Accidentally used Clarisonic brush on face after botox?

Question

I forgot I had Xeomin done earlier in the day and used a clarisonic brush to wash my face that night. Will my face be okay? I was told not to use it and I completely forgot.

Mitchel Goldman, MD · Answer

It is perfectly safe to use a Clarisonic cleaner after receiving Botox. Botox is a fast-acting neuromodulator that generally settles into the muscles within a few seconds. You probably have no cause for concern. Please consult a board-certified dermatologist who is an expert in Botox if you fail to see results from your Botox treatment.

Kory Kitagawa, MD · Answer

You probably did no harm to your Botox by scrubbing with a Clarisonic brush; however, I'd advise against doing it again the next time you have Botox, Dysport or Xeomin. These neuromodulators may take a couple of hours to work. Manipulating the muscles before the Botox has settled may cause it to migrate to another area you don't want to treat. More likely, however, you could irritate your skin or cause bruising by using a harsh cleansing tool after your injections. You may feel a little bruised or sore after Botox, even without scrubbing. Be gentler with your face next time. Your board-certified dermatologist can give you more tips on how to get the most out of Botox during your next appointment.

Camille Cash, MD · Answer

Botox is injected into the muscle.  Though it is probably best to avoid using the Clairsonic for 24 hours after injection, you will not likely notice any difference in your treatment results.

Richard E. Moore, MD · Answer

Thank you for your question. While I would recommend against using your Clarisonic for 24 hours after your the injection of any neuromodulator, it is unlikely you will suffer an untoward event as a result. Neuromodulators such as Xeomin are absorbed fairly rapidly. If you used the Clarisonic within a few hours of the injections, I would be more concerned. I wish you the best - Dr. Moore.

Jeffrey M. Joseph, MD · Answer

My belief is that it is difficult to truly spread Botox significantly with something as gentle as a Clarisonic. Watch for any unexpected results, but I wouldn't worry too much.

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  Although I generally recommend that patients avoid using their Clarisonic brushes for 24 hours after treatment to be safe, I think it is unlikely that you negatively impacted your treatment.  Botox and Xeomin are injected directly into the target muscles, and are rapidly absorbed.  I think most side-effects related to Botox drift are more related to errors injection placement than anything else - if your injections were placed properly, the risk should be minimal.  Best of luck!

Melvin Elson, MD · Answer

The main things that would influence the outcome would be the timing after the Botox and the pressure you used, but most likely there will be no effect

Neil Sadick, MD · Answer

If your treatment was during the day and you used it at night as you say there isn't a need for worry.

Jennifer Guthrie, MD · Answer

The time, and chemicals, is the real factor here. If you were 4-6 hours post you should be ok. If you used an alcohol based product with your machine than that has the potential to affect the toxin. The only way to know is wait the full 10 days and test for movement.

Steven F. Weiner, MD · Answer

It really depends on when the brush was used after the Botox. If it was about 4 hours or more after the injections, the likelihood of it affecting your outcome is low. If it was done before 4 hours, it is possible that the Botox was spread to areas it was not intended to be. There is nothing to do except wait for the outcome now.

Accidentally used Clarisonic brush on face after botox?

Answers (12)

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