What Are the Post Treatment Instructions After Botox?

Doctor Answers 16

Botox post-injection instruction

I normally tell my patients to:
1)  Avoid alcohol for a day
2)  Avoid strenuous activity for a day
3)  Avoid blood thinning medications if possible for a day

If you do bruise, I would continue to avoid the above until you no longer feel the bruise is getting worse.

I also tell my patients to avoid blood thinning medications if possible for a week before the treatment.

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Instructions After Botox

We normally advise patients not to lay down for 4 hours after treatment (no bending forward either), no vigorous activity/exercise for 12 hours, and no rubbing, massaging or pressure on the treated areas for the first day. By following these rules, patients can help prevent the product from migrating outside of the injected area.

Botox post treatment instructions

Some swelling, redness, discomfort and bruising can appear in the days after your treatment. These go away in a couple of days to a week or so. You should not touch your face in the area treated right afterward and refrain from vigorous physical activity as this can contribute to swelling/bruising. Don't smoke or take any blood thinners. You can go back to a desk job right after your treatment.

Rules and Instructions after Botox (or Dysport) Treatment

The Rules after Botox:
  1. No massaging or manipulating the area directly and no facials or lying face down on a massage table for at least one week.
  2. No lying down flat for four hours.
  3. No exercise at all the same day after treatment.
  4. No aggressive exercise for 24 hours.
  5. Ideally no flying on a plane within 24 hours.
  6. Call immediately if you are worried about anything. Don't hesitate.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.5 out of 5 stars 41 reviews

What Are the Post Treatment Instructions After Botox?


I tell my patients that I would like the BOTOX to stay in the area where it is meant to stay and to avoid all activities that can force Botox to migrate from the area and decrease the effect. Botox is attached to the receptors by 24 hours.
So the post botox instructions are
1. Do not rub the area, lie on the area ( face down) for 24 hours.
2. No strenuous activity or saunas for 24 hours.

Post treatment instructions after Botox

 Post treatment instructions after  Botox Injections include not massaging the area and not laying flat for the first 4 hours after the procedure. Make-up can be applied immediately after the procedure to camouflage any swelling or bruising that  is present.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 62 reviews

Lots of recommendations...all vary...none really important...

each doctor has his/her own specific instruction...and none are the same...and all of the outcomes are basically the same...once the botox has been injected...correctly...then you can pretty much do what you want...in general not a bad idea to wait a few moments before you lie down or wear a hat over the treated area, but aside from that...relax...the botox very rapidly gets into the tissues...and as a result all of the advice is just left over from whoever trained your doctor...we've learned a lot over the past many years...and now we know by the time you get home or to the gym...you're okay...

Ken Landow, MD
Las Vegas Dermatologist
4.5 out of 5 stars 9 reviews

Botox post treatment instructions

Our office instructs patients:  No lying down for one hour.  No constrictive head gear, (tight baseball hats, etc;).  No working out that day.  The patient knows that they are welcome to call at any time with any questions.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

What Are the Post Treatment Instructions After Botox?

The main instruction I give is to not massage the area.  I don’t think that lying down is considered a problem anymore. Some physicians will have their patients move the injected muscles to attempt to hasten the action of the Botox.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
5.0 out of 5 stars 6 reviews

Post Treatment Instructions After Botox

Common sense is the best postoperative care for botox treatments. Also, avoid massage or manipulation of the injected sites unless specifically directed by the injector.  

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.