What Are the Post Treatment Instructions After Botox?

Doctor Answers 36

Post treatment for Botox

Great Question. I always suggest to my patients that they do not lay down for 4 hours following the treatment, and to avoid exercising for the rest of the day. I also encourage my patients to avoid any type of aspirin products for up to one week PRIOR to the procedure and for a couple day after as well ( this helps to decreasing any excess bleeding). The timeline of how long it takes for Botox takes full effect also varies on the individual, but most of the time you can get full results within 7 days. 

Charlotte Plastic Surgeon
4.9 out of 5 stars 82 reviews

Back to (Almost) Normal Activities

A big part of the appeal of BOTOX is the fact that it doesn't require any downtime or major activity restrictions. With only a few limitations, BOTOX patients can get back to their usual activities immediately after their appointments, which typically last less than an hour. These limitations are quite mild and include avoiding bending over or manipulating the treatment area for the remainder of the day in order to allow the product to settle evenly. You may also wish to skip your daily workout for the same reason, and avoid consuming any blood-thinning products, such as aspirin or alcohol, for a couple of days before and after the procedure. Thanks for your question, and good luck with your treatment!

Susan M. Stuart, MD
San Diego Dermatologist
5.0 out of 5 stars 2 reviews

What to Expect After BOTOX Injections

BOTOX injections take about 15 minutes to administer and don't require any downtime. If your job doesn't involve physically strenuous activities, you can return to work immediately. You should take it easy in the first 2 or 3 hours after getting the injections and avoid rubbing the treatment area. Results typically take about 3 to 4 days to appear and usually last about 4 months.

Suzanne Bruce, MD
Houston Dermatologic Surgeon
3.7 out of 5 stars 6 reviews

Post Treatment Advise after Botox

Botox is meant to temporarily block 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.

#Botoxaftercare    #expectationsofBotox  #BotoxAfterCare

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 102 reviews

Pretty easy

Botox is a very easy procedure to recover from.  I tell my patients not to rub their face or lay down for the next 2-3 hours.  I think ice is ok intermittently for the rest of the day as long as no rubbing.  I also advise no blood thinners for 24 hours.  

Another thing that often is not mentioned is head apparel.  Women should not wear a head band or anything else that might put pressure across the brow.  Men should also not wear a hat as it can be compressing.  Compression could cause migration of the botox downwards into the eyelids and lead to droopy eyelids.  

Hope this helps!

After Botox

One of the beauties of Botox is there are few restrictions after treatment. I advise my patients not to lie down until two hours after receiving Botox, and not to immediately massage the area where Botox was injected. It is truly a no down-time procedure.

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 1 review

Rules and Instructions after Botox (or Dysport) Treatment

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
4.7 out of 5 stars 41 reviews

Post Treatment Instructions for Botox


We agree with attempting to minimize blood thinning medications in the 7 days prior to injection (including aspirin, ibuprofen, fish oil, etc..).  Based on Dr. Mark Hallett's research published in 2015, we also avoid applying ice to the injection sites as decreased temperature may limit uptake of the Botox. However, if a bruise develops during injection we hold pressure and then ice the area, as the Botox will tend to spread with the bruise and may end up in unwanted areas.  Based on the same research, I also ask my patients to use the muscles we just injected as much as possible for the first 1 or 2 hours after injection. So patients are often seen walking out of the office frowning, smiling, or raising their foreheads excessively for no apparent good reason :)  

Best of luck!


Thomas J. Oberg, MD
Salt Lake City Oculoplastic Surgeon

Botox Post-Treatment Instructions

There are a wide variety of opinions on activity limitations after Botox injections, but generally, there are very few restrictions.

I tell patients to avoid lying face down, getting a facial, inverting their head (such as a Yoga class), or rubbing their face for the remainder of the day. They are also instructed to avoid exercise for 3 hours after injection. Patients can resume all normal activities the next day.

Matthew Richardson, MD
Frisco Facial Plastic Surgeon

Botox Injection Aftercare

The most important thing so understand with Botox is the product can spread to adjacent tissues. Following your injection it is important that you stay upright for at least four hours and avoid exercise for 24 hours. There is usually very little bruising with Botox, however, avoiding aspirin and NSAIDs prior to treatment is a good idea. Some patients use Arnica before and after treatment to minimize any bruising. If you are prone to cold sores a discussion with your practitioner beforehand about prevention.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
5.0 out of 5 stars 18 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.