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Spicule clinical facials, which use a much more concentrated spicule formula than over-the-counter skincare, can achieve similar results to microneedling. Spicule facialist and SQT director Ashley Wady, explains the difference: “Microneedling uses mechanical needles to create uniform channels in the skin, whereas clinical spicule treatments deliver thousands or millions of microscopic ‘natural needles’ all over,” she says. “Skin is generally stimulated for up to 72 hours after a clinical spicule session,” she explains, adding, “This results in strong improvements in texture, pigmentation, acne scarring, and overall skin quality, often with less downtime than microneedling — depending on the protocol used.”