Could my Botox be moving?

Botox moving? My Botox (forehead area) seems to "move" back and forth from morning to afternoon. When I first wake up, sometimes it seems to be less wrinkled on one side--then later it looks about the same amount of wrinkling on both sides. At certain times more of my eyelids show than at other times. Could it be moving around the area? I have heard it can migrate shortly after being injected, but I thought it was done with that fairly quickly. Is this normal? Thanks for any help you can provide! --Carrie

Carrie –  Thank you for writing.  Other readers have mentioned this too, but no, after the first 6-8 hours or so, it can’t move – it’s bound to the receptors at that particular muscle group.    When it’s injected, it does diffuse slightly from where the actual injection was.   Dysport diffuses slightly more than Botox which can be good or bad, depending on the effect the doctor is trying to achieve. 

But then………… why do you have these changes in your forehead?   Here are some thoughts.  If you notice it most just after getting up, and you side sleep at all, it is probably the “sleep lines” created by crunching our faces into the pillow.   This effect is more noticeable as we age.

The change in the amount of “eyelid show”  (good term!!  :))  during the day is usually due to fluid shifts.   In the am, our faces are “plumper” due to rehydration of the uppper body from the lower body during sleep.  During the day, gravity causes fluid to accumulate more in our legs and feet.   As the day goes on, fluid shifts down and the whole face dehydrates a little causing the brow to sag slightly.   This is especially noticeable with lack of sleep, dehydration, too much alcohol, etc.    Too much salt, baked goods, sugar, certain drugs etc does the reverse – too puffy! 

Hope this helps,  Dr. I


Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!