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Botox

Botox Side Effects and What to Do About Them

By October 27, 2025 No Comments

After a Botox treatment, it’s common to notice small, short-term changes: perhaps a tender spot or minor redness near the injection site. These effects are part of the normal healing process and usually fade within a few days. However, it’s important to understand which changes are expected and which may need a bit more attention. Being aware of how your body responds and what to do afterward can help you move safely through recovery.

What Is Botox and How Does It Work?

Botox is a purified protein that works by temporarily relaxing specific facial muscles that cause wrinkles from repeated movement, like frowning, squinting, or raising your eyebrows. When injected precisely, it softens these dynamic lines while preserving natural expression. The effects typically last a few months before gradually wearing off.

Common Side Effects of Botox

Patients often experience little downtime after Botox. However, some mild side effects can occur, especially after the first treatment.

1. Redness or Swelling at the Injection Site

Mild swelling, redness, or small bumps are completely normal after injection and usually take up to 15-20 minutes to a few hours to fade. Applying a cold compress can help reduce these effects.

2. Bruising

Minor bruising can appear at injection points, particularly in patients taking supplements or medications that thin the blood. This resolves naturally within a few days.

3. Tenderness

Some patients may experience tenderness near treated areas. Staying hydrated, avoiding alcohol, and following aftercare instructions by your practitioner can help ease discomfort.

4. Temporary Muscle Weakness or Asymmetry

If Botox diffuses slightly beyond its intended area, you might notice temporary unevenness or minor drooping. This effect gradually disappears as the muscles regain movement over the following weeks.

Less Common Side Effects

While rare, there are certain effects that may require additional care or medical evaluation.

Eyelid or Brow Drooping 

Drooping typically occurs when Botox spreads to the small muscles that lift the eyelid or brow. The condition is often temporary and resolves as the toxin’s effect wears off, usually within a few weeks. 

Dry Eyes

When treating crow’s feet, some patients may experience eye dryness or mild irritation. Artificial tears or lubricating eye drops are generally recommended by practitioners to provide relief.

How to Minimize Botox Side Effects

Taking a few preventive steps before and after your procedure can help reduce the likelihood of side effects.

  • Choose a qualified provider. Always work with a certified plastic surgeon or experienced injector.
  • Avoid alcohol and blood thinners for at least 24 hours before treatment unless otherwise directed by your doctor.
  • Stay upright for four to six hours after injections and avoid rubbing or massaging the treated area.
  • Skip strenuous activity for 24 hours to prevent the product from moving to unintended muscles.
  • Follow aftercare instructions carefully. Small actions, like avoiding makeup immediately post-treatment, can make a big difference in recovery.

How Long Do Botox Side Effects Last?

Most side effects resolve within a few hours to a few days. Bruising and minor swelling often fade quickly, while drooping, if it occurs, can take two to six weeks to fully correct. The key is patience and open communication with your provider.

When to Contact Your Provider

Always contact your provider if:

  • Symptoms persist beyond a week.
  • You experience drooping that interferes with vision.
  • You notice pain, redness, or swelling that worsens over time.
  • You develop symptoms outside the treated area.

Timely communication ensures your treatment remains both safe and effective.

The Importance of a Certified Practitioner

The skill of your practitioner plays an important role in minimizing the risk of side effects. Experienced providers understand muscle anatomy, dosing precision, and injection depth: all of which determine your safety and results. At Seattle Plastic Surgery, our team is led by certified surgeons who are experienced in advanced facial aesthetics. We perform every Botox treatment with precision to help you achieve a natural, balanced, and refreshed appearance.

Your Safety, Comfort, and Confidence Come First

Every Botox appointment begins with a detailed consultation where we review your health history, discuss goals, and tailor your treatment plan. If you ever have questions or notice unexpected changes after treatment, we’re here to help. Our team is committed to supporting you before, during, and after your Botox journey, so you can enjoy the confidence that comes with smooth, natural-looking results.

If you’re considering Botox or have questions about your results, we’re here to guide you. Call us at 206-887-9414 to schedule your complimentary consultation today.