
by: Linda Robison / Facial Fitness Specialist @ ABZ
Wondering whether you can do microneedling after Botox, you’re definitely not the only one! It’s a question I hear it all the time.
Both Botox and microneedling are incredibly popular minimally invasive procedures, but they work their magic in different ways.

The great news is that when done correctly, they can actually complement each other beautifully. However, there are a few things you’ll want to consider to make sure you get those optimal results.
How Microneedling & Botox fight aging
Microneedling improves texture and laxity, while Botox prevents and softens wrinkles—making them a powerful duo for overall skin rejuvenation.
Want to enhance your results? You might also want to explore facial exercises to maintain a youthful, toned look.
Before we get into the timing and benefits of combining these treatments, it’s important to understand how each one works:
- Microneedling (also known as collagen induction therapy) involves using tiny needles to create microscopic punctures in the skin. This triggers your skin’s natural healing process, promoting collagen and elastin production. As a result, your skin looks fresher, firmer, and rejuvenated.
- On the other hand, Botox injections use botulinum toxin to temporarily relax facial muscles. This reduces the movement that causes dynamic wrinkles, such as frown lines or crow’s feet.
I’ve got a whole post on the 10 Benefits of Botox and 4 Mistakes to Avoid That Could Age You. Check it out your before your next Botox appointment!
But here’s the gist: Microneedling works wonders for keeping your skin firm and plump, which helps minimize those first signs of fine lines. If you start early enough, you might even find some of those lines fading.
It’s a great way to keep your skin looking youthful while Botox tackles the deeper wrinkles.
And don’t forget, proper skincare after treatments like Botox and microneedling is essential, and gentle exfoliation with a sugar face scrub can help keep your skin smooth and refreshed.
Can you do microneedling after Botox?
The short answer is yes! Here is how to do it safely for best results.
It’s important to space out the treatments to avoid potential side effects. Microneedling too soon after Botox can cause the toxin to spread to other muscles, making it less effective and possibly causing other muscles to relax too.
To play it safe, it’s usually better to wait about two weeks before doing microneedling. Personally, I wait at least a month.
This gives my botulinum toxin time to settle into the treatment area and ensures I get the best optimal results from both procedures.
What about Botox before Microneedling?

Yes! In this order, you can absolutely combine these treatments in the same appointment. As long as microneedling is done first to ensure it doesn’t interfere with the Botox.
Getting Botox after microneedling is good idea for the best results. Plus, it saves time and money since you can get both done in one appointment.
Microneedling puts your skin into repair mode, boosting collagen and elastin production. Adding Botox afterward helps relax the underlying muscles while your skin heals, resulting in a more natural look and fewer wrinkles from facial expressions.
Microneedling and Botox work together in one appointment
When you get microneedling and Botox in the same appointment, the procedure typically follows these steps:
- Microneedling First: The provider starts by cleansing your skin and applying a numbing cream to ensure you’re comfortable. Then, using a microneedling device, they create tiny punctures in your skin to stimulate collagen production and enhance skin texture. This process usually takes about 30 minutes, depending on the area being treated.
- Botox After Microneedling: Once the microneedling is complete, the provider will carefully inject Botox into the targeted muscles, typically in areas like the forehead, crow’s feet, or between the brows.
- Post-Treatment Care: After both treatments, your skin may appear slightly red from the microneedling, but this usually fades within a few hours. You’ll be given aftercare instructions for both treatments, which may include avoiding touching the treated areas and steering clear of heat or intense activity for a short period.
By performing microneedling first, it allows the Botox to work on relaxed muscles without interference, maximizing the benefits of both treatments for smoother skin and reduced wrinkles.
Benefits combining Microneedling & Botox
The Benefits of Microneedling and Botox Treatments
When done in the right order, the combination of Botox and
microneedling can offer a range of skin benefits, including:
- Improved
skin texture: Microneedling boosts collagen production,
leading to smoother skin and reduced appearance of fine lines. - Reduced
wrinkles: Botox helps with dynamic wrinkles, and
microneedling can enhance skin elasticity for a more youthful appearance. - Long-lasting
results: Both treatments help with skin rejuvenation over
time, giving you a more radiant, firmer complexion.
Note: Speaking of improving skin texture, If you’re looking for an extra boost, you might want to consider microdermabrasion as well.
What should you consider before combining treatments?
Although Botox and microneedling are generally safe, there
are a few important factors to consider before combining them:
- Consult
a professional: Always talk to your dermatologist before trying any new treatments. They can assess your skin
type and provide a customized treatment plan to ensure
both treatments work in harmony. If you’re looking for a non-invasive, natural alternative, consider checking out face exercises vs Botox. - Timing
is key: As mentioned, give yourself at least 2 weeks between
treatments. Botox needs time to settle and start relaxing the facial
muscles before you go in with microneedling. - Skin
condition: If your skin is irritated or inflamed, it’s best to wait
until it’s fully healed before trying either procedure. Both treatments
can cause skin irritation, and combining them too soon could
worsen the condition. - Recovery
time: Microneedling requires a bit more recovery time than Botox, so
be prepared for some redness and mild swelling after the procedure.
However, microneedling‘s ability to enhance collagen
induction therapy can give you a long-term glow.
Any risk of adverse reactions?
As with any cosmetic procedure, there are some risks to
consider when combining Botox and microneedling. For instance:
- Uneven
results: If the Botox doesn’t settle evenly, microneedling could
cause uneven skin texture. Be sure to follow the recommended
waiting time between treatments. - Potential
irritation: Both treatments can irritate sensitive skin. If you
have sensitive skin or skin conditions, talk
to your provider about adjusting the treatment plan. - Infections:
While rare, skin infections can occur, particularly if
you don’t follow proper aftercare instructions.
What to do before Microneedling treatment
Once you’ve confirmed that microneedling is the right
treatment for you after Botox, here’s how to prepare:
- Hydrate:
Drink plenty of water in the days leading up to your treatment to keep
your skin hydrated. - Avoid
sun exposure: Stay out of the sun to reduce the risk of skin
irritation. And use sunscreen always! - Follow
aftercare instructions: After microneedling, avoid makeup and harsh
skincare products for at least 24 hours.
Final takeaway: Microneedling after Botox
So, can you do microneedling after Botox? Yes!
When done in the right sequence and under the guidance of a professional, these
two treatments can complement each other beautifully.
Botox injections will
help smooth out those stubborn dynamic wrinkles, while microneedling will
work its magic on your skin’s texture, promoting collagen production and
giving you smoother, rejuvenated skin.
Remember, always consult with a professional before
combining treatments. And, as with any cosmetic procedure, make sure to follow
aftercare instructions to avoid complications like skin irritation or uneven
results.
By waiting the appropriate amount of time and ensuring
you’re a good candidate for both treatments, you can enjoy the best of both
worlds – smoother skin, fewer wrinkles, and a more youthful appearance.
FAQ: Microneedling after Botox
Answer:
Yes, you can add other treatments like chemical peels, but not in the same appointment. Combining microneedling with a chemical peel too soon can irritate your skin or cause excessive redness and sensitivity. It’s best to wait at least a few weeks between treatments to allow your skin to fully recover and get the most out of each procedure. Always consult with your provider for personalized recommendations.
Answer: Yes, you can use hyaluronic acid after microneedling. In fact, it’s often recommended because it helps hydrate and soothe the skin while enhancing the healing process. Hyaluronic acid attracts moisture to the skin, making it an excellent choice to support recovery and improve overall skin texture following the procedure. Just make sure to use a gentle, clean product to avoid irritation.
Answer: Yes, it’s generally safe to combine Botox and dermal fillers in one session. Many people use both treatments together to target different aspects of facial aging—Botox for wrinkles caused by muscle movement and dermal fillers for volume loss or deep lines.
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