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How long does botox last — and what to avoid afterwards

How long does botox last — and what to avoid afterwards
Guide · botulinum toxinMelior Clinics · updated 24.10.2026 · 3 min read
In shortFor expression lines, botulinum toxin (botox) usually lasts 3–4 months; the first treatment can wear off a little sooner. For the first 4 hours, no lying down or rubbing the injection points; for 24 hours, no exercise, sauna or alcohol.
3–4monthsfor expression lines
2–5daysuntil the first changes
14daysfull effect and follow-up
125€from, one area at Melior

Prices as of 24.10.2026

How long does botox last: what happens after the injections

Tap a point on the timeline.

First hours

Mild redness, small bumps or swelling at the injection points. They usually settle within a few hours. You can go back to work straight away.

A patient looks in a hand mirror at a follow-up visit, with a Melior Clinics specialist beside her
Follow-up visit after about two weeks

Botox aftercare: what to avoid and what is fine

Choose how much time has passed.

Avoid

  • Lying down and bending forward for longThe product is still binding to the muscle
  • Rubbing, massaging or pressing the injection points – including with a tight hat, helmet or sleep maskPressure could move it towards neighbouring muscles

Fine

  • Working, walking, sitting
  • Sleeping as usual at night

What affects how long botox lasts

Area and dose

The forehead and the eye area can last different lengths of time.

Active expressions

The more active the muscles, the sooner movement can return.

First time

Your muscles’ response is not yet known, so the effect may seem shorter.

Repeat treatments

The interval can lengthen over time. Too-frequent injections risk antibodies.

Botox side effects: what is normal and when to get help

Common

  • redness, bumps, swelling – a few hours
  • small bruise – up to a week
  • mild headache

Rare

  • heavy or drooping brow or eyelid
  • can last up to 12 weeks and wears off on its own

Tell the clinic

Call 112 now

  • difficulty breathing, swallowing or speaking
  • rash, swelling of the face or lips

Emergency number in Estonia: 112

Planning an event?

Wedding, holiday, photo shoot — pick how long you have until the event.

Ideally 2–4 weeks before: by the event the full effect has developed, any swelling or bruising has gone and there is time for the follow-up visit.

In more detail

How does botox work, and why does it wear off?

Botulinum toxin type A temporarily weakens the nerve signal to a muscle: it contracts less, and lines caused by movement soften. The effect wears off because nerve endings gradually form new connections.

It does not add volume – that is what dermal fillers are for.

Why the first treatment can wear off sooner

Your individual muscle response only becomes clear after a couple of weeks, so the result is checked at the follow-up and a small extra dose is added if needed. After repeat treatments the muscle may thin slightly and the effect can last longer.

What happens at the appointment?

Usually a short, light prick with a very fine needle; the injections take 15–30 minutes. First comes a consultation: health, medicines, previous injections. First-time patients have a skin test. The follow-up visit is after about two weeks.

Who should not have botulinum toxin?

Pregnancy and breastfeeding, neuromuscular conditions, inflammation in the treatment area. Blood thinners prescribed by your doctor are not stopped on your own – they are discussed at the consultation. The specialist makes the decision.

Frequently asked questions

How long does botox last the first time?

Usually the same 3–4 months, but the first treatment can seem shorter because your response is not yet known. The result is checked at the follow-up after about two weeks.

When can I exercise after botox?

After 24 hours. On the first day, exercise, sauna and strong heat widen blood vessels and can increase swelling and bruising.

Can I drink alcohol after botox?

Not for the first 24 hours: alcohol widens blood vessels and can make bruising worse. Melior also advises avoiding it for 24–48 hours before the treatment.

When can I lie down or sleep after botox?

After 4 hours. Until then you stay upright and avoid pressing on the injection points. At night you can sleep as usual.

Does botox hurt?

Most people describe a short, light prick: the needle is very fine and the injections take 15–30 minutes. Numbing cream can be used on the more sensitive palms and soles.

What happens if I stop having botox?

The effect wears off gradually and the muscle works as before, so expression lines become visible again.

How much does botox cost in Tallinn?

At Melior Clinics from €125 for one small area; the frown line is €200 and three areas €550 (price list 24.10.2026).

Treatment at Melior Clinics

Botulinum injections in Tallinn

from €12515–30 minfollow-up after 14 daysStockmann, 5th floor

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