Acacia Dermacare Acacia Dermacare
Acacia Dermacare Acacia Dermacare
Acacia Dermacare Acacia Dermacare

Online Needling Course

The ultimate resource for learning the foundational science of Dermal Needling, Dr. Setterfield’s intensive Online Course includes over 8 hours of instruction, videos, and study material, revealing the secrets to achieving the best results.


The introduction touches on why needling is one of the fastest growing treatment modalities and the associated challenges posed by rapid growth.  Industry presuppositions are also challenged with postulated paradigm shifts and controversies within the field of needling are outlined.

You may well be under the simplistic illusion that all that is needed is a roller and a cream to obtain results.  This approach accounts for all the negative outcomes associated with needling, including the notion that “it doesn’t work”.  This teaching session will address the nuances required for success that the industry overlooks.

Rejuvenation has two components, i.e. breaking things down (using controlled, and sometimes out-of-control injury) followed by rebuilding them.  The cosmetic industry has become proficient at the former, while sitting idly by hoping for the best and that nature will take its course in the latter.  It requires little to no understanding of how something works to take it apart or destroy it, but one has to have intimate knowledge of how something functions to put it back together again so that it actually works.  Who would dare dismantle their computer and reassemble it as a routine exercise?  With this in mind, attention is given to the basics of skin function at a cellular level and the importance of the first three lines of skin barrier defence.


This module is created with practical application in mind.  The approach is to work back from the skin condition you are faced with to recognizing the cell/s involved in causing the problem or fixing the problem.  Once this is accomplished, ways of controlling cell function can be considered.

·       They need to be switched on or off.  This is typically achieved through signals via growth factors or cytokines released when skin is injured in some way.  (Signals can have a positive or negative effect, so can we harness the good and limit the bad?)

·       They need to be supported in their structure and function and this is typically achieved through oral and topical nutrients and building blocks.   


In a world full of time constraints it is easy to rely on “product knowledge” supplied by the company distributing the product or technology.  If their product is new, their information may be the only source.  Unfortunately, “science” is frequently distorted or stretched for marketing purposes.


Here you will gain understanding of which active ingredients are required for specific cell function and be able to judge for yourself whether or not the product you are considering for a skin condition will be useful.  Again, with a practical approach in mind, ingredients are grouped and linked to particular cells and their three basic associated skin conditions. (Flaky skin, brown spots and wrinkles.)


We generally focus on active ingredients because these give us a desired result.  There is a tendency to overlook the inactive ingredients because their names mean nothing to us, nor do they give us any clues as to what they actually do in the formulation.  Why are they included?  In needling, these inactive ingredients frequently account for unintended consequences in the form of side effects.  They were included in products with the understanding that they would not be able to penetrate the skin under normal circumstances.  Needling changes this.  Consideration will be given to ingredients to be avoided with needling.


Having considered one aspect of rejuvenation by supporting cell function and structure through use of products, we turn now to mechanisms of injury and how they differ as defined by the cell-to-cell signals they send in the form of cytokines and growth factors.  In view of the fact that we are attempting to regain skin qualities of our infancy, with a child’s skin being the gold standard, the embryo and adult wound healing models will be compared to establish the similarities and differences.  Once common denominators between the two models are excluded, it could be deduced that anything left over in either group are responsible for either the positive or negative differences found in each group.

There are two schools of completely opposing thought.  Provoke and prolong the inflammatory phase for as long as possible or stop inflammation as soon as possible.  Consideration will be given to the implications of prolonged inflammation as well as the role of degradatory enzymes involved in both the acute inflammatory phase of injury and the remodeling phase.

Finally, a paradigm shift will be offered by proposing a new target cell in skin rejuvenation, based on cytokines and growth factors noted to be associated with scarless wound healing in embryos.


Cosmetic and medical needling are quite different and yet the terms are sometimes used loosely as one and the same.  The mechanisms of how each influences the epidermis and dermis will be described.  Histological evidence will be considered demonstrating outcomes using topical products and needling as stand-alone treatments versus combining the two.

Various skin conditions will be discussed, including what went wrong to begin with from a histopathological perspective, common causes of each condition, and finally how medical needling corrects these conditions.


As with solving any mystery, it is said that 80% of diagnosis can be made on history alone.  Many systemic disorders manifest themselves in the skin.  Relevant history as it pertains to skin will be discussed as a useful tool in establishing leading cause for the case at hand, any contraindications to medical needling as well as special precautions.  Needling will be discussed in the context of issues like other cosmetic procedures such as neurotoxin and fillers, diabetes, blood thinners, pregnancy etc.  Drugs associated with bruising and photosensitivity will also be discussed.


Any treatment should be considered a process with many components rather than an intervention done in isolation as a quick fix.  A useful tool to establish underlying cause and formulate a treatment plan is the Pastiche Method of Advanced Skin Analysis.  This is a systematic approach that combines history, examination and diagnostic equipment to figure out leading cause and links product ingredients to cell structure and function.


Where to start?  Home care is always an essential part of preparing the skin for whatever clinic treatment you are planning.  Consideration will then be given to preparing the skin in the clinic for medical needling, including selection of anaesthetic.  Guidelines will be given on which roller to select for treatment, time intervals between treatments and how many for optimum results.  Controversies regarding needle depth and diameter will be discussed.

The theory behind medical needling technique will be addressed, followed by demonstration via a number of videos.  Pearls will be offered for hard to treat areas.


Platelet therapy is a hot topic and combining this with medical needling will be discussed, especially in the context of hair restoration.  Post-operative care will be outlined from an immediate and long-term perspective.  There are three aspects to consider.  Oral supplements and topical products form the bulk of home care, while clinic treatment modalities such as LED and lymph drainage can enhance results.  Controversies regarding cleaning and sterilizing the roller after treatment will be addressed. 

Pitfalls and side-effects complete this module.


Several case studies serve two purposes.  They confirm what is possible using dermal needling.  Seeing is believing.  They also provide teaching moments with exceptions to the rule and nuances gained only with experience.  An adverse reaction case study covers many of the do’s and don’ts of the basic principles of needling.


Finally, synergistic treatment modalities will be considered as a guide of how you can incorporate dermal needling into your practice in combination with the things you already use in order to enhance results.  Consideration will be given to LED, Microcurrent, Sonophoresis, iontophoresis, IPL, Fraxel, MDA and chemical peels.  Corneotherapy will also be discussed as an adjunct even though it is not a modality involving equipment.

Advantages for including dermal needling in your business model will be discussed.

A summary includes the pillars which support successful needling results.


Please contact us to reserve your online class now:

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(Cost of course $399.00 USD)



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