Tulsa Surgical Arts • Board Certified by the American Board of Cosmetic Surgery • 7322 E 91st Street • Tulsa, OKlahoma 74133

Angelo Cuzalina, MD

What to Do and Not to Do After BOTOX® Cosmetic

Woman receiving Botox injectionsAt Tulsa Surgical Arts, many of our patients seek out BOTOX® Cosmetic, as well as many other types of injectables, to improve the appearance of aging and wrinkling skin. Whether your issue is worry lines, frown lines, or crow’s feet, BOTOX® Cosmetic has a fantastic ability to target and improve the appearance of fine lines and more severe creases.

One of the most common questions BOTOX® Cosmetic patients ask us is what they should not do after their injections. Our triple-board-certified cosmetic surgeon Dr. Angelo Cuzalina wants his patients to be informed about the procedures they’re considering. This blog breaks down three things you should avoid doing after BOTOX® Cosmetic and gives tips for how to get the most out of your treatment.

Rubbing BOTOX® Cosmetic Injection Sites

You may be tempted to touch or rub the injection sites and surrounding areas, but don’t. Although there is no associated downtime, BOTOX® Cosmetic takes approximately four hours to settle fully. During that time, BOTOX® Cosmetic bonds to the targeted muscle.

By rubbing or touching the injection, you run the risk of shifting and dispersing the Botox to a different, unintended muscle. Slight bumps, lumps, and redness at the injection site are not uncommon and will go away within the next few days. Also, know that it can take for up to one week for results to be fully apparent.

Lying Down After BOTOX® Cosmetic

While there is no proven effect of lying down immediately following BOTOX® Cosmetic, most doctors still recommend that it is best to remain upright for the first four hours after treatment to avoid putting pressure on the injection sites and accidentally rubbing them if you turn over in your sleep.

If you do lie down, make sure to lie on your back. As the BOTOX® Cosmetic settles, you will want to avoid anything that could ‘squish’ your face. Correct lounging and sleeping habits post-treatment can help ensure optimal results.

Exercise After BOTOX® Cosmetic

Try to take it easy for the first 24 hours after treatment. Side effects of BOTOX® Cosmetic are potentially exacerbated with any aerobic exercise. As your blood pressure rises, so does the chance for swelling, redness, and bruising. On a similar note, avoid extremely warm situations like a hot bath or a sauna in the first 24 hours.

Things You Can Do Immediately After BOTOX® Cosmetic

Woman receiving Botox injectionsRealistically, the chances are that you can do almost anything you want after your BOTOX® Cosmeticinjection with no adverse effects, including going out to eat, driving, shopping, and most light physical activities. Alcohol consumption is also okayafterBOTOX® Cosmeticbut could increase the risk of bruising if consumed within 48 hours before injections. 

Personally, Dr. Cuzalina has enjoyed the benefits of BOTOX® Cosmeticinjections for years and has never noticed any ill effects regardless of his level of physical activity after treatment.BOTOX® Cosmeticinjections are extremely low-risk, no matter what you do afterward, but Dr. Cuzalina still recommends caution for the first 12 to 24 hours. 

BOTOX® Cosmetic aftercare comes down to common sense. Do not do anything that could cause the BOTOX® Cosmetic to disperse to unintended muscles. That said, you are able to go on with your daily routine. As long as you are gentle and use a light touch, makeup and washing your face are fine. Shower as you normally would, but try to keep the water at a cooler temperature.

How to Prepare for BOTOX® Cosmetic

The most common risk associated with BOTOX® Cosmetic is bruising. Some people are just more prone to bruising than others, but you can do three things to decrease the chance of bruising dramatically:

  • Avoid things that may make you bleed more. Cuzalina recommends you stop taking fish oil supplements and medication containing aspirin two weeks before injections. If you take aspirin medications regularly for health reasons, consult with your primary care physician before discontinuing use. Avoid alcohol consumption two days before injections.
  • Choose an experienced provider. When it comes to BOTOX® Cosmetic, experience can mean the difference between getting the results you want or walking away disappointed.Dr. Cuzalina and his team have administered BOTOX® Cosmetic for decades. They pay attention to the details, such as using the tiniest needle possible and injecting extremely carefully to decrease our patients’ tenderness and lower the chances of bruising as much as possible.
  • Communicate with Dr. Cuzalina and our staff. If you know you are an easy bruiser, do all of the above and request some ice to apply to the area both before the injection and immediately afterward.

Schedule Your Tulsa BOTOX® Cosmetic Consultation Today

You are not alone in your BOTOX® Cosmetic journey. At Tulsa Surgical Arts, Dr. Cuzalina will work closely with you to make sure that you feel fully comfortable with your BOTOX® Cosmetic preparation, treatment, and aftercare. Dr. Cuzalina is renowned by his patients and peers for the care, compassion, and skill he practices with. We also have four skilled, professionally trained nurse injectors available who perform these procedures.

Dr. Cuzalina serves Tulsa and nearby areas of Oklahoma. Call (918) 392-7900 today to schedule a consultation.






Real Patients, Real Results

View Dr. Cuzalina’s Face, Breast, and Body Before & After Gallery. Dr. Cuzalina’s focus for his patients is to have natural-looking results for all procedures. You can view real results with real patients whose lives Dr. Cuzalina has changed.