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Botox is generally not recommended during pregnancy or while breastfeeding because there is limited safety evidence in these groups. If you are trying to conceive, pregnant, or nursing, tell your prescriber before booking. They can talk you through safer timing and alternatives.

Most people can drive and return to normal desk-based work straight after treatment. If you feel lightheaded, have a headache, or feel unwell, it is sensible to wait until you feel fully normal before driving. If your job involves strenuous physical work, your clinician may advise a short pause.

Flying is not usually a problem after Botox, as cabin pressure changes are not known to affect the product. The main consideration is that bruising or swelling can be more noticeable in the first couple of days, and you may not want to travel during that window. If you are flying the same day, follow your clinician’s aftercare advice carefully.

Many clinics advise waiting a few hours before applying makeup, mainly to reduce rubbing and pressure around injection sites. If you do apply makeup on the same day, use gentle patting rather than vigorous blending. Avoid facial massage tools until your clinician approves.

Strenuous exercise is often discouraged for the rest of the day, as increased blood flow and pressure can worsen swelling or bruising. Light walking is usually fine. If you are training for an event, ask for advice tailored to your routine and timing.

Alcohol can make bruising more likely because it can widen blood vessels and affect clotting in the short term. Some clinicians recommend avoiding alcohol for 24 hours before and after treatment, especially if you bruise easily. If you choose to drink, keep it modest and stay well hydrated.

Small differences can occur because faces are naturally asymmetrical and muscles respond at different rates. Results usually settle over 1–2 weeks, so early unevenness does not always mean the final outcome will be uneven. If you are concerned after the settling period, contact your provider for an assessment.

A lack of effect can be due to dosing, placement, muscle strength, or timing, rather than the product “failing”. In a small number of people, the body may respond less strongly over time. A qualified prescriber can review what was used and discuss adjustments or alternative treatments.

Resistance is considered uncommon but can happen, usually linked to repeated exposure over time and product factors. If results seem to reduce over multiple treatments, your clinician may consider changing technique, dose, or (where appropriate) switching to a different botulinum toxin type. This should always be guided by a prescriber.

There is no routine requirement to avoid vaccines because of Botox, but timing can be sensible if you want to separate side effects (for example, headache or fatigue) from treatment effects. If you are unwell, have a fever, or have an active infection, it is usually best to postpone until you are fully recovered. Tell your clinician about recent vaccinations and any current illness.

Certain conditions that affect nerves or muscles may increase risk or make Botox unsuitable. Examples can include myasthenia gravis or other neuromuscular disorders. Always disclose your medical history and ask for a prescriber-led assessment rather than proceeding on assumptions.

Mild redness, small bumps, or a headache can occur and often settle. Seek urgent medical advice if you have worrying symptoms such as difficulty breathing, swallowing problems, or rapidly worsening weakness. For non-urgent concerns (for example, drooping eyelid or unexpected asymmetry), contact your treating clinic promptly for guidance and review.