How would you counsel a patient with systemic sclerosis who wants to consider microneedling on the face or other skin which is not clearly involved with scleroderma?

Microneedling is a cosmetic procedure that utilizes multiple small needles to create tiny holes in the skin that stimulate the skin’s own "healing process", which, entails the production of collagen and elastin. While regardless of the specific device used, it is considered a relatively safe procedure with minimal adverse effects, including, but not limited to, mild erythema, pain, edema, and temporary skin irritation, that improve over a period of 1-2 weeks, most estheticians recommend avoiding...