Microneedling After Filler – Enhancing Skin Rejuvenation

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Microneedling after filler is a strategic approach to enhance skin rejuvenation and maximize the results of cosmetic treatments. While both procedures individually offer benefits—fillers for volume restoration and microneedling for improved skin texture and collagen production—timing and care are essential to avoid complications.

Understanding the benefits and potential risks is crucial, as is sticking to recommended guidelines, such as a typical two-week waiting period between the procedures, to achieve the desired aesthetic outcome with minimal side effects.

Recommended Treatment Schedule for Filler and Microneedling

Secure and optimized results from combining dermal fillers with microneedling are achievable with a carefully planned treatment schedule that prioritizes safety and efficacy.

Waiting Period Between Procedures

Two-Week Interval for Optimal Results and Safety: A two-week waiting period between receiving fillers and undergoing microneedling is generally advised for ensuring optimal results and safety. This gap allows the dermal fillers to integrate fully with the facial tissues, stabilize, and any swelling or bruising from the injection sites to resolve. Expert recommendations consider this interval crucial for preventing any unwanted interference with the filler’s placement and performance. Tissues need time to recover, and rushing the second procedure could not only compromise the filler’s aesthetic but also might increase discomfort or lead to more profound bruising. A calibrated approach reserving a two-week gap sets the stage for a safer procedure and maximizes the accumulated benefits of both treatments.

Allowing Filler to Settle and Side Effects to Subside: Respect for the body’s healing process and the dynamics of dermal fillers is essential. After the initial injection, fillers undergo a settling period where they begin to bind with the tissue and water within the skin. During this time, minor side effects such as swelling and tenderness may be present. By allowing time for the filler to stabilize and for any inflammatory reaction to subside, subsequent microneedling procedures can proceed without disturbing the carefully sculpted contours achieved with fillers. A settled filler ensures that the punctures from microneedling will not alter the filler’s positioning or contours, maintaining the integrity and outcomes of both treatments.

Microneedling Before Filler Injections

Possibility of Same-Day Treatment: While traditionally fillers and microneedling are spaced out, certain scenarios may allow for same-day treatment. If microneedling is performed first, this can often be followed by filler injections on the same day, depending on the patient’s skin response to the initial procedure and absence of significant inflammation. Healthcare providers might consider such an option under the right clinical circumstances, ensuring patient comfort and safety are not compromised. This approach, however, requires a precise assessment of how the skin has reacted to microneedling; it should display no acute signs of inflammation or trauma to proceed with fillers. Still, the majority of practitioners err on the side of caution, preferring to allow a healing interval for the patient’s utmost well-being and the best cosmetic outcome.

Increased Discomfort and Risk of Unsatisfactory Filler Results: Conducting microneedling shortly before or after filler injections may increase patient discomfort. The skin, potentially sensitive from recent injections, could respond poorly to further aggravation, intensifying sensations of pain and discomfort. Furthermore, engaging in microneedling before the filler has settled might disturb its distribution, compromising the smooth, even result intended. Unsatisfactory filler results also stem from the heightened inflammatory response when treatments overlap too closely, affecting the skin’s texture and the filler’s final appearance. Optimal schedules and careful procedural planning are thus vital in reducing these risks and maintaining client comfort, ensuring the aesthetic objectives of both microneedling and fillers are met without adverse effects.

Maximizing Results with Combined Filler and Microneedling Treatments

The strategic combination of filler injections and microneedling can unlock synergistic effects, leading to a more complex approach to facial rejuvenation.

Instant Volume Restoration with Dermal Fillers

Dermal fillers are renowned for their ability to provide immediate correction to areas of volume loss and to create enhancement in facial contouring. Composed primarily of hyaluronic acid, these injectables work by attracting and retaining water within the skin, thus plumping and smoothing targeted regions effectively. This results not only in the softening of wrinkles and folds but also in a restoration of youthful facial proportions, often diminished with age. Fillers can produce striking improvements in areas such as the cheeks, lips, and jawline, offering instant gratification with minimal downtime. As part of a combined treatment protocol with microneedling, fillers lay the groundwork for volume while subsequent collagen induction can amplify and sustain the skin’s youthful characteristics over time.

Gradual Skin Improvement and Collagen Boost from Microneedling

Microneedling, unlike the immediate effects of fillers, solicits a gradual enhancement of the skin’s quality over time. As a collagen induction therapy, it promotes the natural repair process, leading to the development of new collagen and elastin fibers. This enhancement in skin texture and strength becomes apparent in the weeks following treatment, as the dermis rejuvenates from within. With a series of sessions, improvements compound, revealing smoother, firmer, and more radiant skin. The treatment is particularly adept at addressing fine lines, acne scars, enlarged pores, and overall skin dullness. When paired with fillers, the volumetric benefits are complemented by the remodeling of the skin’s surface, constructing a dual approach to age management.

Customized Treatment Plans Adapted to Individual Needs

Adapting treatment plans according to individual skin concerns and aesthetic goals is a cornerstone of delivering successful outcomes with combined filler and microneedling treatments. Effective customization involves a thorough assessment of skin type, degree of aging, areas of volume loss, and the presence of textural irregularities. An experienced practitioner will consider these variables to determine the ideal type and placement of fillers, the appropriate depth and intensity of microneedling, and the optimal schedule for performing these treatments. By taking a patient-centric approach, treatments can be adapted to yield the most beneficial results, ensuring that each person’s unique facial structure and skin condition are addressed with precision and care.

Frequently Asked Questions

Can microneedling ruin the effects of dermal fillers?

Microneedling won't ruin the effects of fillers if done after the fillers have settled properly. However, if performed too early, there's a risk it could disrupt the placement of the filler.

Is it safe to have RF microneedling if I have fillers?

RF microneedling can be safe if you have fillers, but only after a suitable waiting period to ensure the fillers have integrated into the tissue.

How long should I wait between filler injections and microneedling?

Professionals typically recommend waiting at least two weeks between getting filler injections and undergoing microneedling.

Can I have microneedling and fillers done on the same day?

Microneedling and fillers can sometimes be done on the same day, with microneedling performed first, yet many practitioners advise spacing the treatments.

What are the benefits of combining microneedling with dermal fillers?

Combining the two procedures can provide enhanced skin texture and quality, prolonged results, and a more complete approach to anti-aging.

Are there any risks associated with having microneedling after fillers?

The main risks include increased swelling, bruising, and the potential for fillers to migrate if microneedling is performed too soon after fillers are injected.

Will microneedling cause my fillers to migrate or spread?

If performed too soon after fillers are administered, microneedling may cause them to migrate or spread; timing is essential to prevent this.


Combining microneedling with dermal fillers offers a complex approach to facial rejuvenation, addressing volume loss and skin texture in tandem for a more youthful appearance. While each treatment presents distinct advantages, their integration should be carefully timed and administered by a skilled professional. A considered approach, respecting the body's healing processes and the complexity of these treatments, ensures desirable results with minimized risks, underscoring the importance of personalized treatment plans for aesthetic enhancement.

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Wang, J. V., Valiga, A., Albornoz, C. A., & Geronemus, R. G. (2021). Safety of combining cosmetic injectables with radiofrequency microneedling: A 4.5-year review.

Heydenrych, I., De Boulle, K., Kapoor, K. M., & Bertossi, D. (2021). The 10-Point Plan 2021: Updated Concepts for Improved Procedural Safety During Facial Filler Treatments.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.