I had Botox for the "11s". I vomited twice, and fell asleep (elevated) afterward. Can this negatively affect the Botox?

Question

As stated in my question, I had Botox today, and became very ill with a migraine. The migraine was so bad I ended up throwing up twice and fell asleep approx. 1-2 hours after the injections. I did be sure to sleep with my head elevated but I was lying down, just not flat on my back. I did end up sleeping for about 4 hours straight. Do you think I will be ok, and can I do anything now to help mitigate any concerns? Thanks,

Paul Flashner, MD · Answer

After any filler or nuerotoxin injections it is important to not lay down for at least 4 hours after treatment. This is because you do not want the product to migrate. Knowing you were elevated may have avoid any shift/movement of product but see your physician with any questions/concerns. Migraines/headache is more common with Botox so maybe try Dysport for your next treatment.

Hooman Khorasani, MD · Answer

Really sorry to hear about the migraine.  Migraines are terrible things and I hope you are feeling better now.  Please see your doctor who performed the injections to let them know about your migraines.  I would not expect the migraine itself to effect the efficacy of the botox.

Oxana Popescu, MD · Answer

Hello and thank you for your question.
The effort of vomiting immediately after Botox injections can potentially direct the injected Botox in unwanted areas. 
Although I encountered this reaction in patients none of them had any complications. The area of concern would be the upper eyelid area.
Best,

Oxana Popescu MD

Selena Lantry, MD · Answer

Assuming the Botox was injected properly, vomiting twice and sleeping with your head elevated should not cause the Botox to migrate.  However, if you continue to have concerns about your treatment, there is no substitute for an in-person consultation to go over your results.

Monika Soni, MD · Answer

Thank you for your question! Really sorry to hear about the migraine. Migraines are terrible things and I hope you are feeling better now. Please see your doctor who performed the injections to let them know about your migraines. I would not expect the migraine itself to effect the efficacy of the botox. Best of luck!

Asaf Yalif, MD, FACS · Answer

I would not be overly concerned about the impact of the headache on the botox. Wait 5-7 days to see how the botox "kicks in." I'm sorry you felt sick.

Maria Milone, MBBS · Answer

Please do not be concerned .Although we advise not lying down for 4 hours , reality is that lid droop which may occur is uncommon even if you do lie down and even if it does occur , it is usually so mild as to be barely noticeable except to the trained eye and can be treated with drops until it resolves on its own in usually 2 weeks .Vomiting should have no extra effect except for the fleeting bending forward which potentially( as we have no hard evidence ) may only slightly increase lid droop risk.

Steven F. Weiner, MD · Answer

I suspect there will be no untoward side effects from what you described. Laying on your face is more likely to displace the Botox than on your back. I don’t think that throwing up will do anything either. Unfortunately, nothing can be done to mitigate any small movements of the injections. I wouldn’t worry about it.

Harold Farber, MD · Answer

Would further discuss with whomever you are comfortable pros and cons of neurotoxins as well as all your options. It is important to remain upright to help minimize the migration of the injected medication which you were wise to do.

Igor Chaplik, DO · Answer

There are two "schools of thought" on laying down or not laying down or exercising for 4 hours after botox.
I do not believe that Botox will migrate after injection and so I believe that laying down immediately after will not affect the treatment

I had Botox for the "11s". I vomited twice, and fell asleep (elevated) afterward. Can this negatively affect the Botox?

Answers (13)