Botox and Pregnancy Doctor Answers, Tips
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Botox and Pregnancy

While unaware of my pregnancy, I had a little Botox done (crow's feet and forehead) about 5 weeks after my last menstrual period. I am now terrified of any harm to the baby.

Is there anything I can do now? Screening tests, extra follow-up, or any other procedure that will give me more peace of mind?

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11 Doctor Answers | Asked by pipoka in WASHINGTON, DC, USA
+4

Should be Fine

I would like to reiterate what my colleagues have already said. The chances of post-natal problems due to the adminstration of BOTOX would be extremely sight. Not only did large doses given to mice not cause birth defects, Allergan, the last time I checked, have not had any reports of birth defects in humans secondary to BOTOX. Others have stated too, that the doses are relatively small, and the difusion to distal sites extremely minimal. There would be no test of value and... more
+4

Botox and pregnancy

There is no conclusive evidence to suggest that Botox is harmful to the developing fetus. I do understand your concern, but the small amount of Botox you received is unlikely to have significant systemic absorption to harm the embryo. In studies using pregnant rats and mice, there was no effect of Botox on the fetus with doses as high as 4 units/kg body weight. Although we cannot extrapolate animal data to human beings, 4 units/kg body weight is quite a bit more Botox than you would... more
+4

Consult your obgyn

Dear Pipoka This situation is actually relatively common. Of course no one would treat you knowing you were pregnant. Consult with your obstetrician. They will most likely tell you not to worry about it. You can have more Botox when you are done breast feeding.

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+3

I think you'll be fine after Botox

Although I understand your concern, my wife had a few drinks before she knew she was pregnant, I wouldn't worry. The amount of Botox we use and how it's injected leaves it localized. If it went into your system it would shut down everything, right? So relax and enjoy your pregnancy. My daughter turned out just fine.
+3

Botox and Pregnancy

Hi Pipoka, Unfortunately there is nothing to do to reverse the sequence of events. There was a recent report from Australia about one patient whose baby had decreased hearing and decreased vision after Botox in her first trimester. It was not conclusive that there was a cause and effect relationship, as there are many babies born with hearing and vision problems without any exposure to Botox. Fortunately with the millions of patients treated with Botox, there have been many like... more
+3

Botox stays localized on injected area

First of all, congratulations on your pregnancy! Unfortunately, there is no test for Botox nor any extra follow-up that you need. Botox is extremely safe and stays localized whithin the area where it was placed. While we encourage people to stay away from Botox during pregnancy, this is more of a precaution than anything that has been proven. There is no evidence that Botox is harmful to your baby, especially during this early period. You should be completely fine, as should your baby with... more
+2

Botox and Pregnancy

I agree with the other comments - There is no evidence that botox will affect your pregnancy.  Botox was the most common cosmetic procedure last year and with standard doses it binds to the local tissues.    
+1

Botox during pregnancy

Hi Pipoka. While we don't advocate knowingly using Botox during pregnancy, this is a cautionary measure on our aprt as there is no evidence that Botox will affect your baby at all. Botox works in a localized fashion meaning it does not move more than 3cm from the injection site. Not to worry. Your baby should not be affected. Good luck with your pregnancy.
+1

Botox and Pregnancy

It is unlikely that you caused any problems for your pregnancy. I would definitely review this with your OB-GYN.  Botox injected into the face usually does not migrate very far, and it is unlikely that it would have had any impact on your pregnancy.
+1

Botox during pregnancy

There is little evidence that regional Botox will spread systemically (meaning through the bloodstream) to your uterus. Therefore, I don't believe that there is any cause for concern. Some recent recports suggested that Botox may spread centrally to your brain via the nerves, but this would not effect your baby and the consequence of this is unknown and felt to be of relatively little import. As all have suggested, notify your OB but it is likely that nothing more would need to be done.... more
+1

NO Tests

It is more than likely that nothing bad has happened.  There is no test that specifically would detect Botox that I know of.  I agree with the others that a call to the OB is in order.
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