BOTOX Pre + Post Care Instructions

Before your treatment

  • 1 WEEK BEFORE treatment, discontinue all topical products containing Tretinoin (Retin-A), Retinols, Retinoids, Glycolic Acid, Alpha Hydroxy Acid, Vitamin C, or any anti-aging products.
  • 1 WEEK BEFORE treatment, do not ingest blood thinning medications such as Aspirin, Motrin, Ibuprofen, and Aleve.
    • If you have a cardiovascular history, please check with your doctor prior to stopping the use of blood thinners.
  • Also, avoid herbal supplements, such as Garlic, Vitamin E, Ginkgo Biloba, St. John’s Wort, and Omega-3 capsules.
  • 24 HOURS BEFORE treatment, do not drink alcoholic beverages.

day of the procedure

  • Please come to the office without make-up, creams, gels, or lotions on treatment areas.

What to Expect

  • You may experience a mild amount of tenderness or a stinging sensation following injection.
  • Redness and swelling are normal. Some bruising may also be visible.

After your treatment

  • Stay in a vertical position for four hours following injection. DO NOT rest your head or lie down; sit upright for about 4 hours.
  • AVOID placing excessive pressure on the treated area(s) for the first few days; when cleansing your face, or applying makeup, be very gentle.
  • AVOID exercise or strenuous activities for 4 hours; you may resume other normal activities/routines immediately.
  • AVOID extended UV exposure until any redness/swelling has subsided. 
    Use sunscreen with UVA/UVB protection and SPF 30 or higher.

Contact Our Office

  • If your symptoms worsen or persist for longer than 2 weeks
  • If you develop signs of infection (increasing swelling, pain, heat or surrounding redness) or if the treated area appears to be getting worse.
  • If you feel that there is any asymmetry after 14 days.
  • If you feel you have droopy eyelids and your vision is impaired.


  • 3-4 months after each treatment for maintenance injections.

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