Microneedling is a treatment that can improve the way the skin looks and feels. It stimulates collagen and elastin production to help with fine lines and skin texture and is one of the best treatments for acne scarring. It can be done with or without the boost of PRP (your body’s own growth factors). Be aware that not all microneedling is the same – at Evolution Dermatology we are able to treat down into the deeper layers of your skin to maximize great results!

Microneedling can be done on your face and neck to It involves pricking the skin with tiny sterilized needles. The small wounds cause your body to make more collagen and elastin, which heal your skin and help you look younger. You might also hear it called collagen induction therapy

Microneedling in Boulder Co at Evolution Dermatology

What is Microneedling?

Microneedling is a procedure where an electric-powered pin device with fine needles is moved across your skin. The needles puncture the top layer of the skin and create a controlled skin injury (micro wounds) with the goal of improving skin texture and promoting collagen growth. Once a micro-injury is created with the needles, your body is stimulated to produce new collagen to fill them in as part of the healing process. Generating new collagen allows your skin to look firmer, smoother and more toned.

Microneedling can be done on the face and neck and can improve acne scars, wrinkles, and large pores. The goal of the procedure is to start your body’s healing process by sending collagen and elastin to patch up the tiny injuries. Collagen helps fill in and smooth out wrinkles.

It’s important to know that not all microneedling is created equal! Our microneedling is medical grade and performed by our experienced licensed providers so that you can get maximum results.

What to expect with Microneedling:

The procedure usually takes about 45 minutes, depending on how big the area is. Most people need anywhere from 3-6 treatments (done about a month apart) for the best results. In the office, a topical numbing cream will be applied to the area to be treated and left on for about 30 minutes.

Once the numbing cream is removed the area will be cleaned with alcohol. A vibrating pen with tiny needles will be applied to your skin. As the treatment is done, a hyaluronic acid gel will be applied (along with PRP if you add this to the procedure) to both moisturize and enhance the results.

After your treatment, the area will be red and there will be areas of pinpoint bleeding and possibly bruising. It is important for the next 24 hours that you only apply hyaluronic acid gel to soothe and moisturize the area without causing a reaction. No makeup or sunscreen for these first 24 hours.

After 24 hours, you can apply non-irritating products (fragrance free, etc) and a zinc based SPF. The area will remain red for 2-3 days and you may experience some flaking or peeling for up to 5-7 days depending on the depth and intensity of your treatment.

Adding Platelet-Rich Plasma (PRP) to your treatment:

When PRP is added to microneedling, your own growth factors from the PRP are able to soak down into the channels created with the microneedles and enhance the stimulation of collagen and elastin production. It is a powerful way to get the most out of your procedure. The PRP comes from your own blood, so involves a blood draw in the office. Then we spin it down in a centrifuge to harvest the platelet rich plasma that contains your growth factors. This only takes about 10 minutes and can be done while you are waiting for the topical numbing cream to take action.

Microneedling can improve:

Microneedling with PRP

Acne scarring


Fine lines and wrinkles


Skin texture


Skin smoothness


Pore size

I have been seeing Kim Guthke as a PA for 15 years for all my medical and cosmetic dermatological needs. Kim Guthke is exceptionally knowledgeable, skilled, compassionate, and forthright. She is determined to get you and your skin the best possible result.

E.K. - Boulder, CO 
E.K. - Boulder, CO

Kim has been our family dermatology PA for 10 yrs.  Skin and doctors, in general, are a sensitive topic for me due to some traumatic past experiences.  Once a year, I happily have a skin check with Kim to care for my 1950’s sunbaked skin.  After my first appointment with Kim, I knew I had found a skilled, trustworthy PA.  I feel at ease no matter what she is helping me with and trust her gentle guidance.  She is kind, calm, sensitive, enthusiastic, compassionate, honest and treats us as family.  Usually I work hard to relax at any doctor’s appointment but am calmed just by her presence.  Kim is loved and appreciated by all her patients.  I have referred many grateful friends who understand how precious it is to find a health practitioner who is skilled, listens and understands people.  Gratefully yours.

C.P. - Boulder, CO Life Coach
C.P. - Boulder, CO

“Kim Guthke is an amazing practitioner.  She is thorough, professional, and attentive.  I have been a patient for over a decade and regularly refer people  to her care  for dermatology.”

A.P. - Boulder, CO Vice President of Strategic Accounts
A.P. - Boulder, CO

“I have been a patient of Kim’s for several years now, and I absolutely LOVE working with her as my dermatology PA.She is thorough, insightful, and so fun and pleasant to see. I trust her implicitly, and know she has a very keen eye. Her professionalism is truly top notch.”

C.E. - Boulder, CO Doctor of Chinese Medicine
C.E. - Boulder, CO

“I have been seeing Kim Guthke as a PA for 15 years for all my medical and cosmetic dermatological needs. Kim Guthke is exceptionally knowledgeable, skilled, compassionate, and forthright. She is determined to get you and your skin the best possible result.”

E.K. - Boulder, CO Speech-Language Therapist
E.K. - Boulder, CO

“Kim allows patients to feel immediately at ease and welcome. Her bedside manner is at the top and she has even helped with our children. I have seen Kim for over 10 years and appreciate her knowledge, experience and professionalism in the dermatology setting. I would highly recommend Kim to any friend, or family member without hesitation. She is the best!!”

L.C. - Boulder, CO Home Staging & Design Business Co-owner
L.C. - Boulder, CO

“Pauli Morrow is a gem of a human being and dermatologist. As an ex-sun worshiper, I really appreciate her thoroughness on skin checks and assistance around sun damage. Pauli is also a true artist with the needle. I walk out of her office knowing I’m going to be super fresh faced in a naturally enhanced way. I owe Pauli so much when it comes to keeping my skin healthy and looking amazing. I am very lucky to be in such amazing knowledgeable hands for the last 10 plus years. I feel beyond cared for – Pauli is simply the best!

J.H. - Boulder, CO 
J.H. - Boulder, CO

“I have seen Pauli for Botox and Facial Filler several times.  She is extremely professional, listens carefully, provides honest objective recommendations and her results are impeccable.  I would highly recommend Pauli to my friends, family and colleagues (in fact I already have!).”

M.M. - Scottsdale, AZ 
M.M. - Scottsdale, AZ

“I have been a patient of Pauli Morrow’s for over 20 years. Words that come to mind when thinking of Pauli are talent, passion, skill, experience and trustworthy. Pauli loves her work and that shows in the way she treats her patients—with an exceptional curiosity, focus, and real interest in caring for others—and in the incredible results I see in my skin after every office visit. It may be slightly over-the-top, but even though I now live several states away, sometimes I still fly across the country for treatments with Pauli because I trust her so much and know her skills are worth the effort and will make a difference every time.”

E.D. - Atlanta, GA Public Health Specialist
E.D. - Atlanta, GA

“Pauli Morrow keeps me looking 10 years younger … oh yeah, and she saved my life. Literally. I’ve been a patient of Pauli Morrow for over 20 years. Cosmetic treatment was my primary goal and she is an ARTIST. She saw me for my general derm checks. She brilliantly zeroed in on a spot on my arm which turned out to be melanoma. Without her seeing this, I would never have had it looked at! I owe her my life. Plus I look fabulous while living it, all thanks to her!!!”

L.D. - Del Ray, FL  Commercial Real Estate Executive
L.D. - Del Ray, FL