Let’s get right to it—can you get a massage after Botox? Short answer: yes, but with some serious asterisks. And if you’re reading this because you just got Botox (or you’re thinking about it), don’t worry—you’re not alone. I get this question all the time in my Ferndale treatment room.

I’m a licensed esthetician and massage therapist, and over the years, I’ve seen the good, the bad, and the “oops” when it comes to mixing Botox and bodywork. So let’s break it all down, real talk style.

Understanding Massage After Botox Treatments

So, here’s the deal—Botox works by relaxing the muscles underneath your skin to soften lines and wrinkles. But it doesn’t take effect instantly. It needs a little time to “settle” into the muscles it’s targeting.

And massage? Well, it’s kind of the opposite. It’s all about stimulating circulation, relaxing the body, and increasing blood flow… which can work against Botox if you do it too soon.

How Long Should You Wait After Botox to Get a Massage?

I always tell my clients: wait at least 24 to 48 hours before scheduling any massage. And honestly, I lean toward the full 48—just to be safe.

Why? Because lying face-down on a massage table or applying pressure too soon can cause the Botox to shift—especially in delicate areas like your forehead or between your brows. Once it’s moved, there’s no way to “move it back.”

Can Massage Really Affect Botox Results?

Yes. 100%. Clients tell me, “I didn’t know and got a massage the next day—and now one eyebrow is higher than the other.” Not the look you were going for, right?

When you lie on your stomach, your face presses into that little donut pillow. That constant pressure can literally push the Botox away from the injection site. Also—deep tissue massages increase circulation, which might cause the Botox to be absorbed too quickly.

Safe Timeline: When It’s Okay to Get a Massage

Let’s keep it simple:

  • 0–24 hours after Botox: No massage. Don’t lie flat. Try to stay upright.

  • 24–48 hours: Still not ideal for massage—especially face-down.

  • 48–72 hours: You’re probably good, especially if it’s not a facial massage.

  • After 72 hours: You’re in the clear for most body massages, as long as your injector didn’t give other specific instructions.

What Types of Massage Should You Avoid After Botox?

It’s not just about when—it’s about what kind. After Botox, avoid:

  • Facial massages of any kind (no pressure on the face)

  • Deep tissue if it involves lying face-down

  • Hot stone massage close to the injection site

  • Lymphatic facial drainage (wait a full week)

If you’re within that 48–72-hour window and absolutely need it, stick to relaxing, back-focused massages.

What You Can Do After Botox Instead

You can still enjoy some self-care without compromising your results. Here are some ideas:

  • Gentle scalp massage

  • Hydrating facials (as long as they avoid facial pressure and heat)

  • Neck and shoulder massage (seated or reclined)

Or—just give yourself permission to chill. Catch up on Netflix. Sip water. Rest.

Real Talk: What I Tell My Clients

I always say this: Botox is an investment. Protect it. Waiting just 48–72 hours could mean the difference between results you love—and ones that need a touch-up (or worse, can’t be fixed at all).

One client—I’ll call her Jess—booked a massage 24 hours after her forehead Botox. She didn’t tell the therapist, and they did a quick scalp massage… which included pressure on her temples. Three days later, she called me: “My left brow’s drooping. Help!”

What to Do If You’ve Already Had a Massage After Botox

Okay, don’t panic. If you accidentally got a massage too soon:

  1. Call your injector. Let them know exactly what happened.

  2. Monitor the area. Most issues (like Botox migration) will appear within 3–5 days.

  3. Don’t get another massage until things stabilize.

  4. Stay upright as much as possible and skip strenuous workouts or steam rooms.

FAQs About Massage After Botox

1. How long after Botox can you get a massage?
Ideally, wait 48–72 hours before any massage—and at least a full week for anything involving facial pressure.

2. Can I lie face down on a massage table after Botox?
Not in the first 48 hours. Lying face-down puts pressure on the injection sites.

3. Will massage make Botox go away faster?
It can if done too soon. Increased blood flow might break down the Botox before it fully sets.

4. Can I get a facial after Botox?
Not right away. Wait 4–7 days for safety, and avoid any facial manipulation.

5. Can I get a scalp massage?
Yes, as long as it avoids direct pressure on the injection areas.

6. What shouldn’t I do after Botox?
Don’t rub the area, lie flat, work out heavily, or hit the sauna for 24–48 hours.

7. Is Botox safe?
Yes, when performed by a qualified provider and followed with proper aftercare.

8. Can I get Botox and a massage on the same day?
Nope. Schedule your massage for a few days before your Botox appointment, not after.

9. Can I work out after Botox?
You should wait at least 24 hours before exercising.

10. What happens if Botox moves?
It can lead to uneven results, like asymmetry or drooping. It usually can’t be fixed until it wears off—another reason to be cautious.

The Bottom Line

Massage after Botox is doable—but only if you wait long enough and know what to avoid. If you’re unsure, ask your esthetician or injector (or hey, give us a call!).

Trust me—waiting 48 hours is much better than 3 months of uneven brows.

Book your next massage or facial with confidence at Flawless Face & Body.
Ferndale, MI | (248) 818-3842