Quick Guide:
- 0-24 hours: You can apply a pure, gentle hyaluronic acid serum within 1-2 hours after your microneedling treatment. Just keep it minimal to avoid irritation.
- First 48 hours: Apply hyaluronic acid 2-3 times daily to hydrate and soothe your skin.
- Days 3-7: You may reduce the application to 1-2 times daily depending on the reaction of your skin.
- After Day 7: HA application can be done once daily, or you can fold it into your normal routine to maintain your skin’s hydration, continue protecting your skin by using suncream, and avoid using harsh ingredients like retinoids or exfoliating acids until your skin has fully recovered.
Understanding Microneedling
Microneedling is a cosmetic treatment that creates tiny injuries on your skin with the use of tiny, sterile needles. These controlled injuries in your skin tell your body to repair itself, which boosts the natural production of collagen and elastin. Over time, this process can improve the texture and tone of your skin. So if you are dealing with some skin concerns, like fine lines and acne scars, this treatment is for you.
Although the treatment uses a very small needle, your skin still goes through a healing process, same as how your minor wound heals. Understanding what happens beneath the surface of your skin helps explain why you need to follow proper aftercare and why patience is so important.
What Happens to Skin During Microneedling?
During your microneedling treatment, a thousand micro-channels are created in the top layer of your skin. Because of these tiny openings, your skin barrier is temporarily disrupted. This is the reason why you are experiencing redness, warmth, mild swelling, or pinpoint bleeding immediately on your treated area.
These controlled injuries:
- Activates your body’s wound-healing process
- Boosts your collagen and elastin production
- Enhances the absorption of serums
- Encourage renewal of your skin from the inside out.
The closing of these channels usually begins within hours, but deeper healing continues for weeks.
Healing Phases
Day 1-3: Inflammatory Phase
This is your immediate response. Your skin may look red and feel warm, tight or slightly swollen, similar to the feeling of a mild sunburn. During this stage, your body is protecting and cleaning the treated area by sending the blood flow and immune cells.
What your skin needs:
- Gentle cleansing
- Hydration
- Calming products
- Sun protection
Days 3-14: Proliferation Phase
This is the stage where your skin starts to rebuild. There is formation of new cells, increases in collagen production, and strengthening of your skin barrier. This time, the redness fades, and your skin may feel smoother or slightly dry because it is renewing itself.
What your skin needs:
- Moisture
- Barrier-repair products
- Avoiding harsh ingredients
Weeks to Months: Maturation Phase
Over time, your skin becomes firmer, more even, and healthier-looking because the newly formed collagen starts reorganising and strengthening.
What your skin needs this time:
- Consistency
- Sun protection
- Patience (your results may improve gradually, not overnight)
Effective & professional doctor-led Microneedling at our central London clinic
Verified Before & After
Verified Before & After
The Role of Hyaluronic Acid in Skincare
What is hyaluronic acid?
Hyaluronic acid (HA) is a substance that is naturally found in our skin, joints, and connective tissues. Its main job is to hydrate those parts of our body. It acts like a sponge that attracts and holds water to keep our skin plump, smooth, and resilient. Hyaluronic acid is valued, especially in skincare use, because it hydrates without making the skin feel heavy, and it also works for almost all types of skin.
After your microneedling treatment, you need skin barrier support; using hyaluronic acid can help your skin recover comfortably and effectively.
Types:
- High Molecular Weight Hyaluronic Acid (HMW-HA): Stays on the surface of your skin. It helps lock in moisture, and keeps your skin hydrated. It also softens your lines by giving a quick plumping effect.
- Low Molecular Weight Hyaluronic Acid (HMW-HA): Penetrates deeper into your skin. It provides long-lasting hydration and supports the repair of your skin.
- Sodium Hyaluronate: It helps hydrates and plumps your skin as well as reducing your fine lines and wrinkles.
- Cross-Linked Hyaluronic Acid: Commonly used in dermal fillers. It adds volume and supports your facial contour.
- Hydrolyzed Hyaluronic Acid: It helps boost hydration and helps smooth and soften your skin.
Hyaluronic Acid Benefits after Microneedling
Because of the tiny injuries made by microneedling, your skin becomes more vulnerable and prone to dryness or sensitivity for the meantime. You can use hyaluronic acid; it is one of the safest and most beneficial ingredients for you during your recovery.
Key benefits:
- Deep hydration: It replenishes the lost moisture during your treatment and helps prevent tightness or flaking of your skin.
- Soothing support: calms redness or discomfort without clogging your pores or irritating your skin while healing.
- Barrier repair: Helps reinforce your skin barrier while microchannels are closing.
- Collagen support: Although HA doesn’t actually make collagen on its own, it can help deeply hydrate your skin, helping it repair itself and produce collagen while it heals.
Microneedling AftercareEssentials
Proper aftercare is very important after your microneedling. Because your skin barrier is temporarily compromised, what you apply or avoid for your skin can significantly affect your healing as well as your comfortability and results. What you need to do while you are recovering is to maintain hydration and allow the repair process to happen without interference.
Immediate Aftercare Steps (0-24 hours)
The first 24 hours after your microneedling are super important because your skin is healing and more sensitive than usual.
What you need to do:
- Keep your skin clean: Use a gentle, non-foaming cleanser with lukewarm water when washing your face. Avoid scrubbing.
- Hydrate generously: Maintain your skin’s moisture and comfort by using hyaluronic acid approved by your dermatologist.
- Avoid touching: Often touching your face may irritate or infect the treated area.
- Skip makeup: As much as possible, avoid using makeup within 24 hours, as the microchannels are still open within this period.
- Protect from the sun: If you can, stay indoors. But if you really need to go outside, don’t forget to use the recommended suncream.
- Expect redness: It’s normal for you to experience redness, warmth, and mild swelling, which usually settle within a few days.
Products and Ingredients to Avoid During Early Healing
Avoid using the wrong products right after your treatment because it can disrupt your healing process, and it can be the cause of irritation.
You should avoid the following during your early recovery phase:
Active ingredients:
- Retinoids
- Exfoliating acids (AHA, BHA, PHA)
- Vitamin C
- Benzoyl peroxide
Physical exfoliants:
- Scrubs
- Brushes
- Cleansing devices
- Textured cloths
Fragrance products:
- Essential oils
- Perfumes
- Scented skincare
Alcohol-based formulas
- It can dry and sting your compromised skin.
Heavy or occlusive makeup
- It may clog your pores and interfere with your healing.
Chemical suncream
- It’s better that you use mineral suncream to avoid irritations.
When & How to Apply Hyaluronic Acid
Right After Treatment
Your first application is crucial. Apply a small layer of a pure, gentle HA serum within 1–2 hours after your treatment. This will provide hydration without overloading your skin.
First 48 Hours
Inflammatory phase:
- Apply hyaluronic acid 2–3 times a day.
- Apply thin layers and let your skin absorb it before you add more.
- Monitor your skin – you may stop or reduce it if you notice irritation or excessive stickiness.
Days 3-7
Proliferation phase:
- Reduce your HA use to once or twice daily.
- You may start using a light moisturiser over HA to help repair and strengthen your skin barrier.
- While your skin continues to heal, keep avoiding storing active ingredients.
After 1 week onwards
By day 7 and beyond, your skin barrier is usually in its recovery period. You can now reduce the use of hyaluronic acid to once a day, or you can just use it as part of your regular routine. You should also keep on using your SPF daily and continue avoiding the use of harsh exfoliants until the time your skin is fully healed.
Choosing the Right Hyaluronic Acid Product
Molecular Weight & Concentration
Because hyaluronic acid is not all the same, its molecular weight affects how it works on your skin. Large HA molecules mostly stay on your skin’s surface to soothe and protect it while giving it instant hydration. Smaller molecules can go deeper, giving your skin long-lasting moisture. After your microneedling, your clinician may recommend you use a product with a mix of both. It can hydrate your skin without irritating it.
Formulation Considerations
Your skin is more sensitive right after your treatment. So it’s best that you stick to simple, gentle products.
Look for serums that are:
- Fragrance free
- Alcohol free
- Products designed for post-treatment use
Avoid ingredients that can sting or irritate your skin while healing.
UK Clinic vs. At-Home Serums
- Clinic-grade HA is usually sterile and made specifically for after treatments.
- At-home serums are effective when sterile. The risks are also low.
Always consult your provider before using any products.
Potential Risks & Precautions
What to Do If Irritations Occur
- Reduce the number of times you apply HA daily or the amount.
- Also apply a soothing moisturiser, you can layer it with HA.
- If you still experience such redness, burning, or swelling, consult your dermatologist as soon as you can.
Avoiding Infection & Keeping Skin Clean
- Wash your hands before touching your face.
- Avoid touching if you don’t need to.
- You may use sterile applicators.
Sun Protection & Lifestyle Tips
- Use broad-spectrum SPF 30+ daily.
- You need to avoid sunbeds and tanning for 7 days.
- To support you with proper healing, stay hydrated and eat a balanced diet.
Summary & Practical Tips
Day-by-Day Schedule Cheat Sheet
| Day | HA Application | Remarks |
| 0-24 hours | Once (within 1–2 hours) | Gentle, thin layer |
| Days 1-2 | 2–3 times a day | Monitor tolerance, hydrate. |
| Days 3-7 | 1–2 times a day | Adjust based on your sensitivity or redness. |
| Day 7+ | Once daily or normal routine | Apply alongside your skincare; use SPF. |
Final Tips for Optimal Results
- Start early and keep your skin hydrated—you should be consistently using the right amount of hyaluronic acid.
- Everyone’s healing process is different—you should watch how your skin responds.
- Always protect your skin—Use SPF daily and avoid using harsh ingredients on your newly treated face.
- Ask your clinic—they know exactly what are the best hyaluronic products that will suit your skin needs.
FAQs
- Can I apply hyaluronic acid immediately after microneedling?
Yes. Ideally, you can apply a gentle, pure HA serum within 1–2 hours after your treatment.
- How often should I apply HA in the first few days?
You can apply it 2 to 3 times daily during the first 48 hours, then 1 to 2 times daily when you reach 3–7 days.
- What if my skin feels sticky or too moist from HA?
You may adjust the amount or frequency, just apply thinner layers and use a lighter type of HA.
- When can I reintroduce active ingredients like vitamin C or retinol?
You may reintroduce them after 7–10 days or once your skin has already calmed. Always follow your dermatologist advice on what you need to do after your treatment.
- Is HA safe for all skin types post-microneedling?
Yes. But if you have sensitive skin, you may do patch testing first or use fragrance-free HA.
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One of our experts will be more than happy to answer any questions you have.
Book AppointmentCharlotte Kirk
★★★★★
Dr Khann was amazing!! And it was pain free!
11th February 2026
Frankie Leung
★★★★★
Dr Mike Tee was very detail and made every step of the mole removal process comfort And calming. All done within 20 mins
11th February 2026
Andre Jones
★★★★★
Dr Khan was great, very efficient and did the job very well. A++
11th February 2026





