I had Botox for frown lines. I laid down when I got home for a couple hours and now heard I should not have! Did I mess it up?

Thank you for your question. I typically focus my aftercare on restricting activities that make you hot, sweaty or flushed: Examples include strenuous activities, alcohol, saunas, hot baths, etc… This will increase your chance of bruising. If no bruising, by the next day, the you should be good to go. If there is, then I recommend another day to make sure the bruise is not getting worse. I am not as worried about the not laying down after four hours.

While in the past it was recommended that you not lie for a few hours after your treatment, the risk of migration is so minimal that I wouldn't be concerned. If you haven't notice anything unusual then you should be okay.

Most likely laying down will not have any affect on your Botox results. We do generally recommend not exercising or putting pressure on the injected area for about 4 hours after the treatment to see best results. You can call the doctor who did the Botox injections to put your mind at ease if necessary. 

when Botox first got approved for cosmetic use the FDA-approved instructions incouded telling patients not to lay down afterwards, or bend over.  About 10 years ago, at a National Education Faculty meeting, it was deemed unnecessary by a consensus of trainers such as myself.  The only thing you should not do afterwards is rub the injected areas for 4 hours.  This is to avoid permeation into the eyelid muscles which can cause a droopy eyelid.

Staying upright, no exercise, contracting the facial muscles...these are all recommendations post neurotoxin treatment.  I can guarantee patients receiving Botox and Dysport treatments forget to do these things all the time and still have fantastic results.  I do recommend strongly no direct pressure on the treated area, no facial/massage in the 24 hours after receiving a neurotoxin treatment.  This allows the product time to settle into the muscle without manipulation from extrinsic factors.  I'm sure you are on your way to a softer, smoother, more rejuvenated you!

I used to make the exact same recommendations to patients. However, after treating my staff for years, I've realized that they disregard alot of these recommendations and their Botox still turns out perfectly. The only recommendation I make to patients at this point is to skip exercise that day and to NOT massage the treated area for 24 hours. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Hi, Laying down after Botox should not cause any problems or lead to migration of the Botox within the injected skin. So the short answer is no.  

it's recommended you remain upright for a while after the botox, but it's not essential...the medicine will still work and remove your wrinkles...don't worry about it...no problem

This was an "old-school" recommendation that we used to tell people. There is actually nothing showing that you can't lay down after injections. The only thing to avoid is pressing on the area hard for about 24 hours. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."

I wouldn't worry too much about it.  Some people suggest not lying down, others do not.  I don't believe you messed it up, but speak with your doctor and find out his/her suggestions.