Cosmetic Injections Aftercare Montreal
Your complete recovery guide after Botox, dermal fillers, lip enhancement and biostimulator injections at Reimagine Clinic Montreal, for smooth settling, minimal bruising and natural looking results.
Cosmetic Injections Aftercare Fast Facts
- ✓ No rubbing or massaging the treated area for 24 hours
- ✓ Stay upright for 4 hours after Botox (no lying flat)
- ✓ No exercise, heat or alcohol for 24 to 48 hours
- ✓ Botox results appear in 3 to 7 days, peak at 2 weeks
- ✓ Filler results are visible immediately, settle at 2 weeks
- ✓ Mild swelling and bruising are normal and resolve quickly
What to Expect
- Immediately after: tiny injection marks, mild redness, possible small bumps
- First 24 to 48 hours: mild swelling, bruising and tenderness
- Days 3 to 7: Botox begins relaxing muscles, swelling settles
- Week 2: Botox at peak effect, fillers fully integrated
- Months 3 to 12: gradual natural fade; plan your next session
Preparing for Your Injection Appointment
A small amount of preparation dramatically reduces bruising and swelling and makes your neuromodulator or dermal filler session smoother. Follow these simple steps in the days leading up to your appointment.
Avoid Blood Thinners
Stop aspirin, ibuprofen, naproxen, fish oil, vitamin E, gingko, ginseng, St John wort and high dose green tea for 5 to 7 days before injections. These all increase bruising risk. Always check with your physician first if any are prescribed.
Skip Alcohol 24 to 48 Hours
Alcohol dilates blood vessels and significantly increases bruising. Skip red wine, cocktails and beer for 24 to 48 hours before your appointment. Hydrate with water instead for plumper, easier to inject tissue.
Share Your Health History
Disclose pregnancy, breastfeeding, autoimmune conditions, neuromuscular disorders, history of cold sores (for lip filler), recent dental work, upcoming travel or events, allergies, and all medications and supplements. Full transparency keeps your treatment safe and well timed.
Time It Right
Avoid booking injections within 2 weeks of a major event (wedding, photos, speaking engagement) to allow full settling. For lip filler with a cold sore history, your provider may prescribe antiviral prophylaxis 2 days before and 5 days after.

Cosmetic Injections Aftercare: The First 48 Hours
The first two days after injections determine how smoothly you heal. Small habits in this window, upright posture, no massage, no heat, dramatically reduce bruising, swelling and product migration.

Do Not Touch or Massage
Keep hands, makeup brushes, phones and pillows off the treated area for at least 24 hours. Pressure can shift fresh neuromodulator or filler product before it settles. Gentle cleansing after 4 hours is fine, but avoid rubbing.
Stay Upright After Botox
Remain upright (no lying flat, no face down yoga, no leaning over) for at least 4 hours after Botox. This prevents the neurotoxin from migrating to unintended muscles, which is the most common cause of drooping eyelid or asymmetry.
Skip Heat and Exercise
No exercise, saunas, hot tubs, hot yoga, steam rooms or sun exposure for 24 to 48 hours. Heat and elevated heart rate increase swelling, bruising and can accelerate product breakdown. A gentle walk is fine, intense cardio is not.
Ice for Bruising and Swelling
Apply a clean cold pack wrapped in a cloth for 10 minutes on and 10 minutes off as needed in the first 24 hours. Arnica gel or oral arnica tablets can also speed bruise resolution. Avoid direct ice on skin.
Days 3 Through 7: Your Injections Settle In
By day 3, swelling has dropped and Botox is starting to relax target muscles. Fillers are integrating with surrounding tissue. Keep habits gentle, resume most activities, and let the product do its work.
Morning Care
- ◦ Gently cleanse with a mild, non exfoliating cleanser
- ◦ Pat dry, do not rub or pull on the skin
- ◦ Apply a light hydrating serum and broad spectrum SPF 30 or higher
- ◦ Mineral makeup is fine after 24 hours with clean brushes
Evening Care
- ◦ Remove makeup gently with a soft cleanser or micellar water
- ◦ Apply a calming moisturizer (ceramide or hyaluronic acid based)
- ◦ Skip retinol, acids and strong exfoliants for 1 week post injection
- ◦ Sleep on your back, not face down, for the first few nights

What to Avoid After Injections
- ✗ Rubbing, massaging or touching the treated area for 24 hours
- ✗ Intense exercise, cardio, yoga or weight lifting for 24 to 48 hours
- ✗ Saunas, steam rooms, hot tubs and hot yoga for 48 hours
- ✗ Alcohol for 24 to 48 hours (increases bruising and swelling)
- ✗ Dental work, facials or laser treatments for 2 weeks
- ✗ Retinol, glycolic acid, salicylic acid and strong actives for 1 week
- ✗ Lying flat or face down for 4 hours after Botox
- ✗ Flights for 24 to 48 hours (cabin pressure can worsen swelling)
Long Term Care After Cosmetic Injections
Cosmetic injections are a long term skincare investment. Consistent retreatment schedules, daily SPF, and complementary treatments extend how long your results look fresh and keep your aesthetic natural year after year.
Stick to a Retreatment Rhythm
Botox typically lasts 3 to 4 months, dermal fillers 6 to 18 months depending on product and area, biostimulators 18 to 24 months. Book your next session before results fade completely, this makes maintenance easier and keeps your look consistent.
Wear Daily SPF
Daily broad spectrum SPF 30 or higher is the single biggest factor in how long your injections keep skin looking young. UV damage breaks down collagen, dermal filler and hyaluronic acid faster. Protect your investment every single day.
Build a Skincare Foundation
Retinol, vitamin C, peptides and hyaluronic acid boost long term skin quality and make your injections look better and last longer. Add microneedling or chemical peels 2 weeks post injection for a full rejuvenation stack.
Talk to Your Provider Early
If you feel something is off (asymmetry, a nodule, unusual swelling), contact us right away. Most concerns can be corrected easily if addressed in the first 2 weeks. Never wait or self treat with at home remedies.
Complementary Treatments
Injections work best as part of a layered rejuvenation plan. Explore our full face treatments menu, including Botox and neuromodulators, dermal fillers, lip fillers, Sculptra biostimulator, and skin boosters. Pair with microneedling, chemical peels or HydraFacial 2 weeks post for synergistic results.

Cosmetic Injections Aftercare Questions
Your most common questions about recovery after Botox, fillers and biostimulator injections at our Montreal clinic, answered.
Botox begins to take effect 3 to 5 days after injection and reaches peak effect at 2 weeks. If you still feel full muscle movement at the 2 week mark, book a touch up assessment with your provider. Do not judge results before the 14 day point.
Hyaluronic acid fillers typically last 6 to 18 months depending on the product and the area. Lips usually 6 to 9 months, cheeks 12 to 18 months, nasolabial folds around 9 to 12 months. Biostimulators like Sculptra last 18 to 24 months. Maintenance sessions extend results further.
Bruising is a normal result of a needle passing through small blood vessels under the skin. It can vary per appointment and per area. Arnica, ice, avoiding blood thinners and alcohol beforehand all reduce bruising. Most bruises resolve in 5 to 10 days and makeup can cover them.
Avoid intense exercise for 24 to 48 hours after Botox or filler. Elevated heart rate increases swelling, bruising and can affect product settling. A gentle walk is fine immediately. Back to normal workouts at hour 48.
Avoid alcohol for 24 hours after injections. Alcohol dilates blood vessels and makes bruising and swelling worse. If you avoided alcohol for 24 to 48 hours beforehand and continue for 24 hours after, your healing will be cleaner and faster.
Lip filler swelling peaks at 24 to 48 hours after injection, often doubling the filler volume temporarily. By day 3 to 5 the majority of swelling has dropped, and by day 14 your final lip result is visible. Do not judge lip filler results before 2 weeks.
Wait at least 4 to 6 hours before applying makeup, ideally 24 hours for the most sensitive areas. Use clean brushes and mineral or non comedogenic makeup to avoid infection risk on injection sites. Gentle removal at night is essential.
Avoid flying for 24 to 48 hours after injections. Cabin pressure changes and dehydration can worsen swelling and bruising. If flying is unavoidable, hydrate aggressively and stay upright as much as possible.
Minor lumps and asymmetry are common in the first week and typically resolve on their own. Gentle massage may be recommended by your provider after filler (never after Botox). If the concern persists at week 2 or worsens, contact us promptly, hyaluronic acid filler can be dissolved if needed.
Wait at least 2 weeks between injections and dental work, especially for lip or lower face filler. The mouth stretching during dental exams can displace fresh filler. Similarly, wait 2 weeks after dental work before getting injections in the lower face area.
Wait 2 weeks before receiving a facial, microneedling, chemical peel, laser treatment or any strong skincare in the treated area. This allows injections to fully settle and avoids inflammation or product displacement.
Some clients experience mild flu like symptoms (fatigue, headache) for 24 to 48 hours after biostimulator injections like Sculptra. This is a normal immune response as the product stimulates collagen production. Rest, hydrate and it resolves quickly.
Yes, in most cases Botox and filler can be combined in one appointment for efficient treatment. Your provider will sequence injections carefully to avoid interaction. Recovery guidelines apply for both, so follow the stricter rule where they differ.
Book Botox maintenance every 3 to 4 months, filler touch ups every 6 to 12 months depending on the product, and biostimulator follow-ups every 18 to 24 months. Your provider will design a personalized schedule during your consultation.
UV damage, smoking, poor diet, chronic dehydration and skipping SPF are the biggest factors that shorten injection results. Daily broad spectrum SPF, antioxidant rich skincare and a consistent home care routine preserve your investment between sessions.
Pricing varies by product, amount used and treatment area. Book a free consultation for a personalized quote and plan. View current pricing on our neuromodulators, dermal fillers and lip filler pages.
Ready to Refresh Your Look?
Book a free consultation with our certified injectors in Montreal. We will assess your goals and design a natural looking, personalized injection plan for subtle, elegant results.
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info@reimagineclinic.ca
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438-686-8460