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What to Expect: Your First Botox Treatment

Karli Plunkett, DMSc, PA-C, LME

July 14, 2023

3 min read

You've made the decision to try Botox for the first time. This may feel like a significant step, and you probably have questions about what to expect. This article will walk you through the process, from before your appointment to after, when the effects of Botox begin to set in.

Before Your Botox Treatment

Your injector's primary specialization should ideally be aesthetic procedures. If they primarily practice dermatology or general healthcare and only administer Botox on the side, it may be beneficial for you to seek a specialist who primarily performs aesthetic procedures. This consideration also applies to settings like Botox parties, where the injector may not possess important qualifications or experience. Aesthetics is a delicate art, and your face deserves attention-to-detail and tailored treatments.


Prior to your Botox appointment, it's crucial to have an in-depth consultation with your aesthetic injector. During this consultation, your provider should listen to your aesthetic goals and health history, evaluate your facial features, and craft a personalized treatment plan.


Leading up to the procedure, avoid blood-thinning medications such as aspirin and anti-inflammatory drugs for about a week, as they can increase bruising. Similarly, avoid alcohol for at least 24 hours before your treatment, as it can have similar blood-thinning effects.

During Your First Botox Precedure

A Botox procedure is relatively quick, often completed in 10 to 20 minutes. Your provider will use a small, thin needle to inject Botox into specific muscles. The number of injections will depend on your specific aesthetic goals. You might feel a minor sting or pinch during each injection, but it is usually tolerable. If you are concerned about pain, discuss the use of a topical numbing cream with your provider.


We never want discomfort to get in the way of you achieving or maintaining your best aesthetic, so you can expect gentle hands at our Orlando and Sanford Florida medical spas. Many low cost Botox practices are focused on moving fast, leading to harsh jabbing, lack of precision, one-size fits all treatments, and less satisfaction.

After Your Botox: What Comes Next?

Immediately after your Botox treatment, you might notice slight redness, swelling, or bruising at the injection sites. These side effects typically resolve within a few hours to a couple of days. Icing the treated areas can help minimize these effects.


For about 24 hours following your treatment, avoid strenuous exercise, lying down, or massaging the treated areas, as these can cause Botox to spread to unintended muscles. Steer clear of alcohol and continue to avoid blood-thinning medications to prevent unnecessary bruising.


While it's tempting to examine your reflection immediately post-procedure, keep in mind that Botox doesn't work instantly. It typically takes 3 to 5 days for the initial effects to be visible, with full results setting in after about 7 to 14 days.


Our Patient Care Coordinator will be texting you following your Botox treatment, to make sure you're entirely happy with your results and the process.

Possible Side Effects and What to Watch Out For

Common side effects of Botox include bruising, swelling, redness, and, in rare cases, a mild headache. These should dissipate on their own. Serious side effects are infrequent but can include eyelid drooping, muscle weakness, vision problems, and difficulty swallowing. If you experience these, contact your healthcare provider immediately.


Be cautious if you see dramatic "before and after" images promising remarkable transformations. The effect of Botox is often subtle, softening lines and wrinkles rather than eradicating them entirely. If a provider promises to wipe out all your wrinkles, proceed with caution. Overuse of Botox in the wrong areas can lead to a "frozen" or unnatural look.

Final Thought on Preparing for Botox

The experience of getting Botox varies from person to person. Some people see the changes they want after one treatment, while others may need more sessions to achieve their desired result. Botox effects generally last 3 to 4 months, so regular follow-up treatments are necessary for sustained results.


Hopefully, you now feel more prepared for your first Botox experience. It's natural to feel some apprehension, but with the right information and the right healthcare provider (if you are looking for and Orlando med spa for Botox, check us out!), it can be a positive experience that enhances your natural beauty and confidence.

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