Is Sleep Position Important After BOTOX®?

Jaimie DeRosa, M.D., F.A.C.S.

5/31/2024

BOTOX is undoubtedly one of the most popular aesthetic treatments performed today, helping millions of men and women preserve or restore a smoother, more youthful look by relaxing unwanted facial lines and wrinkles. While BOTOX is considered a relatively routine and uncomplicated treatment for the most part, it is still important to remember that side effects are possible and that appropriate aftercare can minimize your risk of BOTOX side effects. One essential BOTOX aftercare instruction is to avoid touching, rubbing, or putting pressure on your face at the areas of injection. Here, double board-certified plastic and reconstructive surgeon Dr. Jaimie DeRosa of The DeRosa Center in Boston, MA answers questions about sleeping after BOTOX, including how, why, and for how long you may need to adjust your position at night.

How does BOTOX work for wrinkles?

In the aesthetic sense, BOTOX is considered an injectable wrinkle relaxer that works to smooth away stubborn lines and wrinkles across the face and, occasionally, elsewhere on the neck or body. BOTOX contains a purified strain of botulinum toxin type A as its active ingredient, which binds with neuroreceptors in the muscles responsible for facial expressions and their associated surface lines — known as dynamic wrinkles. Once it takes full effect, BOTOX forces the treated muscles to become temporarily paralyzed, which relaxes the unwanted lines and wrinkles associated with that particular muscle.

Is there anything I can't do after BOTOX injections?

Almost immediately after your BOTOX injections, you may experience some mild tenderness and pinpoint bruising at the injection sites. It can take up to a week for the full effects of BOTOX to become apparent, and it's important to follow proper BOTOX aftercare instructions during this time to ensure optimal results and avoid unwanted side effects. These guidelines may include avoiding touching or rubbing your face, which can cause BOTOX to migrate outside the treatment area. For this same reason, you may need to adjust your sleeping position for a temporary period.

How should I sleep after getting BOTOX?

Ideally, patients should try to sleep on their back with their head slightly elevated for about 1 – 3 days after their BOTOX appointment to avoid inadvertently spreading BOTOX to an unwanted location, which can compromise your results and temporarily paralyze muscles that were not intended to be treated. However, complications with BOTOX are rare, especially when patients follow appropriate post-treatment instructions.

How long will BOTOX last?

Once BOTOX has taken full effect, which typically occurs after about one week — or up to 10 days in certain cases — most patients enjoy their smoother, more youthful appearance for 3 – 4 months before repeat treatment is needed. Men and women who are particularly physically active, as well as those whose body simply "breaks down" the BOTOX at a naturally faster rate, may require BOTOX more often to maintain consistent results. During your initial consultation, our aesthetic specialists will conduct a thorough assessment and let you know how long you may expect your BOTOX results to last. If you notice your lines and wrinkles reappearing sooner than you expected, don't hesitate to call us to schedule your repeat injections at any point.

Regain your youthful image and boost your self-esteem with BOTOX injections in Boston, MA

There's no denying the popularity of BOTOX — and for good reason. Join the millions of men and women who have chosen BOTOX to send lines and wrinkles packing by calling The DeRosa Center, under the direction double board-certified plastic and reconstructive surgeon Dr. Jaimie DeRosa, to schedule your Boston, MA cosmetic injectable consultation with one of our aesthetic specialists today.

I can’t say enough about Dr DeRosa and her team! Everyone there is so caring and professional. The team is very knowledgeable and made me feel very comfortable. I highly recommend the DeRosa Center, you won’t be disappointed!

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From the moment you walk in - one feels at ease - Coleen is the best. My previous IPL treatments have rejuvenated my skin and my self esteem. I'm very happy with the results so far with my most recent dermo abrasion consult and the process was so painless thanks to the amazing, Maggie. I highly recommend DeRosa to everyone! Rest assured you are in good hands at DeRosa Med Spa!

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The entire staff was amazing and made the experience so easy and stress free. I had researched the procedure for the last three years visiting many plastic surgeons in and out of state but never felt comfortable enough to move forward. This is a big decision and I had to feel confident in my surgeon. The moment I met Dr DeRosa I knew she was the right surgeon for my procedure. Dr DeRosa is kind, patient, professional, board certified, knowledgeable, compassionate, you can tell she loves what she does. I’m so happy with my results! I received a partial facelift and a chin implant. With plans of one more procedure in the coming months. Thank you DeRosa Center!

T.M. Google

Amazing surgeon. I was very happy with my neck lift and eye lids procedures! Highly recommend Dr.Derosa! I also use facial services - Steven is great, always friendly , professional and makes my face renewed and glowing.

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Went there for led light therapy. They got back to me via email right away, the appointment was fast and everyone in the office was super nice 👍🏻

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