Botox Before/During/Aftercare

Botox® and other Wrinkle Relaxing Injections are a quick and effective way to reduce the appearance of wrinkles, and it’s one of our most popular treatments at SkinHD.

If you’re scheduled in for your first Botox® appointment, or are considering it, here’s how best to prepare for your appointment, what to expect during, and the recommended aftercare to ensure the best results.

Is Botox® right for you?

Firstly, you can determine if Botox® is the right treatment for you.

We’ll invite you in for an initial consultation appointment to discuss the results that you want to achieve and ensure that they are attainable with the treatment you are having.

We’ll ask you to complete a medical history form, which will help us to confirm that Botox® is a safe treatment for you.

Botox® is a prescription only medicine, so the product needs to be prescribed to you if it’s your first time having the treatment done at SkinHD. We can see you for a consultation and then do the treatment when the product arrives in for you – normally 24 hours later.

Consultation appointments at SkinHD are free, and there is no obligation to continue with the treatment if you are not happy to do so for any reason.

If any of the following apply to you, we would not recommend Botox

  • Allergic to Botox® or other Wrinkle Relaxing Injections:
  • Infection at the injection site
  • Experiencing any problems with breathing, swallowing or bleeding
  • You have a muscle or nerve disorder
  • You are pregnant or breastfeeding
  • You recently had or will have surgery soon

You can book your consultation by getting in touch here

Before Treatment

Once you’ve had your initial consultation and are due to have your first treatment, there a couple of medications that you may want to avoid to help reduce any potential bruising, swelling and bleeding.

  • Avoid aspirin, ibuprofen, vitamins A & E, fish oil, Ginko Bilboa and Ginseng

for a week prior – as these can all thin the blood – to help avoid bruising and bleeding. Please consult with your doctor before stopping any prescription medications.

Don’t forget to have a little something to eat just before your treatment, to ensure your blood sugar levels won’t leave you at risk of fainting if you’re particularly nervous around needles!


During Your Appointment

Botox® appointments are usually quick and easy, typically lasting no more than 20-30 minutes.

At your appointment:

  • We’ll re-read through your medical history form and check that nothing has changed since your consultation. We’ll run through any potential risks and advise of any side effects and confirm you are still happy to go ahead with the treatment.
  • It’s not really necessary for numbing cream to be applied beforehand as we use really thin, fine hypodermic needles.
  • It’s not necessary to remove make up as we will always cleanse the area before the treatment.
  • We’ll ask you to make a couple of facial movements, such as frowning or raising your eyebrows and mark the areas to be injected.
  • If you’re particularly nervous or needle-phobic, practice some slow, mindful breathing or listen to music before we start the procedure.
  • We may apply ice to any injected areas afterwards to help reduce swelling.



Botox® is a great and quick procedure, with little to no downtime afterwards.

Immediately after the treatment, you may experience a little redness and swelling at the injection sites, like little bee stings, which will normally subside within an hour of your treatment.

  • What to expect – side effects are minimal but there is a small risk of redness, swelling, bruising after your treatment. These effects should only last a couple of days. You can use ice packs to help reduce any side effects.

We would say wait a couple of days up to a week before any major social events if you want to give it enough time for any side effects to subside.

  • If you ever Google Botox® side effects you will be inundated with images of people with a severe ptosis where the forehead drops pushing the eyebrows down, making it difficult to lift the eyebrows and causing a heaviness in the brow area. This is an extremely rare side effect which is quite often dose related, and only associated with having Botox® in the forehead and not the Glabella. Obviously some people are more at risk than others, so if it is your first treatment at SkinHD we will inject a small amount in the forehead area and book a two week review appointment, you can always add more Botox® but you can’t take it away!
  • Keep as upright as possible for 2 hours post treatment – no excessive bending forwards or lying backwards
  • Don’t overly rub or massage the area for 24 hours post treatment. This may cause the product to migrate and runs the risk of infecting the area.
  • Avoid wearing make up for at least 2 hours post treatment – this allows the skin to form a protective barrier at the injection sites and reduces the risk of infection. When washing your face, pat the skin dry and apply any make-up/moisturiser in a light sweeping motion.
  • Don’t make exaggerated facial movements for 4 hours post treatments. In the past clients were told to make exaggerated facial movements to work the Botox® into the muscles, but new research shows that normal expressions are enough to make this happen.
  • No excessive sweating for 24 hours post treatment, so avoid extremely hot baths/showers, saunas/steam rooms, sunbeds and cardiovascular exercise.
  • Wait at least 24 hours before having any other facial treatment done, including facials, chemical peels or microdermabrasion. This ensures the product doesn’t migrate to any other area and won’t exacerbate any bruising.
  • Avoid smoking! Smoking can increase the appearance of facial wrinkles, and can also increase the risk of bruising in the procedure.
  • You may want to apply arnica cream if you bruise particularly easily.
  • You will start to see results about 4 days after treatment. Full results are seen from 10-14 days
  • After 14 days you may require a top-up, especially if this is your first treatment with us. All top ups will need to take place within 3 weeks of your initial treatment.

The results from your Botox® treatment should last 3-6 months. After 3-4 months you may start seeing some movement in the area again. Some people are happy with a little bit of movement so wait to book back in, but others will prefer to maintain the look and book in every 3-4 months.

You can read more about Botox® with our complete guide here


If you’d like to talk to us more about Botox® or other Wrinkle Relaxing Injections, please contact us on 0161 974 0212 to book in for your free initial consultation or fill out our contact form and we’ll get back to you.

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Holly Snowden-Keane
Holly Snowden-Keane
16:08 07 Jun 19
I've had two treatments with Helena so far and just booked in for my third, cannot recommend enough. The clinic is lovely and very well presented, very clean and discreet. The staff, particularly Helena and Heather have been extremely friendly, accommodating and professional. Really happy with my treatments so far and I think I've found my new favourite skincare clinic. Particularly impressed with Helena's thorough approach, kind demeanour and attention to detail. It's clear she really knows her stuff and wants nothing but the best results for her clients which is so refreshing. I've searched for years for a clinic that not only delivered results but that I can trust, and I'm so happy to say I've found it. I cannot wait for my next treatment! :)
Alice Rose Felton
Alice Rose Felton
14:43 30 Apr 19
Great value, with long-lasting results. I couldn't be happier! x
09:14 22 Feb 19
Fantastic treatment! I have had lip fillers twice and both times I have come out with a pout that looks naturally fuller and no duck lip in sight! Perfect, quick and painless! Sara is wonderful and I will be back in soon.
Emma O
Emma O
16:40 20 Dec 18
I am absolutely shocked at how good my treatments were, I’m 44 years old and have gone from looking it to looking how I did at 30. I can’t believe the miracle that tear trough fillers are! This is something that only looks good if the right person does it, and that I have found. Lip fillers are done to perfection, natural looking full lips - no one would ever know I’d had them done. I can’t recommend highly enough, which I would never do lightly.
09:32 30 Sep 18
I would highly recommend Helena to anyone. She is extremely professional, and has a lovely manner which always puts you at ease. Her treatments are excellent , and i have always been really happy the results. She is always very accommodating with treatment times, and goes the extra mile to keep her clients satisfied ! She really helps you to be the best version of yourself. I wouldn't go to anyone else. Thank you Helena , keep up the great work !
Louise Dixon
Louise Dixon
17:31 01 Mar 18
I have visited Helena several times over the years and the service and results have been first class. Helena is always welcoming and friendly, but above all a highly skilled practitioner. The new salon in Chorlton is beautiful, spotless, and very discreet! Highly recommended.
Marilyn Standring
Marilyn Standring
22:38 15 Feb 18
I had the muscle relaxing injections in my forehead given by Helena. I can honestly say it was painless( I speak as a needle phone!!) The results are really good. Will definitely go again
Deborah Clark
Deborah Clark
12:22 15 Feb 18
When you find a great Therapist you hold on tight....Helena is simply the best
Moe Dallas-Penswick
Moe Dallas-Penswick
18:15 05 Feb 18
Had botox a few times from Helena. She is such a beautiful lady and very professional. Always does a fantasic job .. Would definitely recommend.. 5 stars..
Gillian Newton
Gillian Newton
19:51 31 Jan 18
I have been going to Helena for 2 yrs now and every treatment has been fabulous and so natural,she is so lovely and professional at her work I would recommend to everyone that wants to have Botox or any other treatment.
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If you want to know more about Skin HD or any of our treatments, don't hesitate to get in touch now.

Use the form on the left to ask us a question, or call us or send an email using the details below.

You are also very welcome to pop into our clinic in Chorlton to say hello!

  • 2 Railway Terrace, Chorlton, Manchester M21 0RQ
  • 0161 974 0212
  • 07772 041 108

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