After Botox, when Can I Touch the Treated Area?

Two general thoughts, since you have a fairly clear answer that suggests four hours without massage to the area.
One, light treatment to the skin surface should be fine. Skin care, moisturizing, and make up are all supported in my practice right away. Logically I just can't see how a gentle surface treatment would disrupt botox behavior properly placed in the muscular layer below.
Two, the four hours is also a completely random, unstudied duration. It began because the maker of Botox, Allergan, initially made that suggestion. So even though most docs will quote that four hour window for aggressive massage or significant physical exertion, they are really towing the Allergan company line. Again, no data.
I have found that very active patients, ie those that work out 4 or more times a week, as well as those high energy type A patients, all seem to break down botox faster. So my observation is that it is either the amount of exercise or the general speed that you live your life that influences duration more than what you do the first four hours post injection.

In the areas you were
injected, you may have temporary redness and/or bumps. This will subside in a
few hours. You can return to your normal activity immediately after treatment,
however we do recommend avoiding exercise, alcohol and caffeine for 4-6
hours after your Botox treatment. Unlike fillers, you will not notice immediate
results. It can take 4-7 days to see the results and up to 2 weeks for the full
results.#AfterBotox   #Botoxtreatmentcare   #AfterBotoxcare

Botox is a purified protein produced by the
Clostridium botulinum bacterium. The product temporarily blocks the transmission
of nerve impulses to the muscles; reducing the activity in these muscles thus
decreasing the appearance of lines/wrinkles. Cleansing your face on the
day of treatment will in no way affect the outcome of your treatment .  We recommend avoiding any direct pressure to the brow such as visors, massage tables and cleansing brushes for 1 week. #Botoxforwrinkes     #foreheadtreatments  #Botoxareas

Thank you for your question. I typically focus my aftercare on restricting activities that make you hot, sweaty or flushed: Examples include strenuous activities, alcohol, saunas, hot baths, etc… This will increase your chance of bruising. If no bruising, by the next day, the you should be good to go. If there is, then I recommend another day to make sure the bruise is not getting worse. I am not as worried about the not laying down after four hours.

Don't touch your face for the day of the injection or exercise. You can use makeup as long as its sterile.