Microneedling, when combined with platelet-rich plasma (PRP), is emerging as a promising adjunctive treatment for individuals suffering from chronic hand eczema, offering a new approach to managing the condition after traditional methods have failed.
While microneedling is generally not recommended for eczema due to the risk of further irritating inflamed and compromised skin, its application at a low setting with PRP on the hands is showing positive results. According to RN Eric Nietzel, founder of I Wanna Be Pretty, this method is an emerging option for select patients, not a standard eczema treatment, and requires careful screening and expert technique.
PRP treatment involves extracting a small amount of the patient's blood, then spinning it to concentrate platelets rich in growth factors. This plasma is then applied to the skin after microneedling, facilitating deeper absorption. Nietzel explained that PRP works by releasing growth factors that trigger a wound-healing cascade, promoting tissue regeneration rather than inflammation.
Results from this treatment combination have been significant for some individuals who have struggled with hand eczema for years. Beyond the in-office procedures, a strict post-treatment skincare protocol is crucial for supporting skin recovery. Key elements of this aftercare include replacing lost lipids, sealing in moisture, and avoiding irritants. Nietzel recommends products containing ceramides, shea butter, glycerin, and hyaluronic acid, noting that colloidal oatmeal can also offer anti-inflammatory benefits. During the active healing phase, it is advised to avoid fragrance, essential oils, and potent active ingredients like retinoids. Additionally, daily use of sunscreen is essential to protect the healing skin.
Eczema can be caused by a variety of factors, including genetics and environmental triggers such as smoke, air pollutants, harsh soaps, and wool fabrics. The condition typically presents as red, inflamed, itchy, dry, flaky, bumpy, or crusty patches, often in skin folds like the elbows or behind the knees. It differs from psoriasis, which generally causes thicker, drier scales.
Complementary treatments for eczema include prioritizing moisture, avoiding triggers like dust and dry air, limiting shower time to 5-10 minutes, wearing loose cotton clothing, and protecting the skin in cold environments. Mineral-based sunscreens, containing zinc and titanium filters, are recommended post-treatment as they are less likely to sting healing skin compared to chemical sunscreens.