BOTOX Injection Instructions

Before Your BOTOX Procedure

  • This procedure is contraindicated if you are/ have: pregnant, neuromuscular disease or allergies to mushrooms.
  • If you have a cold, fever or any other medical symptoms, please call the office right away.
  • Do not take any aspirin or aspirin containing drugs for TEN (10) days before your procedure. This is extremely important since aspirin can thin the blood and cause you to bleed more. We have included a list of prescription and over the counter drugs that should be avoided due to their inclusion of aspirin. You can download and print the list here – please read it carefully.
  • You may have received prescriptions for medications. Please have them filled before your procedure. It is a good idea to have Tylenol or another over the counter, non-aspirin pain medication on-hand at home.
  • Please read and sign the consent form, and ask any questions before the procedure is done. If you have had cold sores in the past, you may need to begin taking Zovirax 3 days pre-op and 10 days post-op to prevent a cold sore from forming.
  • If you are a smoker, you must stop smoking for 48 hours (2 days) prior to your scheduled surgery. Smoking causes small blood vessels to constrict, which would result in your surgical area not receiving adequate blood circulation. It takes a minimum of 48 hours to reverse this effect of smoking. In addition, it would be best not to smoke for at least 48 hours after surgery.
  • Please arrange to have someone drive you to and from surgery if you are sedated. You will not be allowed to drive yourself home.

On the Day of the Procedure

  • If you are scheduled to be sedated, do not eat or drink anything for 6 hours before surgery.
  • Please shower in the morning with a non-creamy, antibacterial soap such as DIAL, and wash your hair.
  • Do not use any makeup or facial lotions on the day of surgery.
  • Wear comfortable, loose-fitting clothing. A zip-up or button-down top must be worn so you do not need to pull clothing over your head. Do not wear pantyhose.
  • Please remove contact lenses, nail polish, jewelry and all makeup (eyeshadow or liner, mascara, lipstick, foundation, etc.) at home before you leave for your surgery.

After the Procedure

  • Please limit your activities after surgery. Elevate your head on two or three pillows the first night after surgery to minimize swelling. Avoid bending, lifting, straining for the first 24 hours after surgery.
  • Don’t touch the injected areas for 3 to 4 hour, to prevent the BOTOX from migrating into undesired areas such as the upper eyelid, which could cause a droopy eyelid for up to 6 weeks.
  • Sit up vertically for 3 to 4 hours.
  • Actively try to use the injected muscles (without rubbing them), immediately post-op for the first 3 to 4 hours, to increase the uptake of BOTOX into the muscle.
  • If you feel nauseated, please call the office. A soft or liquid diet is best for the first 24 hours after being sedated.
  • You may take your pain medication every 3-4 hours if you need it. Again, take no ASPIRIN or ASPIRIN CONTAINING drugs for 7 days before surgery and 24 hours after surgery.
  • You can expect some swelling and possible bruising of the injected areas. Ice (cold compress) applied to the areas will help during the first 24 hours.
  • Expect some delay (up to 14 days) before the injected muscles become weak. Sometimes a repeat (second) injection will be needed for a full effect. Please be aware that the effect is not permanent and will wear off in 4 to 6 months usually, requiring repeat injections at that time.
  • In rare instances, muscle weakness can go beyond the desired areas, resulting in: facial muscle weakness (part or all of the face), droopy eyelids (upper), being unable to close your eyes fully, and eyebrow asymmetry.

Parts of the face sometimes feel “weak” or “numb” after BOTOX injections. This is usually temporary.

Most importantly, BE PATIENT during the healing process.

If you have any questions about these instructions or the surgery, please call the office: 706.235.5570.

Learn more about BOTOX Cosmetic injections here.