History of allergies – Aggressive needling of the abdomen or thigh areas may trigger an allergic reaction, due to the upregulation of histamine production leading to hives (urticaria) that may itch for days.
Immunosuppression – Do not needle immunosuppressed patients (whether due to disease condition, medication, or other source) due to heightened risk of secondary infection post-needling.
Diabetes – Potential delayed wound healing may increase risk of secondary infection post-needling.
Pustular or nodular rosacea – Do not needle inside zones of inflammation until inflammatory response has dissipated; you can needle nearby, unaffected areas.
Concurrent use of anticoagulant medication – Anticoagulant medications (such as Coumadin) may contribute to prolonged bleeding. Under no circumstances should medication for a serious health condition be discontinued in favor of aesthetic issues.
Unnecessarily frequent needling sessions –Needling more than once per month may overstimulate collagenase response to the detriment of therapeutic goals.
Injectable neuromodulators – Do not use Dermapen within 48 hours of injection of neuromodulators (such as Botox or Dysport) in proximity to the needled area, to avoid potential misdistribution of injected toxin, to the detriment of the result.
Injectable fillers – Do not use Dermapen within two weeks of injection with dermal fillers or volumizers to avoid potential unwanted inflammatory response.
Pregnancy – Dry needling without use of topicals or other products is safe but not recommended.
Presence of palmar or plantar keloid scarring – Use of Dermapen may exacerbate scarring on the palms or soles. When needling clients with keloid scars, antihistamine therapy may inhibit unwanted inflammation.
Moles, Skin Tags and Various Lesions – Avoid needling moles and other raised lesions with the Dermapen. Investigate and identify any skin irregularities before needling and evaluate these areas so they can be avoided during a Dermapen needling session. Darkened areas of the skin that look suspicious should also be avoided. Melanoma is a skin cancer that is most commonly found on areas of the body that contain melanocytes. Melanocytes produce melanin, which causes the appearance of a dark “mole” or “freckle”. This skin cancer is especially common in sun-exposed skin and should NEVER be needled with the Dermapen.