The Glow-Up That Hurt: What It’s Really Like to Get Skin Needling
Micro-needling promises glow and firmness, but timing can make all the difference.
4 min
In the glossy world of skincare and wellness, we often hear about the benefits of skin needling: tighter pores, improved texture, and that elusive post-treatment glow. What’s less discussed? Timing. More specifically, how the hormonal fluctuations of your menstrual cycle can impact the experience and your pain threshold, far more than the skincare forums let on.
I thought I had it all timed perfectly. I’ve done enough microneedling sessions to know that it’s not exactly a walk in the park – especially if you, like me, are the kind of person who winces at a deep tissue massage and cries a little during a bikini wax. So I planned carefully. I booked it during what I believed was a “safe” window, comfortably out of the PMS zone and well before Day One of my cycle.
Of course, my body had other plans. I woke up the morning of the appointment, cramps in tow, and immediately considered cancelling. That is, until I reread the clinic’s policy: 50% fee for rescheduling within 24 hours. And just like that, I found myself at the door, clutching my water bottle and whispering affirmations like I was about to sit an
Pain, Periods, and the Myth of the High Threshold
Let’s get one thing straight: we all have different pain thresholds. Some women breeze through labour with little more than a grimace. Others (hi, me) need to mentally prepare for eyebrow threading. But regardless of your usual threshold, during menstruation, everything changes.
As estrogen and progesterone levels drop in the days leading up to and during your period, the body becomes more inflamed, more sensitive, and, for many women, less tolerant of discomfort. You’re more prone to pain, your skin is more reactive, and even your emotional resilience takes a bit of a dip. These aren’t mood swings — they’re chemical fluctuations. And they affect everything.
That’s why, in hindsight, getting hundreds of tiny needles rolled into my face on the day my hormones hit rock bottom felt… intense.
But I wasn’t going to back out. I chose to stay. And to my own surprise, it became a moment of real resilience — not in a “push through the pain” way, but in a mindful, grounded, intentional way.
Breathing Through the Sting: A Masterclass in Mindfulness
As I lay back on the table, my therapist adjusted the pressure slightly and reminded me to breathe deeply, something I’ve heard in yoga studios a hundred times, but rarely applied to skincare.
At first, I distracted myself with light conversation – anything to keep my mind away from what was happening on my face. But when the more sensitive areas (cheeks, upper lip, forehead) were being treated, distraction didn’t quite cut it. That’s when I tapped into mindfulness.
I began to sync my breath with the pace of the roller: in for four counts, hold for two, out for four. I imagined breathing into the places that hurt, allowing the breath to soften the resistance. I reminded myself that pain is a wave — it rises, peaks, and passes.
And in that moment, I found something surprising: calm.
I wasn’t numbing myself or trying to “tough it out.” I was being incredibly present. Noticing the sensations, naming them (“sharp, hot, tingling”), and then letting them go. It felt like a meditation. One I hadn’t planned, but one I very much needed.
Wellness Beyond the Pretty
When we talk about wellness, we often imagine smooth transitions and well-curated rituals. But sometimes, wellness is uncomfortable. It’s showing up on a day you feel emotionally fragile and physically sore. It’s adjusting expectations, grounding into your body, and offering yourself compassion in real time.
That’s what this treatment became for me. Yes, I wanted clearer, more radiant skin – and I got that, eventually. But what I didn’t expect was to walk away with a deeper understanding of how connected my physical and emotional states really are. What we label as “low pain threshold” is often our body trying to communicate something important. And that there’s strength — a quiet, powerful kind — in choosing to stay present in discomfort.
So, Would I Recommend It?
Getting skin needling during your period isn’t ideal. Your skin is more sensitive, the inflammation response is heightened, and yes, it will likely hurt more. If you can reschedule without consequence, do it. But if you can’t, or if you choose to go ahead with it anyway, go in prepared.
Hydrate. Take paracetamol, not ibuprofen. Let your therapist know, so they can adjust their technique. And most importantly, take care of your emotional self as much as your physical one. Use breathwork to anchor you. Allow yourself to rest afterwards. And recognise that what you just did — despite the timing, despite the discomfort — was a form of self-care that goes beyond skincare.
Because wellness isn’t just about looking better. It’s about knowing yourself, trusting yourself, and supporting yourself through every phase — hormonal highs, lows, and everything in between.
Leticia Estrada Rahme is a writer, mother, and former TV journalist based in Bondi Beach. She explores beauty, mental health, and identity through the lens of storytelling and lived experience.
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At least for people who carry the APOE4 genetic variant, a juicy steak could keep the brain healthy.
3 min
Must even steak be politicised? The American Heart Association recently recommended eating more “plant-based” protein in a move to counter the Health and Human Services Department’s new guidelines calling for more red meat.
Few would argue that eating a Big Mac a day is good for you.
On the other hand, growing evidence, including a study last month in the Journal of the American Medical Association, suggests that eating more meat—particularly unprocessed red meat—can reduce the risk of Alzheimer’s in the quarter or so of people with a particular genetic predisposition.
The APOE4 gene variant is one of the biggest risk factors for Alzheimer’s.
You inherit one copy of the APOE gene from each parent. The most common variant is APOE3; the least is APOE2.
The latter carries a lower risk of Alzheimer’s, while the former is neutral. A quarter of people carry one copy of the APOE4 variant, and about 2% carry two.
APOE4 is more common among people with Northern European and African ancestry. In Europe the variant increases with latitude, and is present in as many as 27% of people in northern countries versus 4% in southern ones. God smiled on the Italians and Greeks.
For unknown reasons, the APOE4 variant increases the risk of Alzheimer’s far more for women than men.
Women’s risk multiplies roughly fourfold if they have one copy and tenfold if they have two. Men with a single copy show little if any higher risk, while those with two face four times the risk.
What makes APOE4 so pernicious? Scientists don’t know exactly, but the variant is also associated with higher cholesterol levels—even among thin people who eat healthily.
Scientists have found that cholesterol builds up in brain cells of APOE4 carriers, which can disrupt communications between neurons and generate amyloid plaque, an Alzheimer’s hallmark.
The Heart Association’s recommendation to eat less red meat may be sound advice for people with high cholesterol caused by indulgent diets.
But a diet high in red meat may be better for the brains of APOE4 carriers.
In the JAMA study, researchers at Sweden’s Karolinska Institute examined how diet, particularly meat consumption, affects dementia risk among seniors with the different APOE variants.
Higher consumption of meat, especially unprocessed red meat, was associated with significantly lower dementia risk for APOE4 carriers.
APOE4 carriers who consumed the most meat—the equivalent of 4.5 ounces a day—were no more likely to develop dementia than noncarriers. (
The study controlled for other variables that are known to affect Alzheimer’s risk including sex, age, physical activity, smoking, alcohol consumption and education.)
APOE4 carriers who ate the most unprocessed meat were at significantly lower risk of dying over the study’s 15-year period and had lower cholesterol than carriers who ate less. Go figure. Noncarriers, however, didn’tenjoy similar benefits from eating more red meat.
The study’s findings are consistent with two large U.K. studies.
One found that each additional 50 grams of red meat (equivalent to half a hamburger patty) that an APOE4 carrier consumed each day was associated with a 36% reduced risk of dementia.
The other found that older women who carried the APOE4 variant and consumed at least one serving a day of unprocessed red meat had a cognitive advantage over carriers who ate less than half a serving, and that this advantage was of roughly equal magnitude to the cognitive disadvantage observed among APOE4 carriers in general.
In all three studies, eating more red meat appeared to negate the increased genetic risk of APOE4.
Perhaps one reason men with the variant are at lower Alzheimer’s risk than women is that men eat more red meat.
These findings might cause chagrin to women who rag their husbands about ordering the rib-eye instead of the heart-healthy salmon.
But remember, the cognitive benefits of eating more red meat appear isolated to APOE4 carriers.
Nutrition is complicated, and categorical recommendations—other than perhaps to avoid nutritionally devoid foods—would best be avoided by governments and health bodies.
Readers can order an at-home test from any number of companies to screen for the APOE4 variant.
The Swedish researchers hypothesize that APOE4 carriers may be evolutionarily adapted to carnivorous diets, since the variant is believed to have emerged between one million and six million years ago during a “hypercarnivorous” period in human history.
The other two APOE variants originated more recently, during eras when humans ate more plants.
APOE4 carriers may absorb more nutrients from meat than plants, the researchers surmise. Vitamin B12—low levels have been associated with cognitive decline—isn’t naturally present in plant-based foods but is abundant in red meat.
Foods high in phytates (such as grains and beans) can interfere with absorption of zinc and iron (also high in red meat), which naturally declines with age. So maybe don’t chuck your steak yet.
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Micro-needling promises glow and firmness, but timing can make all the difference.
