Microneedling was hyped from a 10-year-old study that studied microneedling with minoxidil. This study only confirmed that microneedling helped with the absorption of minoxidil. Aggressive microneedling can cause shock loss and trauma to the hair follicles, making you look balder. Also, it could potentially cause fibrosis, a thickening of the scar tissue, which will inhibit the growth of a hair transplant should you get one. I think it's better to get high-quality minoxidil with retinol or switch to oral minoxidil. As a standalone, there aren't many scientific studies to back the use of microneedling.
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