Is It More Beneficial to Sleep on One's Back After Botox Treatment?

Is It More Beneficial to Sleep on One's Back After Botox Treatment?

Doctor Answers 11

Lying down on back after Botox

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 or sleeping on one side versus the back..

Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Sleeping on back after botox

I usually recommend that when you're sleeping, it's better to sleep on your back and keep your head elevated with several pillows to help diminish the swelling. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Don't lie on your stomach for 4 hours after your BOTOX treatment.

 After a BOTOX treatment, I advise patients not to lie on their bellies for 4 hours. That's the only restriction I suggest. This is to prevent touching or rubbing your face, and possibly moving the BOTOX into an unfavorable location.

Enjoy your BOTOX, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

Sleep position after Botox injections

Interesting question.  Although I am skeptical that any particular body position significantly affects Botox effects or longevity following injection, I do not believe anyone really knows the answer to your question.  I would not spend too much time or energy worrying about it.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews


I feel it is beneficial to sleep on the back anyway. People live longer and wrinkle less.

However, I do not feel that this should be part of any particular post BOTOX regimen. By the time you are ready for sleep, the BOTOX should pretty much have settled in where it was intended to go.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.7 out of 5 stars 14 reviews

Should I sleep on my back after Botox?

Since we don't know of any studies that have been undertaken on this subject, it's safe to say that there is no right or wrong answer on this one.  As long as you are not lying down immediately after treatment (give it a few hours) you should be fine laying on your back or stomach. 

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

How to sleep after Botox

How you sleep the night of your Botox treatment makes no difference whatsoever. I would only advise you not to lie down for one hour after the Botox injections. After one hour, you can do whatever you want.

Todd Minars, MD
Miami Dermatologist
3.7 out of 5 stars 6 reviews

Instructions after Botox

Following facial injections with Botox or Dysport, it should be absolutely fine to sleep anyway you prefer. Just don't get a facial, microderm, or wax the treated area for 24 hours after injections, and you should be fine. If you receive injections for sweat reduction (for example in the underarm area), the same advice applies: sleep anyway you prefer.

Randolph Capone, MD, FACS
Baltimore Facial Plastic Surgeon
4.7 out of 5 stars 51 reviews

Sleep well, and forget about what it might do to the BOTOX

Dear Susue

There isn't a scrap of evidence that sleep position has anything to do with the effectiveness of a BOTOX treatment. So don't lose any sleep over this. Sure, the fashion magazine will tell you to sleep on the back and there is something to so called "pillow lines." However, it is also very difficult to change one's sleep habits. So don't let anyone make you feel bad because you sleep on your side and not your back.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Probably not


I don't think anyone has ever shown in a convincing way that it makes a difference. Relax and enjoy the effect of your botulinum treatment.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 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.