We do not recommend Botox treatments until at least 1-2 weeks after microneedling treatments. I would use caution doing home microneedling treatments. It can cause serious complications if not done by a professional.I hope this helps.
This is tough to answer without pictures, but it can take a series of treatments to get improvement. I recommend following up with a cosmetic dermatologist for recommendations for after care and skin care. With microneedling, I always combine prp and lasers to get the most robust results. See ...
In short, generally, although there are a few conditions where this may or may not be the case. In patients with Lupus or Vitiligo, the treatment could result in lesions or other unwanted effects. If you have one of these conditions, it is best to let your surgeon know beforehand.