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Dermal Fillers

How to Sleep After Botox

Getting enough sleep is vital for maintaining healthy skin. This article elaborates on ways to get a good night’s rest after a Botox injection to avoid accidentally moving the toxin outside the intended area.

For some, Botox is a life-changing opportunity. After all, who would not want to appear younger by having their wrinkles frozen? Getting Botox late in the day might keep you up all night, so schedule your appointment for the morning if feasible. Botox patients should always check in with their doctor or a certified medical practitioner before going to bed or participating in routine activities after treatment.

What is Botox?

Botox is a popular brand for Botulinum toxin used for cosmetic and medical purposes. The toxin is a neurotransmitter that blocks the transmission of nerve signals to the targeted muscle. The blockage makes the muscle relax, reducing the appearance of fine lines and wrinkles. Botulinum toxin, the protein component of Botox, is derived from the bacteria Clostridium Botulinum (Satriyasa, 2019). Botulinum toxin, sometimes known as the “wonder poison,” is “one of the most toxic chemicals.” Botox has several potential advantages when administered by trained medical practitioners; it has several medicinal applications beyond its common perception as a cosmetic treatment for wrinkles and frown lines.

How to Get Some Rest after Getting Botox for Your Facial

Dose migration, in which the Botox moves away from the intended treatment area and potentially leads to excess swelling, is the biggest risk of lying on, sleeping on, or applying pressure or heat to the injection sites after Botox treatment (Larrabee & Jowett, 2021). Although dose migration after Botox is uncommon, you may reduce your risk and get better rest by following these steps:

To Relieve Pressure at the Injection Site, Sleep on Your Back

According to Goodman et al. (2020), sleeping on your back is recommended after Botox injections for the first 48 hours after treatment to avoid pressure to the injection sites; pressure causes the Botox to spread outside the targeted region. Though sleeping on your stomach or side after Botox might increase the danger of the neurotoxins entering the surrounding muscles and tissues, it is unlikely to happen if you wait at least four to six hours after the injections.

Pillows Help You Avoid Sleeping on Your Stomach or Sides

For the two nights after getting Botox, it is important to sleep on your back and not turn over, so if you normally sleep on your stomach or side, prop yourself up with pillows. You may use standard pillows for this purpose, or you can buy wedge pillows and position them under your hips and across your body to prevent rolling over.

Keep Your Bedding Clean If You Want to Sleep Well

After getting Botox, sleeping on clean sheets and pillows is crucial to avoid skin irritation and swelling caused by dirt and germs. If you want to avoid clogged pores, a lackluster appearance, acne, spots, and allergic reactions while keeping your skin looking fresh, you should wash your bedding every week.

Use Silk Sheets to Decrease Wrinkles and Friction

If you have recently had Botox injections, sleeping on mulberry silk pillowcases and sheets instead of cotton is recommended to help maintain your skin’s smooth, youthful appearance overnight. The sericin protein in mulberry silk helps the skin retain moisture, making it appear less dry and wrinkled. A set of genuine mulberry silk sheets is a worthwhile investment if you are concerned about your appearance as you get older, even if you have not recently undergone Botox treatment.

Avoid Using a Hot Shower Right before Bed

One should avoid a hot shower, sauna, hot tub, or strenuous activity on the day of Botox injections since they raise the danger of the dosage migrating away from the injection site and destroying the final effect of the Botox treatment.

Frequently Asked Questions About Botox Treatment

After Getting Botox, Why Can’t I Lie Down?

Patients with wrinkle relaxers should avoid lying flat on their faces for at least six hours. Botulinum toxin injections may spread unnaturally or unevenly, producing an unsightly effect. In addition, you should keep your hands off the treated regions. The safest aftercare practice is to relax or sleep with your head slightly raised. In addition, lying down helps alleviate some milder negative effects, such as swelling and inflammation.

What If I Do Not Do What I Am Supposed to Do Afterward?

Disregarding recommended procedures may cause complications. Severe consequences, such as infection or unsatisfactory outcomes, are possible for patients who disregard the aftercare treatment. Patients may talk to their anesthetic practitioner if they have any concerns or questions concerning the anti-wrinkle injections.

What Is the Mechanism of Action of Botox?

According to Nestor et al. (2021), wrinkle-reducing injections work by momentarily preventing the facial muscles from contracting; contract failure will make the wrinkles and fine lines less pronounced. Crow’s feet, wrinkles around the eyes, and frown lines all respond well to the anti-wrinkle injections. The Botulinum toxin injection seldom causes injury to adjacent tissues.


Lying down immediately after the Botulinum toxin injection may cause complications such as filler migration. Patients should follow the aftercare instructions, which include changing their sleeping position. Maintaining command of your sleep routine might be easier if you have developed ingrained habits. However, sleeping on your back is recommended if you have Botox on your face. Lying on your face may prevent the injection from settling into your muscles. The good news is that you must refrain from sleeping on your face for a night.


Goodman, G. J., Liew, S., Callan, P., & Hart, S. (2020). Facial aesthetic injections in clinical practice: pretreatment and posttreatment consensus recommendations to minimise adverse outcomes. Australasian Journal of Dermatology, 61(3), 217-225.

Larrabee, Y., & Jowett, N. (2021). Fillers, Botulinum Toxin, Mid-facial Implants, and Tissue Expansion. In Facial Plastic and Reconstructive Surgery (pp. 299-320). Springer, Cham.

Nestor, M. S., Han, H., Gade, A., Fischer, D., Saban, Y., &Polselli, R. (2021). Botulinum toxin–induced blepharoptosis: Anatomy, etiology, prevention, and therapeutic options. Journal of Cosmetic Dermatology, 20(10), 3133-3146.

Satriyasa, B. K. (2019). Botulinum toxin (Botox) A for reducing the appearance of facial wrinkles: a literature review of clinical use and pharmacological aspect. Clinical, cosmetic and investigational dermatology, 12, 223.

Ieva Kubiliute