Facial acupuncture

The side effects and downsides of facial cosmetic acupuncture

I’m a doctor, and I enjoy giving facial acupuncture. But it isn’t right for everyone. Here’s an honest look at the side effects and downsides, so you can decide whether it’s for you.

Dr Eoghan Colgan · Updated October 2026 · 5 minute read

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Quick answer

Most people have no problems. The most common side effects are small bruises, brief discomfort from a few needles, and feeling tired or emotional for a short time. The main downsides are that results are subtle and build over a series of sessions.

What facial acupuncture aims to do

Very fine needles are placed in the face, and a few in the body to help you relax. The tiny pricks in the skin are thought to prompt its natural repair processes, with more blood flow and more collagen, which keeps skin firm.

People often tell me their skin looks brighter and less puffy, and that fine lines look softer over time. Many also say they sleep better and feel calmer. The research on facial acupuncture is still limited, though, so I can’t promise a visible change.

Side effects

Discomfort

Many people expect it to hurt. In practice, most find it relaxing. The needles are about the width of a hair, and most feel like a light prick or nothing at all. A few, especially around the mouth and eyes, feel sharper for a second or two. There’s more on this in Does facial cosmetic acupuncture hurt?

Bruising

Small bruises happen in about 3 in every 100 treatments. They’re more likely around the eyes and under the jawline.

To keep the risk low, I avoid visible blood vessels, insert the needles gently, and press on each spot with a cotton bud as the needle comes out. If a bruise does appear, it’s usually small and easy to cover with make-up. Some people find arnica cream helps it fade.

A bruise on the face can take a while to fade, so avoid booking just before a big event.

Feeling emotional

A Lite session uses around 40 to 50 fine needles in the face and body, and a Deluxe session can use 100 or more. Most people feel calm and relaxed afterwards. Occasionally someone feels tearful or giddy for a few moments. If that happens, we pause until you feel settled.

Feeling tired or light-headed

Some people feel tired or a little light-headed afterwards, though this isn’t common. If you’re prone to feeling faint, ask someone to drive you to your first appointment, or come by public transport.

My aftercare page explains what’s normal after treatment and when to get advice.

Downsides

Facial acupuncture is very different from Botox, fillers or threading. It’s worth knowing what that means before you start.

The results are subtle

Nothing is injected and there’s no surgery. The treatment works with your body’s own processes, so any change is gradual and natural-looking. If you want a quick, dramatic change, another treatment may suit you better.

It takes time and money

It isn’t a one-off treatment. Many people have a series of 5 to 10 sessions, weekly or every two weeks, then a session every 4 to 6 weeks to keep things going. How many you need depends on your age, your skin and your general health.

If that’s more than you want, a monthly session can work well, or 3 to 5 sessions before an event such as a wedding. Bundles of 5 and 10 sessions cost less per session.

It isn’t suitable for everyone

Because the treatment uses a lot of needles, it isn’t right for everyone.

Tell me before you book if you

  • are pregnant or breastfeeding
  • have a bleeding or clotting disorder, or take blood-thinning medicine
  • have high blood pressure or diabetes that isn’t well controlled
  • get frequent migraines
  • have a pacemaker
  • are having treatment for cancer
  • have a skin infection or rash on your face, or a viral illness

If any of these apply, book a free call first and we can talk it through.

Is it right for you?

Facial acupuncture is a gentle, relaxing treatment that many people love. It can cause small bruises, and it takes time and a number of sessions. If you’re happy with a gradual, natural approach, it’s well worth trying.

You can read more on my facial acupuncture page.

Written by Dr Eoghan Colgan

I’ve been a doctor for over 25 years, and I offer medical, facial, sleep and wellbeing acupuncture in Clarkston, Glasgow. GMC number 6030214.

More about me

Try facial acupuncture

Lite, one hour, £100. Deluxe, 90 minutes to 2 hours, £195. At Private Medical Rooms, 679 Clarkston Road.