Botox Aftercare 101: What You Need to Know

Botox model

Achieving a refreshed, youthful appearance with Botox injections is an exciting prospect that has become increasingly popular in recent years. However, proper botox aftercare is absolutely crucial for ensuring the best possible results and minimizing any potential risks or side effects. Whether you’re a seasoned Botox user or considering your first treatment, understanding the dos and don’ts of the post-injection period can make a significant difference in your overall experience and satisfaction with the outcome.

In this guide, we’ll go over all the must-know tips for the post-injection period. From which activities to avoid to how to care for those injection sites, we’ve got you covered. By following these botox aftercare advice, you can maximize the fabulous anti-aging effects while minimizing any discomfort or wonky side effects. Your botox aftercare routine is just as important as the injections themselves, so staying informed and proactive is crucial in maintaining that youthful glow.

At House of Beauty, we take pride in offering expert anti-wrinkle injection treatments meticulously done by our founder, Anna Hannaford. She brings over ten years of dedicated experience to her craft. Her extensive training from top international programs equips her with a profound knowledge of facial aesthetics, which she applies to each personalised treatment plan. Anna’s approach is anchored in safety, efficacy, and a commitment to enhancing each client’s natural beauty through meticulous and tailored care.

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What can’t you do after Botox injections?

After receiving Botox injections, avoid touching or massaging your face, as this can cause the Botox to spread to unintended areas.

Refrain from participating in strenuous physical activities for at least 24 hours to prevent increased blood flow from affecting the treatment area.

It’s also advisable to stay out of direct sunlight and avoid high temperatures, such as saunas or hot yoga classes, to reduce the risk of swelling or bruising.

Additionally, you should avoid consuming alcohol and taking medications that can thin your blood, like aspirin, for a few days after the procedure.

Avoid Rubbing Your Face

Avoid rubbing, massaging your face or any facial treatments involving heavy pressure like microdermabrasion for at least 24 hours after Botox injections. Do not disturb the injection sites, especially in the first few hours. When applying makeup, use a gentle dabbing motion with soft brushes or sponges. These precautions prevent displacing the Botox from the targeted muscles, which can cause unintended effects like facial asymmetry and compromise the desired results. Allowing the product to remain undisturbed is crucial for optimal outcome.

Avoid Excessive Exercise

After Botox, avoid intense physical activities for 24 hours to prevent the Botox from migrating and causing issues like drooping eyelids. Refrain from vigorous workouts such as heavy lifting or running, as they can reduce effectiveness and lead to uneven results. If you need to be active, choose low-intensity options like gentle walking.

Avoid sweating, heat, or pressure on treated areas

For 24-72 hours post-treatment, drink plenty of water and avoid activities causing excessive sweating, heat exposure, or pressure on treated areas. This includes saunas, hot tubs, hot yoga, as well as tight hats or goggles that could press on the skin. The aim is to allow the treatment to fully set without disturbances that could cause swelling or shift the injected products, altering the intended effects during this crucial initial healing phase.

Avoid direct sunlight as excessive heat can cause skin issues and interfere with the treatment. To protect your skin, seek shade and postpone beach plans for at least a week. Use sunscreen with at least SPF 30, reapplying every two hours, and wear a wide-brimmed hat for extra protection.

Avoid Taking Blood Thinners

Before and after Botox, avoid blood thinners like aspirin or Plavix to reduce bruising and bleeding. This includes over-the-counter medications and certain pain relievers. Consult your healthcare provider for a list of medications and supplements to avoid. Herbal supplements like ginkgo biloba, garlic, and fish oil also thin the blood, so discuss with your doctor whether to stop them temporarily around your treatment.

Avoid Drinking Alcohol

To minimize bruising and dehydration, avoid drinking alcohol for at least 24 hours after your Botox injections. Alcohol can disrupt your body’s healing process and increase the risk of complications, potentially affecting your treatment results. It’s important to keep your body in good shape to ensure optimal outcomes.

Alcohol acts as a diuretic, meaning it increases water loss in your body. After receiving Botox, it’s crucial to stay hydrated to keep your skin elastic and aid in recovery. If you become dehydrated, your recovery could be slower, and side effects might be more pronounced.

Avoid Sleeping on Your Face

Avoid sleeping on your face after your treatment to prevent the Botox from moving and causing uneven results. Sleep on your back for the first few nights to minimize pressure on treated areas and reduce bruising and swelling. Use supportive pillows or a travel pillow around your neck to help maintain this position.

Gently Apply Makeup

Handle your skin gently when applying makeup post-treatment. If makeup is necessary within 24 hours, use a soft touch with gentle brushes or sponges. Avoid pressure or dragging on treated areas. Dab products lightly around, not on, injection sites. This cautious approach helps maintain the smoothing effect of your Botox treatment.

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What are the most common side effects after Botox?

Following your Botox treatment, you may notice several common side effects at the injection site, including pain, swelling, or bruising.

Additionally, headaches aren’t unusual. Occasionally, some individuals may experience fever and chills. If you observe eyelid drooping, it’s crucial to promptly contact your healthcare provider for advice.

Pain, swelling, or bruising at the injection site

You may experience pain, swelling, or bruising at the injection site after Botox, which are normal reactions caused by the injection needle, not the Botox itself. These side effects usually subside within a few days. To ease discomfort, apply a cold compress gently after the procedure to reduce swelling and numb pain. Avoid alcohol, intense activity for 24 hours, and check with your practitioner before taking over-the-counter pain relievers. Follow all botox aftercare instructions to effectively mitigate these temporary side effects.


Headaches are a common but temporary side effect of Botox, usually a dull ache rather than sharp pain that subsides within 48 hours. Manage them with over-the-counter pain relievers, cool compresses, rest in a quiet and dim room, staying hydrated, and avoiding strenuous activities. Contact your provider if the headache persists beyond 48 hours or becomes severe, as they can determine if there is a more serious underlying cause. Most post-Botox headaches are a normal reaction that resolves quickly.


It’s common to develop a mild, temporary fever a few hours after Botox treatment, typically resolving within 1-2 days. This low-grade fever is an expected immune response as the body reacts to the botulinum toxin. To manage, stay hydrated and get plenty of rest. Contact your provider if the fever is high or persists beyond a couple days to rule out any serious concerns. But a short-lived, mild fever is a normal reaction that requires little treatment.

Drooping eyelids

Drooping eyelids (ptosis) can occur if Botox inadvertently affects the eyelid muscles, causing a tired or uneven appearance. This temporary side effect usually resolves on its own within 3-4 weeks as the Botox effects diminish. To reduce the risk, select a highly qualified and knowledgeable injector skilled in precise Botox placement. If ptosis occurs, keep your head elevated, avoid rubbing your eyes, and consult your provider if it doesn’t improve after a few weeks for further guidance. Proper injector selection and post-treatment care can help prevent and manage this common but temporary side effect.

Dry Eyes

Dry eyes can occur temporarily after Botox due to its effects on the nerves controlling tear production. Use over-the-counter preservative-free artificial tears frequently and avoid dry environments to relieve discomfort and grittiness. If dryness persists or causes significant discomfort/vision changes, see your doctor who may recommend prescription drops or tear duct plugs. Severe or prolonged dry eye symptoms require prompt medical attention, but this side effect is typically temporary as Botox wears off. Taking basic eye lubricating steps can provide relief in the interim.

Excessive sweating in areas other than the underarms

Compensatory sweating in new areas like the back or chest can occur after underarm Botox treatment for hyperhidrosis. This is the body’s way of regulating temperature when sweat glands are blocked in one area. To manage increased sweating, wear breathable, moisture-wicking clothing and stay hydrated. While inconvenient, this side effect is manageable through practical steps that help maintain comfort and temperature regulation.

Sore Throat

A mild, temporary sore or scratchy throat may occur after Botox injections. This is likely from the needle or the body’s reaction, but it’s generally not serious. Alleviate discomfort with warm herbal teas, staying hydrated, throat lozenges, and saltwater gargles. Consult your provider if it persists beyond a few days or worsens, to rule out any other potential concerns. But, this minor side effect often resolves on its own. Pay attention to additional symptoms, but a transient sore throat is common and manageable post-Botox.

Flu-like symptoms such as fever, chills, headache, or body aches

Monitor any flu-like symptoms like fever, chills, headaches, or body aches after Botox. These are common but should not last over a week. Manage by staying hydrated, taking OTC pain relievers as directed, and resting. Contact your provider if symptoms worsen or persist beyond a week, as prolonged reactions could signal an infection or allergy requiring medical attention, though this is rare. Pay attention to your body, track symptoms, and don’t hesitate to follow up if concerned to ensure proper recovery.

Muscle stiffness, weakness, or pain

Muscle stiffness, weakness or pain are common side effects in the first 1-2 weeks after Botox injections as the muscles are temporarily paralyzed or weakened. Nearby muscles may also be affected. Manage with gentle stretching of the treated areas and avoid strenuous activities. If symptoms persist beyond 2 weeks or worsen, consult your provider. They may recommend OTC medication or other treatments as reactions vary. These effects are typically temporary, but stay in touch with your provider to effectively manage this adjustment period after Botox.

Redness or discoloration at the injection sites

Redness, discoloration, tenderness, and warmth at the Botox injection sites is common and typically resolves within a few days as the skin heals normally. Concealing makeup can be used temporarily. Monitor for any worsening or prolonged redness beyond a few days, and avoid touching or irritating the areas. Use gentle skincare until fully healed. Contact your provider if discoloration persists or worsens to rule out complications, but superficial redness is an expected side effect that generally resolves quickly with proper care of the injection sites.

How long does Botox bruising last?

Botox bruising usually resolves within 2 to 3 days but can last up to 2 weeks in some cases. This is a common side effect and typically not a cause for concern. The duration of bruising varies from person to person and depends on factors such as skin type, the treatment area, and individual healing rates.

Bruises from Botox occur when the injection needle accidentally punctures a blood vessel under the skin, causing blood to seep into nearby tissues and create a bruise. Although not harmful, the appearance of the bruise can be bothersome.

To reduce the risk of bruising, avoid blood-thinning medications or supplements like aspirin before your treatment unless advised by your healthcare provider. Applying a cold compress immediately after the procedure can also help lessen swelling and bruising.

If a bruise does appear, it’s usually superficial and fades as the body absorbs the leaked blood. You can conceal it with makeup if desired. If the bruise persists beyond two weeks or if you have concerns, consult your practitioner for further guidance.

How long until I can lay down after Botox?

After receiving Botox injections, it is generally recommended to wait at least 4 to 6 hours before lying down. This precaution is advised to prevent the injected Botox from spreading to unintended areas of the face, potentially causing side effects like swelling, redness, bruising, drooping eyelids, or uneven results. Lying down too soon after Botox can increase the risk of the botulinum toxin migrating to other facial areas and impacting the effectiveness of the treatment.

If you need to rest or take a nap after Botox, it is best to lie on your back rather than on your stomach or side to minimize the chance of the neurotoxin shifting to other locations. Remember to keep your head elevated and avoid pushing your face against the pillow or applying pressure around the treated area to ensure optimal results from your Botox treatment.

Can I exercise after getting Anti-Wrinkle Injection?

After receiving Anti-Wrinkle Injection, it’s crucial to take certain precautions with your physical activities. Initially, for the first 4 hours, avoid any bending over. This helps to ensure the Botox stays properly positioned.

Starting light activities is acceptable after this initial period, but it’s important to stay away from strenuous exercise for at least 24 hours. Additionally, you should avoid activities that might cause sweating, expose you to heat, or put pressure on the treated areas during this time.

Wait 24 hours before strenuous exercise

Avoid strenuous exercise like running, weightlifting, cycling or any activities that significantly raise your heart rate for at least 24 hours after receiving Botox injections. Vigorous activity too soon can increase blood flow and pressure, potentially causing the Botox to migrate from the intended muscles. This can lead to complications like drooping eyelids. Allowing time for the Botox to properly settle is crucial for effective treatment and optimal results.

Avoid bending over for the first 4 hours

To maintain precise Botox placement and prevent unwanted migration, avoid bending over, lying down, or any activities requiring bending for the first 4 hours after your injections. This crucial precaution helps ensure the Botox stays localized in the intended treatment areas for optimal symmetry and muscle responses.

Light exercise only after 4 hours

After the initial four-hour period, you’re clear to start light exercises. Opt for activities like walking or gentle yoga. These should be low-impact to avoid disturbing the treated areas and to ensure the best results from your anti-wrinkle treatment. Consider light housework as another way to stay active. Simple tasks such as dusting, sweeping, or organizing are recommended. These will keep you moving gently and can also be soothing. Make sure these activities don’t put undue stress on your body or impact the areas that received treatment.

What happens if you massage after Botox?

Massaging your face immediately after receiving Botox injections can interfere with the treatment’s effectiveness. Doing so may cause the Botox to spread to unintended areas, potentially creating unwanted effects. This action could also increase the likelihood of bruising at the injection sites.

To ensure optimal results, it’s advisable to avoid touching or massaging the treated areas. Following given guidelines will help maintain the precision and effectiveness of your Botox treatment.

Displacement of Botox

Avoid massaging or touching the area immediately after Botox injections to prevent the toxin from spreading to unintended areas. This can lead to uneven facial expressions or accidental muscle relaxation. Allow the Botox to settle into the targeted muscles by handling your skin delicately for several hours post-treatment. Be gentle when applying makeup or skincare products. Following these guidelines ensures the effectiveness and safety of your Botox treatment.

Increased Risk of Bruising

Massaging Botox injection areas can increase bruising risk, even after 48 hours, as these areas remain sensitive. Pressing on them can disturb small blood vessels, leading to visible bruising.

If you bruise easily, be extra cautious around delicate areas like the eyes and lips. Avoid intense skincare or facial massages during recovery.

Follow your healthcare provider’s botox aftercare instructions. Keep your hands off treated areas to prevent complications. Gentle skincare helps you enjoy the full benefits of your Botox treatment without bruising.

Reduced Efficacy

Botox functions by temporarily paralyzing muscles to smooth out wrinkles, and when it moves from the specific treatment area, it can’t work as intended. To ensure the best results from your Botox session, steer clear of any intense facial massage and direct heat exposure during the initial post-treatment period. This simple precaution helps the Botox stay in the correct muscles, maintaining its full effectiveness.

When Should I Consider Rebooking an Anti-Wrinkle Treatment?

You should consider rebooking an anti-wrinkle treatment when you start to notice the effects wearing off or when you feel that your wrinkles are becoming more prominent again. Typically, anti-wrinkle treatments can last anywhere from 3 to 4 months, so if you are approaching the end of this timeframe, it may be a good idea to schedule a follow-up appointment. Additionally, if you are unhappy with the results of your treatment or feel that it did not have the desired effect, you may also want to consider rebooking to discuss alternative options with your provider. Ultimately, it is important to listen to your own satisfaction and comfort level when deciding to rebook an anti-wrinkle treatment.

Essential Botox Aftercare Tips for Optimal Results and Safety

Proper botox aftercare is an integral part of the treatment journey, ensuring that you achieve the desired results while minimizing any risks or complications. By following the guidelines outlined in this article, you can confidently navigate the post-injection period and enjoy a smoother, more youthful appearance. Remember, open communication with your healthcare provider is key to addressing any concerns or questions that may arise. With diligence and care, you can embrace the transformative power of Botox while prioritizing your well-being every step of the way.

Why Choose House of Beauty for Your Anti-Wrinkle Injections

At House of Beauty, our Anti-Wrinkle Injection treatments mean entrusting your aesthetics to the skilled hands of Anna Hannaford. With over ten years of experience and a rich background in advanced aesthetic training, Anna brings a level of expertise in the field. Her specialised approach is tailored to each client, considering your unique facial features and personal aesthetic goals. This level of customisation and attention to detail is what sets House of Beauty apart, making us your trusted partner in achieving the balanced, rejuvenated look you desire.

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Frequently Asked Questions

What are anti-wrinkle treatments?

Injectable neuromodulators like Botox, Dysport, and Xeomin that block nerve impulses to temporarily paralyze muscles causing wrinkles.

What is Botox and how does it work?

Botox, or Botulinum Toxin Type A, is an injectable muscle relaxant that reduces fine lines and wrinkles by interrupting signals from the brain to specific muscles, minimizing the appearance of wrinkles caused by facial expressions like frowning, squinting, and raising eyebrows.

Is Botox safe?

Botox is FDA-approved and has a strong safety record. Common side effects may include redness, swelling, and bruising at the injection sites.

How long does Botox last?

Botox results typically last around 3 to 4 months before naturally wearing off. Regular touch-ups every few months can help maintain smooth and youthful skin.

How do you make Botox last longer?

Follow the botox aftercare instructions provided by your healthcare provider, avoid sun exposure, avoid smoking, stay hydrated and maintain a healthy lifestyle, and consider getting touch-up treatments as recommended.

Will Botox make me look frozen?

When administered by a skilled injector, Botox should not make you look frozen. Proper dosing and preserving movement in surrounding muscles allow for natural expressions with reduced lines and wrinkles.

Will my wrinkles come back worse if I stop using Botox?

Contrary to common belief, stopping Botox does not lead to worse wrinkles. Studies suggest that Botox can actually slow down the aging process, with long-term users showing fewer lines and wrinkles even after discontinuing treatments.

How much does Botox cost?

Botox is typically priced per unit, with costs varying based on the number of units injected. Joining loyalty programs can offer savings on future treatments.

Can I exercise after Botox?

It is recommended to avoid strenuous exercise or activities that involve bending over for the first 24 hours after Botox treatment to allow the solution to settle properly.

What are some common Botox aftercare instructions?

Common Botox aftercare instructions include avoiding touching your face, refraining from sun exposure, and not raising your eyebrows excessively after the treatment.

When can I wear makeup after Botox?

It is generally advised to wait at least 24 hours before wearing makeup after Botox to prevent any irritation or interference with the Botox settling process.

Is it safe to drink alcohol after getting Botox?

It is best to avoid alcohol consumption for at least 24 hours after receiving Botox injections as it can increase the risk of bruising and interfere with the effectiveness of the treatment.

How long after Botox does it start to work?

Botox is generally considered to start showing noticeable results within 3-5 days after the treatment, with full effects typically visible within 7-10 days.

How should I sleep after getting Botox?

It is recommended to sleep on your back with your head elevated for the first night after Botox treatment to prevent any accidental movement or pressure on the treated areas.

How do anti-wrinkle injections compare to facial muscle exercises?

Injections block nerve impulses to paralyze muscles, while exercises aim to strengthen muscles to reduce wrinkles.

How often can I safely receive Botox treatments?

To ensure optimal results and safety, you should schedule Botox treatments every 3-4 months. Receiving Botox more frequently may lead to your body developing resistance, diminishing its effectiveness.

Are there natural alternatives to botox?

One effective method is facial acupuncture, which can improve skin elasticity by stimulating blood flow and collagen production in the face. Regular sessions might be needed for best results. Additionally, consider using topical creams that contain peptides. These creams help boost collagen and can reduce the appearance of fine lines over time. Apply as directed, typically twice daily, for noticeable improvement.

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Ready for Your Beauty Transformation?

House of Beauty is here to offer the support you need. Your journey begins by scheduling a consultation with our experienced injector, Anna, who is dedicated to listening, guiding, and assisting you in making well-informed decisions about your beauty goals. Begin your confident journey towards enhancing your natural beauty today. Your transformation awaits, and we’re here to ensure it’s a smooth and rewarding experience.

House of Beauty is located in Camberley, with free parking available and is easily accessed from the M3. Our clients come from surrounding areas including Farnborough,  Aldershot and further afield including  Ascot, Windsor, Bracknell, Guildford and Woking.