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

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.

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..

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.

Hi,

The answer to your question is simple, sleep on the overfilled side.  It is probably better to sleep on your back the first night or two, but we have not seen or heard of any problems from sleeping on the face after Juvederm injections.  Hopefully you have a soft pillow, pleasant dreams. Good luck and be well.

Dr. P

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!

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.

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.   

Hi,

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.

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.

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