Botox for Crow's Feet: Safety Tips and Aftercare Guidelines - Dermatology

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Botulinum toxin injections?


Hello, doctor.
I would like to ask if it's safe to wear contact lenses while getting Botox for crow's feet, or if it's better to wear glasses instead.
After the procedure, I understand that I should avoid lying flat, vigorous exercise, and hot showers for four hours.
When can I safely wash my hair while lying back and take hot showers? I also have a habit of using eye cream; how long should I wait before applying it? After getting Botox for my nasolabial folds, can I still use moisturizer? Are there any special precautions I should take when washing my face and following my skincare routine? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2018/02/03

Dr. Wu Yuxin reply Dermatology


You can wear contact lenses after 4 hours.
It is fine to apply eye cream and moisturizer, but avoid vigorous massage for the first 3 days.

Reply Date: 2018/02/03

More Info


When considering Botox injections for crow's feet, also known as "laugh lines" or "smile lines," it's essential to understand both the safety precautions and aftercare guidelines to ensure optimal results and minimize potential complications.

Wearing Contact Lenses After Botox:
It is generally advisable to avoid wearing contact lenses immediately after receiving Botox injections around the eye area. This is primarily due to the risk of inadvertently touching or rubbing the treated area, which could lead to the migration of the Botox to unintended muscles, potentially causing asymmetry or other complications. Therefore, wearing glasses instead of contact lenses for at least 24 hours post-treatment is recommended. This precaution helps to protect the area and allows the Botox to settle properly.

Post-Treatment Care:
After receiving Botox, there are several important aftercare guidelines to follow:
1. Avoid Lying Flat: It is recommended to avoid lying down flat for at least four hours after the procedure. This helps prevent the Botox from migrating to other areas of the face. You can sit up or recline slightly, but avoid completely horizontal positions.

2. Avoid Strenuous Activities: Engaging in vigorous exercise or activities that increase blood flow to the face should be avoided for at least 24 hours. This includes activities like running, heavy lifting, or any form of intense workout.

3. Temperature Sensitivity: For the first 24 hours, avoid hot showers, saunas, or any activities that may cause excessive heat to the treated area. This is to prevent any swelling or bruising that could occur from increased blood flow.

4. Washing Hair: You can typically resume normal activities, including washing your hair, after 24 hours. However, be cautious when tilting your head back to avoid putting pressure on the treated area. If you prefer, you can wash your hair with your head tilted forward to minimize any strain on the injection sites.

5. Applying Skincare Products: After Botox, it is advisable to wait at least 24 hours before applying any skincare products, including eye creams. This allows the Botox to settle without interference. Once the initial 24 hours have passed, you can resume your regular skincare routine, including the use of eye cream. However, be gentle when applying products around the treated area to avoid any unnecessary pressure.

6. Moisturizers and Other Products: If you have received Botox for crow's feet and are considering applying moisturizer or other products, you can generally do so after 24 hours. Just ensure that you are gentle and avoid massaging the area.

7. Facial Cleansing and Care: When washing your face, be gentle around the injection sites. Avoid vigorous scrubbing or massaging of the treated area for at least a week. Use a mild cleanser and pat the skin dry rather than rubbing.

Monitoring for Side Effects:
After Botox injections, it is essential to monitor for any unusual side effects, such as excessive swelling, bruising, or asymmetry. If you experience any concerning symptoms, contact your healthcare provider for advice.

In summary, while Botox is a generally safe procedure for treating crow's feet, following the recommended aftercare guidelines is crucial for achieving the best results and minimizing risks. Always consult with your healthcare provider for personalized advice and to address any specific concerns you may have regarding your treatment.

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