Botox Are Botox injections combined with other procedures?

The effectiveness of Botox, like Dysport, largely depends on compliance with skin care recommendations after the rejuvenation procedure. Failure to follow fairly simple rules and violation of the regimen recommended by a specialist can lead not only to accelerated removal of the active substance from tissues, but also to negative side effects. The recovery period after Botox/Dysport takes place in several stages.

What to do immediately after the procedure

Firstly, you will have to maintain an upright position for at least two hours. This is necessary to ensure that the muscles and tissues of the face are in a natural state while the absorption processes of the administered drug take place. Lying down, leaning forward, etc. there is a risk of giving the face an unnatural mask expression.

It is also recommended to force the facial muscles to work. It is allowed to grimace, talk a lot, laugh, frown, etc. The fact is that moving muscles ensure deeper penetration of Botox into the tissue. You can't touch your face. Do not forget that “making faces” is only useful for 1/2 hour after the procedure. Then comes the stage of muscle atrophy, so it is advisable to minimize facial activity in order to avoid injury.

Other pharmaceuticals that can have undesirable effects during botulinum therapy

A similar effect, manifested in muscle relaxation and an unpredictable increase in the effect of botulinum toxin injections, is exerted by some medications whose active ingredients are derivatives of neurotoxins.

The most famous of them are curare-like muscle relaxants - derivatives of curare poison or those close to it in nature. This poison acts in a similar way to botulinum toxin, inhibiting the activity of neuromuscular synapses, although the effect of its entry into the body is not as strong as the effect of botulinum toxin poisoning.

On a note

However, curare is considered one of the most powerful poisons in the wild, second in toxicity only to botulinum toxin and batrachotoxin. In particular, curare poison, along with batrachotoxin, is used by South American Indians to lubricate arrowheads, with which they hunt wild animals.


The plant Chondrodendron tomentosum is ubiquitous in South America and is the raw material for the production of curare poison.

Curare-like drugs include:

  • Tubocurarine chloride;
  • Pipecuronium bromide;
  • Pancuronium bromide;
  • Ditylin;
  • Prozerin;
  • Metacin;

…and some others. When using them, botulinum therapy cannot be performed.

Likewise, the effectiveness of botulinum toxin in cosmetic procedures may also be affected by products specifically designed to reduce neuromuscular transmission. They are used for various purposes - relieving muscle spasms, treating lumbar radiculitis and some rheumatic diseases, relieving muscle tension during abdominal operations.

These include:

  • Baclofen;
  • Bendazole;
  • Tizanidine;
  • Tolperisone.

Some anxiolytics (drugs intended to eliminate feelings of anxiety and general relaxation) - Diazepam and Tetrazepam, Atarax - can have a similar effect. It is also assumed that combined sedatives (for example, Corvalol), blood anticoagulants and drugs that increase the concentration of calcium inside cells can enhance the effect of botulinum toxin. Of these, blood anticoagulants are contraindicated, including due to the fact that Botox injections themselves can lead to edema and hematomas, and anticoagulants can provoke or intensify these undesirable effects.

The first 15 – 20 days after Botox or Dysport

Swelling may occur at injection sites. This is normal for the first weeks. Swelling is especially noticeable under the eyes, where the skin is most delicate. If you monitor your fluid intake, swelling will be minimal. Those who have everything in order with their metabolism do not need to make changes to their usual diet. Only certain metabolic disorders in the body can affect the anti-aging result. Then you will need a diet. This point needs to be clarified during a consultation with a cosmetologist.

Naturally, skin that has experienced severe stress requires special care in the first weeks. Peeling procedures cannot be done, nor can scrubs be used. This can not only increase the post-traumatic effect, but also lead to infection. It is recommended to limit yourself to masks that relieve swelling and use soothing cosmetics.

Botox/Dysport may not give such a good result if you visit baths, saunas, etc. Intense heat activates the processes of removing the drug from tissues at the stage of its fixation. It is also recommended to solve all problems with the oral cavity and teeth before injecting the drug. Partially atrophied muscles simply will not allow you to open your mouth normally during the first 2/3 weeks.

Botox and drugs

Aminoglycosides can enhance the effect of the substance. After Botox injections, you should not use antibiotics for 3 weeks. Otherwise, changes in appearance may be unpredictable.

Most medications weaken nerve transmission. It is prohibited to use aspirin and other analgesics after Botox! They reduce blood clotting, which is why bruises may form at the injection sites.

Compatibility with plastic surgery

Botox injections, the price of which is reasonable, are allowed after surgical operations. However, there are some limitations. The substance can be administered only after the swelling subsides. This is the only way a doctor can assess the condition of the skin.

Hardware procedures and Botox

After the administration of botulinum toxin, hardware procedures that involve heating tissue can be performed 2 weeks later. Techniques such as magnetic therapy and myostimulation should not be performed. They are based on the use of electric current and a magnetic field, which stimulate muscle tone. If you perform them after administering Botox, it will be pointless to wait for the toxin to act.

Peels and Botox

Peels after Botox injections can be performed after 3 weeks. During this period, the toxin will penetrate the skin and relax the muscles. As a result, the effect of peelings will be more effective.

Restrictions after botulinum toxin injection

On the first day after administration of the drug, you should not exercise, do massage, or perform cosmetic procedures. It is not recommended to overheat or dry your hair. The head should not be kept tilted.

In addition, you need to limit your fluid and salt intake to prevent swelling on your body. In the first 2 weeks after the procedure, you should not drink alcohol. Taking it can cause blood vessels to dilate, allowing the toxin to enter the blood.

Botox injections into the forehead and other areas of the body can be combined with certain other cosmetic procedures. One of the most successful solutions is a combination of toxin injections and the use of fillers, wrinkle fillers. The introduction of Botox will provoke a prolongation of the filler effect. The muscles in the injection area will not tense, and accordingly, the filler will dissolve more slowly.

Botox goes very well with laser resurfacing and chemical peels. The presented procedures help improve the quality of the skin and even out its appearance. Botulinum toxin smoothes the dermis, acting on it from the inside.

Read more about Botox (BTA) courses and training costs here.

Next two months

When the skin calms down a little, you can begin hair removal and light facial massage. All this should be done with extreme caution. There are several types of cosmetic procedures that will have to be completely excluded for the entire duration of Botox or Dysport. We are talking about manual massage, myostimulation and microcurrent effects on the facial skin. In addition, cosmetologists have noticed that the duration of the anti-aging effect is significantly reduced by subcutaneous injections of B vitamins. You can take tablets and powders with these vitamins.

When can I get Botox after taking antibiotics?

It is necessary to take into account the type of antibiotics in order to understand how long after botulinum toxin can be administered. In most cases, the break lasts no more than 3 weeks. By stopping taking medications in a timely manner, you can ensure their correct removal from the body. As soon as the antibiotics stop working, you can safely sign up for a botulinum toxin injection procedure. But in order to understand exactly when you can start the procedure, you must first consult with your doctor.

Before administering botulinum toxin, you need to take into account the individual characteristics of the human body. Age, as well as sensitivity to various drugs, all play a very important role. There is no need to ignore these indicators; this is the only way to avoid problems.

When setting priorities, you definitely need to take care of your own health - you should initially be treated, even if this requires the use of antibiotics, and only then think about botulinum therapy.

Why can’t you use this medicine before the procedure and after a while?

Antibiotics have no effect on Botox . The chemical composition inhibits the activity of bacteria. Botulinum toxin is not a bacterium, it is a toxic substance. It is injected into the muscle and inhibits the contraction of muscle fibers, which leads to their temporary paralysis. The skin and muscles stop moving, relax, and wrinkles disappear. You will find a detailed description of the effects of Botox in this article.

To achieve the desired result and not cause harm to health, it is important to correctly calculate the dosage of the drug.

The doctor can do this under an important condition: there must be no medications incompatible with the injection in the patient’s blood. Especially antibiotics.

How long do restrictions last?

For each group of antibiotics, there is a regulated time after which botulinum toxin can be injected. Most drugs are eliminated after approximately three weeks. This is enough to complete the action and be eliminated from the body, so injections are given about a month after antibacterial therapy.

It is important for the doctor to know the names of all medications taken in order to assess possible problems and determine a safe period for performing injections. The timing is affected by:

  • floor;
  • age;
  • weight;
  • sensitivity to a specific antibiotic;
  • Botox tolerance.

What is the impact?

Combining antibiotics and Botox can affect both the procedure itself and the woman’s health in general.

Different groups of antibacterial drugs can cause different manifestations.

On human health


Antibacterial and botulinum agents initiate similar effects .
By reducing neuromuscular conduction, antibiotics lead to relaxation of the facial muscles and neck muscles, which leads to the partial or complete disappearance of the hated folds. If Botox is also administered at this moment, a complete blockade of the innervation of the muscle fiber will occur. Due to the excessive effect, the patient may face unpleasant serious consequences, such as an amicable facial expression and its asymmetry, impaired articulation, ptosis (fixed upper eyelid), and a decrease in the frequency of blinking. In rare cases, impaired concentration and double vision and complete paralysis of the eye muscles may occur.

For the result

Another equally pleasant situation is possible. Under the influence of the chemical, the muscles will relax, and the cosmetologist will give an incorrect assessment of wrinkles . Accordingly, the required injection dose will not be calculated correctly. And when the antibiotics stop working and the muscles regain full tone, wrinkles will appear and it will become clear that the dose was clearly insufficient.

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