First Time Getting Botox​: What To Do & Not To Do After Botox

Thinking about getting BOTOX for the first time? You're not alone. Whether you're looking to smooth fine lines, soften wrinkles, or simply refresh your look, BOTOX is one of the most trusted, non-surgical options available today. And while the procedure itself is quick and virtually painless, proper care before and after your appointment can help you get the best results—and feel confident every step of the way.

Here’s your go-to guide for what to do before and after BOTOX so you feel prepared, informed, and excited for your results.

What To Do Before BOTOX

1. Schedule at the Right Time
   If you’re getting BOTOX for a special occasion or event, plan your appointment at least 2 weeks in advance. It can take 3-7 days to start seeing results and up to 14 days for full effect.
   
   
2. Avoid Blood Thinners When Possible
   To help reduce the chance of bruising, avoid blood-thinning medications and supplements (like aspirin, ibuprofen, vitamin E, fish oil, or turmeric) for a few days beforehand - unless prescribed by your doctor. Always consult your provider before making changes to your routine.
   
   
3. Skip Alcohol for 24 Hours
   Alcohol can increase the risk of bruising and swelling, so it’s best to avoid it the night before your treatment.
   
   
4. Come With a Clean Face
   Avoid wearing makeup to your appointment if possible. Clean, product-free skin helps your provider see your natural facial movements and ensures a smooth, sterile treatment.

What Happens During a BOTOX Appointment?

If you’re new to BOTOX, it’s totally normal to feel a little unsure about what the actual procedure involves. The good news? It’s quick, simple, and most patients are surprised by how easy it really is.

Here’s what you can expect:

1. It Starts With a Conversation
   Before anything happens, you’ll sit down with your provider to talk through your goals. Whether you’re looking to smooth forehead lines, soften crow’s feet, or just refresh your appearance, your provider will take time to understand exactly what you're hoping to achieve.
   
   They’ll also examine your facial expressions and natural movements so they can tailor your treatment to your unique features.
   
   
2. The Treatment Only Takes a Few Minutes
   Once you're comfortable, your provider will clean the treatment area and use a tiny needle to place the BOTOX precisely where it’s needed. Most people describe the feeling as a small pinch or a quick poke; it’s very tolerable, and there's no need for numbing in most cases.
   
   The entire injection process typically takes less than 10 minutes.
   
   
3. No Downtime Needed
   You can head right back to your day once your treatment is done. Some people even pop in on their lunch break. There might be a little redness or slight swelling at the injection points, but this usually fades quickly—often within an hour or so.

What Not To Do After Botox

1. Avoid Touching or Rubbing the Treated Area
   Resist the urge to massage or apply pressure to your face. Touching the injection sites can potentially cause the Botox to shift, leading to uneven results. Instead, gently allow the treatment to settle into your muscles.
   
   
2. Steer Clear of Intense Physical Activity
   Avoid vigorous exercise for 24 hours after your treatment. Activities like running, heavy lifting, or any strenuous workout increase blood flow, which might lead to the migration of the product. Consider this chill day as a reward.
   
   
3. Limit Alcohol and Blood Thinners (Recommended)
   Alcohol and certain over-the-counter medications, including some blood thinners, can interfere with the healing process by promoting bruising and swelling. Refrain from alcohol consumption and consult your provider about your medications in the days following your Botox session.
   
   
4. Skip the Heat
   For 24 hours post-treatment, avoid exposure to intense heat, such as saunas, hot tubs, or even prolonged direct sunlight. Heat can increase blood flow to the injection sites and potentially affect the Botox’s performance.
   
   
5. Don’t Apply Heavy Makeup Immediately
   While a light touch-up might be fine, avoid applying heavy makeup or using facial exfoliants that could irritate the skin. Instead, opt for gentle cleansing and allow your skin time to settle after the procedure.

What Results Should You Expect from BOTOX?

BOTOX is incredibly effective at softening fine lines and giving your face a smoother, more refreshed look—but like any aesthetic treatment, it’s important to go in with realistic expectations.

Here’s what to keep in mind:

1. Results Aren’t Instant, and That’s Okay
   You won’t walk out of your appointment with full results right away. BOTOX takes a few days to start working, and it usually takes 7 to 14 days to see the full effect. During that time, your muscles gradually relax, and your skin will start to look smoother and more rested.
   
   
2. You’ll Still Look Like You
   One of the most common concerns is, “Will I look frozen?” Not with us. When BOTOX is done by an experienced provider like the team at Aesthetx, it enhances your natural appearance without making you look stiff or expressionless.
   
   You’ll still be able to smile, frown, and express yourself, just with softer lines.
   
   
3. It’s Preventative, Too
   BOTOX doesn’t just treat existing lines; it also helps prevent deeper wrinkles from forming over time. That’s why many people in their late 20s or 30s choose it as a preventative treatment. It works best when used consistently and proactively.
   
   
4. Your Results Will Fade Gradually
   BOTOX isn’t permanent, and that’s actually a good thing. On average, results last about 3 to 4 months, depending on how your body metabolizes the product. Over time, movement will slowly return, and lines may gradually reappear.
   
   Many patients choose to schedule maintenance treatments a few times a year to keep their results looking fresh.
   
   
5. It’s a Subtle, Confidence-Boosting Change
   Think of BOTOX as a gentle refresh, not a dramatic transformation. You’ll likely hear things like, “You look so rested!” or “Did you just come back from vacation?” rather than people noticing you had something done.

First Time? You’re in Expert Hands

At Aesthetx, we will help guide you with aftercare to ensure the best results. Our providers are each renowned for highly informative and in-depth consultations. Whether you're interested in BOTOX in Marin County, Menlo Park, or Los Gatos, we offer expert care tailored to your aesthetic goals. To schedule your private BOTOX consultation and learn more about the procedure, contact Aesthetx by visiting our contact page or calling (408) 412-5909.