I like to have my patients hold on the Tetrinoin 2-3 days prior to microneedling because the skin might be more sensitive, but Tetrinoin will not interfere with the microneedling results.
An aesthetician is licensed to treat patients with a microneedling device. A dermatologist or a plastic surgeon do perform microneedling treatment in their practices but do not perform them an Aesthetician would perform the treatment.
Impossible for a constructive comment, as we did not know how the procedure was performed, needle depth, passes, and the type of acne scars targeted. Microneedling is a general not targeted form of scar revision. In context of Accutane, it is safe (JAMA journal 2017, ASDS consensus) however ...