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It seems like almost everybody is getting Botox these days, whether it's for anti-aging purposes or off-label benefits such as TMJ relief. While it may seem as straightforward as going to your dermatologist and getting a quick jab, there are several things you should keep in mind after getting Botox to make sure you get optimal results.
For starters, there's an important time window post-injections that you need to be mindful of (but more on that below). Also, though certain side effects might seem alarming (e.g. Botox bumps), they're usually totally harmless. To put your mind at ease, we talked to medical experts Tiffany Libby, MD, and Dara Liotta, MD, to compile a list of things you shouldn't do and others you shouldn't worry about if you're planning to get Botox.
Meet the expert
- Tiffany Jow Libby, MD, is the Director of Mohs Micrographic and Dermatologic Surgery at Brown Dermatology.
- Dara Liotta, MD, is a facial plastic and reconstructive surgeon at Facial Plastics NYC.
Keep scrolling for six post-Botox tips.
You Can Pour Yourself a Drink
Some online blogs will caution people to refrain from drinking alcohol before and after getting Botox to prevent bruising, but our experts say otherwise.
"You can drink alcohol, however, it may increase your risk of bleeding slightly," said Dr. Libby.
If you prefer to be extra careful, Dr. Libby pointed out that medications that interfere with clotting, such as fish oil, nonsteroidal anti-inflammatory drugs, aspirin, and vitamin E, may also increase the risk of bleeding when taken within a week of the procedure.
Don't Worry About Lying Down
When you get Botox, some people believe they shouldn't bend over or lie down.
"There is a hypothetical concern that the Botox can migrate to other areas and have unintended effects on muscles other than their target," said Dr. Liotta. "The volume of fluid and amount of Botox injected with each needle stick is so tiny when Botox is used for cosmetic reasons in the face that I don't think any activity matters in reality."
Don't Work Out
Dr. Liotta said to avoid vigorous activity for three to four hours after getting a Botox injection. Dr. Libby mirrored that recommendation: "Although there are currently no controlled studies that support limiting activity, avoidance of strenuous exercise, or pressure on injected sites — why risk it?"
To err on the side of caution, definitely take a day off and return to the gym tomorrow.
Don't Massage the Treated Area After Botox
To avoid displacing Botox to unwanted locations, Dr. Libby said to refrain from massaging the treated area. That means no jade rollers, gua sha, or other face-sculpting tools.
"In the same vein, I would [also] avoid using microcurrent devices until two weeks after the botulinum toxin has kicked in fully and any need for touch-ups is determined and performed," she noted.
Don't Freak Out Over Botox Bumps and Bruises
After the initial injections, small bumps may appear along the treated areas — this is normal.
"How long it takes for these to disappear can vary depending on how reactive an individual is, but generally disappear within five to 20 minutes after injection," said Dr. Liotta.
Also, while bruising is extremely rare, it may happen on occasion. "Fortunately, most post-treatment bruising is mild and resolves shortly within several days," Dr. Libby shared.
If you bruise, Dr. Libby recommended applying topical Arnica to speed up recovery.
Be Patient
The effects of Botox don't happen immediately, so don't worry if you're still seeing movement in the treated area after a few days.
"It may take between four to 10 days to see the full effect of your treatment," explained Dr. Liotta.
Plus, Dr. Liotta said that since everyone's facial structure is slightly different, touch-up treatments may be required and are usually performed two weeks after the initial treatment.
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