What Are the Post Treatment Instructions After Botox?

Doctor Answers (13)

Avoid Massage & Manipulation Following Botox Injections

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                  The post treatment instructions following botox injections are designed to minimize migration of botox.  When botox migrates to surrounding structures, complications can occur including droopy eyelids.  In an effort to avoid these complications a series of steps should be taken to avoid displacement of botox.

                  In most cases providers recommend avoiding massage or manipulation of the injected areas because this might cause migration of botox.  In contrast many providers advise actively contracting these muscles to accelerate the onset of the response to botox.  In addition many providers recommend avoiding strenuous exercise for at least 24 hours following injection.  Exercise can increase blood flow and theoretically decrease the effect of botox.  Some providers recommend not lying down for at least four hours following botox injections.  This recommendation is somewhat controversial and not recommended by all providers. 

                  Recommendations in the post treatment phase vary from provider to provider.  It’s important to individualize treatment based on the patient’s specific needs.  


Omaha Plastic Surgeon
5.0 out of 5 stars 74 reviews

Rules and Instructions after Botox (or Dysport) Treatment

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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
5.0 out of 5 stars 39 reviews

What Are the Post Treatment Instructions After Botox?

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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.

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 26 reviews

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Post treatment instructions after Botox

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 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 55 reviews

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

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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
5.0 out of 5 stars 7 reviews

Botox post treatment instructions

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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 7 reviews

What Are the Post Treatment Instructions After Botox?

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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 4 reviews

Post Treatment Instructions After Botox

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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 15 reviews

Post treatment for Botox

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In the first hour after Botox injections, I recommend that my patients repeatedly move the effected muscles. Do not manually manipulate the face and refrain from lying down in the first 90 minutes after the procedure.

Arnold W. Klein, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Move Muscles, Do not Message, and Do Not bend over

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I instruct my patients to the injected muscles that caused the wrinkles every ten minutes for two hours. This is in hopes of diffusing the Botox into those muscles. I too advise my patients not to message the treated areas since conceilvably this could propel the Botox into areas it was not intended.

I also tell patients not to bend over, shoe shop, tie their shoes, bowl etc. until bed time. The rationale is that the Botox might migrate to the Levator Palpebrae muscle and give a lid drop. An article in Skin Med in Their Myths and Misconceptions section averred that this advice was of no value. However, perhaps, out of force of habit, I still list this in my post-Botox instructions.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
5.0 out of 5 stars 7 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.