Microneedling After Botox? How Long to Wait & Pro Tips for Stunning Results

by: Linda Robison / Facial Fitness Specialist @ ABZ

Quick Answer – Can You Do Microneedling After Botox?

Yes! But timing is key. Dermatologists recommend waiting at least two weeks after Botox before microneedling to avoid uneven results or reduced Botox effectiveness. The best results come when you wait 3-4 weeks for full Botox settlement.

A woman getting microneedling after Botox injections.

Why does timing matter?

Botox injections work by relaxing muscles beneath the skin, while microneedling (collagen induction therapy) creates tiny injuries on the skin's surface to boost collagen production.

If microneedling is done too soon, Botox may spread beyond its intended area, leading to uneven results or weakened Botox effects.

How long to wait after Botox for Microneedling?

Best waiting times for microneedling after Botox:

  • Minimum wait time: 7-14 days
  • Recommended wait time: 3-4 weeks
  • Why? Botox needs time to settle into place, preventing unintended movement or loss of effectiveness

Key Takeaway: The longer you wait, the better your Botox will settle in, ensuring optimal microneedling benefits without complications. (Cleveland Clinic). 

Risks of Microneedling too soon

Microneedling too soon after Botox can cause:

  • Uneven Botox placement (It may migrate)
  • Increased swelling & bruising
  • Weakened Botox effectiveness

Best Practice: Many experts recommend at least 2 weeks before microneedling. Personally, I usually wait about 6 weeks before doing any treatment after Botox. 

Microneedling or Botox first: Which is better?

Does the order of treatments matter?

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  • Microneedling Before Botox: Safe and effective. It boosts collagen, and Botox can be injected afterward without issue. (Ocean Avenue Aesthetics)
  • Microneedling After Botox: Wait at least two weeks to prevent disrupting Botox placement. (Shantique Med Spa)

Bottom Line: Both methods work, but timing is key, not order. Always consult a professional for the best approach.

How Microneedling & Botox fight aging

Microneedling enhances skin texture & elasticity, while Botox softens deep wrinkles—a powerful duo for youthful skin.

How They Work:

  • 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.
  • 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. 

Want to enhance your results? You might also want to explore facial exercises to maintain a youthful, toned look.

ABZ Tip: Before your next appointment, check out the 10 Benefits of Botox and 4 Mistakes to Avoid That Could Age You. 

Microneedling & Botox: Same appointment? 

Woman preparing for a microdermabrasion and Botox treatment in a relaxing spa setting, rejuvenating her skin for a youthful appearance.

Safe Method: Microneedling → Botox

This method works best because Botox won't be affected by microneedling afterward.

Avoid: Botox → Microneedling

This can disrupt Botox placement and lead to unwanted results.

Benefits of combining treatments

  • Boosts collagen production for improved skin texture
  • Reduces fine lines & wrinkles with Botox’s muscle-relaxing effects
  • Prolongs youthful skin with long-term rejuvenation
  • Enhances overall skin tone & elasticity

💡ABZ TIP: Consider microdermabrasion to refine skin texture even more.

What happens during your appointment

If you're getting microneedling and Botox in the same session, here's how the process typically unfolds:

  1. Microneedling First – Your provider will cleanse your skin and apply a numbing cream for comfort. Using a microneedling device, they’ll create tiny punctures to stimulate collagen production and improve skin texture (about 30 minutes).
  2. Botox Injections Next – Once microneedling is complete, Botox will be injected into key areas (forehead, crow’s feet, between brows) to relax facial muscles and reduce wrinkles.
  3. Post-Treatment Care – Expect mild redness from microneedling, which usually fades within hours. Follow aftercare instructions, including avoiding heat, touching the area, and intense activity for best results.

Why This Order? Microneedling first ensures that Botox stays in place, working on relaxed muscles for a smoother, longer-lasting effect.

What are the risks?

As with any cosmetic procedure, there are some risks to consider when combining Botox and microneedling. For instance:

  • Uneven results: If the Botox is done too soon
  • Potential irritation: Temporary swelling or redness
  • Mild skin irritation or sensitivity
  • Rare risk of infection (follow proper aftercare!)

How to prep for Microneedling after Botox

For the best results, follow these expert-recommended steps before and after your treatment:

  • Consult a skincare expert to ensure microneedling is right for your skin after Botox.
  • Wait at least 2-4 weeks to allow Botox to fully settle.
  • Hydrate well—drink plenty of water leading up to your treatment.
  • Use gentle skincare post-treatment (avoid all exfoliants even gentle ones like sugar face scrubs for 48 hours).
  • Avoid excessive sun exposure—wear SPF daily.
  • Skip retinoids & harsh exfoliants for 48 hours before treatment to prevent irritation.
  • Book a follow-up consultation to assess Botox results before microneedling.

Note: Wondering about natural alternatives? Consider Face Exercises vs. Botox.

Final takeaway: Microneedling after Botox

Yes, you can do microneedling after Botox! Just follow the right timing for stunning, youthful results.

  • Botox smooths out wrinkles by relaxing muscles.
  • Microneedling rebuilds skin structure for a firmer appearance.
  • Timing matters—wait at least 2 weeks, ideally 3-4 weeks.
  • Work with a professional to ensure the best treatment plan.

By combining proper timing, expert care, and the right aftercare, you can maximize your results for radiant, youthful skin. 

FAQ: Microneedling after Botox questions

Question: Can I add other treatments into the mix like chemical peels?

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.

Question: Can I use hyaluronic acid after microneedling?

Answer:  Yes! Hyaluronic acid hydrates & soothes post-treatment skin.

Question: Is it safe to combine Botox and dermal fillers in the same treatment session?

Answer: Yes, it’s generally safe to combine Botox and dermal fillers in one session for a fuller, smoother look.

Question:  Can I do Botox and microneedling on the same day?

Answer: No! Botox needs time to settle, and microneedling could interfere with its effects.

Question: Can microneedling move Botox?

Answer: If done too soon, yes. That’s why experts recommend waiting at least 2 weeks.

Question: Does microneedling remove Botox?

Answer: No, microneedling affects only the surface of the skin, while Botox works deeper in the muscles.

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