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Medical conditions or situations that may impact your microneedling treatments include: Blood or bleeding disorders Predisposition for keloid or hypertrophic scar formation (and/or the surgical scar you want to treat is a keloid or hypertrophic scar) Major medical illness that would severely hinder the healing process Certain skin conditions that cause open wounds or sores Your surgical scar is still fresh or not healed (our proprietary scar protocol can work on fresh surgical scars within six months of surgery) Active acne in the treatment area (normally, the treatment can commence once the acne has cleared