Can I have a chemical peel or Microderm before Botox?

I advise my patients to have the injections of wrinkle blockers (botox, xeomin, dysport)about 1-2 weeks prior to surgery and at least a few days before peels or microdermabrasion or hydra or silk peel facials.  This to avoid unwanted over dissemination of the wrinkle blocker that could cause unwanted effects.  If done at the same time as other procedures it possible that the botulinum could move where not desired and potential for adverse over uptake of the peel and/or infection risks if there are still injection holes present from just injecting.  

That's a great question. It's not a good idea. The problem is that while unlikely, if there is an issue with the procedure it will be hard to determine which procedure is the culprit and so it becomes harder to treat and address the issue for future treatment. 

Sure. Just make sure they clean the injection site before The Botox.
Best. Dr Brecht 
Seattle, Wa

Microdermabrasion is advisable prior to Botox because it cleans and exfoliates the skin leaving a fresh surface for injectables. Chemical peels should not be combined with injectable because of risk of infection or reaction if done together. Best of luck.