Needle Aponeurotomy Two Years … Needle aponeurotomy is criticized by surgeons for "rapid recurrence" since no diseased fascia is removed. However, many people do very well after needle aponeurotomy as evidenced by this patient with severe Dupuytren's. The photo is before and after results at two years after needle aponeurotomy. Needle aponeurotomy is an excellent first choice for Dupuytren's even for patients with severe disease.