Is it OK to sleep on my stomach or my side the night of getting Botox and Dysport on crow’s feet, 11’s, and forehead lines?

Question

I think I read somewhere that Botox and Dysport may migrate within the first few hours of administration if you rub your face while it’s still settling in. I plan to get Botox in the early afternoon. Is it safe to sleep on my stomach or side that night? Or do I need to sleep on my back to be on the safe side? I was nervous that the pressure on my eye area or face could cause the Botox to migrate to unintended areas.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  As it will be several hours after Botox administration you can sleep in any position without worry of affecting your results.  Hope this helps.

Monika Soni, MD · Answer

Thank you for sharing your question.  As it will be several hours after Botox administration you can sleep in any position without worry of affecting your results. Best of luck!

Amir Nasir, MD · Answer

I have not seen any issues with my patients who sleep in these positions after getting Botox/Dysport. I do recommend that they exercise the muscles where I inject for a few minutes on the ride home from the office (this is thought to help speed the onset of action in some studies). Other than that I ask them to take it easy for a couple of hours and wait until the next day to do strenuous exercise (pilates, etc...).This seems to work well for my patients. I would recommend you discuss the preferences of the surgeon who injects you.I hope this helps!

Mojgan Sadeghi, MD · Answer

Sleeping on your stomach or sides are not a good idea in general, because in the long run they cause more wrinkles, and the fatty tissues in your face to droop faster.  But after getting Botox or Dysport, there is no medical reason for the products to migrate.  The products are placed in the muscle that the injector was attempting to affect, and it will not diffuse to the surrounding tissue.

Benjamin J. Cousins, MD · Answer

Thank you for your question and concerns. You should be fine to sleep however you like. I recommend my patients not to engage in heavy exercise, lie down for 4-6 hours or to massage or rub the treatment areas. for 4-6 hours after Botox injections. I hope this helps.
  
Dr. Benjamin J. Cousins MD Board Certified Plastic Surgeon Miami/Miami Beach/Broward

Elba Pacheco, MD · Answer

Botox migration to the eyelid muscle, causing the eyelid to droop, has been reported for up to two weeks after injection in the frown area. So sleeping on your stomach would be best avoided. Sleeping on your side should be ok. Consult your injector for specific instructions. Best of luck! 
Dr Elba Pacheco

Steven Wallach, MD · Answer

I usually tell patients not to lie down for about 4-6 hours after injection. After that, it should be ok..  Best to review with your surgeon.

Harriet Comite, MD, FAAD · Answer

Yes.  I recommend that my patients do not lay flat for several hours after Botox treatment near the eyes.

Melvin Elson, MD · Answer

You should avoid rubbing the areas of injection for at least 4 hours after injection but sleeping on your stomach or side that evening is not a problem

Arianna Sholes-Douglas, MD · Answer

Hi there, this is a very common question. There should be no problem in sleeping in any position. You should avoid positions that directly compress your face in the first few hours. After four hours there should not be any issues. Good luck!

Yours in health and wellness,

Dr. Arianna

Yours in health and wellness,

Dr. Arianna

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Is it OK to sleep on my stomach or my side the night of getting Botox and Dysport on crow’s feet, 11’s, and forehead lines?

Answers (15)

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