Micro-needling has often been called the lunch time vampire facelift. The principle is quite simple. The micro-needle device has multiple pins which when placed on the skin, deliver micro-pin holes in the facial skin. The depth in which the pin go into the skin is controlled by Dr Keller. These small holes bleed and hence the name vampire facelift. The tightness comes from when the holes close, the surrounding skin is pulled tight. Furthermore, the micro-trauma caused by the needling creates lots of collagens, which also tightens the skin. After the treatment, your skin looks like a mild sunburn for about a week. Powder makeup can be used on the third day.