Whether used preventatively or to treat existing lines, Botox provides a simple solution—and the right Botox products and aftercare routine only serve to enhance the effects of the injections. After all, “Botox in a bottle” may be an enduring TikTok trend, but there’s a reason the distinction was named for the syringe itself: even “baby” doses of the injection smooth out crow’s feet, forehead wrinkles and more.
Knowing about Botox aftercare and treatment starts with understanding exactly what you are doing by injecting your skin. Botox is made from a toxin produced by a bacterium called Clostridium botulinum which temporarily paralyzes the muscles. It is used to smooth facial wrinkles, treat neck spasms, sweating, migraines and more. To ensure the desired results, the treatment requires time and the right conditions to settle in the injection sites, the better to freeze the right dynamic muscles and strengthen your skin.
So, whether you have an appointment for the books or have received a new injection, a selection of simple dos and don’ts can help you maximize results and prevent fluid migration. Here, two top dermatologists and a facial plastic surgeon (billed as NYC’s “Botox Queen”) share what to do—and what not to do—after treatment. They also reveal the post-Botox skin products that keep their patients relieved, smooth and hydrated in the tender hours after the injection.
The Don’ts: Botox After Care
Botox can be a quick and simple procedure, but making sure the results are all upside requires some post-treatment considerations. Instead of scheduling your appointment and going about your day as if nothing happened, take some time to let your body (and face) integrate the injections, the better to avoid bruising or unwanted spillage.
Ditch the gym
Consider the day of your Botox appointment a rest day. “I advise my patients to avoid physical activity, especially vigorous exercise, for 24 hours after treatment,” says facial plastic surgeon Dr. Yael Halaas. He explains that exercise can cause the treatment to spread to muscle groups it wasn’t intended to hit, resulting in an increased risk of unwanted facial frostbite.
Say “No” to the Spa
A spa day is also not the ideal path to recovery. Halaas cautions against any type of massage, as this too can cause the Botox to spread. Dermatologist Dr. Michael I. Jacobs tells his Botox patients to avoid facial treatments for several hours after the injection. As a rule, any services that use dermabrasion, microdermabrasion, radio frequency or laser could also cause the filler to spread.
Sitting in a sauna or steam room is prohibited, as excessive heat increases blood flow to the face, which can cause the filler to diffuse. Even bending over (in any climate) could have similar effects. “If you need to lift something, avoid bending over with your head down,” advises dermatologist Dr. Jeannette Graf. “Instead, bend your knees in a standing position to lift it.”
Avoid alcohol
While you may be tempted to celebrate your successful date with a glass of wine or a cocktail, most providers recommend waiting a day or two to enjoy it. Alcohol thins the blood and dilates the blood vessels, increasing the chance of bruising in and around injection sites. Additionally, avoiding alcohol before your appointment can reduce the chances of bruising, swelling, and dizziness.
Skip the accessories (and the nap)
Halaas tells her patients not to wear hats or a visor for at least four hours after their forehead treatment, as the pressure could potentially (you guessed it!) interfere with the treatment. She advises that Botox clients avoid aspirin, ibuprofen, vitamin E and fish oil for 48 hours after the injection. “These can increase the chance of bruising,” she says, (As with any treatment, check with your provider to come up with a personal post-Botox plan.)
Finally, knock just before crawling into bed. Halaas suggests her patients wait four hours before lying down after Botox. “This will prevent the treatment from migrating outside of its intended areas,” he says. When lying down, avoid lying down. And oh, yeah: “Try not to lie on your face,” says Jacobs.
The Do’s: Skin Care Products After Botox
So what can do you do after an injection? Give your skin a little more TLC. In addition to a good old-fashioned cold compress and arnica, advanced post-Botox skin care products can help repair damaged skin and enhance Botox’s staying power. You can start using products within an hour of your injections, but be sure to be gentle on the skin and injection areas.
Use a gentle cleanser
“I recommend keeping your skincare routine simple after Botox,” says Graf. To start, wash with a soothing product such as Toleriane Moisturizing Gentle Cleanser by LaRoche-Posay. Jacobs adds that Cetaphil’s Gentle Skin Cleanser it is mild enough to avoid further skin irritation after an injection.”
Follow with a serum
“A good serum can help with the antiaging effects that Botox has on the skin,” says Graf. He recommends choosing a serum with hyaluronic acid, such as Image Skincare’s Ageless Total Pure Hyaluronic Filler. In general, hyaluronic acid is “a good adjunct to any antiaging treatment,” he continues. “It helps the skin retain moisture, keeping it plump and hydrated.” This can “reduce the fine lines that Botox fights,” notes Jacobs. He is partial to ELF’s Holy Hydration Triple Bounce Serum, which includes 1.7% hyaluronic acid, and PCA Skin’s Hyaluronic Acid Boost Serum.
