Can rubbing my eyes on the day of Botox cause negative side effects like ptosis or asymmetry?

Thank you for your question!  I do recommend to my patients that they not lie directly on his/her face or rub with a lot of pressure after Botox injections, for about 24 hours.  However, gently rubbing the eyes, the day after Botox treatment should be okay and shouldn't cause problems.  I would speak with your injector if you are having any issues or concerns, though.  I hope that this helps!-David Gilpin

If you get ptosis or assymetry it will likely occur from the injection. Ptosis typically occurs when the needle  gets down to the deep tissue planes and the injection pressure forces it down these planes to the levator muscle which pulls up the upper eyelid. Experienced injecters place Botox/Xeomin/Dysport into the muscle layer and push the plunger as the needle is removed to avoid high injection pressures which can force neurotoxin into veins, arteries, or along tissue planes into unintended sites.  Unfortunately, far too many injecters do not know the anatomy or how neurotoxins work, and that every patient is different.  The good news is that the effects are temporary and though scary, they will wear off and you will be OK.Wait one week and go back to touch up significant assymetries.  Wait ptosis out.  It will go away.

Hi, Thank you for your post. I have not come across any problems with rubbing your eyes after botox. I would try to avoid rubbing any areas where botox was injected to avoid migration.