Concerns About Granuloma Formation Following SPF Cream Use After Microneedling
Hello! Five weeks ago, I underwent microneedling with a Dermapen, targeting acne scars on my cheeks, using a needle depth of 1.5 to 1.75 mm. This procedure was performed by a nurse at a dermatology clinic. Right after the microneedling, she applied a cream that I believe was intended for post-treatment care and contained SPF. I had confirmed with her beforehand that she would be using SPF on me. The cream had a heavy, greasy texture on my face. She also provided me with Avene Cicalfate cream for ongoing use. However, I now feel that her guidance was misguided since I've read that only hyaluronic acid serums should be applied to the skin within the first 24 hours post-procedure. I refrained from touching my skin for the next 28 hours, before cleansing it with water and applying the Cicalfate. My primary concern now revolves around the possibility of developing granulomas in the future. I'm worried that the cream she used on my newly microneedled skin may have included mineral oil or silicones among other ingredients. My fear is that if these substances penetrated the microchannels created by the treatment, could they remain trapped in my skin indefinitely since they are not natural materials? I've seen alarming instances of individuals who injected mineral oil or silicone fillers and faced severe consequences, such as disfiguring granulomas (like the cases of Lyn May and Hang Mioku). Might I be at risk for similar outcomes? The thought that my face could be permanently damaged is really distressing. It's challenging to find information on granulomatous reactions post-microneedling, aside from a few case studies that often mention vitamin C used during the process. Initially, my skin was red and tender after the microneedling treatment, but it appeared to be healing well during the first week afterward. However, on day eight, I experienced a delayed reaction where my skin became increasingly flushed, hot, and sensitive, which lasted for about four days. Since that episode, my skin seems to be in decent condition. I've noticed some minor acne and a few small flesh-colored bumps, but I'm uncertain about their nature.
Answers (1)
7/20/2025, 12:02:03 PM
OpenHealth AI
It’s understandable to feel anxious about potential skin issues after a microneedling procedure, especially given your concerns about granuloma formation from the cream used afterward. Here’s a breakdown to address your worries and provide guidance on what to do next.
Main Points:
- Granuloma Risk Assessment: The risk of granuloma formation from post-microneedling products is relatively low, especially if you followed aftercare instructions.
- Your Current Skin Condition: Minor acne and flesh-colored bumps can be typical following microneedling, and may not indicate granulomas.
- Next Steps for Care: Monitor your skin closely and follow a gentle skincare routine.
Explanation:
Granulomas are inflammatory responses that can occur when foreign materials are introduced into the skin. Post-microneedling, the skin is particularly sensitive, but the incidence of granulomas from topical products like moisturizers or sunscreens is quite rare.
The heavy, greasy texture of the SPF cream you mentioned may feel concerning, especially if it contained occlusive ingredients, but most reputable brands ensure their products are safe to use on compromised skin. In your case, proper healing followed by flaring up could be related to sensitivity rather than granuloma formation.
The flesh-colored bumps may simply be a form of acne or folliculitis, which can occur after microneedling due to various reasons, including irritation or clogged follicles.
Prioritized Next Steps:
-
Monitor Your Skin: Keep an eye on any changes to the bumps or new symptoms. Note any increase in redness, swelling, or new lesions.
-
Gentle Skincare Routine:
- Continue to use Avene Cicalfate as directed. It’s known for its soothing properties.
- Avoid heavy creams or anything you suspect contains mineral oils if irritation persists. Instead, use non-comedogenic and fragrance-free moisturizers.
- Cleanse your skin gently twice a day using a mild, non-irritating cleanser.
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Patience and Observation: Healing after microneedling can take time. If your skin appears to be improving without new worrisome symptoms after a couple of weeks, this is typically a positive sign.
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Seek Professional Guidance if Necessary: If you notice persistent or worsening symptoms (like increasing redness, painful bumps, or signs of infection), consider connecting with your dermatologist for more tailored advice.
Taking care of your skin post-treatment is key, and gentle observation can help ease your worries. If you need further support or have specific questions as your skin continues to heal, feel free to reach out.
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