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Perlane and Botox Safe when Nursing?

I received Botox and Perlane treatment yesterday and discovered it can cause harm to a nursing baby. I have a 10 week old son and I am incredibly concerned. The administering physician did not tell me about the potential harm. Please help!

Asked 33 months ago by blake in los angeles, ca
Sort 10 expert answers by:
+1

Nursing Not Recommended After Botox

I am very sorry about your circumstance and the problems with communication that surrounded your treatment.  In my practice, our intake sheet asks, "Are you or have you recently been pregnant?" in order to avoid such problems.  As a patient who is nursing, you need to inform any Physician you see of your nursing status.
Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
+1

Breast feeding and fillers and Botox

I would not recommend Botox or fillers at the time of breast feeding. While I doubt they will cause a problem, no one knows for sure.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Do not use Botox or Perlane while breastfeeding

There are no studies that show the dangers of breastfeeding while using products such as Botox and Perlane. But I would not inject Botox or any fillers while pregnant or breastfeeding because we don't know the safety of these products to the baby.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Hold Off For Now

There are no studies to indicate the teratogenic effects or if either product can be found in breast milk.  There are no contraindications in pregnant or breast feeding mothers in the FDA approvals.  However, it's always better to safe than sorry.  So I would not recommend breast feeding.
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+1

Botox, Perlane in Nursing Mother

HI Blake, We do not inject pregnant or nursing mothers with Botox and Perlane mainly because of the litiginous society that we live in. Studies have not been performed to test whether there is significant amounts of Botox in mother's milk, but most physicians believe that if there is any, it is miniscule, and should not affect your infant. You are not the first, nor the last nursing mother to get Botox while nursing, just don't have it done again until your little tiger is off the breast... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Not advised

Hi, although there are no studies on the use of Botox and Perlane while breastfeeding, it is generally not recommended. Although it is unlikely that these could enter the bloodstream and your baby's milk, I would suggest that you speak to your physician in the event that he/she was not aware that you are breastfeeding. It may be wise to hold on breastfeeding for now given the situation. Good luck.
Nina S. Naidu, MD
New York Plastic Surgeon
+1

Botox and Fillers while nursing

While it is a general rule that Botox and fillers should not be administered while nursing, it is unlikely that there will be any effect on your baby. The amount of Botox is small and the amount that would get into the general circulation is miniscule. Hyaluronic acid used in the Perlane is bascially a complex sugar which occurs naturally in our joints and our areas and should not pose any problems. But as a general rule, avoid these treatments during pregnancy and nursing.... more
Robert A. Weiss, MD
Baltimore Dermatologic Surgeon
+1

OK there are no studies that show this is safe.

Dear Blake Our forms indicate that you should not receive any services while pregnant or nursing. There will never be a study to determine if this practice is safe. You need to be aware that many products find their way into the breast milk. Having said that, take a deep breath and forget about it. The Perlane is a very thick material that occurs naturally in the body. It is unlikely to get into the breast milk but even if it did, it is very unlikely to cause any harm. The BOTOX is... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+1

Did you inform the doctor?

Was the treating physician informed that you were breast feeding? It is always important to tell your physician about your health and activities before undergoing any medical procedure, even if the procedure is minor and you have undergone the procedure before. I am not aware of any way the Perlane could get into your blood stream, and the amount of toxin in the Botox dose (I am guessing you are young and do not need high doses) is likely inconsequential, but there are no studies to... more
Mary Lupo, MD
New Orleans Dermatologist
+1

Perlane and Botox while nursing.

Perlane is extremely unlikely to pose any risks while breast feeding. Botox poses a theoretical risk. It is not known whether Botox passes through breast milk. Botox is only minimally absorbed in the bloodstream and I see no reason why it would concentrate in the bloodstream. You may wish to discuss this matter with your ob-gyn though they are unlikely to give you a definitive answer to your question. I believe the risk is low, but you must weigh the risk and benefits of continued... more
Bryan K. Chen, MD
San Diego Dermatologist
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