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Further clinical evaluation (e.g., rheumatology referral) may be appropriate for patients who develop signs or symptoms of peripheral vasculopathy

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doi: 10.1016/j.molliq.2021.116385 174 Kiselova-KanevaYGalunskaBNikolovaMDinchevaIBadjakovI

Your surgeon can also recommend skin treatments to reduce the appearance of scarring

I personally do a more specialized pattern involving about 41 injection spots (shown below, but there can be variation) which includes the basic pattern, with additional precision targeting, and a what I typically see as a more effective dose

How does microneedling work