Breakouts after microneedling can occur due to several reasons, such as tiny punctures in the skin that can cause the release of certain inflammatory substances or stimulate the growth of new skin. If breakouts occur, it is important to keep the skin clean and hydrated with gentle cleansers and moisturizers. Avoid picking or squeezing the breakouts as this can worsen the inflammation and lead to scarring. Dr Rokhsar can prescribe oral antibiotics to calm down any breaks as a result of microneedling.