My approach about the frequency is the following one. Beginning of the treatment: once a week for 24 weeks or until I get a satisfying result (like the guy from Tressless). Then I will slow down and do it every 10 days. Then twice a month and then once a month. If I start to shed, then I will adjust and do it more frequently. It's better to do it less as there is always a risk of infection. A minimal one, but still, the Chinese study is reporting it.
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Don't needle like those idiots on youtube who are dermarolling their beard with unwashed dermarollers which remained in the toilets for two weeks. They are rolling like that whithout even cleaning their skin.
On a side note, I must say that I'm afraid about the routine on the long run. If it works and I can get a full head of hair (let's dream a little bit) by doing it once a month, I will certainly become very reluctant to do it consistently. I will know that it's painful, I will not be psychologically prepared to handle the pain once again, my head will be full of hair so I will take it for granted and I will tell to myself: "microneedling is crap, all the good results come from Minoxidil". With this mindset, I could also turn a blind eye on shedding until I get bald and someone notices it... then comes the anxiety. Doing it once a week is a good routine as you know that it's painful, but you are also psychologically prepared to handle the pain.
If it works, on the long run, those who are like me have to prepare themselves. Here is what I will do:
- Buying a good dermapen (already done but I could try something more professional);
- Finding a numbing cream that really works for me;
- Buying sterile needles for a whole year ;
- Buying individual sterile compress pads and mini alcohol bottles (like they have in hospital) for a whole year to clean my scalp before microneedling ;
- Having a calendar to remain consistent.
I will go full professional with this. On the long run, the risk of infection will become more and more important.
People are lazy by nature, I'm already struggling to stick with Minoxidil two times a day after only 1.5 week, but I know that I have to stand firm so it can become a simple routine. The long term concerns me and I will be trying to falicitate microneedling as much as I can. Finding a good numbing cream will be my next task...