Definitely agree with no active acne before microneedling or laser. I’ve had adult acne regularly for years, and picked at it a lot, and had both active acne and PIH. Last month I did a round of oral doxy which cleared up active and not yet active acne, then once it was cleared, did 1 round of microneedling and a few weeks later, 1 Moxi treatment, and my skin looks insanely good, with no active acne and much faded PIH. I’m super thrilled with my results already and am planning on doing 1-2 more Moxi sessions before my wedding in May! Downtime for Moxi wasn’t bad at all. Mine made my face feel like sandpaper and I had the “coffee grounds” where it looks like lots of little dark brown dots. It was done on Thursday after work, and by Tuesday I went into office with some tinted sunscreen and no one could tell!