Botulinum Toxin After Instructions

In the Next Few Hours

  1. No yoga (i.e. no upside-down positions) in the next 4 hours to prevent the neuromodulator from spreading to the wrong areas
  2. No swimming (i.e. no wearing swim goggles) in the next 4 hours if you received injections near your eyes
  3. Do not massage or rub the treated areas of the face for the first 4 hours, as it may diffuse the toxin to adjacent areas and cause an undesired effect.
  4. You can cleanse, moisturize, and apply sunscreen and make-up as usual.

When Will It Work, How Long Does It Last?

  1. Botulinum toxin starts working after 48 hours, at which point your muscles might feel a little different as they become less responsive when you try to contract them.
  2. Botulinum toxin reaches its peak effect at 2 weeks. This is the optimal time to schedule to come into the office to have the doctor check your results.
  3. The effects of botulinum toxin gradually diminish over 3-4 months. Schedule your next appointment 3-4 months from today.
  4. If you continue getting botulinum toxin treatments done every 3-4 months for two years or more, studies show that your muscles will start requiring fewer injections to maintain the same result.

What to Expect

  • A tiny bruise might occur at one of your injection points. It is okay to apply cover-up to the area until the bruise resolve. Bruising is more likely to occur if you regularly take medications that thin the blood. These medications include: aspirin, warfarin, Plavix, fish oil, vitamin E, NSAID's (Motrin, Advil, Aleve), garlic, ginseng, or ginkgo biloba.
  • If this was your first neurotoxin treatment ever, up to 15% of patients might feel a small tension headache after their first treatment. It is okay to take ibuprofen (Advil, Motrin) to relieve this.