What Not To Do After Getting Botox Injections

Isabel “Izzy” Koo, MSN, NP-BC

December 29, 2025

Getting Botox injections is a simple, quick step toward smoother skin and a refreshed look. But while the treatment itself only takes a few minutes, what you do after your appointment plays a major role in how well your results turn out.

Many people assume Botox is a “set it and forget it” procedure. In reality, the hours and days following your injections are just as important as the treatment itself. Knowing what not to do after Botox helps the product settle correctly, reduces side effects, and ensures your results look balanced and natural.

At Akari MedSpa, Botox treatment in Newport Beach is approached with precision, experience, and a strong emphasis on proper aftercare. Understanding how to care for your skin after injections is a key part of achieving smooth, natural-looking results that last.

This guide walks through everything you should avoid after getting Botox injections, from the first few hours to the days that follow, so you can protect your results and feel confident about your outcome.

Why Aftercare Matters After Botox

Botox works by relaxing targeted muscles. After it’s injected, it needs time to bind properly to those muscles. Certain movements, activities, or habits too soon after treatment can interfere with that process.

Understanding what not to do right after Botox helps prevent:

  • Botox from migrating to unintended areas
  • Uneven or weakened results
  • Excess bruising or swelling
  • Shortened longevity of your treatment

Good aftercare doesn’t mean doing anything complicated. It simply means avoiding a few key things while Botox settles.

What Not To Do Right After Botox (First Few Hours)

The first several hours after Botox injections are the most important. During this window, the product is still settling into place.

Avoid Touching or Massaging the Treated Area

One of the most important rules is not to touch, rub, or massage the treated areas.

Touching your face can:

  • Displace Botox from where it was injected
  • Cause it to spread to nearby muscles
  • Increase the risk of bruising
  • Lead to uneven results

Even gentle pressure can interfere with precise placement. Let the area rest and settle naturally.

Avoid Lying Down or Bending Over

You should stay upright for several hours after Botox.

Lying flat or bending forward can:

  • Increase the chance of Botox migrating
  • Affect how evenly the product settles

This is why many providers recommend waiting at least four hours before lying down.

Avoid Exaggerated Facial Expressions

Natural expressions are fine, but exaggerated movements should be avoided immediately after treatment.

Try to limit:

  • Forceful frowning
  • Hard squinting
  • Repeated eyebrow lifting

Overusing treated muscles too soon can reduce the effectiveness of Botox.

What Not To Do 24 Hours After Botox

The first full day after treatment is another critical period. Knowing what not to do 24 hours after Botox helps protect your results as the product continues to bind.

Avoid Exercise and Strenuous Activity

Vigorous workouts increase blood flow and circulation. This can cause Botox to move before it has fully settled.

Avoid:

  • Running or intense cardio
  • Heavy lifting
  • High-intensity training
  • Hot yoga or heated workouts

Light walking is usually fine, but anything that raises your heart rate significantly should wait.

Avoid Heat Exposure

Heat increases circulation and can interfere with Botox placement.

For at least 24 hours, avoid:

  • Saunas
  • Steam rooms
  • Hot tubs
  • Long hot showers
  • Direct facial heat

Keeping your body temperature stable helps Botox stay where it’s meant to work.

Avoid Alcohol

Alcohol can thin the blood and increase bruising.

It’s best to avoid alcohol for at least 24 hours after getting Botox injections to minimize swelling and discoloration at injection sites.

What Not To Do in the Days Following Botox

Botox continues to settle over several days. During this time, being mindful of certain habits can help maintain smooth, even results.

Avoid Facial Treatments or Massages

Facials, chemical peels, microdermabrasion, or facial massages should be postponed.

These treatments can:

  • Apply pressure to treated muscles
  • Cause Botox to shift
  • Irritate sensitive skin

Most providers recommend waiting at least one to two weeks before facial treatments.

Avoid Blood-Thinning Medications Unless Approved

Certain medications and supplements can increase bruising.

Unless advised otherwise, avoid:

  • Aspirin
  • Ibuprofen
  • Certain herbal supplements

Always follow guidance from your provider regarding medications.

Avoid Expecting Immediate Results

One common misconception is expecting Botox to work instantly.

Botox typically:

  • Begins working within a few days
  • Reaches full results in 7 to 14 days

Seeing small bumps, redness, or mild swelling early on is normal and temporary.

Also read our detailed blog on The Benefits of Botox Injections!

Common Misconceptions About Botox Aftercare

Clearing up misunderstandings helps prevent unnecessary worry.

“I Can’t Move My Face at All”

You don’t need to freeze your face. Natural facial expressions are fine. Just avoid overusing treated muscles immediately after injections.

“Massaging Helps Botox Set Better”

This is false. Massaging can actually cause Botox to spread and lead to unwanted effects.

“Swelling Means Something Is Wrong”

Mild swelling or redness is normal and usually resolves within a day or two.

A Mindful Post-Botox Routine

Good aftercare isn’t about restriction. It’s about supporting your skin while Botox does its job.

Helpful habits include:

  • Staying hydrated
  • Using gentle skincare products
  • Applying sunscreen
  • Following all aftercare instructions
  • Attending follow-up appointments if recommended

A calm, gentle approach helps ensure the best possible outcome.

Final Thoughts

Knowing what not to do after getting Botox injections is one of the easiest ways to protect your results. Avoiding pressure, heat, alcohol, and intense activity gives Botox the time it needs to settle properly and work as intended.

With the right aftercare, Botox results look smoother, more balanced, and longer-lasting. If you ever have questions after treatment, it’s always best to follow the guidance of a qualified provider who understands both the procedure and your individual needs.

Considering or maintaining Botox? Our medspa in Newport Beach is a trusted resource for expert injections and thorough aftercare guidance. Akari Medspa takes a thoughtful approach to both treatment and recovery that leads to smooth, natural-looking results that last.