Is It Necessary to Sleep Elevated on Back After Juvederm?

I had botox and juvederm done at noon today. is it necessary for me to sleep on my back and/or elevate my head when I sleep tonight? i forgot to ask my doctor!

Doctor Answers 10

Activities after Botox and Juvederm

No, you do not need to sleep on your back. I like you to restrict your activities for 4 hours after Botox injections.

I prefer you to stay upright for 4 hours after the Botox. I also like you not to exercise the remainder of the day after either of these injection treatments . I like everything to settle and you do have tiny injection sites that i like to heal before you go out and sweat.You also don't want to rub these areas (Botox and Juvederm) the remainder of the day.


Houston Dermatologic Surgeon
4.9 out of 5 stars 30 reviews

Sleepinng on your back after Juvederm is NOT necessary

No, anyway you sleep is fine.  Icing is the most important for the first 24 to 48 hours after getting injected.  Do not rub and you will be fine!

Good luck.


Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 147 reviews

What to do after Juvederm

No, you do not need to take any special sleep precautions after your injections beyond what your doctor suggested.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Sleep upright after injectables

No. The only restriction I place on patients who receive Botox is to not rub or massage the injected areas for 24 hours. You don't want to possibly displace some to unwanted areas.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Activities after Botox and Juvederm

After Botox and/or Juvederm injections, I instruct all my patients to resume normal activities. I only ask that they refrain from rubbing the injected areas. There are no further restrictions on their activities or sleeping habits at any time.


Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

No, it is not necessary to sleep on your back or with your head elevated.

No, after BOTOX® [or other formulations of BTX-A] it is not necessary to sleep on your back or with your head elevated. The BOTOX® will mostly have either been taken up by the nerve endings in the treated area, or washed away by your natural circulation, during the first hour after your BOTOX® treatment, so there are no restrictions for my patients after the first hour.

Neither is that necessary after fillers, except perhaps if your lips were treated. Swelling of the lips during the night after they are treated with Juvéderm® is much less of a problem than it used to be after treatment with Restylane®, but it is a good idea to sleep with your head up on a couple of pillows the night after treatment of your lips with any filler, in particular if it is Restylane®,

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon
4.7 out of 5 stars 4 reviews

Sleeping after injectable treatment

Sleeping with the head slightly elevated can help resolve swelling after your treatment, and you'll want to avoid sleeping on your face for the first couple of days to minimize the risk of displacement. After the first couple of days, you're fine sleeping however you'd like.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Is It Necessary to Sleep Elevated on Back After Juvederm?

No, it's not necessary for you to aleep on your back after having Botox and Juvederm IMHO.  If you have had a significant amount of soft tissue fillers, sleeping with the head slightly elevated helps drain the swelling.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Very few restrictions after filler injections

There are no restrictions on sleep positions, however some patients may notice a slight increased swelling in the morning for a day or so after the treatment depending on areas treated and amount of product used.

Doris Day, MD
New York Dermatologic Surgeon

No restrictions for position after Restylane and Juvederm, but there is for Botox

There are no positional restricitons post Juvederm or Restylane filler injections, but many physicians recommend that their patients not lie flat or bend over at the waist for four hours after Botox. This is not proven to be necessary, as it hasn't been studied, but as it had been suggested many years ago for patients to be mindful of this four hour restriction we still advise so.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.