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A comprehensive 2024 review of microneedling applications and outcomes describes the core mechanism plainly: those micro-injuries trigger the body's natural wound-healing processes, which raises production of collagen and elastin, the proteins that keep skin firm and elastic

Table 1 Table 1 References: [7] Lee E, Padgett B

For tendons with their naturally limited blood supply, this represents a potentially transformative effect that addresses the core healing bottleneck

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