Can I Sleep on my Stomach (My Face Pressed in Pillow) After Getting a Juvederm Injection?

I can only fall asleep when I lay on my stomach but am afraid that this will move the juvederm in my face. Also, one side of my face seems puffier than the rest. I'm afraid it's been overfilled.

Doctor Answers 13

Sleeping after Juvederm

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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.

Sure, you can sleep on your stomach after Juvederm

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I caution patients to avoid pushing on the Juvederm treated area for the first 2 hours.  It can be a little soft and pressure may change the shape.  After 2 hours, all is well and the result will be beautiful for up to a year.   

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.6 out of 5 stars 36 reviews


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Juvederm requires vigorous massage to dislodge, the weight or pressure is distributed  from sleeping on the face. We all move during sleep

Samir Shureih, MD
Baltimore Plastic Surgeon

Sleeping after filler

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A good night sleep is a good night sleep. It takes a lot of effort to mobilize fillers. I do not think that a pillow will cause it to shift in any way.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Will Sleeping on My Face Move The Juvederm?

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Theoretically is should not, since the product does not move that much after placement.  However, if the Juvederm was placed in your nasolabial fold out toward your cheek and not closer to your mouth, it will make one side look puffier.  It is pretty easy to fix though, ask your doctor to place a small amount of hyaluronidase, an enzyme that dissolves any Hyaluronic Acid filler into the puffier side to take it down.  It usually goes down in several days.  One thing I have seen is with Juvederm under the eyes, is that a patient may leave the office with no bruises but states they slept on their face and developed a bruise 3-4 days later.  Since the eye area is delicate, the product could potentially push against a small capillary and cause brusing later.  So I would say you are safe sleeping on your face except for under eye placement.

Grace Liu, MD
Newport Beach Dermatologic Surgeon
4.9 out of 5 stars 52 reviews

Sleeping on your stomach should not disturb Juvederm injection

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It takes more pressure to move the Juvederm from the injected area than putting your face on the pillow, so no worries about sleeping on your stomach.

As far as overfilling is concerned, if the injection is recent, there may just be more swelling on one side than on the other.  I would apply an ice pack, covered by a tissue or thin cloth, to the area for 5 minutes every two hours for two days total, and see if the difference diminishes.  If not, I would recommend seeing your doctor.

We are all asymmetrical, that is one side differs by a little or sometimes by quite a bit from the other.  The two sides may require different amounts of Juvederm to look even.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Sleeping after filler

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Thank you for your question. Normally you should avoid pressure on the treated area for the first 2 hours after injection. However, sleeping with your head slightly raised can help resolve swelling after treatment and you may want to avoid sleeping on your face for the first couple of days to reduce the risks of displacement. Best of Luck!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Sleeping flat after Botox

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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 or sleeping on one side versus the back..

Sleeping on Stomach after Juvederm Treatment

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I explain to my patients that they should wait at least 72 hours prior to applying any pressure to the treated areas. Juvederm will move with manipulation up until 72 hours.

James Green, MD
Santa Fe Plastic Surgeon

Sleeping on Juvederm -filled area should not make it shift

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Swelling might be more from placing the Juvederm-treated side down on a pillow while sleeping, but it should not shift the product. If you're concerned about overfilling then see your doctor in a week to two after it was done for an evaluation. It might be hard to judge if the swelling persists because of sleeping on that side.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 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.