Facial Exercises After Botox

Hello! How soon after Botox can I resume my facial exercises? (eye area, forehead etc..). Many thanks

Doctor Answers 13

Facial Excercises after Botox are like Chicken Soup...

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Once Botox is injected into a muscle it diffuses and immediately begins to block the nerve impulses that cause the muscle to shorten. The effect becomes maximal by 5-7 days. There is NO scientific evidence that doing a Jim Carrey repertoire of facial contortions would in any proven way hasten or prolong the Botox effect.

In other words, facial "exercises" are a Chicken soup-like exercise. It definitely cannot "hoyt" ( Yiddish for hurt) you and it keeps you busy and entertained making you part of the health care team.

Personally, I take my patients' personal time more seriously and would recommend more useful and fulfilling personal pursuits.

Dr. Peter Aldea

Memphis Plastic Surgeon

Facial exercises after botox

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I do  not recommend any facial exercises after botox but do recommend "taking it easy for"  a few hours after treatment.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Facial exercises after Botox

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Although it has never been proven, I accept the hypothesis that facial exercises, or moving the muscles responsible for the skin wrinkles that have been treated by Botox or Dysport might improve the effectiveness of the treatment. Theoretically, the muscle activity may "use up" the normal neurotransmitter chemical that the nerve uses to stimulate the muscle to contract and the Botox or Dysport has a better chance to get into the junction and block the further transmission of nerve signals to that muscle. We do have our patients refrain from lying flat, or bending over at the waist or performing general exericse for four hours after the Botox or Dysport to minimize a theoretical risk of migration of the product (this has not been proven either).

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Do prescribed facial exercises

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Facial exercises actually enhance the action of Botox at the neuromuscular injections and should be performed for 1-3 hours after injection by the muscles injected (i.e. frowning frequently for 90 minutes if frown lines were injected).

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Facial Exercises After Botox Injections

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Hi Ciccia,

You may resume "pumping up" your facial muscles as soon as you are through with your botox injections.  The only exercise not advised for at least 3 hours after your injections is laying down , and hanging upside down from anti-gravity boots.  I guess if you are a trapeeze artist you should wait a few hours as well.  Be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Facial exercises after Botox??

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I'm not sure why you would want to do facial exercises at all, since muscle activity is what causes many of the lines that make us look aged.  However, if you have some affinity for facial exercises, you can resume them about 6 hours after your Botox injections. Keep in mind, though, that once the Botox is working, you won't be able to move those muscles in the same way.

You do not NEED to do any facial exercises for Botox to be effective.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 46 reviews

Botox after care

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Thank you for your question. I typically focus my aftercare on restricting activities that make you hot, sweaty or flushed: Examples include strenuous activities, alcohol, saunas, hot baths, etc… This will increase your chance of bruising. If no bruising, by the next day, the you should be good to go. If there is, then I recommend another day to make sure the bruise is not getting worse. I am not as worried about the not laying down after four hours.

Facial Exercises After Botox

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Shortly after your treatment, you should exercise the treated muscles for a couple of hours to help improve the absorption of the injected BOTOX®. Frown repeatedly if the muscles controlling frowning were targeted. If forehead lines were targeted, raise your eyebrows. For crow’s feet, squint and smile. You may find that performing these facial movements takes a little more effort than usual.

Re: Facial Exercises After Botox

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Movement of facial muscles through your exercise regimen should not affect the performance of Botox.

Botox molecules target nerve fibers that release acetylcholine which causes muscles to contract. The result of course is that the muscles are able to stay relaxed.

Regardless of whether you are using Botox for antiaging purposes or not, there is really no need for the facial exercises. Wrinkles form because the skin loses its elasticity. This makes it more susceptible to developing lines on the skin when muscles in the forehead and eye area contract.

While Botox can improve the appearance of lines on the skin by keeping the associated muscles in a relaxed state, patients can also focus on treatments that help to correct sun damage on their skin. Fraxel laser and other dermal fillers (e.g. Radiesse, Juvederm and Restylane) can be helpful. But you would need to speak to a board certified specialist  about more precise recommendations for your objectives.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Post treatment botulinum toxin massage instructions

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Some instructions direct you to perform facial exercises immediately after injection while avoiding digital manipulation or massage of the area.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 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.