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Is Microneedling After Botox Above Eyes Safe?

Botox and microneedling are two of the most popular anti-aging treatments because they effectively reduce the appearance of fine lines and facial wrinkles without needing surgery. Instead of picking one over the other, many clients and providers combine the two procedures to resolve more skin problems.

But is it safe to undergo microneedling treatment after getting Botox above the eyes? Combining microneedling and Botox is often done together to achieve optimal results for each client. It’s safe as long as the client waits for two weeks after the Botox treatment so that the injectable has already “settled” in the treatment area before the microneedling procedure.

Erase Your Fine Lines and Wrinkles Today

Botox has never been easier than it is today, and with Evolve Med Spa, we can inject away your signs of aging in no time.

Should You Combine Microneedling and Botox for Upper Facial Lines?

There are plenty of factors that contribute to how a person’s face changes as they age. While some of them are external factors, the biggest reasons are the changes that the muscle under the skin goes through and the body’s lack of collagen and elastin.

Treatments like Botox and microneedling work well because they target the root cause of the different signs of aging. They’re listed among the most popular minimally invasive cosmetic procedures of 2020 with Botox taking the top spot at 4,401, 536 procedures in the US alone.

Botox Facial, or the procedure where Botox and microneedling are combined, was developed because both treatments use needles to effectively reduce the appearance of facial lines. To understand how the two procedures work together, it’s important to see how they work individually first.

Treating Facial Lines with Botox Only

A Botox provider draws white dots on a client's forehead

A Botox injection is derived from botulinum toxin type A. It’s the neurotoxin that works by paralyzing the muscles underneath the skin. Botox is a safe anti aging treatment with little to no risks because it only utilizes a diluted form of the neurotoxin to relax the facial muscle which causes dynamic wrinkles like frown lines, crow’s feet, and forehead lines to form.

Although they’re both made to eliminate facial wrinkles, Botox works differently from a dermal filler – an injectable treatment that utilizes hyaluronic acid. A Botox cosmetic treatment can’t “fill” the facial volume like fillers do, so it won’t smoothen the wrinkle in that treatment area. Aside from reducing the appearance of facial wrinkles, Botox is also used for medical conditions like migraines, excessive sweating, and different muscular disorders.

Treating Facial Lines with Microneedling Only

Microneedling is a minimally invasive cosmetic treatment that works by creating micro incisions on the skin to stimulate the body’s collagen production. This procedure is usually done to reduce the appearance of wrinkles, stretch marks, and facial scars.

Collagen and elastin are important proteins found in the connective tissues that are responsible for keeping the skin firm, plump, and elastic. Collagen also closes wounds by replacing the damaged cells with stronger tissues. Without enough elastin and collagen in the body, people develop loose skin.

A microneedling procedure is performed by advanced practice medical providers. A special device covered in tiny needles is run over the treatment areas like the forehead, upper lip, tear trough, glabella, and more. This triggers the body to produce more collagen and elastin to fix the tiny wounds, improving the appearance and texture of the skin.

The Best Time to Combine Both Botox and Microneedling for Facial Lines

While Botox and microneedling both treat many signs of aging, these two procedures have different ways of working on the treatment areas. Microneedling strengthens the lower layers of the skin and Botox relaxes the frontal is muscle.

Find out if combining these treatments is the right procedure for you by consulting with a trusted esthetician or cosmetic medical provider.

Why It’s Important to Wait After Botox Before Trying Microneedling

Since Botox and microneedling are both non-surgical procedures, it’s safe to get both treatments done in the same treatment areas on the same day. However, waiting until the neurotoxin has already “settled” helps clients achieve better results because there’s less chance of bleeding and bruising on the skin. Waiting for several days also prevents the Botox injection from traveling into other parts of the face and causing serious complications.

How Does Combined Microneedling and Botox Work?

Instead of allowing the Botox injection to settle and waiting for a few days, another option for clients is to get both procedures done in one appointment. Here’s how it works:

  1. The provider cleanses the skin first before applying a numbing cream to the treatment area. It typically takes 30 minutes for the anesthetic to take effect.
  2. The microneedling device is rolled across the treatment area to create micro-injuries. The device is medical-grade pen-like tool.
  3. After the microneedling is complete, the provider can then administer Botox to the client.

The Benefits and Risks of Combining Microneedling with Botox

Microneedling is done on the customer's face

Microneedling is already a versatile and powerful anti-aging procedure by itself because it works on different skin problems including acne scars, hyperpigmentation, and facial wrinkles. Combining it with Botox injections enhances its results. 

If you’re considering taking both treatments to reduce glabellar lines and forehead wrinkles, here’s a list of benefits and possible risks to help you make an informed decision:


  • There’s only little to no downtime to worry about.
  • The results can become visible after just a few days.
  • The skin is much tighter with little to no wrinkles.
  • The procedure also works on other existing facial or skin problems like scars, dark circles under the eyes, large pores and hyperpigmentation.

Possible Risks and Side Effects

  • Patients might experience bruising, swelling, bleeding, redness, and mild pain on the treatment site, but the symptoms usually go away after a few days.
  • Immediately after the microneedling service, clients may look red and “sunburned”. This generally subsides over the next couple of days.
  • Procedures that involve Botox put clients at risk of facial asymmetries like a droopy eyelid and uneven eyebrow.
  • Flaking of the skin is also normal right after the procedure, but the skin returns to normal after a few days.

The best way to prevent these risks is to find an experienced provider to perform the procedure. There are DIY microneedling kits available in the market which might be tempting if you’re worried about paying hundreds of dollars for a treatment. However, medical professionals know what they’re doing with every procedure, which allows them to minimize the risk of different complications.

It’s also important to remember that Botox results aren’t permanent. Most clients are advised to return every few months for additional Botox injections. This helps them maintain a younger-looking appearance for longer.

Are You an Ideal Candidate for Combined Microneedling and Botox?

Combining microneedling and Botox great for anyone who wants to reduce the appearance of wrinkles and improve skin tone. It also produces natural-looking results for clients who are afraid of looking “frozen.”

However, this treatment isn’t a good option for:

  • Women who are pregnant or nursing.
  • Patients who have wounds or active infection in the problem areas.
  • People with a history of keloid scars.
  • People who went through radiation treatment within the past year.

Look A Few Years Younger with Facial Treatments at Evolve Med Spa

Want to take a few years off your face? At Evolve Med Spa, we offer different non-surgical treatments like microneedling, Botox, chemical peel, and more to help clients achieve a younger-looking appearance. Our highly trained staff are always ready to assist clients with the procedure so that they get the best results and a great medspa experience.

Find out if combined Botox and microneedling treatments are the best options for you by consulting with our top cosmetic experts today. Visit our website now to learn more about our clinic and top-notch services.

Erase Your Fine Lines and Wrinkles Today

Botox has never been easier than it is today, and with Evolve Med Spa, we can inject away your signs of aging in no time.

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