Due to its ability to soften mimic wrinkles and rejuvenate facial appearance, Botox injections have become one of the most sought-after anti-aging treatments, earning the trust of millions worldwide. Their effect, especially in terms of reducing forehead wrinkles, frown lines between the eyebrows, and crow’s feet around the eyes, provides a youthful look with minimal recovery time.
However, to ensure that the results last longer and remain natural, the aftercare following Botox application is just as crucial as the procedure itself.

Understanding Botox Treatments
Botox (Botulinum toxin type A) temporarily blocks neuromuscular activity, preventing excessive muscle contractions. Thus, wrinkles that arise from repeated mimic movements—such as frown lines or fine lines around the eyes—become less noticeable or disappear altogether, giving the skin a smoother and more rested appearance. Typically, the initial effects of a Botox treatment can be noticed after 3 to 5 days, while the full effect develops over 10 to 14 days.
Why Is Post-Treatment Care Important?
Although the application process itself is simple and lasts only a few minutes, with minimal recovery time, it is the habits and proper care after the procedure that play a crucial role in achieving long-lasting results. On average, the effect of Botox lasts from 3 to 6 months, depending on individual factors such as muscle activity, metabolism, and lifestyle habits.
However, proper behavior immediately after the procedure and during the first few weeks can extend this period, ensure that the achieved result is as natural as possible, help in alleviating any potential side effects such as redness, swelling, or mild discomfort, and also contribute to maintaining skin integrity and reducing the formation of new wrinkles.
Immediately After Botox Treatment – What Can You Expect?
Immediately after Botox injections, you may notice slight redness, possible bruising, and swelling at the injection sites. Additionally, some patients may experience a mild tightening sensation or discomfort in the treated areas, but this is part of the normal skin reaction. Less commonly, headaches or a feeling of pressure may occur, especially when the forehead and area between the eyebrows are treated.
These reactions are temporary and usually subside within a few hours to a couple of days. During this period, it is important to follow the guidelines provided by your aesthetic specialist to minimize any adverse effects, prevent the migration of Botox to incorrect areas, and ensure optimal distribution of the active substance in the muscles.
Tips for the First 24 Hours
Avoid touching treated areas: Do not massage, press, or rub the areas where injections were applied. This could lead to undesirable diffusion of the substance into surrounding muscles and reduce the effect in the desired zones. It is crucial not to massage or touch the treated region for the first 4 to 6 hours post-treatment, though some doctors advise up to 24 hours if at all possible.
Stay upright for the first 4 hours: It is recommended not to lie down or bend your head forward for the first few hours after treatment (at least the first 4 hours). This minimizes the risk of Botox migration, which can cause unwanted effects such as asymmetry or drooping eyelids.
Avoid intense physical activity: For the first 24 to 48 hours, it is advised to avoid exercising and other activities that increase your heart rate and blood pressure. Intense physical activity—like running, weight lifting, or vigorous aerobic exercises—can lead to increased circulation and exacerbate swelling in the initial hours.
Another reason is that high-intensity movement during exercise can cause the injected Botox fluid to shift to other muscles, an undesirable outcome as previously mentioned.
It is recommended to rest or take gentle walks, but refrain from anything that excessively sweats you or strains your facial muscles.
Avoid alcohol, saunas, and hot showers: Increased circulation due to consuming alcohol or exposure to high temperatures (e.g., saunas, hot showers, steam baths) can cause an increased blood flow to the face and lead to the appearance or worsening of bruising or swelling.
It is very important to adhere to these recommendations for the first 24 hours after treatment, although some doctors suggest a couple of days, if possible.
Limit sun exposure: It is recommended to avoid direct sunlight and tanning beds for at least a few days after the treatment.
Facial care and makeup: After 4 hours from the Botox treatment, one can wash their face and apply gentle skincare creams. Regarding makeup, it’s best to wait at least 12 hours post-procedure, although it is warmly recommended to do it the next day.
Just ensure in the first 24 hours to avoid applying significant pressure and rough movements to the regions where Botox was injected, as well as intense cosmetic treatments and similar activities.
Care Recommendations for the Coming Days
- Maintain Normal Facial Expressions: While previous recommendations suggested making certain facial expressions to ‘distribute’ Botox, current research shows that excessive mimicking doesn’t bring additional benefits. It’s sufficient to behave normally—smiling, talking, and daily facial expressions are entirely adequate for the Botox to distribute properly within the muscle fibers.
- Gentle Cleansing and Hydration: Use mild cleansers and moisturizers that do not contain harsh ingredients. Drink plenty of water to maintain hydration and help your body respond more quickly to the treatment.
- Avoid Aggressive Exfoliation: For the next few days, it’s best to avoid chemical or mechanical exfoliations that might further irritate the skin and interfere with the regeneration process.
- Use Cold Compresses or Mild Gels: If you notice slight swelling or bruising, applying a cold compress can help. Be careful not to press too hard; instead, gently place a cold, soft towel or gel pack. This reduces swelling and speeds up the disappearance of bruises.
- Don’t Skip SPF Protection: Although Botox itself does not make the skin more sensitive, treated areas may be more susceptible to UV damage. Use creams with SPF 30 or higher to protect your skin and prevent premature aging.
- Follow Expert Instructions: If your doctor has recommended certain products or measures, strictly adhere to these guidelines. Regular check-ups and possible adjustments to your care plan can ensure that the results of your Botox treatment last as long as possible.
Additional Tips for Long-Lasting Botox Effects
Quality sleep, a balanced diet, and regular physical activity have a significant impact on the overall condition of the skin. Avoid smoking and excessive alcohol consumption, as these factors accelerate aging and can reduce the longevity of Botox effects.
Do not skip regular check-ups. Consult with your aesthetic expert about the schedule for follow-up treatments. The effects of Botox gradually diminish, so it is advisable to repeat the treatment when mimic wrinkles begin to reappear.