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?
Will Botox Migrate?
Doctor Answers 15
You can resume normal activity
We normally advise patients to wait around 4 hours before lying down on their back to avoid such problems. This is because Botox may migrate within this time period, although usually binds to the muscle in around 90 minutes. You should absolutely be able to lie on your back now with no problems and visit the hygienist.
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.
Be healthy and be well,
James M. Ridgway, MD, FACS
You might also like...
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.
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.
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 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.
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
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.
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.
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.