The honest list of when we say not yet.

Absolute contraindications

If any of the following apply, we cannot perform microneedling.

• Active skin cancer or an undiagnosed lesion in the treatment area
• Active infection in the area: cold sores, impetigo, fungal or bacterial infection
• Open wounds, active eczema, psoriasis or dermatitis in the treatment area
• Current oral isotretinoin (Accutane) use, or use within the last six months
• Uncontrolled diabetes
• Blood clotting disorders or current anticoagulant therapy without physician clearance
• Chemotherapy or radiotherapy in progress
• Keloid or hypertrophic scarring history
• Pregnancy or breastfeeding

Temporary contraindications

These mean we postpone rather than decline. We'll agree a date together.

• Sunburn, windburn or a fresh tan (including self-tan) in the treatment area
• Botulinum toxin or dermal filler within the last two weeks
• Chemical peel, laser or IPL within the last four weeks
• Active acne breakout across the treatment area
• Recent antibiotics or a current illness with fever
• Vaccination within the previous seven days

Please disclose

Autoimmune conditions, thyroid disorders, herpes simplex history, allergies (particularly to lidocaine, nickel or hyaluronic acid), medications and supplements that affect bleeding, and any previous reaction to a skin treatment. None of these are automatic exclusions — they change how we plan your ritual.

Medical disclaimer

This page is general information, not medical advice, and it isn't a substitute for assessment by a qualified practitioner. Your consult is where your individual suitability is decided. If you're under the care of a physician for any condition listed here, bring written clearance.