Can You Sleep After Getting Botox?

Learn what doctors have to say when it comes to what you should avoid after Botox injections.

By Nicole Gleichmann

Apr 21st, 2022

Even the most rigorous skincare routine can come up short as we age. Botox treatments are a quick and easy way to help us look younger. With many celebrities being open about their use of Botox, more people are beginning to use it to help themselves feel more beautiful and confident.

For those who are new to Botox injections, there are many do’s and don’ts that you want to be familiar with before you go in for your first session. Some of the most important have to do with understanding how sleep and Botox mix. There are rules that you should follow as well as some common myths that aren’t supported by the scientific literature.

What Is Botox?

Botox is the brand-name for a toxin that was first used in the late 1980s for medicinal purposes only. It was its ability to temporarily relax and paralyze muscles that resulted in its unique medical applications for certain types of eye disorders.

In the decades since its discovery, scientists have found a variety of medical uses for Botox, including:

  • Migraine relief
  • Reducing tremors and stiffness associated with strokes
  • Treating certain types of muscle contractions

It wasn’t until 2002 that the FDA (Food and Drug Administration) approved Botox for cosmetic use. Since then, its popularity has soared. Cosmetically, Botox is able to:

  • Reduce fine lines and wrinkles
  • Limit underarm sweat

The amazing thing about Botox is that it can make you look younger without surgery. The recovery time is short, it’s impressively effective, and it is low-cost when compared to other options like face lifts.

How Does Botox Work?

Botox is able is make muscles relax for as long as several months. When injected into facial muscles, it inhibits the release of acetylcholine (ACh). ACh is a chemical messenger inside of our bodies that causes muscles to contract. By limiting its release, Botox causes muscles to relax and wrinkles to temporarily fade away.

Can You Sleep After Getting Botox?

When you comb the web for the answer to the question, “can you sleep after getting Botox?”, you will find a variety of results. Some of them are terrifying—no one wants to go to sleep and wake up to a saggy eyebrow, eyelid, or smile!

Fortunately, the truth of the matter is much less scary and intense than you will find on many blogs. As a general rule, you will want to avoid lying down for four hours after you get your Botox injections.


Botox is a toxin and you want to ensure that it stays put. Your doctor will inject it into specific muscles to reduce the appearance of wrinkles, such as crow’s feet or smile lines. If the toxin travels from the injection site to other muscles, you can experience side effects. These include things like drooping muscles in your mouth, eyelids, and eyebrows.

So, how hard is it to stay awake after Botox treatment? Not that hard. Even though you may have heard that Botox injections will make you sleepy, there is no evidence that this is the case.

In order to help you stay awake after Botox, try to get your injections early in the day so that you do not need to stay awake past your normal bedtime.

Other Botox Tips

It’s not only sleep that you want to be careful of when you get Botox. You want to avoid any activity that could lead to the Botox being displaced from the muscles. Follow these guidelines to reduce the risk of side effects:

  1. Do not exercise vigorously the same day that you get Botox injections. Strenuous activity within 24 hours can cause the toxin is escape the muscle and travel elsewhere.
  2. Use ibuprofen or aspirin to reduce swelling instead of applying ice. Pressing too hard can displace the toxin. If you do use ice, apply it very gently.
  3. Sleep on your back with your upper body elevated until swelling has gone down to avoid excess swelling.
  4. Avoid touching the area to limit the risk of the toxin spreading to other places.

If you have any other questions or concerns, contact your doctor for further assistance. They can help guide you as to the do’s and don’ts if you worry about other side effects.

What About Dermal Fillers?

Dermal fillers are another popular non-surgical option to help you look younger. Not only can they help to reduce the appearance of fine lines and wrinkles, but they can also add some volume to your lips, fullness to your face, and improve the appearance of scars.

Dermal fillers work in a different way than Botox. While Botox relaxes muscles, dermal fillers are injections that add fullness and volume underneath the skin’s surface. Unlike Botox injections, doctors are not usually concerned with sleep after dermal fillers. Be sure to check with your doctor as the type of filler and location can lead to different post-procedure precautions.


Botox is a toxin that is injected into muscles to help them relax, leading to a reduction in the appearance of fine lines and wrinkles. Shortly after the procedure, it is important to limit activities that could result in the toxin traveling away from the intended muscles to those nearby.

To reduce your chances of this side effect, do not sleep within four hours of a Botox injection, limit physical activity that day, and avoid applying pressure to the treatment area.