Sleeping After Botox : How Not to Mess Up Your Results

man receiving facial botox injections

Booking a Botox appointment can be an exciting time. After spending hundreds of dollars and braving your fear of needles to receive the injections, the least you deserve is good results. While other procedures may take some time before you can measure how well they turn out, Botox offers instant performance.

However, your actions and inactions can mess those results just as quickly.

How long after Botox can I sleep? The minimum you should shoot for is 6 hours. Sure, many doctors recommend 4 hours but everyone’s body is unique so an extra 2 hours should give the neurotoxins enough time to penetrate your muscles.

Taking a nap too quickly after the procedure may increase the possibility of the injected neurotoxins moving away from the target muscles to surrounding areas.

One of the reasons why Botox has become so popular is its non-invasive nature compared to other cosmetic procedures. It is so simple that you can return to your daily activities straight from after the appointment.

Do You Feel Sleepy After Botox?

Botox is a cosmetic procedure that involves the injection of neurotoxins into specific muscle groups. These injections can reduce wrinkles in the face to slow down aging. Many people also receive Botox to treat Strabismus and excessive armpit sweating.

It is easy to think that you wouldn’t want anything to do with sleep after receiving those injections. But that may be the exact opposite.

Does Botox make you feel sleepy? The answer is yes. Sleepiness is one of the main side effects of receiving Botulinum injections. Experts are not sure whether this is down to the neurotoxins or some other reason. But it is important to avoid sleeping immediately after if you want the best results.

Here are some Botox side effects that can increase the temptation to jump into bed.

  • Dizziness
  • Nausea
  • Headaches/migraines 
  • Fatigue
  • Breathing troubles
  • Muscle weakness

Why You Should Avoid Sleeping Immediately after Botox

You already know that taking a nap a few minutes or hours after receiving Botox injections is a big no-no. Here’s a detailed look at the reasons why you should avoid it at all costs unless there’s a health emergency or something.

Migrating Neurotoxins

As stated earlier, the neurotoxins injected into specific muscles need time to penetrate those muscle groups effectively. Lying down hastily can shift the Botulinum toxins to the surrounding muscles which can affect your expected results.

The surrounding muscles that receive the migrating neurotoxins are not spared either. They become prone to side effects which can cause rashes, irritations, and bruising.

Increased Swelling

Some degree of swelling is normal after Botox. However, jumping into bed soon after the procedure can aggravate the swelling and worsen other side effects such as redness and irritations.

The swelling can get so severe that you may have to skip work the next day.  After all, You wouldn’t want to walk around with a swollen face that makes it obvious that you’ve had Botox, would you?

What is the Best Time to Schedule a Botox Procedure?

botox needles

A morning appointment is always best to receive Botox injections. For instance, having your injections at say 9 am can give you about 12 hours before you retire to bed if you regularly sleep around 9-10 pm.

This should be more than enough for the target muscles to achieve maximum absorption of the injected neurotoxins.

Besides your alertness levels are much higher in the morning. This means minimal chances of feeling sleepy after the procedure especially if you had a good rest the night before.

If for some reason, a morning appointment isn’t conducive, getting Botox at noon may not be an entirely bad idea. You get a whopping 9 hours before bedtime.

For the best results, always avoid late-afternoon appointments. Sure, it may be easier to get an empty slot after midday but that is because nobody wants them. Getting Botox in the latter hours of the day can be a waste of money while exposing you to unnecessary risks.

Tips for Sleeping after Botox

Sure, sleeping immediately after Botox can lead to many terrible side effects as stated above. But even if you stay awake for 10 hours after a morning procedure, you’ll still have to retire to bed at night. What are the best tips to sleep after Botox to minimize side effects and achieve the best results?

Sleep On Your Back

Back sleeping is the best position after Botox. While the Botulism toxin should have limited mobility 4-6 hours after the procedure, it is best to take precautions until at least 48 hours.

This is why doctors and Botox experts recommend sleeping on your back the first 2 nights after the injections. 

Lying down on your tummy the first night after the anti-wrinkle procedure can apply excessive pressure on the injected muscles. While the risk of the neurotoxins leaking to other muscles is probably low at this point, the consequences can still be dire.

How about sleeping on your side after Botox? Is that OK? Well, even side sleepers are not in the clear because your face will still make contact with your pillow and bed.

It is no secret that a sudden switch to a new sleeping position can be uncomfortable. This means side and tummy sleepers can face huge struggles lying down face up. Fortunately, you can always revert to your default sleeping positions from the third night.

But what happens if you accidentally wake up on your side or tummy the first night or two after Botox? As long as you’re not experiencing any pain or discomfort, just revert to your back and sleep.

Layer Pillows Around You 

Creating a thick layer of pillows around you can help protect the newly injected Botox sites. If you share a bed with your partner, this can prevent any late-night moves that can lead to sex or cuddling.

A thick layer of pillows could also prevent restlessness. Remember, getting peaceful sleep the first few nights after Botox can promote maximum penetration of the neurotoxins into the injection site muscles.

This guarantees long-lasting results and hence good value for your money. 

Clean Pillows and Bed

clean bed with a lady reading

Sleeping on a dirty pillow or mattress is the last thing you need after Botox. Sure, you may have waited the recommended 4-6 hours after the procedure to lie down. But note that the injected sites are still delicate and any exposure to bacteria can lead to severe injections.

To be safe, you should sleep on a fresh pair of bed sheets and pillowcases the first night after the procedure. 

Can Botox Affect Your Sleep?

If you experience sleeping difficulties routinely, it is only normal that you’d want to know whether Botox can have any effect on your sleep.

So, can Botox cause sleep deprivation? The answer is yes, Botox side effects ranging from the injection pain to swelling can cause sleeping difficulties the first few nights after the procedure.

Here are the main barriers to getting good sleep after a Botox appointment.

Migraines – Botox injections take their heaviest toll on your body within the first 24 hours. Severe migraines are common which can inhibit your ability to sleep. Unfortunately, many doctors advise against taking pain killers such as Tylenol and ibuprofen after Botox.

This is because of their blood-thinning properties which can result in aggravated bruising after the procedure.

Drooping Eyelids – If injected around the eyes, Botox can diffuse into the eyelid muscles and cause drooping eyelids. The affected eyelids will likely return to normal as the effects of the injections wear off but sleep may suffer in the meantime.

Anxiety – One of the leading causes of insomnia is anxiety. Many Botox fans experience increased anxiety within the first couple of nights after the procedure which can cause sleeping difficulties.

Can You Lie Down on a Sunbed After Botox?

This is a popular question among those who love to book Botox appointments while on holiday.

So can you lie down on a sunbed after Botox? The answer is no. Jumping in a sunbed immediately after Botox may be a bad idea. This is because the toxins require 4-6 hours to permeate the injected muscles fully.

Additionally, longer exposure to excessive heat can aggravate the bruising from the injections. This is why experts recommend that you wait at least 6 hours before tanning your skin. But why not just do it after 24 hours?

Can You Get a Facial After Botox

A full day of leisurely activities such as Botox and facial massages can seem very attractive. On a weekend or a day off, you may feel tempted to tick multiple things off your bucket list by planning a few procedures together.

But, can you get a facial after Botox? The answer is no. Facials and massages involve applying pressure on the same muscles that received the Botox injections. But doctors advise applying zero pressure on the areas in question within the first 24 hours.

This means a massage or facial is the last thing you should think of after Botox. You wouldn’t want the injected neurotoxins to diffuse into surrounding areas, would you?

Also, massages and facial treatments cannot be complete without requiring you to lie face down at some point. This goes contrary to expert advice that you need to be up and running for several hours after your injections.

Additionally, avoid touching your face for as long as possible after the procedure. This can be very tempting every time you look in the mirror. But resisting the temptation will lead to better results.

So how soon after Botox can you get a face massage? The answer is at least 7 days. By then, the injected muscles should have healed properly from the neurotoxins. And the pressure from a masseuse’s hands should be easier to handle.

Can You Take Sleeping Pills after Botox?

Sleeping pills can provide relief from the effects of insomnia. If you’ve just undergone Botox injections, it is only normal to wonder whether it is OK to continue taking your pills.

So can you take sleeping pills after Botox? The answer is yes. There’s no evidence of sleeping aids such as Ambien reacting badly with Botox.


Sleeping after Botox is a bad idea. If you must lie down, wait for about 6 hours after the procedure. Side effects of Botox such as dizziness can make you feel sleepy but resisting the temptation should make it worth your while.

Always remember that the longer you wait to sleep after Botox, the better it is for you.


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