Board-certified dermatologists do not recommend at-home or DIY microneedling (often referred to as derma-rolling). First, at-home treatments are not clinically proven to benefit the skin, as the needle lengths are limited and cannot reach the dermis layer. Additionally, DIY treatments carry a high risk of infection, as they are not performed in a sterile environment with sterile equipment, often leading to more complications than benefits. In contrast, professional microneedling uses a safe, FDA-approved device with single-use, sterile needle cartridges. Performed in a professional setting, these treatments ensure precise needle penetration and effective results.