BOTOX After Care Instructions


Most patients have no problems after Botox treatments.  Overall, it is extremely safe with very high satisfaction!  The most common problem is not having realistic expectations.  Botox can not always last as long as desired, or improve wrinkles, as much as hoped.  Occasionally, small “touch-ups” that require just a “few” extra units of Botox are necessary.  Some patients, however, just need more Botox than they received or paid for.  This is really not a problem, extra Botox can be safely added shortly after the first treatment.  Most of the time it means more Botox should be used to get the desired result.  There is an extra expense for the extra Botox needed. 

General Care After Botox:

Most patients need to do absolutely nothing.  Strenuous workouts are not recommended on the day of your treatment, but can be resumed the next day.  Light activity and walks can be done immediately.  Patients do not need to do facial exercises to facial muscles.  These have been shown to be unnecessary.

  1. Ice application to the area – 20 min. on and 20 min. off – 3 times a day as needed.  Extra ice application is fine if desired.
  2. Headache – Tylenol or Motrin as needed.
  3. Redness, Welts, and Itching – Benadryl over-the-counter as needed.
  4. Avoid strenuous exercise on the day of the procedure.
  5. Understand realistic results and how long the Botox lasts in general.  Additional treatments or touch ups can require more Botox.

Potential Botox Side Effects:            

  1. Bruising – Recovering from Botox is extremely easy.  Most people have minimal to no bruising and can resume normal activity immediately.  Rarely, someone gets unlucky and gets more significant bruising.  Although disappointing, it is important to understand it will not affect the results of the Botox.  It just takes time for the bruising to resolve.  Makeup can be used to hide the bruising following the Botox.
  2. Headache – Headache can also happen after Botox.  This is usually very little and goes away quickly.  Dr. Hammond recommends Tylenol or Motrin for this kind of headache or pain.
  3. Redness, Welts, and Itching – Minor redness or welts can occur after Botox.  Sometimes it will cause itchiness as well.  This is normal and please do not worry.  Benadryl is recommended for this problem and symptoms.  Please call if they do not improve over a day or two.
  4. Drooping of the eyelids or eyebrows – Drooping of the eyelids or eyebrows is very uncommon and most people do not get this.  If you do, do not worry and please call the office for an appointment with Dr. Hammond.  Most patients will actually achieve a small eyebrow lift with Botox.  Some patients might feel their eyebrows are too low even after Botox.  In this case, cosmetic eyebrow lift or cosmetic blepharoplasty might be something that helps with the aesthetic appearance and your rejuvenation.  If the eyebrow/eyelid does droop, it generally tends to resolve within a short period of time.  Again, Botox is extremely safe.  This type of problem is very rare.
  5. Results – Remember, “realistic” expectations after Botox or any cosmetic procedure is extremely important.  This means patients can be disappointed that the Botox didn’t do enough.  Botox is a chemical that works to diminish facial lines.  It does take several days to reach its maximum potency.  This means that the best results take 2-4 days to appear.  People often want to “get rid” of all the wrinkles.  Botox frequently just “diminishes” wrinkles.  Getting rid of all the wrinkles often doesn’t happen.  Also, the Botox might not last as long as desired.  This is something that happens.  Botox usually lasts between 2-4 months, and we want it to last a long time.  However, if it goes away too quickly, you just need more Botox.  Some people metabolize Botox more quickly than others and need treatments more frequently.  Men often have larger muscles and need bigger doses and more frequent treatments.  Additional Botox treatments do have an additional expense.  If you have any additional concerns after treatment, please don’t hesitate to call our office.