I have a history of keloid scars - Is microneedling safe for me?

I am REALLY wanting to get microneedling done in advance of my wedding about a year away. I know I need multiple sessions. I have developed keloid scars twice, on my stomach and under my breasts, both from “major” surgeries.” I’ve read that people with keloid history should not do microneedling, but how is this any different from Botox or filler? I’ve had Botox and filler many times in my face with no issues. Also ear piercings with no issues. Would love to hear the opinion from a medical professional about this.