Will Botox Migrate?

I had botox for my frown line, crow feet and a small amount under lower eyelids midline at 9:00am. At 7:30pm (10 and 1/2 hours after treatment) not thinking about the botox treatment this morning II washed my face using the ultrsonic face brush- using preset timing- probably using too much pressure on these areas - is it very possible or probable to get any migration?

Doctor Answers 14

Not an issue...your botox won't migrate...

that just doesn't happen beyond a very short interval following your injections...

Las Vegas Dermatologist
4.5 out of 5 stars 9 reviews

10080 Alta Drive
Las Vegas, NV 89145

Botox is not thought to migrate more than several hours after treatment

The consensus is that Botox binds to its target structures within a few hours after injection. Although no studies have been performed, most physicians seem not to restrict their patients from bending over , or lying flat, for four hours after treatment. It would be surprising then, that any manipulation to which you subjected your face that long after Botox would interfere with its result or cause migration. When we recommend no aggressive facials for a day after Botox, the timing is not based on scientific studies but a reasonable suggestion as most patients can easily avoid a facial for one day.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

317 East 34th St
New York, NY 10016

Botox migration

Simply stated: You will be fine. Botox can have minor migration during the first 4-8 hours after injection, but this is minor effects and not on the full level of direct injection.
Be healthy and be well,

James M. Ridgway, MD, FACS

James M. Ridgway, MD, FACS
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

10047 Main Street
Bellevue, Washington 98004

Botox Migration

It is felt that Botox could possibly migrate or be moved within 4 hours of the treatment.

However, since you did the cleaning 10 hours later it should not be a problem.

I ask my patients to stay upright and not rub the area for 4 hours. Just to be on the safe side I ask them not to exercise or have facial manipulation (such as a facial or massage) for the remainder of the day.

Esta Kronberg, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 25 reviews

7500 Beechnut St
Houston, TX 77074

Botox migration

You will not have any problems with Botox migrating 10 hours after injection.  I advise patients to avoid touching their skin for just 4 hours after treatment.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 20 reviews

1849 Yonge Street
Toronto, ON M4S 1Y2

Botox migration

Personally I feel your actions will have minimal impact on your outcome.  Botox is placed deep inside the belly of the muscle precluding disturbance by superficial cleansing brushes.  This really is a great question and legitimate concern worthy of awareness that it creates.

Will Richardson, MD
Fort Lauderdale Dermatologic Surgeon
4.0 out of 5 stars 9 reviews

1120 Bayview Drive
Fort Lauderdale, FL 33304

Will Botox Migrate?

 This is an urban myth...Botox once injected is absorbed by the target muscle within minutes and is not free to roll around or move through the tissues even when pressure is applied.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

8500 Wilshire Blvd
Beverly Hills, CA 90211

Botox migration unlikely

While Botox can migrate, it is unlikely. Migration is somewhat dependent upoon the concentration of the solution (the toxin has to be mixed with saline to able to be injected) and the technique. It is thought that Botox can migrate up to 4 hours after injection, but it is taken up by the muscle very quickly (usually within 90 minutes).  I would return to your injector and get a complete exam. Good Luck

Michael Burgdorf, MD
Nashville Plastic Surgeon
5.0 out of 5 stars 32 reviews

3803 Bedford Avenue
Nashville, TN 37215

Botox Migration

Botox migration is rare, and if it will occur generally does so in the first 4 hours. It is possible to migrate thereafter, but not probable. Contact your injector and explain the situation. Your injector will have the best understanding of the treatment, and will be able to guide you appropriately.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 25 reviews

1501 Forest Hill Boulevard
West Palm Beach, FL 33406

Can Botox Migrate?

The short answer is yes. Botox can migrate or diffuse from the injection site especially within the first 4hours of injection.  Rubbing the treated area during thus time increases that risk significantly and so is strongly discouraged.  In general strenuous activity and facial manipulation should be avoided for about 24 hours.

Asaad H. Samra, MD
New Jersey Plastic Surgeon
5.0 out of 5 stars 32 reviews

733 North Beers Street
Holmdel, NJ 07733

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.