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

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.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

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 96 reviews

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
4.9 out of 5 stars 30 reviews

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 22 reviews

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
4.3 out of 5 stars 10 reviews

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
4.7 out of 5 stars 26 reviews

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, MPH
Nashville Plastic Surgeon
5.0 out of 5 stars 54 reviews

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
4.4 out of 5 stars 46 reviews

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 40 reviews

Botox migration

Botox can migrate during the first 3 or 4 hours after placement. This happens if the Botox is manipulated by rubbing, or even strenuous exercise. We advise patients to refrain from vigorous activity and not to touch or rub the areas treated. I tell patients that makeup can be gently patted on the skin. It's usually just fine to resume normal activity and to wash the face after about 4 hours. It's probably still best not to rub the area vigorously for the remainder of the injection day. 

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
4.7 out of 5 stars 63 reviews

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.