Can I Combine Botox with Microneedling? The Ultimate Anti‑Aging Duo

That’s the promise of pairing microneedling with Botox®: two powerhouse procedures that, when timed correctly, deliver smoother skin, tighter pores, and an unmistakable glow.

What is Microneedling and Botox?

Microneedling—sometimes called collagen‑induction therapy—we use the most advanced technology: Morpheus8, which uses the finest needles to remodel, contour, and sculpt your face. The technology can also reduce wrinkles and rebuild collagen with fractionated RF Energy.

1. Surface & Dermis: Collagen loss, texture issues, enlarged pores
2. Underlying Muscles: Repeated expressions etch dynamic wrinkles

Botox (botulinum toxin type A) temporarily blocks nerve impulses so specific facial muscles can’t contract. When the muscle rests, the overlying skin un‑creases. Typical targets: crow’s‑feet, forehead lines, and the “11s” between the brows.

• Fast facts
  • Results start in 3–5 days
  • Peak smoothing at 2 weeks
  • Longevity: 3–4 months on average

Check out our before‑and‑after photos.

Why Combine Microneedling with Botox?

Think of skin aging as a two‑layer problem:

1. Surface & Dermis: Collagen loss, texture issues, enlarged pores
2. Underlying Muscles: Repeated expressions etch dynamic wrinkles

Microneedling rebuilds collagen in the dermis, while Botox calms the muscles beneath. Together they tackle both layers for comprehensive rejuvenation.

Clinical studies show combining collagen‑stimulating treatments with neuromodulators enhances overall satisfaction scores compared to either technique alone.

Results Timeline: What to Expect Month by Month

Timing Is Everything: The Ideal Sequence

Option A: Botox First, Microneedling Two Weeks Later

• Why it works: Botox reaches peak effect at 14 days, stabilizing muscle movement. Microneedling then treats the relaxed canvas, minimizing shearing forces on fresh collagen.

Option B: Microneedling First, Botox 7–10 Days Later

• Why it works: If texture concerns are primary, create micro‑channels first. Once initial redness subsides, inject Botox to lock in a smoother expression pattern.

Real Patient Journey (Case Study)

Dana - Dr. Shoe is amazing. I came to her to finish up bonding after braces were removed as well as Botox and fillers for the very first time. I was on a tight timeframe due to my son’s upcoming wedding. Dr. Shoe and the entire staff worked to get me all set in plenty of time and the results across the board are fantastic.

1. Week 0: Botox to forehead, glabella, and crow’s‑feet.
2. Week 2: Microneedling session focusing on cheeks and chin.
3. Week 6: Second microneedling pass; wrinkles still held by Botox.
4. Week 12: Final skin‑polishing facial + touch‑up Botox.

Outcome: Makeup‑free photos on her big day—and compliments long after the weeding.

Ready to Experience the Ultimate Duo?

Combining microneedling with Botox is like upgrading from HD to 4K for your skin. You’ll enjoy smoother lines and plumper texture with minimal interruption to your busy life.

• Step 1: Book a personalized consultation online.
• Step 2: Receive a custom treatment map tailored to your timelines and skin needs.
• Step 3: Enjoy polished, youthful skin—long after the selfie lights fade.

Click to request your appointment or call (717) 316‑0733 and let the Facial32 team craft your anti‑aging masterpiece.