Discharge Instructions for Botox Injections
Patients who have received Botox injections should follow specific post-procedure care instructions to maximize benefits and minimize potential complications.
Key Post-Procedure Instructions
Avoid rubbing or massaging the treated area for 24 hours after injection to prevent spreading of the toxin to adjacent muscles 1, 2
Remain upright for 4 hours after treatment and avoid lying down or bending over to minimize risk of toxin migration 2, 3
Gently exercise the treated muscles (such as frowning, raising eyebrows, or smiling depending on injection site) for 1-2 hours after injection to help the toxin bind at the neuromuscular junction 2
Avoid strenuous physical activity for 24 hours after treatment to prevent increased blood flow that could potentially spread the toxin 2, 3
Avoid alcohol consumption for 24 hours after treatment as it may increase the risk of bruising 2
Apply cold compresses to the injection sites if needed to reduce pain, swelling or bruising 2
Potential Side Effects to Monitor
Mild and transient side effects are common and typically resolve within a few days without treatment 1, 4:
- Localized pain at injection sites
- Bruising or redness
- Swelling
- Headache
- Mild flu-like symptoms
Contact your healthcare provider immediately if you experience 5, 2:
- Difficulty swallowing or speaking
- Respiratory problems
- Muscle weakness beyond the treatment area
- Severe headache
- Vision problems or eye pain
- Allergic reactions (rash, itching, wheezing)
Special Considerations for Specific Treatment Areas
Upper Face Treatment
- Watch for eyelid or eyebrow ptosis (drooping), which is the most common complication with upper face injections 3
- Report any visual disturbances such as double vision (diplopia) immediately 3
- Use prescribed eye drops if recommended by your provider for temporary eyelid ptosis 2
Neck and Lower Face Treatment
- Monitor for difficulty swallowing (dysphagia) which may occur with neck or lower face injections 5
- Report any changes in voice or speech that persist beyond a few days 6
For Hyperhidrosis (Excessive Sweating)
- Expect gradual reduction in sweating over 1-2 weeks following treatment 2
- Continue using antiperspirants as directed by your provider
Follow-up Care
- Schedule a follow-up appointment 2 weeks after treatment to assess results 6
- Results typically last 3-6 months depending on the treatment area and individual factors 6, 4
- Do not receive additional Botox treatments from another provider without informing them of your recent injection 7
When to Seek Medical Attention
- Contact your healthcare provider immediately if you experience symptoms suggesting systemic spread of toxin, such as generalized muscle weakness, difficulty breathing, or swallowing problems 5
- Seek emergency care if you develop signs of a severe allergic reaction including difficulty breathing, severe swelling, or hives 7, 2
Remember that while serious complications from cosmetic Botox are rare, prompt reporting of concerning symptoms is important to ensure your safety and optimal results.