Breaking out horribly weeks after microneedling? 2 weeks post op, is this normal?

Acne breakouts can certainly occur or worsen after microneedling treatment.  However, it's unusual that it's still occurring two weeks after the treatment.  For patients with known problems with acne I usually consider using some type of acne treatment before microneedling, usually with antibiotics.  I  definitely try to avoid treating through areas of skin actively affected at the time.  I would consider some type of acne treatment (there are many different options available) at least in the short term.

I recommend following up with a cosmetic dermatologist for after care. For best results with microneedling, we combine with lasers like fraxel, Clear+Brilliant, C02, or Erbium to get improved collagen. We suggest all patients follow up with facials like Silk Peel Dermalinfusion to hydrate, exfoliate and provide the skin with antioxidants. Sun protection is also essential. See an expert. Best, Dr. Emer