I had a botox injection in my forehead for my famous "11" yesterday. How long does it take to heal? Can I go in the sun or swim?

Question

I gotta say they're deep. But I noticed 2 lil bump like a mosquito bite size and they're a lil blue should I be concerned about it? How long does it take to heal? And I also have a pool party to attend is it OKEY to go in the sun and pool? Thanks in advance and have a funday Sunday

Allen Gabriel, MD, FACS · Answer

If your 11s are not too deep then you will have the area
smoothed out within 5-7 days after injection.You can go in the sun and swimming a couple of hours after
injection.There is not healing time that is needed with
the injection of Botox.

Martin Jugenburg, MD · Answer

There are no contraindications for swimming or going in the sun. Although avoid any exercise for 24 hours after Botox injections. Enjoy!

Alex Eshaghian, MD, PhD · Answer

Thank you for your question NansiA. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.
It is difficult to make an assessment without a formal exam where the entire medical history is reviewed. However, I hope the information provided here is useful.The appearance of frown lines is variable from person to person. Usually they are in a vertical orientation but sometimes they can be oblique and sometimes a horizontal line is seen across the upper portion of the nasal bridge. The most common variation is to have two parallel lines, hence the common term "11's" to describe them. But some people have one, three, or more lines. Some people also will see a bulge in the area when contracting the muscle. This bulge is smoothened out after a Botox treatment.
  
The pivotal studies used 20 units of Botox in the glabella area between the brow to address the frown lines. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary. When patients present with concerns about specific wrinkles in the upper face such as the frown lines, I always assess and usually treat the other wrinkles in the upper face including the horizontal forehead wrinkles and crow’s feet. The reason is to maintain a harmonious and natural balance to the appearance of the upper face. The muscles in the glabella which are responsible for the formation of the frown lines serve to pull down on the inner brows when a person frowns. Similarly, the muscles around the eyes which are responsible for the formation of the crow’s feet seen when smiling (orbicularis oculi) are also responsible for pulling down on the brows, but in this case the outer brows. On the other hand, the muscle in the upper forehead which is responsible for the formation of the horizontal forehead wrinkles when a person raises the brows (frontalis) serves to pull the brows upward. If one of these muscles is relaxed with Botox and the others are not, the other muscles will still be active. This will lead to an unbalanced and unnatural appearance of the upper face where the brow can be elevated, depressed, or uneven in shape or position. Therefore, I recommend that my patients take a global approach to the upper face when receiving Botox treatments and treat all three of these areas. Sometimes bunny lines on the bridge of the nose are also treated.
After a treatment patients will see bumps on the skin. This is the liquid from the product and goes away in one to two hours. If I had a patient with the concern described here I would recommend waiting a full two weeks before assessing results and to avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours as described below.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.
  
After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.
    
Please consult with a doctor for specific recommendations. Good luck!

Martie Gidon, MD, FRCPC, FAAD · Answer

Your small blue bumps are likely bruises that will fade in a few days.  It can take up to 10 days to see the full effect of your Botox injections.  Have fun at your pool party and use sun protection.

Michele S. Green, MD · Answer

Botox in the "11"s is a perfect area to do during the Summer to help avoid squinting further and making those lines deeper.  The little bumps may be local bruising or swelling from the injection and should resolve fairly quickly.  There is no contraindication to swimming or the sun.

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I had a botox injection in my forehead for my famous "11" yesterday. How long does it take to heal? Can I go in the sun or swim?

Answers (9)

Answer: Botox and bruising

Answer: Botox and bruising

Answer: Botox and post-op

Answer: Botox and post-op

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Our mission is to create a world where every investment in modern beauty is Worth It.