in.
"So impressed with Dr. Toledo's rhinoplasty results! And even more impressed with how much my breathing has improved! I didn't even realize how blocked my breathing was until now, it really is life changing. Beautiful results. And a perfect little nose!"- J.D. / Yelp / Mar 24, 2019
"I went to Dr. Toledo for a septo-rhinoplasty in February 2022. I initially met with an ENT in June 2020 due to breathing issues--he said I had a deviated septum and collapsed nostril, and referred me to a plastic surgeon to fix both at the same time. The ENT mentioned that straightening a nose is technically challenging even for a skilled plastic surgeon, this made me kind of nervous about picking the right doctor because I didn’t want to end up with a botched pixie piglet nose. I looked into roughly 15 surgeons in the DFW and LA area before settling on Dr. Toledo. 1. He is a double board certified ENT & plastic surgeon. This was important to me because functional issues were my primary concern. 2. Doctor Toledo has done over 3,000 nose jobs in his 30 year career. Rhinoplasty is one of the most challenging surgeries from a technical standpoint, and it’s also the plastic surgery procedure with the highest revision rate. 3,000+ over 30 years is 2+ nose jobs per week (less two weeks vacation / year), that is a lot of opportunities to understand the nuances of a rhinoplasty. I wanted a doctor who has had plenty of practice before I got on his table. Try asking another doctor how many of X procedures have you done in their career, you will be hard pressed to get an answer. 3. Office staff are really nice and helpful. I had a lot of initial questions which they politely answered over the phone before my initial consultation. I value my time, and I felt that they did too in their professional and polite communication. This might seem like a lower priority than the experience of the surgeon, but these are the people you talk to 80% of the time. 4. He’s a fly fisher. As a fellow angler, I know the unspoken qualities one must possess to catch a fish. Patience, perseverance, thoughtfulness, focused, dexterous. I booked my surgery immediately after our initial consultation. Dr. Toledo is a straight shooter. He confirmed what the ENT said, told me what he could do, showed me a new nose proposal and that was it. Overall, I just like the guy, he’s professional, knows what he’s doing and has a cool demeanor. Dr. Toledo is not the guy who swings open the door and starts shmoozing you, he’s chill and normal. He’s not trying to convince you to go to him. So surgery day comes, I’m kind of freaked out because I’m an anxious creature. Dr. Toledo comes in with a cup of coffee, definitely has Coffee Mate creamer in his, maybe hazelnut and my anxiety melts away. Anyone who uses Coffee Mate creamer in 2022 is down to earth and confident--it’s unpretentious and confident. I wake up, I’m a zombie but oddly no pain really... He prescribed Tylenol #3 (ultra weak) but after surgery I saw why. I took half a painkiller every 8hrs for like 3 days and then just regular Tylenol. Surgery was Thursday, was back to work 1/2 day on Monday and fully back Tuesday. Oh, he also extracted this longterm zit I had on my cheek which was the best thing to wake up toCast came off 1 week later, nose internal splints came out at 3 weeks. WOAH, I did not realize you were supposed to be able to breathe out of your nose at 100% like your mouth. I really thought your mouth was the primary breathing hole for my entire life. Obviously, he hit the aesthetic aspect (I am not a pixie piglet) but the breathing is pretty life changing. Sleep is wildly improved, and I generally feel better. I’m only 4 weeks out, but I’m glad I chose Dr. Toledo and can’t wait to see how it looks in a few months when swelling subsides. Doctor Toledo is THE nose guy in Dallas. Easily a top rhinoplasty doctor in the US."- E.M. / Yelp / Mar 07, 2022
"Real review from an Oklahoma doctor: As a physician myself I spent a lot of time researching who I was going to use when I finally decided to do rhinoplasty/septoplasty. I’ve always wanted this done and finally made the leap. My biggest fear was not liking the results and being stuck with them. I did 7 consults with different ENT and Cosmetic Surgery specialists. After my consult with Dr Toledo I was very confident in His skill and experience. He listened to my concerns and what I was looking for and was able to deliver. I am extremely happy with my results and am so very glad that I found Dr Toledo. Do not hesitate in using him for your Rhinoplasty. He is fully capable and you will not be disappointed."- C.B. / Google / Mar 05, 2022
"Real review from an Oklahoma doctor: As a physician myself I spent a lot of time researching who I was going to use when I finally decided to do rhinoplasty/septoplasty. I’ve always wanted this done and finally made the leap. My biggest fear was not liking the results and being stuck with them.I did 7 consults with different ENT and Cosmetic Surgery specialists. After my consult with Dr Toledo I was very confident in His skill and experience. He listened to my concerns and what I was looking for and was able to deliver.I am extremely happy with my results and am so very glad that I found Dr Toledo. Do not hesitate in using him for your Rhinoplasty. He is fully capable and you will not be disappointed."- C.B. / Yelp / Mar 03, 2022
"Real review from a fellow doctor - extremely happy with my results - Real review from an Oklahoma doctor: As a physician myself I spent a lot of time researching who I was going to use when I finally decided to do rhinoplasty/septoplasty. I’ve always wanted this done and finally made the leap. My biggest fear was not liking the results and being stuck with them. I did 7 consults with different ENT and Cosmetic Surgery specialists. After my consult with Dr Toledo I was very confident in His skill and experience. He listened to my concerns and what I was looking for and was able to deliver. I am extremely happy with my results and am so very glad that I found Dr Toledo. Do not hesitate in using him for your Rhinoplasty. He is fully capable and you will not be disappointed."- I. / RealSelf / Mar 03, 2022
You may benefit from microneedling if you have slight to moderate skin issues, like rough skin texture or low elasticity. Microneedling treatments can also reduce the appearance of scars, pores, and stretch marks. You should be willing to wait a while before seeing the results of your microneedling treatment since the collagen and elastin will need time to have an effect on the skin, but you will have natural-looking results and gain better overall skin health.
Microneedling is performed in a treatment room in about 30 – 60 minutes with numbing cream or local anesthesia if requested, but most patients feel mild or no discomfort. The skin being treated will be cleansed before the microneedling handpiece is passed evenly over. After the microneedling is performed, a topical treatment, like platelet-rich plasma (PRP) or a vitamin-infused serum, can be applied for deeper penetration of the nutrients into the skin. After the treatment, a moisturizer will be applied since your skin will be sensitive.
What to Expect
You may have some swelling and redness for about a day, but this should subside quickly on its own. It may take about 1 – 2 months as the collagen and elastin levels increase before you see visible improvements in the health and appearance of your skin. You should plan to get about 4 – 6 maintenance treatments every 4 – 6 weeks for optimal results and lasting skin health.
Frequently Asked Questions
How much does microneedling cost?
The cost for microneedling will vary, depending on what is included in your treatment plan. During your initial consultation, Dr. Toledo will perform a skin analysis and then develop your unique treatment plan. From there, he will be able to discuss your costs and what to expect during the procedure. Highland Park Plastic Surgery Center often offers specials on skin treatment packages so be sure to ask about current deals during your consultation.
What exactly is microneedling?
Microneedling, also known as collagen induction therapy, is a nonsurgical treatment to tighten and rejuvenate your skin. Collagen is a fibrous protein that helps keep your skin supple, smooth, and tight. Over time, your natural stores of collagen are depleted and your skin becomes thin and loses elasticity. Microneedling creates small wounds in your skin. These micro-injuries prompt your skin to increase its collagen production and generate new skin cell growth. Once healed, your skin appears brighter, firmer, and healthier.
Can I combine other treatments with microneedling?
During the microneedling process, channels are created in your skin that make it easier for treatments to penetrate the deeper layers. This is why microneedling is often combined with other treatments, like vitamin-rich serums or platelet-rich plasma (PRP). During your consultation, Dr. Toledo can discuss what treatments may be performed along with microneedling and which would most benefit your skin.
How many treatments are recommended for optimal results?
Most patients get 3 – 6 microneedling sessions to achieve their best results. However, the number of treatments you need will depend on the condition of your skin and your goals. Microneedling can be safely performed every 4 – 6 weeks as needed. During your consultation, Dr. Toledo will be able to estimate how many treatments you will need based on your skin and goals. Once you have reached your goal, Dr. Toledo recommends getting maintenance treatments every six months.
Is microneedling safe for everyone?
For the most part, microneedling is safe for all skin types and tones. Since the skin injuries created are so small, there are very few side effects after the treatment. Microneedling is not recommended if you have used Accutane within the last 2 – 3 months, as well as if you have an active skin infection, open wound, or herpes simplex. In addition, you may not be a candidate for microneedling if you are pregnant, nursing, or undergoing radiation treatments.
Plan Your Procedure
Natural Health and Radiance
Improve the health and appearance of your skin with microneedling treatments at Highland Park Plastic Surgery Center in Dallas, TX. A minimally invasive treatment that can give you dramatic results, microneedling boosts your natural production of collagen for smoother, firmer skin. Schedule a consultation with plastic surgeon Dr. George A. Toledo to learn more about this procedure and other skin rejuvenation procedures.