How long do I have to wait to get microneedling after Botox & Fillers?

Question

How long do you have to wait after getting botox or fillers to do a microneedling treatment in order to avoid diluting the fillers?

Jason Emer, MD · Answer

In our practice we do botox, fillers and microneedling on the same day -- no need to wait.

For facial rejuvenation I would suggest a combination approach of :
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel, Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @AriaLA. I recommend waiting 1 week after injectables to receive a microneedling treatment. Best of luck, Dr. Nima!

Tonya Boudreaux, MD · Answer

Hello AriaLA, 
Microneedling will not dilute fillers. It is recommended to wait 5-7 days after being injected with fillers and/or botox to do your microneedling. A treatment can be done sooner but you want to allow enough time for the product to settle and 5-7 days is a adequate amount of time. PRP is recommended with all microneedling treatments.
Enjoy your treatment!

Vibha Gambhir, MD · Answer

Hello and thank you for your question.  If you chose to do microneedling first , Wait about 3-4 days after for your filler.  If filler is injected first, wait at least 1 week to do your microneedling, this will give the filler a chance to "settle" and swelling should be gone by then.  Fillers and microneedling can be done on the same day but if you can do them separately I feel that is the best way to go.  Hope this helps, good luck on your journey!!!

Mitchell Schwartz, MD - Account Suspended · Answer

There is no harm in having microneedling and fillers on the same day, but because of the anticipated swelling and potential bruising from filler injections, I usually suggest waiting a few days between treatments.I often combine filler treatments with micro-needling as a “global approach” to facial rejuvenation.

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