Will lying down 2.5 hours after Botox affect the results or negatively? (photos)

Question

I was face timing with my friend and accidentally lay down on my bed for one second 2.5 hours after Botox!! Omg!! I jumped right up and my friend thought something happened! I said no I'm fine. I'm worried if this will move the Botox to other areas of my face? It was only for one second and I sat right up again.

Yannis Alexandrides, MD, FACS · Answer

We advise patients not to lay down for 4 hours following their treatment as safe practice because the Botox can spread. However, lying down for one second should not affect the Botox.

Tanya T. Khan, MD · Answer

Not to worry! It is okay to rest after your injections and lie down. We recommend not overheating for the first 24 hours to avoid bruising but otherwise okay to resume other activities.

Chad Robbins, MD · Answer

Years ago, when botox was new, we advised patients to not lye flat for 4 hours after treatment.  Years later there is no evidence that it migrates out of the muscle.  I wouldn't worry at all about it.

Peterson Pierre, MD · Answer

I definitely understand your concern! Years ago, when we first started injecting Botox, it was common to recommend not lying down to avoid possible Botox migration. Over the years, as we've gained more experience, we realize that recommendation is no longer valid simply because gravity is in effect regardless of the position of the body, standing, sitting or lying down. If Botox were to migrate, it would do so regardless of body position. Consequently, I stopped making that recommendation to my patients years ago and there have been no adverse effects.As with all cosmetic procedures, the skill of the injectors is paramount. Always seek an expert in facial aesthetics, such as a board-certified dermatologist, to maximize results while minimizing side effects.

Faiyaaz Kalimullah, MD, FAAD · Answer

This is an excellent question.  Many injectors recommend against lying down for 4-6 hours after Botox injections because there is a theoretical risk of Botox spreading to other, unintended muscle groups.  This has never been proven in any scientific studies, and experience has shown that lying down after a Botox treatment likely has no impact on the final outcome of a treatment.  I wouldn't worry much at all.  Best of luck!

Alex Eshaghian, MD, PhD · Answer

Thank you for your question Weiwei88. I understand your concern. Botox is a purified protein used to address wrinkles associated with
facial expression. After a Botox treatment I recommend that my patients avoid lying flat for 4 hours. This is because it can lead to movement of the product and possible side effects. If I had a patient who lied down for only one second I would say it would not be a concern. Please consult with a doctor for specific recommendations. Good luck!

Christian N. Ford, MD · Answer

Thank you for your excellent question.  What you described should not affect your results.  Please be sure to address any specific questions or concerns to your injector.  Hope this helps and best wishes!

Sameer Bashey, MD · Answer

I usually tell my patients not to lie down after botox for 4 hours or so. However, I wouldn't worry if you laid down for a little bit. This won't change anything. Best!

Sumit Bapna, MD · Answer

You will not affect your results at all, lying down after treatment makes no difference in results. In fact, many practitioners inject with patients laying down, while I inject with patients sitting up. In the end, the results are the same. The only thing to avoid is rubbing the muscles for several hours after injections, especially brow and forehead, as this could push the Botox into unwanted areas and affect neighboring muscles making your eyelids droop.

Jill C. Fichtel, MD · Answer

You pose a great question.  In theory, lying down after your injections can cause the Botox to "shift".  However, this has never been proven.  Most injectors advise against lying down after Botox only out of an abundance of caution.  I wouldn't worry too much - you haven't done anything to affect your outcome.

Will lying down 2.5 hours after Botox affect the results or negatively? (photos)

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