How Long After Botox is Necessary Before Facial Massage?

I have heard on here several different answers, so how long must I wait prior to receiving a facial massage( temples especially) after receiving botox? I have heard two days and two hours and am not sure how long its necessary to wait. Thanks!

Doctor Answers 8

Facial Massage and Botox

We advise you to wait at least 4 hours before rubbing the area, but 24 hours would be a safer time frame if you were planning a vigorous facial massage.  There aren't any good scientific studies on this, which is why different injectors have different recommendations. The theory is that rubbing the area might cause the product to migrate little beyond the treatment area.  I agree to consult with your injector before scheduling a facial massage after your Botox injection.  

Austin Dermatologist

Duration between Botox and Facial Massage

Each injector will have a different recommendation. Typically, it is best to wait until the next day in order to ensure that the massage does not affect the botox treatment results. Consult with your injector before scheduling a massage.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 41 reviews

Botox and facials

We generally advise no rubbing of the face for 4 hours or essentially the same day. For a facial, the next day is probably fine, but I'd still prefer people generally wait 3-4 days before a facial - why take any chances.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 50 reviews

What is the standard recommendation to avoid facial massage after Botox?

Most of my colleagues recommend four hours or less to avoid bending, lying flat or vigorous facial massage after Botox treatment, but this is not based on any studies of which I'm aware. The theory is to avoid diffusion to unwanted areas, but most doctors believe that the Botox is anchored to its region almost as soon as it's injected.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

How Long After Botox to Wait for a Facial?

There are definitive answers, simply because there are no good clinical studies examining this.  I usually recommend no heavy physical activity for about 3-4 hours after the injection, but regarding facials or directly rubbing the area, I tell my patients to wait until the following day.  The theory there being that, physical activity or massaging may actually cause the Botox to affect other nearby muscles that we don't want to affect.  But again, this is still just theory, not fact.

Christopher R. Hove, MD
Paoli Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Botox and facial

You should not massage the areas that have received Botox injections for 4 hours, but you should wait until the next day before having a facial.  There is a potential for small bruises with Botox injections and they would be evident by the next day.  If you see bruises, wait a few more days before having a facial.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Botox and massage after treatment

We recommend waiting 24 hours.  This is fairly arbitrary, like the recommendation for remaining upright for 4 hours after injection.  The most important area to be cautious is the glabellar region.  You do not want to massage the Botox into the upper eyelid region.  This could result in a drooping eyelid.  You should ask your injector what they believe is prudent.

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

Facial massage after a Botox treatment

We recommend waiting 24 hours after a Botox treatment before any type of facial massage, including pressure from applying creams and make-up.  As always, contact your doctor for their opinion.

James Barber, MD (retired)
Pittsburgh Plastic Surgeon
3.3 out of 5 stars 9 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.