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Botox Injection

Post Op Care


Post-Operative Care Instructions

These guidelines have been followed for years, and are still recommended today to prevent the possible side- effects of ptosis (drooping of the eyelids). These measures should minimize the possibility of ptosis.


The most common reactions to Botox® are:

  • Redness, swelling, bruising, and tenderness after the injections. These usually subside a few days after the treatment but can last up to a week.

  • If any of these symptoms persist longer than a week, or if you develop other symptoms, please contact our office.


  • Make-up may be applied a few hours after the treatment if no complications are present, such as open wounds, bleeding, or infection.

  • Mild facial muscle movements in the injected areas are recommended for 1-hour following treatment. This is to stimulate the binding of the toxin only to the localized area.

  • Avoid excessive touching or massaging the treated areas for about 6 hours after the injections.

  • The treated areas can be washed with a gentle cleanser such as Cetaphil®, Cerave®, or Dove® unscented. Try to avoid sleeping directly on the treated areas, please ask Doctor for suggestions if you normally sleep face down.

  • In the first 24 hours following treatment limit exposure to sunlight or UV lamps. Extensive sun or heat exposure and alcoholic beverages may cause a temporary increase in redness, bruising, or swelling at the injection sites.

  • Patients should avoid strenuous exercise for 48 hours to prevent moving the Botox® and increasing blood flow to the face.

  • Remember to apply your sunscreen daily. Use a sunscreen with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.

  • It may take 2 -10 days to see the full effect of your injections. It is recommended that you contact the office no later than 2 weeks after treatment if the desired effect was not achieved and no sooner to give the Botox® toxin time to work.


  • Cold compresses may be used after the treatment to reduce swelling and decrease soreness. You may take Tylenol (if not contraindicated) every 4-6 hours after the treatment to help with any discomfort you may have. Avoid taking aspirin (unless medically necessary) or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba, St. John’s Wort and high doses of vitamin E for 5 days after the treatment, as these may cause an increased risk of bleeding or bruising at the injection sites.

  • Your satisfaction is important to us! We would like you to return to the office in 2 weeks to see whether a touch-up is necessary. If follow up treatments are necessary, there may be additional charges at the regular rate. Additional costs for medical treatment would be your responsibility should complications develop after your Botox® procedure.

Studies have shown that having a follow-up treatment before the product has fully dissipated will enhance the lasting effect. Consult with Doctor about recommendations for touch-up or follow-up treatments. If you are experiencing complications not listed above, please call our office as soon as possible (740) 474 3861.

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