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Botox Aftercare: What to Do in the First 48 Hours

A few simple habits in the first two days after Botox can help your results settle evenly. Here's what to do and what to skip.

July 14, 2026 2 min read
Botox Aftercare: What to Do in the First 48 Hours
In short

What this article covers

A few simple habits in the first two days after Botox can help your results settle evenly. Here's what to do and what to skip.

Botox results build in gradually, and what you do in the first two days can affect how evenly it settles. None of this is complicated, but a few small habits make a real difference.

Do this

  • Stay upright for about 4 hours. Avoid lying down flat so the product stays where it was injected.
  • Move the treated muscles. Frowning, raising your eyebrows, or squinting on purpose a few times in the first hour can actually help Botox bind to the right muscles faster.
  • Ice if you’re swollen or tender. A cold pack for a few minutes at a time is fine in the first few hours.

Skip this for 24 hours

  • Strenuous exercise. Raising your heart rate and blood pressure can encourage the product to spread beyond the injection site.
  • Alcohol. It thins the blood slightly and raises the odds of bruising.
  • Touching or massaging the area. Pressing on the treated muscles can push Botox into nearby ones you didn’t intend to treat.
  • Facials, saunas, or hot yoga. Heat and pressure on the face aren’t worth the risk this early.

What’s normal vs. what’s not

Mild redness, small bumps at the injection sites, or a light headache are common and usually gone within a few hours to a day. Bruising can happen and may take a week or so to fade completely — arnica gel or cream can help speed that along.

You won’t see the full effect right away. Botox typically starts working within 3 to 5 days and reaches its full result around the two-week mark. If it’s been two weeks and something looks uneven, let us know — a small touch-up is a normal part of getting your results dialed in.

Questions about what to expect from your specific treatment? Visit our Botox page for the full rundown, or get in touch and we’re happy to walk you through it.

A note on this article

This is general information, not a diagnosis or treatment plan. Every smile is different — book an exam so we can look at yours. For severe pain, swelling or facial injury, call us right away or visit the nearest emergency room.

Pennsauken Township, NJ

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Dr. Aurangzaib Khan, DMD
About the practice

Dr. Aurangzaib Khan, DMD

Founder & Lead Dentist

Since 2005, AZ Dental Spa has combined advanced dentistry — implants, Invisalign, veneers and sedation — with med spa treatments, in a Pennsauken office built to feel calm rather than clinical.

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