What to Do After Botox – The Dos and Don’ts of Botox Expert Advice

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What to Do After Botox – The Dos and Don’ts of Botox Expert Advice

August 23, 2023


Botox injections have become one of the most popular non-surgical cosmetic procedures for reducing the appearance of fine lines and wrinkles. Botox works by temporarily relaxing the muscles that cause wrinkles, giving the face a smoother, more youthful appearance. While the treatment itself only takes a few minutes and requires no downtime, there are some dos and don’ts to follow post-procedure for optimal results.

Read on for expert advice on what to do after Botox. These do’s and don’ts are crafted to help your injections longer. The post aims to educate you on the basics of Botox injections as well as some other helpful tips.

What Are The Two Areas of Botox?

There are two main areas where Botox is commonly used to treat wrinkles and fine lines:

The Upper Face

Botox in the upper face is used primarily to treat forehead lines and crow’s feet (lines around the eyes). It works by relaxing the muscles between the eyebrows and around the eyes to smooth wrinkles and prevent new ones from forming. Botox for the upper face is a great treatment for reducing frown lines, forehead creases and crow’s feet.

The Lower Face

Botox can also be used in the lower part of the face to minimize the appearance of wrinkles around the mouth, jaws and neck areas. Targeting the muscles around the mouth helps soften vertical lip lines, smoker’s lines, marionette lines and downturned mouth corners. Botox in the lower face and neck helps reduce bands and wrinkles on the neck, sometimes referred to as “turkey neck”.

what to do after Botox

Botox is a very versatile treatment that can be customized for the individual’s unique facial anatomy and problem areas. A skilled injector will evaluate your face to determine precisely where Botox should be applied to achieve a natural, youthful enhancement.

The effects of Botox generally last 3-4 months, though some patients can go longer between treatments. Periodic maintenance appointments every 3-6 months allow Botox results to be maintained long-term. Over time, consistent treatments can actually “retrain” muscles to stay relaxed, extending the benefits.

Why Does Botox Take 2 Weeks to Work?

You may be wondering why you don’t see the anti-wrinkle effects of Botox right away after your injection appointment. You may also be wondering what to do after Botox if these results don’t show right away.

However, there is a process that takes place before you’ll start to notice your smoother, wrinkle-free complexion. Here’s what happens:

  • The injections cause a localized trauma that takes about 2-3 days for the body to recover from. Mild swelling, redness or bruising may be present during this time.
  • Over the next 2 weeks, as the botulinum toxin spreads to more nerve endings, the targeted muscles gradually begin to relax and lose the ability to contract.
  • Wrinkles will soften and fade as the underlying muscles stay relaxed and cannot crease the skin. Maximum results are visible after approximately 2 weeks.
  • Botox requires this short waiting period to take full effect, so patience is recommended. Don’t be concerned if you don’t see dramatic changes immediately.

Following your provider’s aftercare instructions can help minimize any temporary side effects as you wait for optimal wrinkle reduction. Within a couple weeks, you’ll start seeing a smoother, more serene appearance. So, what to do after Botox is usually just to allow time to elapse. Patience is always key when it comes to aesthetic treatments.

The gradual onset of Botox makes it a very natural-looking treatment. There is no noticeable sudden change in facial appearance. Friends and colleagues will simply think you look well-rested and relaxed.

Are Botox Injections Long-lasting?

One of the most common questions about Botox is how long the wrinkle-relaxing effects last. This may be followed by ‘what to do after Botox’. Here are some factors that influence Botox longevity:

  • Treatment Areas – Botox tends to last longer in the upper face (3-4 months) compared to the lower face (2-3 months). The larger muscles in the lower face metabolize Botox faster.
  • Dosage – The more units injected, the longer Botox will typically last. Your provider can determine the optimal dose for your treatment goals and areas.
  • Muscle Structure – Individuals with thicker or more active muscles may metabolize Botox more rapidly.
  • Lifestyle Factors – Stress, smoking, and alcohol can decrease Botox duration. Staying hydrated and avoiding extreme facial expressions can prolong effects.
  • Consistency of Treatment – Over time, regular Botox every 3-6 months causes muscles to weaken and relax more easily with less frequent treatment.

While individual response varies, most patients can enjoy smooth, wrinkle-free skin for 3-4 months from each Botox session. Planning maintenance appointments with your aesthetic provider ensures your results last. This should be one of the first few things on your plan on what to do after Botox.

Your provider may recommend touching up specific stubborn wrinkles 1-2 weeks after initial treatment if they did not get the relaxation desired. This ensures you achieve optimal wrinkle reduction throughout the treatment area.

What to Do After Botox?

You’ll be excited to see your amazing Botox results. But it’s important to avoid certain activities immediately after your appointment to prevent issues and help your treatment last. Here are some dos and don’ts to follow:

what to do after botox


  • Use cold compresses to reduce swelling, redness and discomfort.
  • Sleep face-up and slightly elevated to minimize swelling shifting downwards from gravity.
  • Take over-the-counter pain relievers as needed for discomfort.
  • Apply antiseptic ointment to injection sites to prevent infection.
  • Wear broad spectrum SPF 30+ daily to protect treated skin.


  • Rub, massage or apply pressure to treated areas. This can shift Botox to other muscles.
  • Lie down for 4 hours post-treatment as this can increase bruising and swelling.
  • Engage in strenuous activities that raise blood pressure or body temperature.
  • Consume alcohol or blood-thinning medications like aspirin, which increase bruising risk.

What to do after Botox is to follow proper aftercare to improve results and reduce risks like bruising. Ask your provider for specific instructions about activities to avoid in the first 24 hours after your Botox injection.

Most patients can resume normal activities the day after Botox treatment. However, sticking to the doctor’s post-care guidelines is important for optimal outcomes. Be patient through the first 2 weeks as Botox takes full effect. As previously mentioned, there is nothing better than to wait if you ask what to do after Botox.

How Soon After Botox Can I Wash My Face?

What to do after Botox is not as complex as it sounds. Sometimes, it is just as simple as following proper aftercare instructions. However, if you ask how soon you can wash your face after Botox then it’s vital to keep your face clean to avoid infection and properly care for treated skin. Nonetheless, you’ll need to be gentle at first. Here are tips on washing your face after Botox:

  • Wait at least 4 hours after your Botox appointment before washing your face. This allows injection sites time to close.
  • Gently cleanse using your hands and lukewarm water. Avoid scrubbing, exfoliating or using any tools like washcloths or cleansing brushes.
  • Pat dry with a soft towel. Don’t rub the skin.
  • Use a very mild, fragrance-free cleanser to avoid irritation.
  • Wait 24 hours before using typical facial products like retinoids, alpha hydroxy acids or vitamin C serums.
  • If redness/swelling persists, wait 1-2 days to resume your regular skincare routine.
  • Apply SPF 30+ sunscreen every morning, patting gently over treated areas.

Washing your face too vigorously or soon after Botox can disturb injection sites and cause the Botox to migrate. So, what to do after Botox is to take it easy on the first day or two. Proper aftercare ensures you get the best results.

Check with your aesthetic provider about when you can resume your typical skincare regimen. Being extremely gentle for the first few days helps everything heal properly.

Can I Put Anything on My Face After Botox?

While you’ll need to avoid harsh products immediately after your Botox appointment, some skincare ingredients can help enhance and prolong your results:

  • Hyaluronic Acid – Hydration is key after Botox. Hyaluronic acid acts like a moisture magnet, plumping and smoothing skin. Look for serums with this hydrator.
  • Peptides – Peptides support collagen production for firmer skin over time. They may also extend muscle relaxation between Botox treatments.
  • Retinoids – Retinoids boost collagen and thicken the dermis over time for wrinkle reduction. Use them 2 weeks post-Botox once skin has healed.
  • Vitamin C – This antioxidant protects skin and inhibits melanin production. It’s great for brightening up dullness.
  • Arnica – Arnica-containing creams can reduce bruising and swelling when applied gently after Botox.

What to do after Botox is to talk to your provider before trying any new products after treatment. Avoid active acids, scrubs and hot/cold therapy for at least 24 hours. Nourishing, soothing ingredients give your Botox the best chance of optimal results.

Using a basic, ultra-gentle moisturizer and SPF for the first few days is best. Listen to your skin and ease back into your regimen gradually. With proper aftercare, your complexion will look smooth and glowing.

Am I Allowed to Touch My Face After Having Anti-wrinkle Injections?

It’s natural to want to touch your face after getting Botox injections, but it’s important to minimize this to get the best results. This may be one of the issues you have when faced with the dilemma on what to do after Botox. Here are some tips:

  • Avoid rubbing, massaging or putting pressure on treated areas for at least 4-6 hours after your appointment. This can cause the Botox to shift.
  • Don’t push, poke or press on injected areas for 24 hours. The sites need time to completely close up internally.
  • Be very gentle when washing your face for 1-2 days. Use only your hands and pat dry.
  • Try not to make exaggerated facial expressions like smiling widely or frowning for at least 4 hours. This also shifts the Botox material.
  • Sleep face-up and slightly elevated to avoid squishing one side of your face into the pillow.
  • Wear a broad-brimmed hat to keep sun off if outdoors to avoid excessive squinting or movement.

If you must touch your face, do so very lightly. But the less the better for proper healing.

Avoiding too much facial manipulation right after Botox lets it work best. Follow any specific aftercare instructions from your provider, which is part of what to do after Botox.

In about 2 weeks when the Botox has fully settled into position, facial massage and expression are fine. Just be very hands-off immediately after injections.

How Can I Make Botox Last Longer?

You’ll want to extend the smoothing, wrinkle-reducing effects of your Botox treatment as long as possible. Here are tips for longevity:

  • Stay Consistent – Regular Botox appointments every 3-6 months enable the results to last longer over time as muscles learn to relax easier.
  • Avoid Rubbing Injected Areas – Try not to manipulate the treated facial muscles for the first 2 weeks so the Botox settles in properly.
  • Limit Facial Expressions – For the first 2 weeks, avoid squinting, frowning, smiling widely, etc. This will reduce Botox movement.
  • Massage Facial Muscles – After 2 weeks when settled, gently massaging the treated muscles can help the Botox remain dispersed.
  • Stay Hydrated – Drink plenty of water and use moisturizing skincare. Dehydration can cause skin to thin and wrinkle more easily.
what to do after botox
  • Protect Skin From Sun – Use SPF 30+ and wear hats to prevent squinting and damage that can age skin faster.
  • Don’t Smoke – Smoking breaks down collagen and can shorten Botox duration.

Following your provider’s post-care instructions and being consistent with maintenance treatments are the best ways to maximize your investment in Botox over the long-term.

Are There Any Possible Side Effects?

While very safe when performed by an experienced provider, Botox does have some potential side effects to be aware of:

  • Bruising – Bruising at the injection sites is common, especially if blood thinners are used. Bruises resolve in about 1-2 weeks.
  • Headaches – Headaches may occur but typically last only 1-2 days after treatment.
  • Eyelid Ptosis – A drooping eyelid can happen if Botox spreads, but this is temporary.
  • Skin Redness – Mild redness can occur and normally resolves within a few hours.
  • Flu-like Symptoms – Fatigue, nausea and body aches may be experienced by some patients.
  • Allergic Reactions – Allergies to Botox are rare but possible. Redness, rash, itching and swelling could occur.
  • Muscle Weakness – Local muscle weakness may persist for several weeks.
  • Asymmetry – One side may appear more lifted than the other due to individual response. Usually resolves in 1-2 weeks.
  • Lack of Results – Botox may not work as expected due to numerous factors. Additional injections may be needed.

While Botox is considered very low-risk, be sure to discuss your medical history and any concerns with your provider. Proper injection technique minimizes the chance of side effects. Staying hydrated and avoiding blood thinners before treatment can also help. Notify your provider if any worrisome reactions occur.

What is the Normal Skin Routine After Botox?

Your regular skincare routine will need some adjustments in the days following Botox injections. Here are some tips:

  • Days 1-2 – Avoid active ingredients like retinoids, acids and vitamin C which can irritate. Use a basic, ultra-gentle cleanser and moisturizer.
  • Days 3-4 – Can potentially resume regular cleansers and moisturizers if skin is no longer red or irritated. Avoid rubbing.
  • Day 5 and Beyond – Slowly ease back into your normal skincare routine if your skin has recovered well.
  • 1-2 Weeks – Still avoid scrubbing, massaging and hot/cold compresses on treated areas.
  • 2+ Weeks – Can usually resume your full regular routine once Botox has fully settled in.

Always consult your provider on when you can restart specific products, especially prescription treatments like retinoids. Listen to your skin. If it stings or seems sensitive, go back to the basics. With the proper aftercare, your skin will return to normal quickly.


While Botox is a quick, non-invasive procedure, proper aftercare is crucial for achieving beautiful, long-lasting results. Avoid rubbing or pressing on treated areas, sleep face-up, and take it easy with your skincare routine the first few days. Stay consistent with maintenance appointments every 3-6 months. Use SPF, hydrating products, and massage techniques to help your Botox results last. While occasional bruising or headaches can occur, side effects are usually temporary.

With some patience and TLC in the days following your Botox injections, you’ll be rewarded with a smooth, youthful and wrinkle-free complexion. Just be sure to follow your provider’s customized post-care instructions. Before you know it, you’ll be looking naturally refreshed and vibrant!

A Note From Replenish Aesthetics & Wellness

We hope these Botox aftercare tips help you achieve beautiful, long-lasting results. At Replenish Aesthetics & Wellness, our expert providers customize each treatment plan and provide extensive guidance on properly caring for your skin after injections. We use advanced techniques to minimize pain, discomfort, swelling and bruising. Please call us today to schedule your Botox consultation. We can’t wait to reveal your most confident, youthful look.

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