I had botox (3 area ) and filer (Juvéderm) on my face yesterday and I am breastfeeding my 10 weeks baby. what should I do?

Botox does not travel from the site where it is injected into the systemic circulation in any significant amount. Furthermore, its effects on muscle may last for 3 months, but the Botox molecules themselves are primarily taken up within 90 minutes by nerve endings and metabolized, and any molecules that diffuse away are quickly eliminated from the body.  Tests on safety in breastfeeding have not been performed for obvious reasons, but there is no known reason for you to be concerned, and no ill effect has ever been reported.  Juvederm has hyaluronic acid, which is the same hyaluronic acid you and all mammals already have in your connective tissue. The HA molecules are too large to enter the circulation, and stay in the connective tussues where injected.  Some Juvederm also has lidocaine to make the procedure more comfortable. Drugs.com, for example, has the following to say about lidocaine injected in breastfeeding women:Lidocaine concentrations in milk during continuous IV infusion, epidural administration and in high doses as a local anesthetic are low and the lidocaine is poorly absorbed by the infant. Lidocaine is not expected to cause any adverse effects in breastfed infants. No special precautions are required.Some practitioners also use small amounts of epinephrine to minimize bruising.  When given for therapeutic reasons, in larger amounts than what can ever be reached in the concentration after Juvederm injections, epinephrine can briefly increase the heart rate. Out of an excess of caution, I would probably have recommended pumping and discarding the breast milk for 6-8 hours after treatment in a patient of mine, but no precautions thereafter, and now that that period has elapsed, it should be clear that no harm was suffered.I cannot see that someone in your situation could have a problem, but of course you will want to discuss this with your pediatrician.

I recommend my patients to wait until after breast feeding in order to do their Botox injections. The safety of Botox treatment during breast feeding has not been established. I suggest you ask your paediatrician about what to do.

Botox and filler are not recommended for breast feeding mothers. Consider following up with your pediatrician to discuss your concerns. An effect of these products on babies through breast milk would be rare. Although, to put your mind at ease visit the Dr to have all your questions answered.