Will using a derma roller affect Botox results?

Question

I have been reading online that derma rollers are safe to use 14 days after Botox treatments, but I also read it can reverse the effects of Botox. Is a doctor able to clarify? Thank you!

Anna Petropoulos, MD, FRCS · Answer

Hello and thank you for your question! It is always a good idea to double check before combining any treatments. In short, no, derma rolling won’t reverse the effects of Botox once it’s fully settled (typically after 10–14 days).

But here’s the nuance:

If you derma roll too soon after Botox—within the first few days—there’s a small risk of moving the Botox from where it was injected. This could reduce its effectiveness or cause it to spread to unintended areas, leading to uneven results. Once Botox has bound to the muscle, which usually happens within 2 weeks, it’s very unlikely that rolling or microneedling will interfere with it.So, it’s not that derma rolling “reverses” Botox, but if done too early, it could interfere with how well it works.

To be safe, wait at least 10–14 days after your injections before derma rolling, use gentle pressure, and avoid areas that were heavily treated if you’re unsure.

If you’re ever in doubt, your injector can confirm exactly when it’s okay for your specific treatment.

I hope this helped!

Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS 
Center for Classic Beauty
Danvers & Boston, MA

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for your question regarding the use of derma rollers after Botox treatments.

Generally, it is advised to wait at least 14 days after receiving Botox injections before using a derma roller. This waiting period allows the Botox to fully settle into the targeted muscles without any interference. Using a derma roller too soon after Botox injections could potentially disrupt the distribution of the Botox and diminish its effectiveness.

However, after the 14-day period, using a derma roller should not reverse or negatively affect the results of your Botox treatment. It is always best to consult with your dermatologist or healthcare provider before starting any new skincare routine, especially after cosmetic procedures.

I hope this helps clarify your concerns. If you have any further questions, please feel free to reach out.

Will using a derma roller affect Botox results?

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Will using a derma roller affect Botox results?

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