If the idea of poking yourself in the face with tiny needles in hopes of improving your skin sounds a little bizarre to you, you’re not alone. For years, the medical establishment looked at the practice, known as microneedling, with a leery side-eye.

“I didn’t take it seriously until relatively recently,” says Dr. Kenneth Arndt, medical editor of the Harvard Special Health Report Skin Care and Repair and a founding editorial board member of the Harvard Health Letter.