10 simple tips for before and after Botox treatment

Your first appointment at an aesthetic practice is coming up? And you’re wondering what to look for before and after a Botox treatment, hyaluronic injections or a thread lift? OK. Here are a few simple tips on how to get through Botox treatment and the like without swelling and bruising. Or at least minimize their occurrence.


No blood thinning drugs before Botox and Hyaluron!

Avoid aspirin and other anticoagulant medications (coumarins, heparins) starting at least 5 days before treatment. You probably already know this measure from other medical procedures. Aspirin, ibuprofen, naproxen, Aleve, Advil as well as non-steroidal anti-inflammatory drugs (cold medications) are strong “bruise promoters”. This is because they inactivate your platelets, the cells in your bloodstream that stop bleeding and bruising when blood vessels and capillaries are damaged. If your platelets are unable to seal the tiny capillaries that can be injured during injections, then the risk of bruising increases significantly. Avoid all of these medications for a week before your treatment. If you are on pain medication, then consider taking Tylenol. This advice applies not only to Botox and Hyaluron, but in general to all interventions with short-term possible bleeding, such as thread lifting or medical microneedling/vampire lifting.


No alcohol before and after Botox!

Do not drink alcohol for 2 days before and after the treatment. On the one hand, this will make your liver happy, as it will not have to metabolize the alcohol in addition to the toxin. On the other hand, you will also contribute to a lower risk of bleeding, bruising and swelling. This is because alcohol thins your blood. This means that your risk of bruising after Botox and alcohol is much higher. If you are prone to bruising anyway, then by not drinking alcohol you can at least ensure that bruising and swelling after Botox and Hyaluron is kept to an absolute minimum.

For these very reasons, I recommend that you avoid alcohol both before and after Botox or a hyaluronic treatment. This is because after the treatment, your skin is sensitive and the treated areas need a few hours or days to heal. During this time, they are still susceptible to bruising, and thinning of the blood from alcohol or medications can exacerbate this bruising. This only prolongs recovery time unnecessarily, and you are not able to return to full social activity as quickly as you actually could. This is the principle risk of alcohol before and after Botox.


Avoid certain foods before Botox!

Avoid excessive consumption of green tea, vitamin E, fish oil, gingseng, flaxseed oil, as well as other herbal supplements that have a mild blood thinning effect, starting 2-3 days before Botox treatment. The reasons are the same as for alcohol after Botox.


Botox and sport

I recommend that you refrain from sports immediately after Botox. How long no sports after Botox? It depends on the intensity. Avoid gym and tennis court at least for 24 – 48 hours after treatment. If you want to exercise, it is best to just go for a walk. Keep your heart rate low, below 100, because blood vessels injured during treatment heal best with low heart rate and minimal blood flow. Doing sports immediately after Botox, and possibly intensively, is extremely counterproductive.


Anesthetize locally before treatment!

Anesthetic creams (lidocaine or similar) often make treatments much more tolerable, even if they don’t seem necessary on the surface. My recommendation is to use them extensively and to ask the doctor specifically for them if he does not offer them to you anyway. There is hardly any treatment where you should let them “talk you out of it”, Botox injections with only a few injection points excepted. But lip injections or microneedling can be quite uncomfortable – and they don’t have to be. Anesthetic creams also have a vasoconstrictive effect – and thus contribute to a reduced risk of bleeding and bruising.


Cool treated areas afterwards!

Cooling the treated area with cooling pads afterwards often provides significant relief and relaxation. Although medically not absolutely necessary, you should ask your doctor about it if it is beneficial to your well-being.


Avoid massages, pressure and grimaces!

Massages, rubbing and prolonged pressure on the treated areas should be avoided after the treatment. Why? In order not to affect the result. In the case of Botox, one can assume 2 to 3 days, during which time the toxin should be given time to settle in the tissue. In the case of extensive hyaluronic injections, it can take a good 1 week, which the hyaluronic acid needs for optimal tissue storage. For thread lifts, especially extensive lifts with COG or Silhouette Soft threads, you should be careful to take it easy on the treated area for up to 2 weeks. This includes avoiding grimaces (violent laughter, strong chewing) and serves on the one hand to avoid pain and tension, but on the other hand not to endanger the result.


After Botox and Hyaluron no direct sun!

Avoid direct sun on the day of treatment and the following 2-3 days. Also, avoid sauna visits. Consider this a simple precaution against circulatory problems, headaches and the like. You will also prevent the risk of bruising, which could be caused by increased blood flow. However, you do not have to fear a direct influence on the results of the treatment by exposure to the sun or sauna. An opinion often heard in the past that Botox administered intramuscularly could be “sweated out” is now considered outdated. However, this does not apply to superficial treatments of the skin, such as Microbotox. After a Microbotox treatment, where the toxin is injected into the skin and not into the muscle, I actually recommend refraining from sauna visits for at least 1 week.


For Botox, Hyaluron & Co. only to the experienced doctor!

All the above tips and much more will also be given to you by your experienced doctor, with whom you have hopefully booked your treatment. A doctor who understands the aesthetic profession, who has sufficient knowledge about facial anatomy and especially the course of blood and nerve pathways, and who also knows what to do in case of complications. Refrain yourself from cheap and bait-and-switch offers. You will have to live with the consequences of a Botox treatment for several months without any ifs and buts. Hyaluronic fillers are real implants that carry a high risk of complications and can lead to necrosis or even blindness. This is by far the most important and best tip I can give you.


Be honest in your self-disclosure!

It is imperative that your doctor learns everything he or she needs to know from you before treating you with Botox or Hyaluronic. Allergies, pre-existing conditions, medications you are taking, if you are pregnant or breastfeeding. Think about everything that could be important even before you visit the doctor. There are absolute contraindications, in the presence of which you must refrain from treatment, especially with Botox. Certain allergies, for example. Or an ongoing breastfeeding period. Do not hide anything!