Can Botox Be Damaged by Massage?

Since it's been so many days after your treatment, the Botox was already absorbed adequately into the correct muscles. 

Massage 5 days after the injections should not have an effect on the distribution of the botulinum toxin results. This is only of concern in the immediate post-injection period.

Hi 98104.  The after care instructions we give for Botox injections to not go past the first day, so anything that happens on the 5th day after Botox injections should not affect your results.

When we inject Botox into the tissue it has an area of diffusion from the injected site of about 2cm during the first few hours after injection. Hence, we instruct our patients not to massage the area where injections have been placed. After five days you should have nothing to worry about as all the Botox has been taken up in the nerve endings and is no longer available to spread.

No, I think you will be fine...I have my patients who receive Botox, exercise the muscles I treat (the glabellar or "11" lines, the forehead, the crow's feet,etc.) fairly aggressively for the first 2 hours after the treatment. It is this initial couple of hours that the neurotoxin is incorporated into the nerve and moving the muscle maximizes the absorbance. I think 5 days after your injection, the dye has been cast.

Good luck!

Dr. C

johnconnorsmd.com