Comparison

Clear and Brilliant vs Microneedling

Microneedling has the better evidence for acne scars and texture. Clear + Brilliant is a gentler laser for glow and early lines. Sessions, downtime and cos
Written & medically reviewed by the Dermapedia team
At a Glance

Clear + Brilliant is a gentle fractional laser. It is aimed at dullness, early lines and uneven tone, and most people use it as upkeep a few times a year. Microneedling is the stronger of the two for texture. It has the better evidence for acne scars and rough skin, and it uses no light, so it is the safer choice on deeper skin tones. Neither one erases a deep scar, and nobody has compared them in a proper trial.

Clear + Brilliant
Also called Clear and Brilliant, C+B, Permea, the lunchtime laser
Microneedling
Also called collagen induction therapy, skin needling, dermapen, dermaroller
Clear + Brilliant is a light fractional laser. The handpiece is passed over numbed skin several times.
A microneedling pen makes tiny channels in the skin. Needle depth is set for the area being treated.

What touches your skin

Light, in thousands of tiny columns

The laser heats microscopic columns of skin and leaves the skin between them untouched. That is why healing is quick.

Steel needles, 0.5 to 2.5 mm

The needles puncture past the epidermis into the dermis, the layer where collagen is made. Healing those small wounds is what builds new collagen.

What it is best at

Glow, early lines, uneven tone

Dullness, a rough surface, mild sun damage and the first fine lines. It is a maintenance treatment.

Acne scars and rough texture

Rolling and boxcar acne scars, open pores and general roughness. This is where the published evidence sits.

What you will see

Brighter skin in about a week

Skin feels like fine sandpaper for a day or two, then sheds a very thin layer. The glow arrives as that clears.

Smoother texture, shallower indents

Change builds over months as new collagen forms. Deep, narrow icepick scars improve least.

What it will not do

It will not fix a real scar

The energy is set low on purpose. It softens the surface. A deep acne scar needs something that reaches further down.

It will not fix colour

Needling works on texture. Brown spots, flushing and broken vessels need a light-based treatment instead.

How long until it works

About a week per session

Most plans run four to six sessions, two to four weeks apart.

Four to six weeks per session

A course is three to six sessions, about a month apart.

How long it lasts

A few months
Several months to a year
Both
Both are upkeep rather than a one-off. Skin keeps ageing either way, so most people repeat once or twice a year after the first course.

What it feels like

Warm prickling, about 20 minutes

Numbing cream first. Most people describe heat and a rubber-band snap rather than pain.

Scratching and pressure

Numbing cream first as well. The forehead and the jawline are the tender spots.

Downtime

One to three days of pink, rough skin

Make-up is usually fine the next day.

A few days looking sunburnt

Redness for one to three days, then light flaking.

Skin tone

It is light, so tone matters

This is one of the gentler lasers and is used across a wide range of skin tones. Any laser still carries some risk of a patch going darker or lighter.

No light is involved

Needling has no pigment target at all. That is why it is often the first choice for deeper skin tones.

Cost

Priced per session, sold in packages

Ask what a package of four costs, not what one visit costs.

Priced per session, also a course

Ask for the price of the whole course.

The at-home or drugstore version

There isn't one

No home device makes fractional laser columns. Home "laser" wands emit low-level light at a tiny fraction of the power and work by a different mechanism entirely.

A home roller is a different thing

Home rollers use short, blunt needles that dull quickly and are hard to keep clean. They pierce enough to inflame skin, not enough to remodel it. A reused roller is the most common way people pick up an infection from needling.

Who each suits

Best for
Dullness, early lines and staying ahead of things.
The mindset
Small, regular upkeep with almost no interruption.
Best for
Acne scars, rough texture and open pores.
The mindset
A few pink days in exchange for a bigger change.
Clinician passing a Clear + Brilliant laser handpiece over a person's cheek.
Clear + Brilliant is a light fractional laser. The handpiece is passed over numbed skin several times.
Gloved hand holding a microneedling pen against a person's forehead.
A microneedling pen makes tiny channels in the skin. Needle depth is set for the area being treated.

They are not aimed at the same problem

Clear + Brilliant is a prevention treatment: People book it because they like how their skin looks and want to keep it that way. The change per session is small and pleasant.

Microneedling is a correction treatment: People book it because something is already there: acne scars, rough cheeks, pores that have not budged. The change per session is larger, and so is the recovery.

If you want both, they are done in separate courses: Clinics do not stack them in one visit, because both rely on the skin healing an injury.

Depth is the difference

Skin has two layers that matter here: The epidermis is the thin surface layer. The dermis sits underneath and holds the collagen that gives skin its bounce.

Clear + Brilliant works mostly at the top: Its columns are shallow and its energy is deliberately modest. That buys you a quick recovery and costs you depth.

Microneedling reaches into the dermis: That is why it can lift the floor of a shallow scar, and also why it leaves you red for a few days.

Skin tone changes the safer answer

Any laser aims energy at something in the skin, and skin tone affects where that energy lands: Clear + Brilliant is one of the gentler ones, and it is used widely on medium and deeper skin. It is not risk-free.

Needles do not aim at anything: There is no light, so there is no pigment target. Deeper skin can still darken after any inflammation, but the mechanism that causes laser burns is simply absent.

Nobody has compared them head to head

Microneedling has years of published work, most of it on acne scars, where it clearly improves shallow rolling and boxcar scars. Clear + Brilliant has much less published work, and what exists looks at tone and early ageing rather than scars. No trial has put the two against each other.

Before you book

Say what bothers you most, in one sentence. Scars and texture point to needling. Dullness and early lines point to the laser.

Ask for the cost of the full course either way.

With deeper skin, ask how many people with your skin tone the clinic treats and what settings they use.

Do not book either one within a few weeks of a sun holiday.

If you are on a prescription acne medication, say so before booking. It changes the timing.

Related

Questions people ask

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Which is better for acne scars, Clear + Brilliant or microneedling?Microneedling. It reaches into the dermis, and that is where the floor of a scar sits. Clear + Brilliant is a light treatment aimed at surface tone and early lines.
Can I have Clear + Brilliant and microneedling together?Not in the same visit. Both work by making the skin heal a small injury, so clinics run them as separate courses rather than stacking them.
How many sessions do I need of each?Clear + Brilliant is usually four to six sessions, two to four weeks apart. Microneedling is usually three to six sessions, about a month apart. Both need topping up later.
Is Clear + Brilliant safe on deeper skin tones?It is one of the gentler lasers and is used across a wide range of skin tones. It still carries some risk of a patch going darker or lighter. Microneedling uses no light, so that particular risk does not apply.
How long am I red for?Clear + Brilliant leaves skin pink and slightly rough for one to three days. Microneedling leaves you looking sunburnt for a few days, then flaking.
Which one costs more?Both are sold as courses, and the total matters more than the per-session price. Ask each clinic for the cost of the whole plan rather than one visit.