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Can You Exercise After Botox or Will It Decrease the Results?

Can You Exercise After Botox  or Will It Decrease the Results

Doctor Answers 25

Exercising and Botox

During the consultation with your injector, which should be a board-certified dermatologist or plastic surgeon or someone working with them, we like to tell patients that following injections with Botox that you should avoid strenuous activity for 24 hours and that you should not lie down for several hours after injection. We also do not want patients massaging the areas that were injected — all because we don't want the medicine to spread beyond where we inject it.

The reality here is that when the clinical trials were done many years ago, these were the instructions that were given, some because of common sense, and some because of theoretical concerns. And when these medicines were FDA cleared, their labels had these in them so we all just continued telling our patients this is what we need to do. Most of us feel that it is okay to do light exercise or go about your day without much concerns following injections with Botox, Dysport, or Xeomin. There is no clinical studies that have been done to determine that anything mentioned will hinder the treatment process.

So be smart, take it easy after your injections, and enjoy the results.

Nashville Dermatologic Surgeon
4.5 out of 5 stars 10 reviews

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Dangers of Exercise After Botox

Botox paralyzes the small segment of the muscle into which it is placed. The physician who fully understands the facial anatomy can thereby selectively pick which exact muscle segments he wants to weaken thereby creating a more restful and youthful look. What we try to avoid at all costs of the migration of Botox from the areas we placed them to other areas, most notably the muscle lifting the upper lid. If this were to happen yopu will get a long lasting very tired, droopy upper lid look.  Although the muscle blockade DOES begin shortly after the injection, rubbing and pressure on the injected areas can dislodge the Botox. As a result, many Plastic surgeon warn their patients against rubbing, bending over and exertion for the same reason your mother told you not to play with matches or go swimming after eating; simple understandable instruction that limit potential complications.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 69 reviews

Botox injections and exercise.... relax for a few days!

The side effects of botox injections, usually lasting anywhere between 24 and 48 hours, can definitely exacerbate with any aerobic exercise usually causing the patient to sweat. Try to keep yourself relaxed and don't push yourself too hard, patients usually complain of increasing headaches when they exercise right after botox injections.

George T. Boris, MD, FRCS, FACS
Los Angeles Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

Exercise and Botox

You can exercise Botox and there is no research indicating that it would reduce the effectiveness of the Botox. However, just wait a couple of days after your treatment as exercising right after can promote swelling and bruising.

Exercise after Botox

Exercising after Botox is possible as long as you do not overly exert. You should discuss your planned workout with your injector.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 21 reviews

Botox & Exercise - Dos & Donts

It's not unusual for patients with transverse forehead wrinkles, vertical frown lines , and crow’s feet to undergo treatment with botox. Unfortunately, botox can occasionally migrate to the surrounding structures. This can occur for a variety of reasons including alterations in the hemodynamic status of the patient.

Strenuous exercise increases cardiac output and systemic blood flow. In theory, this has the potential to increase blood flow to the injection site and remove botox from this location. This ultimately diminishes the response to botox and increases the potential for migration of botox and secondary complications.

Although no scientific studies are currently available to address this issue, conventional wisdom suggests that strenuous activity should not be undertaken for at least 24 hours following botox treatment.

If you have questions regarding this issue, you should consult your physician. Although the post injection management of botox varies from provider to provider, you should definitely understand your provider’s post injection protocol.


Best NOT to exercise right after Botox or Dysport treatments

There are two reasons not to exercise right after Botox or Dysport treatments. I allow my patients to exercise the morning of treatment before they come in (ideally not RIGHT before coming in), but not later the same day. They are allowed to resume exercise, for the most part except in special cases, the following day. Exercise increases circulation in the body, including the face, which is why your face flushes and gets red when you work out. This increased circulation is great for your skin, but it does increase the risk that the Botox will be taken away from the injection zone before it gets fully absorbed into the neuromuscular junction. We don't like this for two reasons: 1) it may leave less Botox where we want it, and possibly decrease the effect, and 2) we do not want to do anything that increases the risk that the Botox will act anywhere other than where it is intended.

For this reason, I am strict about no exercise after treatment. I do make patients cancel their personal training sessions and Soul Cycle classes, even if they can't get a refund. Be warned!

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

Does exercise decrease the result of BOTOX

I tell my patients to avoid strenuous activity for 24 hours.
This is to avoid increased muscle activity and the rush of blood into the area.
I believe this prevents dispersion and migration of the Botox, which makes it effective and longer lasting.

The Effects of Exercise on Botox and Results

Some patients may be advised by their physicians to avoid strenuous activity right after their procedure. However this period is usually no longer than a day. It is best for individuals to follow the advice and directions of their doctor regarding this time frame.

Aside from this, exercise should have no effect on the performance of Botox.

Botox basically blocks sites on the nerve fibers where acetylcholine is released. This chemical communicates with muscles causing them to contract. The injection essentially targets nerve fibers. So exercise should not effect the performance of Botox.  


Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 26 reviews

Exercise after Botox

Hi Cory in Chi Town~

The manufacturer recommends no exercise or lying flat for four hours following the administratiion of Botox injections.  This is supposed to create a better outcome.

Best of luck,


Dr. David Alessi

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.5 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.