Is It Safe to Exercise After Botox?

Botox Cosmetic, the world’s most popular anti-aging treatment, uses a purified form of botulinum toxin to temporarily relax facial muscles, effectively smoothing out wrinkles and fine lines. With minimal downtime and a relatively quick procedure, it’s no wonder Botox is a favorite.

But achieving optimal results goes beyond just the injections themselves. Proper aftercare plays a key role in maximizing the benefits of Botox and ensuring a smooth recovery. For example, dermatology experts agree that you should skip your daily workout after getting Botox.

Here, we’re covering the world of post-Botox care. We’ll explore why holding off on that strenuous workout session is the best approach, and uncover other post-treatment do’s and don’ts to ensure you get the most out of your Botox experience.

Understanding Botox: A Quick Overview

Botox Cosmetic works its magic by targeting the root cause of many facial wrinkles: muscle contractions. It’s a neurotoxin that works by temporarily interrupting the signals sent from nerves to specific muscles.

When a nerve signal reaches a muscle, it triggers contraction. Botox disrupts this communication pathway, preventing the targeted muscle from contracting as forcefully. This relaxation smooths out the overlying skin, reducing the appearance of wrinkles and fine lines formed by repeated muscle movements.

Botox and similar FDA-approved neurotoxins, which include Dysport, Jeuveau and Xeomin, are most commonly used in the upper third of the face, specifically targeting areas prone to wrinkles caused by frequent expressions. This includes: 

  • Forehead lines: Horizontal creases that appear when you raise your eyebrows
  • Crow’s feet: Wrinkles that radiate from the corners of your eyes, often formed from smiling or squinting
  • Frown lines: Vertical lines that form between your brows, often a result of frowning or furrowed brows

Botox has multiple medical applications, too, including treating excessive sweating (hyperhidrosis), muscle spasms and migraines. With its long history of use, it’s considered a safe, effective treatment with few side effects.

Exercising After Botox: What You Need to Know

Most healthcare professionals recommend holding off on strenuous physical activities and exercise for at least 24 hours after a Botox treatment. Let’s explore why waiting a day before hitting the gym, hot yoga class or treadmill can make a big difference.

Risks of exercising too soon

Botox works by precisely targeting specific muscle groups. After injection, the product needs time to settle in and bind to the nerve receptors at the injection site. Vigorous exercise can disrupt this delicate settling process. Here’s how:

Strenuous exercise (think running, cycling and other forms of cardio) elevates your heart rate and blood flow. While great for overall health, this increased circulation immediately after Botox injections can cause the product to migrate from the injected area to unintended areas. 

This diffusion can lead to reduced efficacy. The Botox may not be as effective in the targeted muscles if it spreads elsewhere. This can leave you disappointed with the outcome, potentially requiring a touch-up appointment to achieve the desired full effect.

Diffusion can potentially lead to temporary drooping of the eyelids or eyebrows, affecting facial expressions. This can be a cause for concern, and while usually temporary, it’s best to avoid strenuous activity to minimize this risk.

Additionally, exercise can worsen swelling and bruising at the injection sites. This is because strenuous physical activity increases blood pressure and circulation, potentially causing more leakage from the injection points.

What Should I Avoid After Botox?

Beyond exercise limitations, there are a few other key post-Botox activities to avoid:

Lying down for extended periods

While lying flat might seem like a relaxing post-treatment activity, it’s best to keep your head elevated for at least four hours after Botox injections. This helps prevent fluid buildup and potential drooping in the treated area, ensuring a more natural-looking result.


Although light aerobic activity after getting Botox, such as going for a walk, is fine, anything that involves inversions are off the table. That means waiting 24 hours before performing your next downward dog, even in a slow-flow yoga or Pilates class.

Drinking alcohol

Alcohol acts as a blood thinner, which can increase the risk of bruising and swelling after Botox. It’s best to wait at least 24 hours before indulging in any alcoholic beverages. This allows your body ample time to process the Botox and minimizes the chance of unwanted side effects.

Touching or massaging the treated area

Resist the urge to touch or rub the injection sites. This can irritate the area and potentially cause the Botox to migrate from the intended location, reducing the effectiveness of the treatment.

Hot environments

Steer clear of hot tubs, saunas and even very hot showers after your treatment. Like vigorous exercise, these environments increase blood flow and can cause unintended migration.

Other cosmetic treatments

Wait to undergo other cosmetic procedures, such as filler injections, RF skin tightening or microneedling, until the full effects of your Botox treatment have appeared. This will increase the efficacy of both treatments. For best results, discuss and plan any upcoming rejuvenation treatments with your provider at your Botox appointment. 

Tips for Post-Botox Care

Discover a few more tips for the best Botox experience and results:

  • Protect your skin from the sun: Sun exposure can break down collagen, a protein that keeps your skin youthful. Use a broad-spectrum sunscreen daily, even on cloudy days. This will help maintain the results of your Botox treatment for longer.
  • Eat a balanced diet and stay hydrated: Proper nutrition promotes overall health and skin well-being. Eating a balanced diet rich in fruits, vegetables and whole grains provides your body with the building blocks it needs to maintain healthy, glowing skin. Staying hydrated keeps your skin plump and supple, complementing the wrinkle-smoothing effects of Botox.
  • Reduce stress: Stress can contribute to wrinkle formation. Practice relaxation techniques like yoga or meditation to manage stress levels. By reducing stress, you can not only improve your overall well-being but also potentially prolong the visible effects of your Botox treatment.
  • Follow a gentle, supportive skin care routine: Use gentle cleansers and moisturizers that won’t irritate your skin. Avoid harsh scrubs or products with strong ingredients, as these can damage your skin and potentially shorten the lifespan of your Botox results.
  • Avoid smoking and alcohol: Smoking and excessive alcohol consumption can accelerate skin aging and shorten the duration of your Botox treatment. By limiting these habits, you can invest in your skin’s health and extend the time you enjoy the wrinkle-smoothing benefits of Botox.
  • Schedule follow-up appointments to maintain results: Botox results typically last 3-4 months. Maintain your youthful look by scheduling follow-up appointments with your injector to maintain the desired effects. 

Should You Perform Facial Exercises After Botox?

After a Botox treatment, you might consider doing some facial exercises in the treated areas. The idea here is that these gentle movements can help enhance the effects of Botox by increasing its absorption into your muscles. Typically, you’d perform simple actions such as raising your eyebrows, squinting or smiling within the first couple of hours after your procedure. 

However, views on this practice do differ, and some dermatologists recommend avoiding vigorous facial movements right after your treatment to keep the Botox from migrating to areas where it wasn’t intended. It’s best to follow the specific advice given by the provider at your med spa.

Can You Exercise After Getting Fillers?

If you’re also wondering about exercising after receiving dermal fillers, know that the guidance here is fairly similar. Generally, it’s advisable to avoid any vigorous physical activity for at least 24 to 48 hours after getting fillers. This precaution helps prevent increased blood flow from causing swelling and bruising at the injection sites. 

Light activities, such as walking, are typically fine, but it’s wise to skip the gym or any strenuous workouts immediately after your procedure. Like with Botox, following your provider’s specific recommendations will ensure the best results and minimize any potential side effects.


While maintaining an active lifestyle is key for overall health and well-being, taking a brief pause on strenuous exercise after a cosmetic treatment like Botox is a wise decision. By waiting at least 24 hours before hitting the gym or engaging in vigorous physical activity, you allow the Botox to settle into the targeted muscles effectively. This minimizes the risk of diffusion, ensuring the product works where it’s intended and reduces the potential for unwanted side effects. Light exercise that doesn’t involve lying down or inversions–such as taking a walk–is safe.

Remember, post-Botox care goes beyond exercise limitations. Following your provider’s guidance on other aftercare practices, like avoiding alcohol, excessive sun exposure and touching the treated area, is equally important. By adhering to these post-treatment recommendations, you can extend the longevity of your Botox injections and enjoy smoother, younger-looking skin for a longer period.

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