SkinPen microneedling
Microneedling in Roseville, CA
Medical-grade microneedling that stimulates collagen production for smoother, firmer, more radiant skin through your body’s own regenerative processes. At Lotus MD, we use SkinPen, the FDA-cleared microneedling device, with physician-level precision.
Medically reviewed by Inderpreet Sanghera, MD on
Collagen induction therapy
What is microneedling?
Microneedling, also known as collagen induction therapy, is a minimally invasive treatment that uses fine needles to create thousands of controlled micro-injuries in the skin. These precise punctures trigger your body’s natural wound-healing response, stimulating new collagen and elastin, the building blocks of healthy, youthful skin.
At Lotus MD, we use SkinPen, a premium, FDA-cleared microneedling device. SkinPen reaches the right depth for your specific skin concerns and treatment goals, so every treatment balances results with safety and comfort.
Our philosophy is to work with your body’s healing, not against it. By creating controlled micro-trauma, microneedling activates your skin’s natural regenerative processes for lasting improvements in texture, tone and overall skin health.
Unlike superficial treatments with temporary results, microneedling with SkinPen creates structural changes that keep improving over time as new collagen forms and existing collagen remodels.
Candidacy
Who is microneedling for?
Ideal candidates include adults seeking natural skin rejuvenation without harsh chemicals or invasive procedures. You may be a good candidate if you:
- Notice your skin has lost its smoothness and glow
- Prefer treatments that enhance your skin’s natural renewal
- Have mild to moderate skin concerns that don’t need aggressive treatment
- Want a treatment with minimal downtime
- Want your skincare products to absorb better
- Value safe, proven treatments with natural-looking results
Conditions we address
- Fine lines and superficial wrinkles
- Uneven skin texture and rough patches
- Large or prominent pores
- Mild acne scarring and post-inflammatory marks
- Sun damage and age spots
- Overall dullness and lack of radiance
- Stretch marks on the body
- Thinning hair, with scalp microneedling
Candidacy is always confirmed at your consultation. If a different treatment fits your goal better, we will tell you.
Benefits
What microneedling can do for your skin
Firmer skin
Stimulates natural collagen production for firmer, more resilient skin.
Smoother texture
Reduces rough patches and irregularities for a smoother surface.
Refined pores
Minimizes the appearance of pores for a more refined complexion.
Softer fine lines
Reduces fine lines and early signs of aging.
Even tone and glow
Enhances skin tone and radiance for a natural glow.
Better absorption
The micro-channels help your skincare penetrate deeper, so your routine works harder.
How it works
The science of skin regeneration
Microneedling works through three phases of healing.
Inflammation, 24 to 72 hours
Increased blood flow brings nutrients to the area, growth factors start the repair process, and the skin plumps with hydration.
Proliferation, 3 days to 3 weeks
New collagen and elastin fibers begin forming, cell turnover increases, and circulation improves.
Remodeling, 3 weeks to 6 months
Collagen matures and strengthens, and texture and firmness keep improving as long-term changes appear.
Enhanced results
Microneedling with PRP
For maximum regenerative benefit, Microneedling with PRP, often called the “Vampire Facial,” combines the collagen-stimulating effect of microneedling with the growth factors in your own blood. It is ideal for more significant skin concerns or the most comprehensive approach to rejuvenation.
- Accelerated healing and enhanced results
- More visible improvements in texture and tone
- Longer-lasting effects from concentrated growth factors
- Natural enhancement using your body’s own healing properties
Regenerative add-on
Microneedling with exosomes
Exosomes are tiny vesicles that cells use to send signals. Added to your microneedling treatment, an exosome serum is designed to support the skin’s natural repair, so you can pair collagen induction with the newest regenerative aesthetics.
Calmer recovery
Designed to reduce redness, irritation and downtime after treatment.
Collagen support
Supports collagen and elastin for firmer, smoother skin.
Texture and tone
Helps target fine lines, acne scars and uneven pigmentation.
Hydration and radiance
Promotes healthier, plumper-looking skin with a natural glow.
Whether exosomes suit your skin is decided at your consultation. Exosomes can also be added to microneedling with PRP. Learn more about exosomes.
The appointment
What to expect
Consultation, 45 minutes
A skin analysis, a review of your routine and past treatments, your goals, and a personalized plan with preparation instructions.
Preparation, 15 minutes
Thorough cleansing and photos, a topical anesthetic for comfort, and a final review of your plan.
Treatment, 30 to 45 minutes
Microneedling with depth set for each area, specialized serums during treatment, then post-treatment serum and protection.
Recovery
Microneedling recovery and timeline
Most patients get the best results from a series of 3 to 4 treatments spaced 4 to 6 weeks apart. Maintenance treatments every 6 to 12 months help preserve and build on your results.
| When | What you’ll notice |
|---|---|
| Day 1 | Skin looks red and slightly swollen, like a mild sunburn |
| Days 2 to 3 | Redness fades; skin may feel tight and start to peel lightly |
| Days 4 to 7 | Skin keeps healing and normal activities can resume |
| Weeks 2 to 4 | First improvement in texture and radiance |
| Months 2 to 3 | Continued improvement as new collagen forms |
| Months 3 to 6 | Best results as collagen remodeling completes |
Before and after
Results
The first two pairs are Lotus MD patients, photographed in the clinic. The second two are clinical photos from SkinPen’s maker, taken at the start of treatment and at the sixth visit.
Before and after at Lotus MD. Individual results vary. 
Before and after at Lotus MD. Individual results vary. 
SkinPen clinical results, baseline and visit 6, courtesy of the device maker. Individual results vary. 
SkinPen clinical results, baseline and visit 6, courtesy of the device maker. Individual results vary.
Beyond the face
Microneedling for body areas
Stretch marks
Improves the appearance of stretch marks on the abdomen, thighs, arms and other areas by stimulating collagen remodeling.
Scalp and hair health
On the scalp, microneedling can improve circulation and the absorption of hair growth treatments, a natural complement to PRP hair restoration.
Chest and hands
These often-neglected areas respond well, with improvements in texture, tone and overall appearance.
Founder and Medical Director
Dr. Inderpreet Sanghera
- MD, licensed physician
- Board certified, ABFM
- Certified, CPSO
- Certified aesthetic injector
- XERF Master Certified 2026
- Nearly two decades in medicine
Dr. Sanghera is a licensed medical doctor (MD), board certified by the American Board of Family Medicine and certified by the College of Physicians and Surgeons of Ontario. She is a certified aesthetic injector trained in Botox, Dysport and Xeomin, is XERF Master Certified (2026), and spent much of her career caring for veterans at the VA. She founded Lotus MD to bring evidence-based medicine and an artist’s eye to aesthetic care.
About Dr. SangheraQuestions
Microneedling questions, answered
Still unsure? Book a consultation and ask us in person.
How does microneedling differ from at-home derma rollers?
Medical-grade microneedling uses precisely calibrated needles at specific depths under sterile conditions. At-home devices cannot reach the same depth or sterility, which limits their effect and can cause harm if used incorrectly.
Is microneedling painful?
We apply a topical anesthetic before treatment for your comfort. Most patients describe mild to moderate pressure, with some areas more sensitive than others. Any discomfort is brief and well tolerated.
Can microneedling be done on all skin types?
Microneedling is suitable for a wide range of skin types and tones, which makes it a popular alternative to some laser treatments. Your skin is assessed at your consultation before any treatment is planned.
What should I avoid before treatment?
Avoid retinoids, exfoliating acids and excessive sun exposure for several days before treatment. We give you detailed pre-treatment instructions at your consultation.
Are there any side effects?
Common temporary effects include redness, mild swelling and light peeling as your skin heals. These typically resolve within 3 to 7 days and are signs your skin is responding to treatment.
How does microneedling improve product absorption?
The micro-channels created during treatment let skincare products penetrate deeper, making your routine more effective. We often recommend specific serums to use while you heal.
Can microneedling help with acne scars?
Yes. Microneedling improves the appearance of acne scars by breaking down scar tissue and stimulating new collagen. Several treatments are usually needed for the best results.
What’s the difference between microneedling and chemical peels?
Microneedling uses mechanical stimulation to promote collagen production, while chemical peels use acids to remove damaged layers of skin. Both are effective, work differently, and can complement each other.
Keep exploring
Other treatment categories
- Botox and Skin Rejuvenation
- Concierge Medicine
- Exosomes
- Filler and Facial Balancing
- Hormonal and Metabolic Optimization
- Medical Weight Loss
- Microneedling with PRP
- PRP Hair Restoration
Read: Combining Botox with Microneedling or PRP Read: Botox vs. Fillers: Which One Is Right for You? Read: How Often Should You Get Microneedling? Read: What Is Microneedling and How Does It Work? Read: What Is Botox and How Does It Work? Read: Microneedling with PRP in Roseville, CA
Your next step
Ready to activate your skin’s natural renewal?
Your consultation includes a skin analysis, personalized recommendations, a clear explanation of the process and timeline, and a discussion of combination options.
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