Are you worried that "Three days after the dermapen procedure, my face is itchy and itchy..."? Just when you think the redness has gone away, you are hit with unbearable itchiness and you wonder, "Is this okay? "Is this okay?" and "Wasn't the procedure a mistake?" Many of you must be worried that the procedure was a failure.
In fact, the itching that starts around the third day after the Dermapen treatment is evidence that the skin is recovering normally. It is a natural reaction that occurs during the wound healing process and is a sign that the skin is being renewed rather smoothly.
Here, under the supervision of a cosmetic dermatologist, we will explain in detail why itching occurs after dermapen, from its medical mechanism to what you can do now and what you should not do. By acquiring the correct knowledge, you will be able to eliminate your anxiety and feel at ease on the road to ideal beautiful skin.

Graduated from the Faculty of Medicine, National Kumamoto University. After serving as the director of major beauty clinics in Japan, etc., he opened Aladdin Aesthetic Clinic in 2023. He is a professional in aesthetic medicine with a doctorate in anti-aging research and many years of experience. With the motto of "Toward the realization of cosmetic medicine without lies," he aims to be the "Only One" together with his patients.
Medical mechanism of itching after dermapen treatment
After receiving a dermapen, you may be asking yourself, "Why am I so itchy?" After receiving a dermapen, you may be wondering, "Why am I itching so much? Actually, there is a good medical reason for this itching. Dermapen is a procedure that intentionally triggers the wound healing process and promotes collagen production by making microscopic holes in the skin.
The itching that occurs during this healing process is evidence that the skin is recovering normally. Here, we will explain in detail the mechanism of itching from the perspective of wound healing.
Relationship between wound healing process and itching
Our skin has a wonderful mechanism for repairing damaged tissue. The microscopic holes created by the dermapen also heal through this wound-healing process.
Wound healing is divided into three major phases. First, during the inflammatory phase (immediately after the procedure to the third day), platelets gather to stop bleeding and white blood cells keep the wound clean. Redness and swelling are the main symptoms during this period.
Next comes the proliferative phase (day 3 to 2 weeks), when new tissue begins to form. It is precisely during this transition period that the itching becomes more intense. In the final maturation phase (2 weeks to several months), collagen is rebuilt and skin strength is restored.
Itching is mainly caused by a substance called histamine. During the process of wound repair, histamine is released from mast cells and stimulates nerves, causing itching. Inflammatory substances such as substance P and prostaglandins also cause itching.
In fact, this itching is not just an unpleasant symptom. It is a sign from the body that says, "Don't touch the wound! and is one of the body's defense mechanisms to prevent infection. By itching, we unconsciously try to protect the wound.
healing phase | time | Main Symptoms | What's happening. |
---|---|---|---|
inflammation period | Immediately after treatment - 3rd day | Redness, swelling, heat | Hemostasis, inflammatory response |
proliferative phase (of the estrous or menstrual cycle) | 3rd day - 2 weeks | Itching, peeling | Formation of a new organization |
puberty | 2 weeks to several months | Improvement of redness | Collagen restructuring |
Why does it itch around the third day after treatment?
There is a clear reason why many people experience "itching suddenly on the third day, even though it was not so bad right after the treatment.
First, the second to third day after the procedure is just the transition period from the inflammatory phase to the proliferative phase. During this period, new cells begin to be actively produced to repair the wound. As cell division becomes more active, stimulation of the nerves also increases, and this is felt as itching.
Another major factor in itching is the rapid activation of skin turnover by the dermapen. The skin's normal 28-day cycle of renewal is accelerated by the treatment. In the process of exfoliating off old keratin and creating new skin, the nerves become sensitive and itching is more likely to occur.
Even more important not to be overlooked is the dryness and loss of barrier function. Moisture in the skin easily evaporates through the microscopic holes drilled by the dermapen. When the skin is dry, it becomes more sensitive to external stimuli, and even the slightest irritation can cause itching. In addition, the temporary loss of the barrier function allows irritants that normally stay on the surface of the skin to penetrate deeper layers of the skin, causing itching.
Thus, itching from about the third day after the dermapen is evidence that the skin is recovering normally and is about to be renewed. Although it is a painful symptom, understand that it is an important process for beautiful skin and get over it with proper care.
How long does itching after a dermapen last? Normal progress and signs of abnormality
Now that we understand that itching after a dermapen is a normal reaction to the wound healing process, many of us may ask, "So how long will this itching last?" Many of you must be wondering, "So how long will this itching last?
Downtime is inevitable once you have undergone the procedure, but knowing how long it will last and how your symptoms will change will help you prepare yourself and deal with the situation appropriately.
Here we will discuss in detail the general course of events after a dermapen procedure and when you should consult your doctor if you think this may not be normal. By knowing the normal course of events, you can reduce unnecessary worry and avoid missing the signs that you should really pay attention to.
General downtime process
The downtime for dermapen is generally the same, although it varies slightly depending on the depth of the procedure and individual differences. Knowing "what stage your skin is at now" will help you through the recovery period with peace of mind.
number of days elapsed | Main Symptoms | Itch Level | Change in appearance | important point |
---|---|---|---|---|
Day of treatment | Redness, burning, tingling sensation | almost never | Redness like after sunburn | Thoroughly cool and moisturize |
Day 1 | Continued redness, mild swelling | ★☆☆☆☆ | Highly reddish condition | Avoid ultraviolet rays |
2nd to 3rd day | Itching appearance, rough skin | ★★★★☆☆☆ | Redness fades, but is rough | be careful not to catch |
4th to 5th day | Peeling begins, itching intensifies | ★★★★☆ | Fine peeling is noticeable. | Don't force the skin. |
Sixth to seventh day | Peeling peak, intense itching | ★★★★★ | Peeling of the skin all over | Special emphasis on moisturizing |
After 1 week | Symptom improvement, itch reduction | ★☆☆☆☆ | New skin emerges | Continued UV protection |
Immediately after treatment to the day of treatment
Immediately to the day after the procedure, the main symptoms are redness and a burning sensation, as if you had a sunburn. It feels slightly hot to the touch and may be accompanied by a tingling pain. At this point, little or no itching is felt.
2nd to 3rd day
By the second or third day, the redness will settle down a bit, but a mushy, itchy feeling will begin to appear instead. This is right around the time when you begin to feel "dermapen itchy." The surface of the skin will feel rough, and makeup may not be applied properly. This is a sign that dead skin cells are rising to the surface.
Days 4-7
Days 4-7 are the peak itching period for many. The skin begins to peel, and the fine skin flakes off. Along with this peeling, the itching is at its most intense. This may be the most difficult period, as you fight the conflict of "I want to scratch, but I mustn't." After this period, however, the symptoms will disappear and you will be able to enjoy the feeling of itching. After this period, however, the symptoms rapidly improve.
1 week later
After one week, symptoms improve in most patients. The itching will subside and the redness will fade. The roughness of the skin will disappear and smooth new skin will begin to appear.
When should you consult your physician?
Although itching after a dermapen is a normal reaction, it is dangerous to assume that all itching is "okay". If any of the following symptoms appear, consult the clinic where the procedure was performed as soon as possible.
The first thing to watch out for is severe itching that lasts longer than a week. Normally, dermapen itching settles down after about a week. If it persists longer than that, it could be an allergic reaction or infection. Be especially careful if the symptoms worsen rather than improve over time.
Next, a rash or blistering is another sign that you should seek medical attention immediately. Normal reactions after a dermapen do not produce a rash or blistering. These symptoms suggest an allergic reaction to the drug used or a possible bacterial infection. If you notice a small, pimply rash that spreads or blisters that contain clear fluid, do not judge for yourself, but consult a specialist.
Unbearably strong itching is also a sign of abnormality. Itching so intense that "I can't sleep because it itches so much," "I can't concentrate at work," or "I have to scratch it off" is beyond the normal range. Unbearable itching not only significantly reduces quality of life, but also risks causing secondary skin problems by scratching.
If you notice any other symptoms, such as unusual heat in the affected area, pus-like discharge, or pain that becomes more intense day by day, do not hesitate to consult a physician. Early treatment can prevent serious skin problems.
Downtime after a dermapen procedure is a passing phase on the way to beautiful skin. By understanding the normal process and not overlooking signs of abnormality, you can safely approach your ideal skin.
Now you can! How to deal with itching after a dermapen
Even if you know that itching after a dermapen is a normal process, "I want to do something about the itching at this very moment!" isn't it? Especially during the peak itching period of days 4-7, there is a limit to how much you can endure.
But don't worry. If you know the proper coping methods, you can surely overcome this difficult period. Here, we will introduce specific measures that you can immediately implement at home and at work, as well as NG activities that you should never do. With proper care, you can make the itchy period after your dermapen as comfortable as possible.
Basic coping strategies
There are three basic principles to prevent itching after a dermapen: moisturize, cool, and be patient. Although simple, these basics are the surest way to prevent skin problems and promote recovery.
The first and most important step is to moisturize. Skin that has been microscopically punctured by a dermapen tends to dry out as moisture easily evaporates. Dryness is the biggest factor in worsening itching. That is why frequent moisturizing is essential.
When choosing a moisturizer, "hypoallergenic" is the key word. Choose products that are fragrance-free, colorant-free, and alcohol-free. Moisturizers containing ceramide and hyaluronic acid are recommended as they support the skin's barrier function. Simple moisturizers such as Vaseline are also safe to use, with minimal irritation. When applying, it is important to blend the product by pressing gently and never rubbing.
The next most effective treatment is cooling. Cooling slows down the nerves that transmit itching and temporarily relieves itching. Apply coolant wrapped in clean gauze to the itchy area for 5 to 10 minutes. Avoid direct application of ice as it is too irritating. Gentle pressure with a cold hand towel is also effective.
Most important of all, it is important to follow the ironclad rule of not touching and not scratching. Scratching damages the skin, which is in the process of regenerating, and increases the risk of hyperpigmentation and infection. If you feel an itch from a dermapen, immediately treat it by moisturizing or cooling your skin, and keep your hands away from your face. Keeping nails trimmed short is another way to reduce the risk of unintentional scratching.
Coping strategies that can be used at work
Many of you are probably worried, "What if I get itchy at work?" If you master how to deal with it in the office or on the go without being noticed by others, you can go about your daily life with peace of mind.
First, many people are concerned about wearing masks. While masks can hide the skin, friction and steam can make the itching worse. We recommend a comfortable cloth or silk mask rather than a non-woven mask. You can also prevent direct friction by placing a piece of gauze between the inside of the mask. Avoid wearing it for long periods of time, and remove it whenever possible to allow time for the skin to rest.
One casual way to cool down in the office is to utilize a cold plastic bottle or tumbler. Wrap it in a clean handkerchief or tissue and apply it gently to the itchy area. Pressing the skin with a handkerchief wet with cold water when you go to the bathroom can also be effective. You can also wrap a small coolant in the handkerchief and carry it with you.
When you feel an itch, it is important to turn your attention elsewhere. Taking deep breaths, focusing on work, light stretching, and other physical and mental activities can help divert your attention from the itch. Positive thinking, such as, "The itchiness is a sign that my skin is renewing itself," can also help reduce the mental burden.
How to deal with NG
Actions that we tend to do for the best of intentions may actually worsen the symptoms. It is important to know that there are certain NG activities that should never be avoided on sensitive skin after a dermapen.
The biggest NG is still scratching. It may temporarily stop the itching, but the cost is too great. Scratching causes fine scratches on the skin, from which bacteria can enter and cause infection. Inflammation can also worsen and leave pigmentation (spots). It would be a real shame if you go to the trouble of using a dermapen to achieve beautiful skin, only to have it backfire because you scratched yourself.
Use of cosmetics containing alcohol ingredients is also strictly prohibited. Alcohol (ethanol) in lotions and serums can dehydrate the skin and worsen dryness. It can also be too irritating to the skin after a dermapen, causing tingling and further itching. For one week after treatment, choose alcohol-free products.
Hot baths and saunas should also be avoided. Increased body temperature increases blood circulation and intensifies itching. Hot water also deprives the skin of moisture and promotes dryness. During the first week after the dermapen, take only lukewarm showers and soak in the bathtub only for short periods of time with lukewarm water of 38°C or less. Avoid activities that rapidly increase body temperature, such as saunas, rock baths, and strenuous exercise.
approach | Specific Methods | effect | important point |
---|---|---|---|
moisturizer | Apply hypoallergenic moisturizer frequently | Prevents and reduces itching due to dryness | do not rub but press gently |
chilled | Cool with coolant or cold towel for 5-10 minutes | Slows down nerve function and has an immediate effect. | Do not apply ice directly. |
take one's mind off one's worries | Deep breathing, light exercise, focus on work | Psychologically reduces itching | Avoid strenuous exercise |
trim one's fingernails | Keep nails short but not too deep. | Reduce the risk of unconsciousness | Smooth with a nail file. |
With the right coping strategies, you can always get over the itchy period after a dermapen. While taking good care of the basics, you can combine the correct measures according to the situation and make yourself comfortable.
Aftercare tips to minimize itching after dermapen
We have discussed how to deal with post-dermapen itching, but it is actually more important to minimize the itching in the first place than to deal with the itching after it has occurred. Proper aftercare can greatly reduce the intensity and duration of itching.
In particular, skin care regimens and lifestyle modifications are key to reducing discomfort while maximizing the effects of the dermapen. Here we will provide you with specific aftercare tips that should be practiced immediately after the procedure. With proper care, minimize the "itchy dermapen" problem.
Skin Care
Post-dermapen skin is as delicate as a baby's skin. Skin care that would normally be a no-brainer can be a burden to the skin at this time of year. That is why it is necessary to take even gentler and more careful care than usual.
First, let's start by reviewing how to wash your face. Gentleness is the most important factor when washing your face after using a dermapen. Choose a low-irritant cleanser and lather it well before applying it to the skin. Scrubbing is strictly prohibited. It is enough to gently stroke the face with the belly of your finger as if you are rolling the lather.
Rinse with lukewarm water (about 32-34 degrees Celsius). Hot water will rob the skin of its moisturizing properties, while water that is too cold will reduce circulation. When wiping with a towel, use a pressing motion to absorb water.
The choice and application of moisturizer is another important factor in reducing itching. When choosing a moisturizer, check the ingredient label carefully. In addition to moisturizing ingredients such as ceramide, hyaluronic acid, and collagen, those containing the anti-inflammatory properties dipotassium glycyrrhizate and allantoin are recommended.
There are also tips on how to apply it. After cleansing, apply moisturizer while the skin is still damp to increase its moisture-locking effect. Take an appropriate amount, warm it in both hands, and spread it gently from the center of the face outward.
You may apply a layer, especially on the cheeks and around the mouth, which are prone to dryness. 3-4 times a day, moisturizing frequently will help prevent skin from drying out and itching.
And don't forget the importance of sunscreen. Post-dermapen skin is unprotected against UV rays. Sunburn not only aggravates inflammation and intensifies itching, but also increases the risk of hyperpigmentation. From the day after the procedure, always use a sunscreen, ideally one with SPF 30 or higher, PA+++ or higher, and without UV absorbers (non-chemical), and remember to reapply every 2-3 hours.
Lifestyle Precautions
Just as important as skin care is how you spend your daily life. With a little care, you can greatly reduce post-dermapen itchiness.
The first thing to thoroughly do is to avoid any action that raises body temperature. Increased body temperature increases blood flow, which can lead to increased inflammation and itching. For one week after the procedure, avoid the following activities.
Avoid strenuous exercise and jogging, and limit it to light walking. It is best to take a lukewarm shower (38°C or less). Alcohol consumption should also be moderated as much as possible to raise the body temperature. Spicy food also warms the body from the inside, so be careful.
Ensuring adequate sleep is also essential for skin recovery. During sleep, growth hormones are secreted and skin repair is actively carried out. The ideal is 7-8 hours of sleep, but quality is also important. Avoid using smartphones before bedtime, darken the room, and create a relaxing environment. Use a clean pillowcase, preferably made of comfortable material, to reduce irritation caused by friction during sleep.
A well-balanced diet supports skin recovery from the inside out. Particular attention should be paid to the following nutrients
Vitamin C promotes collagen production and helps repair the skin. It is abundant in citrus fruits, strawberries, and broccoli. Vitamin E is an antioxidant and helps reduce skin inflammation. Almonds, avocados, and pumpkin are recommended. Good quality protein is also essential for skin regeneration. A good balance of poultry, fish, and soy products should be consumed.
one's lifestyle | Recommended Action | Actions to Avoid | reason |
---|---|---|---|
motion | Light walking, stretching | Intense exercise, hot yoga | Prevents itchiness enhancement due to increased body temperature |
take a bath | Lukewarm shower below 38 degrees Celsius | Hot tub, sauna, bedrock bath | Avoid worsening itching due to increased blood circulation |
drinking alcohol (sake) | Non-alcoholic beverages, water | Alcoholic beverages in general | Prevents exacerbation of inflammation due to vasodilation |
meal | Vitamin-rich fruits and vegetables | Spicy food, stimulants | Reduces body temperature increase and promotes skin repair |
sleep | 7-8 hours of good quality sleep | Late nights, irregular lifestyle | Promotes skin regeneration with growth hormones |
Proper aftercare is key to minimizing uncomfortable itching as well as maximizing the effects of the dermapen. It may seem a bit tedious, but careful care during this period is the shortcut to ideal skin.
Frequently asked questions on dermapen itch!
So far, we have explained in detail about post-dermapen itching, from its mechanism to how to deal with it and aftercare. Even so, when you actually undergo the procedure, you may find yourself asking yourself, "What? What should I do in such a case?" questions will keep popping up one after another.
You may have questions that you missed asking at the clinic or that you can't find answers to online. So, here are the answers to your most frequently asked questions about itching after a dermapen procedure. We are sure that many of you have the same problem, so please take a look.
Q1. Can I use anti-itch medication?
Can I use over-the-counter anti-itch medications when I'm itching from my dermapen?" This is a really frequently asked question. In conclusion, we recommend that you do not use your own judgment and always consult the clinic where you received the procedure.
This is because over-the-counter anti-itch medications contain a variety of ingredients that may be too irritating for sensitive post-dermapen skin. In particular, medications containing steroidal ingredients can delay skin recovery and increase the risk of infection if used incorrectly.
However, some clinics may prescribe antihistamine medication for post-treatment care. This is a safe way to control itching from within the body. Also, topical medications prescribed by a physician can be used safely on post-dermapen skin.
If you cannot tolerate the itching, first treat it with moisturizing and cooling, and if it still does not improve, contact a clinic. Only a doctor who has actually examined your skin condition can decide "whether or not medication should be used. Avoid self-judgment and seek professional advice for a safe and reliable method.
Q2. Can I cover it up with makeup?
Many of you may say that you "can't afford not to wear makeup" due to work or going out. Regarding makeup after a dermapen, timing and the choice of products to use are important.
In general, it is recommended to completely avoid makeup for 24 hours after the procedure. During this period, the microscopic holes in the skin have not yet closed, and there is a risk that makeup ingredients can penetrate deep into the skin.
Ideally, makeup should be applied as sparingly as possible after 24 hours and until the third day. If it is absolutely necessary, please note the following
- Choose products that are gentle on the skin, such as mineral foundations
- Avoid applying a thick coat of paint, and only apply a thin, light coat.
- Use hypoallergenic milk or gel type cleansing
- Use clean makeup brushes and puffs.
Particular attention should be paid to the peak itching period (days 4-7). During this period, the skin tends to peel easily and make-up does not apply well. If you try to cover up, the rough skin may become more noticeable. If possible, it is recommended to cover up with a mask or hat during this period and keep makeup to a minimum.
Q3. Can I continue to cool it if the itching is severe?
Chilling is an effective way to relieve itching, but "Can I keep it cold all the time?" Some people ask the question, "Can I keep it cold all the time? The answer is that cooling in moderation is not a problem, but excessive cooling should be avoided.
- Each session takes about 5 to 10 minutes.
- Allow at least 30 minutes interval after chilling
- Aim for no more than 4-5 times per day.
Continued excessive chilling may cause poor circulation, which in turn may delay skin recovery. Also, never apply ice directly to the skin, as there is a risk of frostbite due to overcooling.
Q4. Will I still get itching after the second treatment?
Dermapen is a treatment method that requires multiple treatments to increase its effectiveness. Many of you may be wondering, "It was itchy the first time, but what about the second and subsequent times?" Many people may have concerns about this.
In fact, itching often occurs even after the second and subsequent treatments. This is inevitable due to the mechanism of the dermapen, which promotes wound healing by making microscopic holes in the skin each time. However, there are some individual differences, but they tend to be as follows.
- The skin becomes accustomed to the treatment and the degree of itching may become less severe
- Recovery time tends to be shorter.
- Reduced emotional burden because they know how to cope with the situation
The degree of itching also depends on the depth of the procedure and the drugs used. If the itching was severe during the previous treatment, the doctor can be consulted during the next treatment to adjust the treatment.
The important thing is to be prepared for itching. By using your experience to prepare more moisturizer, adjust your work schedule, and take other measures, you will be more comfortable the second time around.
Q5. Is the absence of itching at all evidence of ineffectiveness?
My friend was very itchy after her dermapen, but I'm not itchy at all. Could it be that it doesn't work?" Some people have such concerns.
In conclusion, there is no direct relationship between the presence or absence of itching and the effectiveness of the treatment. Less or no itching does not mean that the dermapen is ineffective. The degree of itching varies greatly from person to person and is influenced by the following factors
primary factor | Effect on itching | Description. |
---|---|---|
skin texture | The more sensitive the skin, the stronger | Skin that is sensitive by nature tends to itch more easily |
Depth of treatment | The deeper it is, the stronger it is. | The deeper the needle, the stronger the wound healing response. |
age | (there are) individual differences | Younger people are more likely to heal and may be more itchy |
after-sales service | Reduced with proper care | Minimize itching by moisturizing and cooling thoroughly. |
constitution (physical) | Differences in histamine response | Some people have a constitutionally weak histamine response. |
The important thing is to observe the changes in the skin, not the presence or absence of itching. After the treatment, if the skin texture has improved, pores have become less noticeable, or the skin has become more supple, these changes indicate that the Dermapen is definitely effective.
Rather, less itching may be an indication that the skin is less stressed and recovering well. There is no need to worry at all, and you can continue with aftercare with peace of mind.
summary
Itching after a dermapen procedure is a normal healing reaction experienced by many people. The process of repairing the microscopic wounds intentionally created by the treatment releases substances such as histamine, which manifests itself in the form of itching. This is evidence that your skin is working hard to renew itself.
By practicing the basic measures described in this article, such as thorough moisturizing, soothing by cooling, and "not scratching," you will surely be able to overcome the painful itching period. The important thing is to continue to take gentle care of your skin without rushing.
Itching peaks 4-7 days after treatment. After this period, symptoms will gradually subside. It may be a time of a little patience now, but beyond that, beautiful skin that can feel the effects of the Dermapen is waiting for you. With proper aftercare, you will have ideal beautiful skin.
At Aladdin Aesthetic Clinic, based on our many years of experience in cosmetic medicine and cosmetic dermatology and the knowledge of our doctoral degree, we provide counseling that aims to be "only one", offering the best treatment for each person we meet. We offer only the necessary treatments without any unnecessary information or suggestions.
Feel free to use our official LINE account for 24-hour counseling and reservations. Please feel free to contact us for free counseling for the first time or if you have any concerns.