Botox Question: Recovery Time of Treatment?

My concern is getting Botox and accidentally twitching/rubbing the area (without knowing or realiziang it) within the 4 to 6 hr recovery time. What are the realistic chances that the Botox will, for sure, migrate to other areas and cause droopiness? I hear from some medical folks that it's not that likely to migrate but Doctors like to "be safe than sorry". What is the truth behind the likelihood? Also, I have back issues and need to sleep without a pillow. Is that fine after the 4 hr recovery?

Doctor Answers 15

Botox recovery

It's ok to touch your face after Botox. It's not ok to have something like a facial or facial massage right after. I tell people that's it's fine to just be normal. I have found zero difference if people work out, lie down, etc. and I've injected Botox for about 20 years. The effects and outcomes are dependent on the experience of your injector.

Botox and migration.

Despite lots of advice online, there is no scientific evidence that shows twitching or rubbing the treatment area after Botox injections causes it to migrate to other areas. Seek out a highly trained and skilled injector and you will be fine. The chances of Facial droopiness because of Botox injections are very unlikely.

Anil Sharma, MD
Edmonton Otolaryngologist
5.0 out of 5 stars 1 review

Botox Treatments

Great question! Botox is a safe and effective treatment for targeting fine lines and wrinkles, with very little down time. It’s okay to touch your face after receiving Botox injections; however you want to avoid facial massage or rigorous activity for the few hours following your treatment. It’s always best to check with your injecting physician for any specific post-injection instructions, but generally speaking sleeping without a pillow will not be a problem. Best of luck!

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 5 reviews

Botox Recovery Time

Hi Cici.  Your concerns are reasonable; at the time please note that Botox is an effective and popular intervention (millions of injections around the world annually).  Patients are advised to avoid massaging or rubbing the area for a few hours after treatment; patients are also advised to avoid lying down (laying flat) for a few hours after treatment.  As you mentioned, these are thought to avod the Botox "migrating" to another area. 

Hope this is helpful.  Best wishes.

Anand G. Shah, MD
San Antonio Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Botox Recovery Time

Botox is one of the easiest treatments available on the market today as long as you choose an experienced and qualified injector. There is little that you could do to change the results post-injection, most people can carry on their day as normal and do not need to worry. However, it would be advisable to avoid a facial or microdermabrasion treatment etc on the same day.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.5 out of 5 stars 70 reviews

Don't worry about it...there's relatively little you can do to mess up botox...

once the botox has been injected, there's relatively little you're likely to do to change the ultimate spite of lots of advice on what to and what not to do, none of the recommendations have the backing of science...get it injected correctly and then you can pretty much do what you want...even go to the gym...don't worry about rubbing the area and certainly by the time you go to bed, the botox isn't going to move around...don't worry...

Ken Landow, MD
Las Vegas Dermatologist
4.5 out of 5 stars 9 reviews

Botox and activity right after injection

After Botox injection it has always been thought that massaging the skin may cause it to migrate, although I haven't seen this happen.  I don't tell my patients to change their activity after injection, but I would advise against massaging the skin on the day of injection. I have seen rare cases of Botox migrating into the eyelid and causing droopiness, but this was with injection for eyelid spasms where the drug was injected fairly close to the eyelid elevating muscles.

Matheson A. Harris, MD
Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

Botox and massage

I doubt you can technically manipulate the product enough to cause "migration" to other areas. It is completely fine to sleep without a pillow - injecting into the muscles doesn't allow for movement where it isn't placed. If you've had an experienced and well-trained injector do the treatment, you'll be fine.

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 194 reviews

Recovery from Botox injections - Los Angeles Plastic Surgery

Botox is very safe for injection onto the face.  You can resume normal activities, but just to be sure, most doctors recommend avoidance of strenuous activity for a few hours. Raffy Karamanoukian, Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 85 reviews

Recovery time from Botox injections

There is no evidence to suggest that accidentally twitching/rubbing the area after Botox injections will affect your results. Within 20 to 90 minutes after neurotoxins such as Botox, Dysport or Xeomin are injected, botulinum neurotoxin type A can be detected inside the motor nerve endings. Therefore the muscles and nerve endings take up the Botox, Dysport or Xeomin very quickly before they can spread far from the injection site.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
5.0 out of 5 stars 10 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.