Botox

Post-Care Guide

Outline drawing of a wine glass with red wine inside.

Avoid consuming alcohol for at least 24 hrs after your procedure

Outline of a pill bottle with a medication label featuring a plus symbol.

Avoid taking Aspirin, ibuprofen, and other blood-thinning medications for 24 hrs after procedure

Line drawing of a woman's face with bold features and stylized eyebrows.

Mild pain is normal. Use Tylenol if needed as directed on the bottle

Outline of a hand with the index finger tapping, and lines indicating a click or touch action.

Avoid rubbing or massage the treated area to prevent migration of Botox

Line drawing of a person holding their head with both hands, surrounded by zigzag lines and Z's indicating headache or stress.

Mild headaches or feeling heaviness is normal in the treated area

A melting ice cube with liquid pooling around it.

Bruising may last for 7-10 days. To reduce bruising, ice area of concern for 10 min on/off, 3 times a day

Line drawing of a person sitting with arms crossed

Redness/itching may happen. Use Benadryl if needed. Call if it worsens or spreads

Line drawing of a hospital bed with pillow and blanket.

Avoid lying flat for 4 hours after treatment

More detailed AfterCare read below

FIRST 0–4 HOURS (CRITICAL PERIOD)

Do

Stay upright

  • Keep your head above heart level.

  • Sit, stand, or walk; lying down can increase migration risk.

Move the treated muscles

  • Frown, raise your eyebrows, squint, or smile (whichever areas were treated).

  • Do these gently for 5–10 minutes every hour.

  • This helps Botox bind to the correct muscles more efficiently.

Avoid

  • Do NOT lie down

  • No bending forward (e.g., tying shoes, yoga poses)

  • No massaging, rubbing, or applying pressure

    • Don’t touch brows or forehead

    • Avoid face-down positions

  • No hats, headbands, or tight caps (they can press the forehead)

4–24 HOURS (DAY 0)

Do

Keep the area clean

  • Gentle cleansing is fine, but no scrubbing.

Stay upright

  • Still recommended for the first 6 hours.

Use a cold compress if needed

  • If you have swelling or discomfort, apply cool compress gently over the injected area’s surroundings, not directly pressing on injection points.

Light activities are fine

  • Walking, light housework, going about your day.

Avoid

  • No exercise (24 hours)

    • Increased circulation can disperse the product.

  • No saunas, steam rooms, or hot yoga

  • No alcohol

    • Increases bruising risk.

  • No facials, face massages, microneedling, dermaplaning, or gua sha

    • Avoid for 48–72 hours minimum.

  • No makeup for 4–6 hours

    • Avoid pressing or blending heavily over injection sites.

  • No sleeping face-down

    • Sleep on your back with head elevated the first night.

DAY 1–3

What you may notice:

  • Small bumps or tiny injection dots (usually gone within hours)

  • Mild tenderness

  • Possible slight headache or tightness

  • Rare: mild bruising

All normal.

Do

  • Resume normal cleansing and skincare.

  • Apply arnica gel or use bromelain supplements if bruising.

  • Gentle makeup application is fine.

Avoid

  • No aggressive treatments for 48–72 hours:

    • Chemical peels

    • Microdermabrasion

    • Facial massage

    • LED masks with heat

    • Laser treatments

  • Avoid heavy sweating for 48 hours if possible.

DAY 4–7

What happens now:

  • Botox begins to activate.

  • You may notice softening of lines, reduced movement, or unevenness as it settles.

❌ Avoid:

  • Any procedures that apply pressure to the treated area for 1 week:

    • Deep tissue facial massage

    • Chiropractor neck adjustments involving face-down pressure

    • Tight helmets or goggles across brows

2 WEEKS (FULL RESULTS)

  • Botox typically reaches peak effect at 10–14 days.

  • If any area requires adjusting or topping up, most providers evaluate at this point.

  • This is the ideal time for a follow-up appointment.

When to Contact Your Injector

Seek help if you experience:

  • Persistent or severe headache

  • Drooping eyelid or brow (ptosis)

  • Difficulty swallowing or speaking

  • Asymmetry that worsens after 14 days

  • Rash or signs of allergic reaction

  • Hard lumps or prolonged swelling

These are uncommon but need assessment.