Microneedling is a cosmetic procedure increasingly used by acupuncturists, involving tiny needles to create controlled micro-injuries that stimulate collagen, elastin, cellular turnover, and blood circulation. This process improves fine lines, texture, hyperpigmentation, sun damage, and acne scars. A critical aspect is that these micro-injuries create micro-channels, making the skin highly vulnerable and significantly increasing the absorption of topical products. Given the US skincare industry's significant regulatory gap and lack of FDA oversight on ingredients, transparency and safety are paramount. Practitioners must avoid ingredients like parabens and artificial fragrances linked to hormonal disruption, as well as harsh chemicals like sulfates and benzoyl peroxide that disrupt the skin barrier and cause dryness. Hydroquinone, a suspected carcinogen used for bleaching, should also be avoided. Opting for natural alternatives, ensuring products are sterile, and being mindful of needling depth can enhance safety and reduce risks like stronger allergic reactions or granulomas.