Botox Touch-Up Policy: Free or Paid? What 54 Med Spas Publish (2026)

Most med spas that mention a Botox touch-up schedule it two weeks after treatment, and most never say whether it costs anything. On November 4, 2026 we read the public pages of 359 med spa websites in 21 US cities. 54 of them describe a touch-up or follow-up visit after a neurotoxin treatment. Of the 47 that give a timing, 41 put it at two weeks. Of all 54, 34 say nothing about price, and only 12 tell a patient plainly whether the extra units are free or charged. Below is what those clinics publish, the conditions they attach, and a short policy you can adapt for your own site.

What we measured

We started from the 393 clinic websites in our September 2026 study of med spas in 21 US cities. 359 could be read. The other 34 refused automated requests, showed a bot check, or were down, and we did not try to get past any of them. On each readable site we fetched the homepage and up to seven pages whose address pointed at Botox or another neurotoxin, an FAQ, a policies page or aftercare: 2,009 pages in all. We followed each site's robots.txt and sent one request at a time per site.

A clinic counted only when its own page says it offers or schedules a touch-up or follow-up visit after a neurotoxin treatment. Mentions of routine re-treatment every three to four months, patient reviews, and lines such as "whether you're new or returning for a touch-up" did not count. A clinic we did not count may still have a policy on a page we did not open, or explain it at the front desk. These are what a patient can find on the website before booking.

What 54 clinics publish about cost

• 34 say nothing about cost. The page describes the two-week check or the touch-up and stops there.
• 8 say the touch-up itself is free. The wording runs from "complimentary touch-up" to "included" to one clinic's "usually at no cost to you".
• 8 say the follow-up visit is free but not the units. "A complimentary two-week follow-up" or "a two-week check at no charge", with no word on whether units added at that visit are charged.
• 3 say added units are charged. A New York clinic's policies page says touch-up units "will be charged accordingly". A San Francisco clinic lists touch-up units at $12 against its regular $14 per unit.
• 1 draws touch-ups from banked units. Patients who prepay a 100-unit vial use what they need and save the rest for touch-ups.

There is no single right answer. A clinic that prices by area can fold the touch-up into the area price. A clinic that prices by the unit can fairly charge for every unit, and one per-unit New York clinic says on its own site that it does not count a free touch-up as a perk. Either works once it is written down. If you publish per-unit prices, state the touch-up rate in the same table, the way the San Francisco clinic does. Our Botox price-per-unit study shows what 81 clinics publish for the unit price itself.

When clinics schedule the touch-up

• Two weeks or day 14: 39 clinics, plus 2 more that say "within two weeks".
• 10 days: 2 clinics ask patients to wait 10 days before deciding.
• A longer window: 3 clinics allow up to three or four weeks (14 to 21 days, within three weeks, and 2 to 4 weeks).
• Two different answers: 1 clinic says two weeks on one page and four to six weeks on another.
• No timing given: 7 clinics.

Almost every clinic gives the same reason. The product takes about two weeks to reach its full effect, so adding units earlier means guessing. One Chicago-area clinic gives the question a page and a video of its own, titled "Botox Touch-Up at 7 Days? Why We Wait 14 Days". Whatever number your injectors use, put the same one on every page. A patient who reads two weeks in the aftercare instructions and four to six weeks in a blog post will call to ask, or book at the wrong time.

The conditions clinics attach

Five of the 8 free touch-up offers come with written terms, and two more clinics limit who gets the follow-up at all. These are the limits on the pages:

• First-time patients only: 2 clinics offer the two-week check only to new neurotoxin patients.
• Members only: 1 clinic lists a free two-week touch-up as a membership benefit, next to banked units and priority booking.
• Once, at the injector's discretion: 1 clinic performs "a one time complimentary touch up" if the practitioner finds the result could be improved.
• At the recommended dose: 1 clinic's satisfaction guarantee applies only if the patient had the dose the clinic recommended.
• A deadline: 2 clinics state an end date, within three weeks of the injection or between day 14 and day 21.

These terms protect the clinic. A patient who chose fewer units than recommended to save money, or who comes back two months later, is asking for a new treatment rather than a touch-up. Written terms let the front desk say so without an argument.

Where the policy belongs on your site

Of the 54 clinics, 51 explain their touch-up on a Botox or neurotoxin treatment page, 4 mention it on the homepage, 3 in aftercare instructions and 2 in an FAQ. Only 1 has it on a policies page, beside its gift-card terms. That last place matters because patients look for rules on the policies page, and a dispute starts with "where does it say that?". A good setup puts it in four places:

1. The treatment page, next to the price. One sentence under the per-unit or per-area price: "Touch-ups at your two-week visit are [included / $X per unit]." Our guide to showing prices on a med spa website covers where prices sit on the page.
2. An FAQ entry titled "Are touch-ups included?" One New York clinic uses exactly that question, and it is the phrasing patients search for.
3. The policies page, with the full terms, beside your cancellation and no-show policy.
4. The booking confirmation or aftercare text, so the patient has the date and the terms in writing before they leave.

A touch-up policy you can adapt

This covers the five things the clinics above put in writing. Fill the brackets with what your injectors already do, and have your medical director read it before it goes live.

1. When: "Your result takes about two weeks to settle. We check it at a follow-up visit on or after day 14."
2. Who: "The two-week visit is available to [all neurotoxin patients / first-time patients]."
3. Cost: "The visit is free. If your injector adds units, they are [included / charged at $X per unit]."
4. Deadline: "Touch-ups are available until day [21] after your treatment."
5. What it does not cover: "Treating a new area, or adding units beyond the plan agreed at your appointment, is a new treatment."

If you want a second pair of eyes on how your treatment pages, prices and policies read to a patient, we'll review your site for free and send the top three fixes, no call required: get a free audit.