Can you use an at home dermaroller after Botox?

Question

I used mine before bed a week after forehead injections and am now worried it could have an adverse affect. Thanks!

Mitchel Goldman, MD · Answer

Using a roller at home will not affect your Botox, but it will affect the rest of your skin.  We never recommend using a derma roller at home due to the damage that it inherently causes.  There are many better treatment options that are best left in the hands of a professional.  I recommend scheduling a consultation with a board-certified cosmetic dermatologist who is an expert in facial rejuvenation, and asking about microneedling treatments, and potentially microneedling with PRP.  In my practice we have over 45 lasers that we use in combination with microneedling and Botox to customize treatment plans for the unique needs and goals of each of our patients.

Sacha Obaid, MD · Answer

Hello, thank you for your question. Immediately after a botox treatment, you should not massage the area for 24 hours. This includes dermal rolling. After the 24 hour mark, you can resume skin care as usual. I hope this helps!

Camille Cash, MD · Answer

Using a dermaroller one week after your Botox treatment should not impact your results.  I would however recommend seeing a professional for microneedling treatments.  It is important that the tool is used correctly to avoid any unintended damage to the skin.

Anshul Gambhir, MD · Answer

Every office has different recommendations after Botox injections. Our office recommends no exercise, no laying flat, and no heavy massage to the areas 2 hours after the injections as technically the medication can migrate. After 2 hours though you should be able to use whatever products you wish.

Carmen A. Traywick, MD, FAAD · Answer

Thank you for your question. It would best to wait 24 hours before doing any treatments or massages. Hope this helps.

Tonya Boudreaux, MD · Answer

Hi Lynn1989,
A dermaroller will not effect your botox. However, a dermaroller is never recommended as the needles rip the skin as they exit. We have treated many patients with scarring from their dermarollers. A better treatment option for you would be microneedling + PRP. Microneedling will helps with tightening, smoothing, scarring,  pigmentation,and induces collagen production.
Hope this helps!

Alex Eshaghian, MD, PhD · Answer

Thank you for your question lynn1989. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.
It is difficult to make an assessment without a formal exam in the office where I can view the skin in multiple angles and observe wrinkles formed with facial expression. However, I hope the information provided here is useful.The safety record of Botox is well established. The product has been used for over 20 years for a variety of treatments with minimal side effects. Botox is amongst the safest treatments for treating facial wrinkles.
  
While Botox is one of the safest treatments offered, there are some situations where it is not appropriate. These include anyone who has an allergy to any of the inactive ingredients or who has had an allergic reaction to any botulinum product including Botox, Dysport, Xeomin, or Myobloc. The safety and efficacy of Botox has not been established in women who are pregnant, trying to become pregnant, or breast feeding. Therefore, women in these categories are advised to wait until breast feeding is completed prior to having a Botox treatment. Botox should not be placed in the skin on the site of an infection. Those who are taking an aminoglycoside antibiotic, an anesthetic, D-penicillamine, antimalarials, or immunosuppressants should not be treated, nor should those who have undergone chemotherapy within the previous six months. It is important to avoid blood thinners before and after a treatment. These include both prescription and non-prescription medications such as warfarin (coumadin), aspirin, ibuprofen, alcohol, fish oil, vitamin E, and ginko biloba. Those with conditions that affect muscles and nerves such as amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome should not undergo Botox treatments.If I had a patient with the concern described here I would say that using an at-home dermaroller would be safe 24 hours after a Botox treatment and to follow the aftercare instructions described below.
With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.
After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.
  
Please consult with a doctor for specific recommendations. Good luck!

Mitchell Schwartz, MD - Account Suspended · Answer

It's best to wait for 24 hours after your Botox treatment, so you should be fine.However, rollers such as the Dermaroller create an erratic pattern of "tears" through the skin rather than the clean, more evenly distributed punctures seen with the hand-held vertical stamping tools or the motorized microneedling machines. These tears lead to greater inflammation, higher risk for post-inflammatory hyperpigmentation, and less absorption of topically applied serums during the treatment.

Robert T. Buchanan, MD (retired) · Answer

Dermarollers, or something that really works (home rollers usually do more harm than good) to stimulate collagen like tretinoin (Retin-A) are an excellent adjunct to Botox. The wrinkles are caused by overactive muscles and thinning dermis (the support layer of skin). Therefore, reducing the muscle action and thickening the dermis are complementary. By the way, there are only 2 things you should avoid after botox. One is pushing, pulling, lifting or anything strenuous that could raise your blood or venous pressure and cause bruising for the first 6-12 hours. The other is rubbing toward the eye if Botox has been injected just above the eyebrow for the first few days to a week, as it could move the Botox through the passage of the supraorbital artery and nerve through the fascia separating the forehead from the eyelid allowing the botox to cause a droopy eyelid.

Kristine Brecht, MD (license suspended) · Answer

Dear CALIFORNIA,You are ok.Keep Treatments in the face after Botox separates by a day.Best. Dr Brecht

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