Do I really have to sit up for 4 hours after Botox? Do I need to make the required facial gestures continuously for 4 hours?

Every injector has their own personal instructions for Botox after care. My patients are instructed to avoid rubbing the face, lying face down, getting a facial massage, exercising, or inverting their head for about 4 hours after injections. I do not instruct my patients to move their facial muscles post-injection. I also do not restrict my patients from lying down, just lying FACE down. Always see an expert physician injector.
All the best,

We have a great article that covers this, but while some sources believe you need to stay upright, we have never seen any adverse reactions to laying down after injections.

Thank you for your question. I typically focus my aftercare on restricting activities that make you hot, sweaty or flushed: Examples include strenuous activities, alcohol, saunas, hot baths, etc… This will increase your chance of bruising. If no bruising, by the next day, the you should be good to go. If there is, then I recommend another day to make sure the bruise is not getting worse. I am not as worried about the not laying down after four hours.