Medical Microneedling

Advanced & Medical

MICRONEEDLING

At Skin365®, we believe microneedling is more than creating micro-channels in the skin — it is a science-based treatment designed to stimulate the skin’s natural repair process and support healthier, stronger, more youthful-looking skin.

Our microneedling treatments follow the advanced principles developed by Dr. Des Fernandes, the pioneer of medical microneedling and founder of Environ Skin Care. Unlike many standard microneedling treatments, our protocols focus on proper skin preparation, controlled treatment techniques, and post-procedure support to optimize your skin’s healing response.

We offer two levels of medical microneedling performed by experienced medical professionals:

Advanced Medical Microneedling with Dr. Jeanette Oka, MD

Our Advanced Medical Microneedling treatment is performed by Jeanette Oka, MD and utilizes the original roller technique developed by Dr. Des Fernandes.

Medical Microneedling with Nurse Elizabeth, RN

Our Medical Microneedling treatment is performed by Elizabeth using the advanced precision of a medical microneedling pen device.

Why 'Vitamin A' Preparation Is Essential Before Medical Microneedling

At Skin365®, we believe the best microneedling results begin before the treatment ever takes place.

Following the philosophy of Dr. Des Fernandes, we emphasize the importance of preparing the skin with Vitamin A before performing medical microneedling. Healthy skin responds better to controlled injury, heals more effectively, and is better equipped to produce high-quality collagen.

Vitamin A is one of the most important nutrients for maintaining youthful, resilient skin. When applied topically, Vitamin A supports normal skin cell renewal, helps stimulate fibroblast activity, and encourages the production of collagen and elastin — the structural proteins responsible for firmness, strength, and elasticity.

Why We Recommend Vitamin A Pre-Treatment

Many offices perform microneedling without proper skin preparation. At Skin365®, we take a different approach.

We recommend gradually preparing the skin with Vitamin A before treatment to:

Strengthen and normalize the skin before creating controlled micro-injury
Support healthier collagen production
Improve overall skin quality and resilience
Encourage a more organized healing response
Help reduce the risk of abnormal scar formation
Optimize your skin’s ability to remodel and regenerate

Vitamin A preparation is not about making the skin more sensitive — it is about creating healthier skin that can respond appropriately to the microneedling process.

The Skin365 Difference

Our medical microneedling protocols are based on the pioneering work of Dr. Des Fernandes, who introduced the concept that microneedling results are enhanced when combined with proper skin preparation and advanced skincare support.

By combining:

✓ Physician-led advanced microneedling techniques

✓ Environ Vitamin A skin preparation

✓ Environ TCA Cool Peel

✓ Environ AprèsCIT™ peptides

✓ Customized medical-grade skincare guidance

We focus on improving the health of the skin — not simply performing a procedure.

Healthy skin creates the foundation for beautiful results.

What Does Microneedling Help Improve?

Medical microneedling may help improve the appearance of:

Fine lines and wrinkles
Uneven skin texture
Enlarged pores
Acne scars and other types of scarring
Sun-damaged skin
Loss of firmness and elasticity
Overall skin tone and radiance

A Complete Skin Remodeling Approach

At Skin365®, our goal is not simply to create a treatment — it is to create healthier skin. By combining advanced microneedling techniques, Environ skincare science, Vitamin A preparation, peptides, and physician-led protocols, we provide a comprehensive approach designed to support long-term skin improvement.

Experience the difference of medical microneedling performed with the guidance of advanced skin science and protocols developed by the pioneers of microneedling.

All About Microneedling

What Is Microneedling?

Microneedling is a minimally invasive skin treatment that stimulates collagen and elastin production. Fine needles create tiny micro-injuries in the skin, triggering the body’s natural healing response. With minimal downtime, microneedling provides natural, long-lasting skin rejuvenation.

What are the benefits?

✔ Improve skin texture and tone

✔ Reduce fine lines, wrinkles, and sagging

✔ Minimize acne scars, stretch marks, and hyperpigmentation

✔ Enhance the absorption of skincare products

How many treatments will I need for optimal results?

The number of sessions varies based on your skin concerns:

General skin rejuvenation: 4-6 sessions, spaced 4-6 weeks apart

Acne scars & deeper wrinkles: 4-6 sessions, spaced 4-6 weeks apart

Stretch marks or significant scarring: 6+ sessions, spaced 6 weeks apart

Your provider will determine whether Rapid Microneedling or Monthly Microneedling is best for your needs.

Do I Need to Prepare My Skin?

Yes! Vitamin A is essential for prepping the skin before microneedling. Applying it for 6-8 weeks prior to treatment:

✔ Strengthens the skin barrier

✔ Enhances collagen production

✔ Speeds up healing and minimizes inflammation

✔ Reduces the risk of post-inflammatory hyperpigmentation

If you have sensitivity to Vitamin A (Retinol, Retin A), we recommend using AnteAGE MD Biosome System as an alternative, which includes Bakuchiol—a plant-derived retinol alternative that stimulates collagen, reduces wrinkles, evens skin tone, and soothes the skin without irritation.

Does Microneedling Hurt?

With proper numbing, the treatment is comfortable. You can relax, nap, or work while numbing takes effect. Each patient's sensitivity varies, but our medical providers ensure your comfort throughout.

What Happens During The Treatment?

Numbing: You’ll arrive early for topical anesthetic application in-office (we do not provide take-home numbing).
Cleansing: Your skin will be triple-cleansed.
Microneedling: A fine-needle instrument creates tiny punctures, triggering collagen production.
Post-Treatment Care: A calming, cool cream is applied, along with serums (peptides, vitamin serums, or pigment treatments, customized during consultation).

When do I see results?

Collagen production takes time—your best results appear 4-6 months post-treatment, after two full skin turnover cycles.

Your Microneedling Timeline

8 Weeks Pre-Treatment

✔ Skin Consultation with Dr. Jeanette Oka (Surgical Microneedling) or Elizabeth Sommer, RN, BSN (Medical Microneedling)

✔ Guided skincare prep 2x/day with Environ, AnteAGE MD, or SkinCeuticals

Immediately After Treatment

✔ Skin may feel tight and look pink—this
is normal

✔ Avoid makeup and SPF for 12 hours

✔ No exercise, sweating, or physical activity for 12 hours

✔ Avoid direct sunlight for 5-7 days

✔ No exfoliants or acidic products for 5-7 days

*Your medical provider will give you specific aftercare instructions.*

2 Days Post-Treatment

✔ Skin may feel dry, rough, and tight, with mild peeling—this is part of the healing process

5 Days Post-Treatment

✔ Skin should return to normal, with visible improvement

✔ Ongoing guidance from your provider ensures the best results

Woman getting a roller needling treatment

Advanced Medical Microneedling

With Jeanette Oka M.D.

About the Procedure

Jeanette Oka, M.D. has been part of the Skin365 team since 2010. In 2012, she was personally trained by Dr. Des Fernandes, the pioneer of microneedling, making her one of the few specialists in the U.S. with this
level of expertise. Clients travel from all over the country to experience her advanced techniques.

This advanced protocol combines:

Medical-grade microneedling with a specialized roller technique
IONTOKA™ numbing technology, created and trademarked by Dr. Jeanette Oka, utilizing the Environ DF machine to enhance topical numbing absorption and patient comfort
Environ Ionzyme DF Facial to support skin health before treatment
Alginate mask therapy to calm and hydrate the skin following treatment
Environ TCA Cool Peel immediately after microneedling to help cleanse the skin, support a healthy skin environment, and stimulate collagen production
Environ AprèsCIT™ peptides applied immediately after treatment and provided for home use to support the skin’s recovery process

This comprehensive approach allows us to treat the skin with a focus on controlled healing, collagen stimulation, and long-term skin improvement.

Request a consult

See the Results

Before and After photos of Advanced Microneedling with Jeanette Oka MD