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What to Do & What Not to Do After Botox: 24-Hour Rules You Shouldn’t Ignore

Posted by Aesthetic Surgical Images

Botox can deliver smooth, youthful-looking skin, especially when you take the right steps to care for your skin in the first 24 hours after treatment. It is commonly used to treat moderate to severe frown lines, crow’s feet, and forehead lines, helping patients achieve a naturally refreshed appearance. Knowing the right steps to take — and just as importantly, what to avoid — helps ensure you achieve the best results without unnecessary complications. If you’re wondering what not to do after Botox, the first 24 hours are critical.

At Aesthetic Surgical Images in Omaha, NE, our team of experienced professionals provides expert guidance to support your recovery and help you feel confident about your Botox care. Here’s what you should avoid during the critical first day after your injections.

Mature woman examining her face in mirror, showing smooth skin results from Botox treatment aftercare.
The first 24 hours after Botox are crucial for optimal results and avoiding complications.

1. Do Not Rub or Massage the Treated Areas After Your Procedure

After receiving Botox injections, it’s important to let the botulinum toxin settle into the targeted muscles without interference. Rubbing, pressing, or massaging the treatment area can cause the toxin to migrate to unintended muscles, potentially leading to uneven results or side effects such as drooping eyelids or eyebrows. Be gentle when washing your face and avoid touching the injection sites.

2. Avoid Lying Down for at Least Four Hours

Gravity helps the Botox stay where it’s supposed to. Lying down too soon after your injections could cause the botulinum toxin to spread to nearby areas, compromising the effectiveness of your treatment. To minimize risks, plan to stay upright for at least four hours after your appointment. This precaution helps ensure the product settles precisely where your healthcare provider intended.

Botox Before and After Photos

Botox Cosmetic Before and After Photos in Omaha, NE, Case 6067
Botox Cosmetic Before and After Photos in Omaha, NE, Case 6067

* Each patient is unique and individual results may vary.

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3. Skip Intense Physical Exercise

Physical activity increases circulation, which can cause the Botox to spread from the injection site before it fully settles into the targeted muscles. To avoid compromising your results or experiencing unwanted side effects, it’s best to steer clear of vigorous exercise for at least 24 hours. Light activities like walking are typically safe, but anything that raises your heart rate or blood pressure should wait until the following day.

4. Do Not Apply Heavy Makeup or Skincare Products

While it’s tempting to cover minor side effects like redness or swelling, applying heavy makeup immediately after injections can irritate the skin and increase the risk of infection at the injection site. Give your skin time to heal naturally before resuming your normal makeup routine. If necessary, use a mild cleanser and gentle skincare products approved by your provider.

5. Stay Away from Alcohol

Alcohol acts as a blood thinner, increasing your chances of bruising at the injection site. It’s best to avoid drinking alcohol for at least 24 hours before and after your Botox treatment. Staying hydrated with water, on the other hand, can support your body’s natural healing processes and reduce the risk of negative side effects.

6. Avoid Hot Environments Like Saunas and Hot Showers

Heat can increase swelling and redness after Botox injections. Avoid hot showers, saunas, steam rooms, and tanning booths for at least a day after your procedure. Stick to lukewarm showers and keep your skin cool to help the Botox settle properly and minimize irritation.

7. Hold Off on Facial Treatments and Massages

Facials, chemical peels, and facial massages can all disturb the Botox injection process if performed too soon. Wait at least one to two weeks before scheduling any facial treatments to allow the botulinum toxin to fully integrate into your facial muscles. Early manipulation of the treatment area can lead to complications or affect your final results.

Patient receiving post-Botox consultation with professionals discussing facial treatment precautions and timing.
Facial treatments too soon after Botox can disrupt the results and lead to complications.

8. Do Not Sleep Face Down

When you sleep face down, there is added pressure on the treatment areas, which could cause the Botox to migrate. Try to sleep on your back with your head slightly elevated the first night after your injections. This sleeping position helps prevent unwanted movement of the toxin and protects your investment in your appearance.

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9. Skip Blood Thinners Unless Prescribed

Medications like aspirin, ibuprofen, and certain herbal supplements (such as ginkgo biloba) can thin your blood and increase the risk of bruising or swelling. If you are on prescribed blood thinners, talk with your healthcare provider before your appointment. Always follow your doctor’s recommendations regarding your medications to balance your health needs with cosmetic goals.

10. Avoid Excessive Sun Exposure and Tanning Beds

The sun’s heat and UV rays can increase inflammation and delay healing after Botox injections. To protect the treatment area, stay indoors or wear a wide-brimmed hat and broad-spectrum sunscreen if you must go outside. Avoid tanning beds entirely, as they can cause unnecessary stress on your skin and negatively impact the healing process.

Woman wearing sun hat and sunscreen, protecting skin after Botox treatment to avoid UV-related inflammation.
Sun exposure and tanning can hinder Botox healing and increase inflammation.

11. Stay Calm and Keep Facial Movements Gentle After Botox Injections

While light facial expressions can actually help Botox settle into the muscles, you should avoid exaggerated expressions such as squinting, frowning, or laughing excessively right after the injection process. Allow your muscles to relax naturally so that the Botox can work effectively without interference.

Protect Your Botox Results with Simple 24-Hour Botox Aftercare

Caring for your skin after Botox treatment doesn’t have to be complicated. In addition to following the “what not to do” list, here are some essential aftercare tips to optimize your results:

  • Stay hydrated by drinking plenty of water.
  • Use a mild cleanser to gently clean your face without scrubbing.
  • Apply cold compresses if you experience minor swelling or irritation.
  • Trust your treatment plan and give your body time to heal naturally.

At Aesthetic Surgical Images in Omaha, NE, we are committed to guiding you through every step of your Botox journey—from your initial consultation to expert aftercare. Our experienced providers offer personalized treatment plans tailored to your unique goals, helping you achieve smoother skin and a refreshed appearance with minimal risks and optimal results. If you’re ready to smooth away wrinkles and experience the benefits of expertly performed Botox injections, contact us today to schedule your consultation and take the first step toward looking and feeling your best.

Frequently Asked Questions About Botox Safety and Aftercare

Can you get Botox while pregnant?

Botox injections are not recommended during pregnancy. There is limited research on the safety of botulinum toxin during pregnancy, and while the risk appears low, it’s generally best to avoid unnecessary procedures during this critical time. If you’re considering Botox and think you might be pregnant, consult with your healthcare provider first.

Can you get Botox while breastfeeding?

As with pregnancy, the effects of Botox injections while breastfeeding are not fully understood. Because some of the toxin could theoretically enter breast milk, it’s safer to delay Botox treatments until after you have finished breastfeeding. Always discuss your options with a qualified provider if you have concerns.

How long should I avoid exercise after Botox?

It’s best to avoid strenuous exercise for at least 24 hours after Botox injections. Intense workouts can increase blood flow and pressure in the treated areas, which could affect the way Botox settles. Light activities such as walking are acceptable, but save the gym sessions for after the first day.

What are the common risks and side effects of Botox?

Minor side effects after Botox treatment can include swelling, bruising, mild pain at the injection site, and headaches. These typically resolve within a few days. Serious side effects like muscle weakness, difficulty swallowing, or breathing problems are rare but require immediate medical attention.

What should I do if I notice bruising or swelling?

Minor bruising or swelling is normal and usually resolves quickly. Applying a cold compress can help reduce these effects. Avoid taking aspirin or ibuprofen unless prescribed, as these medications can make bruising worse.

Can Botox migrate to other areas of the face?

If you follow proper aftercare guidelines and avoid touching or massaging the treated area, the risk of Botox migration is extremely low. This is why post-procedure precautions are so important.

When will I see the final results from Botox?

Most patients start seeing results within 3 to 5 days, with full results appearing after about two weeks. It’s important to be patient and allow time for the Botox to take full effect.

How long do Botox results typically last?

Botox results generally last 3 to 4 months. Regular maintenance treatments can extend the benefits and keep your skin looking smooth and refreshed.

Is Botox safe for treating areas other than wrinkles?

Yes, Botox is FDA-approved for several non-cosmetic uses, including treating migraines, overactive bladder, and excessive sweating. If you’re interested in learning more about these benefits, schedule a consultation with our clinic to discuss your options.

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The team of board-certified plastic surgeons at Aesthetic Surgical Images specializes in breast augmentation, tummy tuck, Mommy Makeover, facelift and liposuction in Omaha for patients from throughout the Midwest including Nebraska cities such as Lincoln and Bellevue , and Iowa communities including Des Moines, Council Bluffs and Sioux City.

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