Best Face Cream After Botox?

Do you get a face cream with Botox? Is there an aftercare treatment that one should use to keep the wrinkles from returning?

Doctor Answers 28

Botox face cream - Nope and yes

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There are not face creams with Botox, but there are many out there that claim to be as effective as Botox.

After your Botox treatment the best way to protect your investment is by avoiding sun damage, wearing sun block, and using a good facial cleanser, moisturizer, and exfoliant.

Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Face cream after Botox

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Botox reduces the muscle activity that creases the skin (breaking collagen) causing wrinkles.  While Botox is working, your skin gradually replaces the collagen - thus, no wrinkles.  Your skin will be more resistant to wrinkling and will repair the broken collagen faster if it is in good condition.  I recommend the following:

1. No smoking
2. Sunscreen
3. Retinoids (Retin-A, Retinol, Vitamin A) topically
4. Alphahydroxy acid (Glycolic acid) topically
5. Vitamin C topically
These will reduce the appearance of wrinkles, but you will probably have to have re-treatment of Botox, but not as frequently.

Randy J. Buckspan, MD
Austin Plastic Surgeon
4.6 out of 5 stars 10 reviews

Making your BOTOX last longer

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Botulinum Toxin A (BOTOX) works by blocking the transmission of nerve signals to the muscle. The effect is generally limited to the muscles into which it is injected. This mechanism effectively causes a partial to full paralysis of the muscle. Return of this function comes when the connections between the nerve and the muscle regenerate new receptors. This process takes three to four months in most people, but can vary. So, your BOTOX injections can last longer or shorter than your friends.

Although there is no particular cream dispensed or recommended with BOTOX, Allergan (the makers of BOTOX) do distribute a topical skin treatment called Prevage MD.

Generally, it is wise to take care of your skin by keeping your body well hydrated, eating well, not smoking, not tanning, and using sunblock and moisturizer regularly.

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon
4.3 out of 5 stars 17 reviews

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Face cream after Botox

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There is no particular cream that would make the Botox results last longer, however, there are things you can do to make your skin more youthful.  Sunscreen and sun avoidance are probably the most important.  They prevent new wrinkles from forming and protect from sun damage.  Proper nutrition, rest and exercise are excellent for the skin as well.

In addition, creams containing retinoids or retinols (the over-the-counter relatives of retinoids) will help with increasing skin cell turnover and collagen production when used long-term, helping with fine lines and wrinkles.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox and Topical creams: What moisturizing creams should I use with Botox

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Botox is effective for the treatment of dynamic wrinkles. There are several creams that are prescription based that can work effectively alongside Botox injections to increase collagen content and increase skin resiliency.

Our office has an effective protocol pre and post Botox to eliminate static wrinkles and decrease the long term need for Botox.

Contact a Board Certified Plastic Surgeon who is knowledgeable about skin stimulatory creams and its effects on skin vitality.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

There are no creams that work like Botox does. Botox is...

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There are no creams that work like Botox does.

Botox is a protein that relaxes the muscle that causes wrinkling by blocking the communication between the nerve and the muscle. Effectively, the nerve temporarily can't tell the muscle to contract.

There is no substitute for Botox injections. Creams cannot get into the muscle, which is where the product needs to be in order to have any effect.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon

After care for Botox

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Our favorite ingredient for anti-aging is Retinol which can be found in a few of our products.
It's a great way to maintain the maintenance at home on your own.

Dennis Gross, MD
New York Dermatologist
4.7 out of 5 stars 11 reviews

Face cream after Botox

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A face cream is not a standard part of Botox injections although a face cream can certainly be used as part of your overall facial care.  I advise my patients not to apply a cream around the areas treated with Botox for at least a day after they are injected, to avoid spreading the Botox or causing more bruising.  Repeated Botox treatments will be needed to keep the wrinkles from returning.

Maintaining Botox Results

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To prolong the effects of Botox, you can eat a healthy diet, follow a good exercise regimen, don't smoke, keep stress levels to a minimum, reduce sugar intake and keep you skin protected from the sun (UV exposure is one of the main causes of wrinkles). 

There is also a product called TMR from Vivierskin. This serum helps prolong the effects of Botox.

Botox and Skin Care

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No, you do not typically receive a cream with Botox.  The best protocol to keep the wrinkles from returning is to maintain the Botox by receiving injections every 4 months and using a good quality, medical grade skin care regimen.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.4 out of 5 stars 19 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.