I Rubbed My Botoxed Area by Mistake 28 Hours (1 Day) After the Injection?

I was having a shower 28 hours after my botox injection (between the eyebrows). I was washing up and got some soap in my eye. Without thinking, I rubbed my eyes and the areas around them quite hard for about 2 or 3 seconds. I'm really worried that I have spread the paralysis agent to my eyes/eyelids. Since it's after 24 hours, is it a very low risk, or a probably risk? Please help!!!!

Doctor Answers 16

You won't affect your botox result by rubbing the area one day afterwards

There is no evidence that such rubbing can affect the Botox result one day afterwards. I would avoid such activity in the first four hours after the treatment.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Rubbing a Botoxed area

We generally advise people to not rub the treated Botox area for 4 hours after treatment. I would have no concern if you rubbed the area more than 24hrs after your treatment...relax, and enjoy soon the great results!

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.9 out of 5 stars 49 reviews

Rubbing of the Botox site

To simply answer your question - it will be fine. Although some advocate holding off on rubbing for 4-8 hours after surgery, given the timeline that you have mentioned, you are easily clear of this issue.
Be healthy and be well,

James M. Ridgway, MD, FACS

James M. Ridgway, MD, FACS
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 92 reviews

I Rubbed My Botoxed Area by Mistake 28 Hours (1 Day) After the Injection?

 You can rub the area to your hearts content and it will have zero effect on the Botox.  Once injected, the Botox is absorbed by the muscle within minutes.  Rubbing the area after that will have no effect.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Botox 28 hours after

Should be no restrictions 28 hours after.  As noted by others, we recommend not rubbing injection sites for 24 hours to avoid the possibility of rubbing the toxin into untreated areas.  There is no actual evidence that this is required, but it is mostly theoretical.  Good luck!

Curt Samlaska, MD
Las Vegas Dermatologist
5.0 out of 5 stars 4 reviews

Rubbing Botox Injection Site

As others have previously noted, rubbing the Botox injection site 28 hours after the procedure should not cause any adverse effects.  We use this general precaution to make sure that Botox stays in the injected area. However, this is probably only relevant for 8-12 hours.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

Rubbed Botoxed Area by Mistake 28 Hours (1 Day) After the Injection

Thank you for the question. There should not be any concern. To ease your mind, request to be seen by your injector.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

Rubbing Botox Injected Area

Botox is bound to the neuromuscular junctions in the target area very quickly after injection.  You should have no adverse effect from rubbing 28 hours later.  No worries!

James Bartels, MD
Manchester Facial Plastic Surgeon
4.7 out of 5 stars 12 reviews

Botox Diffusion Concerns

Thank you for the question.

I do not think you have anything to worry about.

Best wishes for a great result!

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews


There is nothing to worry about!  You will not have any issues with regards to the Botox or its diffusion and effect.  The diffusion actually happens quite quickly so after 24 hours there should be no problems.  This quick diffusion is quite different than the effect which can take 3-7 days for you to see the results and this confusion might be where your concern comes from.  The 24 hour rule typically applies to massage, facials, pressing on the area, etc., normal touching and cleansing of face is allowed!  To reiterate you have nothing to worry about!  Enjoy the Botox!

Matthew Elias, DO, FAAD
Fort Lauderdale Dermatologic Surgeon
5.0 out of 5 stars 5 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.