How long does it take for botox to attach to the nerve?

Botox if injected properly goes directly into the muscles.  Massaging, movement, exercise doesn't change the chance of migration -- which in my opinion is due to technique or frank bad luck.  Botox takes 10-14 days to work and will be gone in 3-4 months.  Best, Dr. Emer.

Thank you for your question. I tell my patients to avoid massage, exercise, facials and touching the area for the remainder of the day of the injection. There is also, no laying down for 3 hours. It takes 3 hours for Botox to do it's magic. Hope this helps, 

Greater than 3 hours after treatment, there is little risk of anything you do causing migration.  Potential migration has more to do with dilution and injection technique than it does your activity level hours after treatment.  

Thank you for asking. Treatments like Botox and Dysport setup mostly in hours but there may be ongoing effects a bit longer. I advise patients to avoid significant rubbing, massage and similar positional activities for a day or so. The full onset of these products can be seen a week or so out from the treatment. It is quite uncommon to have a dropped position of an eyebrow or eyelid if the product is placed properly and the product did not drift or move outside the treated area. There may be treatment options if an eyelid or brow is dropped. Talk with your doctor about possible options. Best wishes

The Botox does not usually migrate after several hours even if your rub. With that said, if the Botox happenes to be injected at just the right plane it can migrate laterally and effect the muscle which lifts the brow or eyelid. It is probably not the doctor's fault, because he gave you the proper dose in that area. There is always the chance that your physician was inexperienced and simply injected the wrong location. Many questions about Botox on RealSelf deal with getting the best price. This is why you should select an advanced injector rather than the cheapest. Do not worry, the droop will resolve within a month. Good luck. 

Botox is fabulous for the wrinkles that you described.  I always recommend that my patients do not exercise for 24 hours after the procedure and remain upright for at least 4 hours after the procedure.  Any negative side effects will dissipate in a few weeks to 3 months.  Please keep us posted.

As long as you don't lie down or massage for 4 hours, the risk of migration is very low. There are many factors that can cause this in addition to dilution, units used, placement and overall bad luck. This complication can occur in 2% of patients so overall hard to say exactly why it occurred. 














Be sure to get an experienced
dermatologist or plastic surgeon consultation for your treatment on your next treatment.

it can take a full week to get effect of Botox. It can migrate if massaged or you work out which is why I recommend no work out for 24 hours. Talk to your plastic surgeon if you're experiencing eyelid droop. 

Hello Liliruss,For my patients I recommend not to bend over for the first 4 hours and no exercise for that day.  I also tell them not to massage the area like we do with fillers.  Beyond that time I have them do whatever they like.  It sounds like you followed the directions I have my patients follow.  As far as washing your face unless you were doing a vigorous massage I would not anticipate you moved the Botox (but if you were really scrubbing hard that night you may have).I can never comment on how or where another injection was performed but in my experience your result was not because of your actions.  Only the person who injected you knows where the Botox was placed.  I tell my patients by staying at least 1 centimeter away from the bony rim around their eye we can reduce the risk of a droopy eyebrow or eye to less than 1% (but never no risk).  With that technique and my instructions above I have not had a patient who has had any ptosis or droopy eyelids/eyebrows.  I hope this helps and good luck.