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BOTOX® Do's and Don'ts

What to do BEFORE Botox

Select an injector who knows what he/she is doing. Good Botox depends on the skill and technique of the Botox injector.

Refrain from having Botox if you suffer from any Neuromuscular conditions such as Myasthenia Gravis or Easton-Lambert syndrome; are pregnant or nursing.

Be aware that some tenderness, bruising, temporary headaches can occur however typically resolve quickly.

Report any allergic reactions to your provider immediately. These reactions include itchy rash, swelling, or shortness of breath. Get medical help right away if you are wheezing, have asthma symptoms, dizziness or feel faint.

Be transparent with your injector. For your safety, tell your injector as much as possible about your medical history and medications so he/she can determine whether you are a good candidate to receive cosmetic Botox.

Tell your injector: What medication, supplements, herbs, etc. you are taking. What allergies you have. If you have any medical conditions, illnesses, or diseases. If you have or will have any medical procedures (i.e. recent Botox, surgery, other treatments, etc.) or if you are pregnant, breast-feeding, or trying to conceive.

Tell your injector if this is your first time getting Botox. Some injectors may be more conservative with first time Botox patients to gauge how the patient will react to the Botox and provide a better long-term result.

Make sure Botox is the right treatment for you. A reputable and experienced Botox injector will know what Botox can do for your skin and what it can't. For instance, you may be better off getting fillers instead of Botox for certain types of wrinkles on your face. Make sure you and your injector discuss the best therapy for your skin issues.

Ensure your injector understands your preferences. Make sure both you and your injector are clear about what facial areas you want to treat and what the ideal result may be. Different people have different aesthetic preferences. For instance, some people prefer absolutely no movement in the treated area and others prefer softening at rest, but maintaining the ability for dynamic muscle expression. Both preferences are perfectly fine - just be clear which you prefer!

Have realistic expectations about what Botox can and can’t do. Botox results can be amazing for the right indication, but Botox can't fix everything. Having realistic expectations about your results will save you from unnecessary disappointment. Be sure to discuss what this with your provider.

Be aware that you may have small reddish bumps at the injection site that can last a few minutes to an hour post injection.

Stop taking medication that can “thin” the blood (unless prescribed by a physician) two weeks before your Botox treatment to minimize any potential post-Botox bruising. If you must take pain medication, Tylenol is okay.


  • Alcohol
  • Aspirin
  • NSAIDS (Excedrin, Advil, Aleve or Motrin)
  • St. John's Wart
  • Vitamin E
  • Fish oil or Omega-3s
  • Ginko Bilboa
  • Ginseng. This will minimize any potential post-Botox bruising. If you must take pain medication, Tylenol is okay.

Don’t stop taking any prescribed medication (even ones listed above) unless your prescribing doctor has approved it. While your injector wants to avoid bruising you, it is better to have a few small bruises than interfere with your health.

Don't be afraid to ask questions. Make a list of questions you want to ask your injector and bring it with you to your Botox consultation. Ask how much the treatment will cost, how many units of Botox you will need. Ask about side effects, risks, and how you should take care of your skin after Botox and how often someone with your skin condition should get Botox.

What to do DURING Botox Appointment

What you do during Botox is not as important as what you do before and after Botox, but here are some things you should keep in mind for a good treatment session:

Go au naturel. Your skin will be cleansed with rubbing alcohol or an antiseptic before you get Botox, so feel free to show up to your appointment with nothing on your skin. If you wear makeup to your appointment, it will be removed at the treatment area.

Relax! The Botox treatment will be over before you know it. Stay still, don’t tense up, breath and just try and relax.

What to do AFTER Botox

What you do after Botox and how you take care of your skin is very important. Here are some things you should and shouldn't do after getting Botox injections:

Don’t rub or massage the treated area for 24 hours! Rubbing or massaging could cause the Botox spread to other unintended muscles.

Don’t exercise the same day after your treatment. It is best to avoid strenuous physical activity for 24 hours.

Avoid consuming alcohol for several days. Alcohol can increase your risk for bruising.

Don’t get facials, chemical peels, microdermabrasion, etc. for 24 hours. Lying on your face or muscle manipulation can cause the neurotoxin to spread to unintended muscles.

Don’t take the blood thinning medications, herbs or supplements mentioned above. It is best to avoid the for several days post treatment.

Don’t wear hats or headbands for at least 24 hours. The pressure/tension could cause migration of the neurotoxin

Avoid bending over or lying down for 4 hours after your treatment.

Apply a topical vitamin K and arnica ointment should you get a Botox bruise. Green or yellow concealers can also help cover up the bruises.

Go back for your two-week follow up appointment. At your follow up appointment, your injector may determine that a touch up is needed.

Do not hesitate to communicate to your injector if you are dissatisfied with your results. Your injector wants you results to be as amazing as you do and most often with a simple tweak can address any concerns.

Call your injector or seek medical attention if you experience any complications from the Botox treatment.