Does microneedling actually make minoxidil work better or is it mostly placebo?

Been reading about people adding a dermaroller or dermapen to their minoxidil routine. Some say it boosts absorption and growth a lot, others say it does almost nothing once you are already consistent with the foam or liquid.

Is there any solid reason most places recommend it, or does it mainly help the people who were not applying minoxidil properly in the first place?

Trying to figure out if the extra step is worth the hassle.

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kettledrum · 1 hour ago

Most of the evidence points to a modest boost when microneedling is added to minoxidil. It mainly helps with delivery into the skin rather than creating new follicles. Once a week is the schedule that gets mentioned most. Daily rolling is usually considered too much and can just irritate the scalp without adding much.

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Does microneedling actually make minoxidil work better or is it mostly placebo?

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