Short answer: keep it clean, keep it simple, and leave it alone. For the first 24 hours use nothing but a gentle cleanser, a plain hyaluronic acid serum and sunscreen. No makeup, no gym, no actives. Most of what goes wrong after microneedling is caused by doing too much to the skin, not too little.
Almost everything that goes wrong in the first week is something added, not something missed. The instinct is to help the skin along with a mask, a brightening serum or a proper cleanse, and every one of those is the wrong instinct while the channels are still closing.
| What people reach for | Why it seems right | What to do instead |
|---|---|---|
| A sheet mask | It looks like pure hydration for skin that feels tight | Plain hyaluronic acid and a bland moisturiser. A mask is a wet sheet held against skin that is still closing |
| Anything labelled brightening | The flush and the marks feel like the thing to treat | Nothing brightening for the first week. Actives on a compromised barrier are what cause prolonged redness and pigment change |
| A foaming or scrub cleanser | The dryness and flaking on days 3 to 5 feel like they should come off | A gentle non-foaming cleanser and lukewarm water. Let the flake shed on its own |
| A cleansing brush or a flannel | It feels cleaner than using your hands | Hands, then pat dry. Nothing textured touches your face this week |
| The new serum you have been meaning to try | The skin seems receptive, so it feels like the moment | Three products only for the first week: gentle cleanser, plain hyaluronic acid, and SPF 30 or higher |
| Makeup before the 24 hour mark | You have somewhere to be | Wait the full 24 hours, and 48 if you can. Brushes and sponges are the least clean thing that will touch your face this week |
If exosomes or PDRN went on, do not rinse your face for the rest of that day; absorbing through the channels is the part you paid extra for. Microneedling with exosomes is $650 and with PDRN is $600, against $400 for SkinPen on its own. Call 416 923 1200 if redness spreads after day two, or for yellow crusting, blistering or fever.
The first 24 hours
Your skin will look flushed and feel tight and warm, similar to a mild sunburn. That is the expected response, not a complication. It usually settles noticeably by the next morning.
- Do: rinse with lukewarm water and a gentle non-foaming cleanser, pat dry, apply a plain hyaluronic acid serum, then a bland moisturiser.
- Do: sleep on a clean pillowcase.
- Do not: wear makeup. This is the one rule people break most and it is the one most likely to cause a problem.
- Do not: exercise, sit in a sauna or steam room, or do anything that makes you sweat heavily.
- Do not: swim, in a pool, a hot tub or a lake.
- Do not: use retinol, vitamin C, AHAs, BHAs, benzoyl peroxide or any exfoliant.
- Do not: pick, scrub, or use a cleansing brush or flannel.
Day by day, what to expect
- Day 1. Redness and tightness. Some warmth. Occasional pinpoint bruising, more common around the eyes.
- Day 2. Redness fading toward a light flush. You can wear mineral makeup from the 24 hour mark if you need to, though skipping another day is better.
- Days 3 to 5. Skin often feels dry, rough or slightly gritty and may flake. This is normal and it is the part people panic about. Do not exfoliate it off. Moisturise and let it shed on its own.
- Days 5 to 7. Flaking settles. This is usually when you can reintroduce your actives, starting with one product every second night rather than everything at once.
- Weeks 4 to 6. Collagen remodelling is still underway. The result you see at week six is a fairer judgement of the treatment than the one at week one.
What to avoid, and for how long
| Avoid | How long | Why |
|---|---|---|
| Makeup | 24 hours | The skin barrier is still restoring. Brushes and sponges are also the least clean thing that will touch your face this week. |
| Exercise, sauna, steam | 24 to 48 hours | Sweat on freshly treated skin is an irritant, and heat prolongs the redness. |
| Swimming, hot tubs | 48 to 72 hours | Shared water is the main avoidable infection risk after any needling treatment. |
| Retinol, vitamin C, AHA, BHA, benzoyl peroxide | 5 to 7 days | Actives on a compromised barrier cause stinging, prolonged redness and sometimes pigment change. |
| Direct sun, tanning beds | 2 weeks, then SPF forever | Post-inflammatory hyperpigmentation is the most common lasting side effect and it is almost entirely preventable with sunscreen. |
| Other facial treatments, including peels, laser and waxing | 2 weeks | Stacking treatments on recovering skin is how mild reactions become real ones. |
What to actually put on your skin
Less is genuinely better here. For the first week you want three things and nothing else:
- A gentle cleanser. No foaming agents, no scrub, no acid.
- Plain hyaluronic acid. Nothing with added fragrance, alcohol or actives.
- A broad spectrum SPF 30 or higher. Mineral sunscreen tends to be better tolerated in the first few days.
Skip the sheet mask, the new serum you have been meaning to try, and anything marketed as brightening. Our RNs will tell you which of your existing products to restart and when, at your follow up. If you want to see what we use in clinic, our medical grade range is on the Bar Beauty shop.
If you had exosomes or PDRN added
The aftercare is the same, with one difference: do not rinse your face for the rest of the day. The topical is applied so it can absorb through the channels created during treatment, and washing it off early wastes the part you paid extra for. At Bar Beauty Medical, microneedling with exosomes is $650 and microneedling with PDRN is $600, against $400 for SkinPen microneedling on its own.
When to call us
Ring the clinic on 416-923-1200 if you get any of the following. None of these are common, and all of them are easier to manage early.
- Redness that is spreading or getting worse after day two rather than better
- Yellow crusting, pus, or a wound that weeps
- Fever, or the treated area feeling hot and increasingly painful
- Blistering
- A cold sore coming up, if you are prone to them. Tell us before your next session and we can arrange antiviral cover beforehand.
Redness, dryness and flaking are expected. Spreading, weeping or worsening is not.
Why aftercare changes the result, not just the recovery
Microneedling works by creating a controlled injury that triggers collagen production. The recovery is the treatment. Every time you interrupt it, with makeup on day one, a workout on day two, or retinol on day three, you are asking already-working skin to deal with something else at the same time. People who follow the first week properly tend to need fewer sessions, not just have easier ones.
Frequently asked questions
How long after microneedling can I wear makeup?
24 hours. If you can leave it 48, do. We have a longer answer on when you can wear makeup after microneedling.
Can I work out after microneedling?
Not for 24 hours, and ideally 48. Sweat irritates freshly treated skin and heat keeps the redness going. Walking is fine on the same day.
When can I use retinol again after microneedling?
Five to seven days, once any flaking has settled. Restart one product at a time, every second night, rather than resuming your full routine at once.
Is peeling after microneedling normal?
Yes, usually around days three to five. Do not help it along. Exfoliating or picking flaking skin is the most reliable way to turn a normal recovery into pigmentation that lasts months.
How long does redness last after microneedling?
Most of it settles within 24 to 48 hours. A light flush can linger a few days on sensitive skin, and slightly longer after a deeper pass or an RF treatment like Morpheus8.
Can I have microneedling if I get cold sores?
Yes, but tell us first. A history of cold sores is a reason to take antivirals before your session rather than after an outbreak starts.
How soon can I have another session?
Usually four to six weeks. Your RN sets the interval based on what we are treating and how your skin responded to the first one.
Book a microneedling consult
Consults are free and we will tell you honestly if microneedling is not the right treatment for what you want fixed. Full pricing is on our price list, and there is more detail on the treatment itself on our microneedling page.
Book a free consult → Call 416-923-1200
Bar Beauty Medical, 46 Fort York Blvd, CityPlace Toronto. MD supervised. RN injectors. Free consults.
Between microneedling sessions, the Préime DermaFacial is a non-invasive way to keep results ticking over without adding injury to skin that is still recovering.
Ready to look into it properly?
Our consultation is free. We will look at your skin, give you an honest recommendation, and say so if a different treatment would suit you better.
Or call 416 923 1200 · 46 Fort York Blvd, CityPlace, Toronto
Questions about this treatment?
Ask us anything before you book. Consultations are free, and we will tell you honestly if a treatment is not right for you.