Will exercising right after Botox decrease the results?

If I get some Botox units to my forehead and between eyebrows, then exercise later in the day, do I run the risk of ruining the effects? I have friends that say it’s fine, but I’ve been reading that increased blood flow could diminish the results.

I usually recommend 48-72 hours of no heavy exertion after Botox, partly to limit the ability of the product to migrate and partly to prevent "washout," though I can't say I've ever seen literature strongly suggesting this phenomenon from a scientific standpoint. Your provider should be able to explain policies regarding activity.


-- Dr. Sayed

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Botox injections are a very popular type of cosmetic treatment that can be used to reduce wrinkles and fine lines. There are currently no clinical studies to suggest that physical activity can have an adverse effect on results, but most plastic surgeons will still recommend avoiding strenuous exercise for about 24 hours after your procedure.

Why? Well, there is some concern that the increased blood circulation associated with exercise could potentially lead to Botox migration (i.e., the dermal filler moving and acting on a part of the face that was not intended for treatment). This phenomenon has not been studied in depth, but conventional wisdom suggests that it is a possibility.

Consequently, many doctors advise steering clear of strenuous exercise until the day after your treatment, particularly if you're planning on bench pressing or doing any movements that involve inversion (such as yoga).

Botox injections are a fantastic option for treating frown lines, crow's feet, and other fine lines. This type of cosmetic procedure involves very little downtime and most people are able to resume their normal day to day activities in a matter of hours.

However, most doctors do recommend that you wait at least 24 hours after treatment before engaging in any strenuous activity in order to reduce the risk of side effects and potential side effects.

The reasoning behind this comes down to blood flow. As you may be aware, engaging in physical exercise promotes blood circulation. Under normal circumstances, this is great for your body, but the increased circulation does mean there's a chance that the Botox could be swept away from the injection site and to a different part of your face. This could reduce the effects of the treatment and possibly cause the dermal filler to unintentionally act on a different part of your face.

Your plastic surgeon will provide you with clear post-treatment instructions — it's important that you follow these instructions exactly as prescribed. If your physician recommends abstaining from exercise for a day after your Botox procedure, I strongly recommend following their advice to get the best results possible.

I advise my patients to avoid strenuous exercise for about 24 hours after receiving Botox treatment as there's a risk that increased blood flow could lead to Botox migration. This would affect your results and may have other adverse side effects.

If you wish to exercise on the day of treatment, I would recommend doing it a couple of hours beforehand and letting your body rest for a short while before going in for your injection. This is because exercise elevates your blood pressure, which could increase swelling.

Your doctor may also recommend avoiding other activities. For example, most plastic surgeons will advise that you not apply pressure or massage the treated area for a few hours after your injection. You may also need to remain in an upright position for about four hours after treatment to ensure the Botox acts only on the targeted muscles.

For more information, I urge you to see an experienced board-certified provider, who will be able to give you a thorough evaluation, verify your eligibility, and answer any other questions you may have.

While there are no studies to recommend optimal guidelines for post-injection care, I recommend no exercise the evening after Botox injections.