Lip filler while breastfeeding? How quickly does the residual unreacted BDDE breakdown & metabolize?

Question

Hi! I’ve had lip filler in the past and would like to get it again. I’m currently breastfeeding and have been given the okay by my dermatologist. I read that Juvederm contains trace amounts of unreacted BDDE in the final product. I’m curious how quickly the residual unreacted BDDE would breakdown and metabolize after injection? If I decide to pump and dump to reduce likelihood of any BDDE getting into the milk. Thanks so much!

Anna Chacon, MD, FAAD · Answer

When considering cosmetic procedures such as lip fillers while breastfeeding, it's essential to evaluate the safety of all components involved. Juvederm, a commonly used dermal filler, contains hyaluronic acid and may have trace amounts of unreacted BDDE (butanediol diglycidyl ether), a cross-linking agent used in its production.

The residual unreacted BDDE in these products is typically minimal and is expected to break down quickly in the body. However, specific data on the exact breakdown and metabolism timeline of BDDE in breastfeeding individuals is limited. The general consensus among healthcare professionals is that the amount present is very low and unlikely to pose a significant risk.

If you have received the go-ahead from your dermatologist, and you still have concerns, you might consider "pumping and dumping" as a precautionary measure. This practice involves discarding breast milk for a short period after the procedure to reduce any potential exposure, though the necessity of this is debated due to the minimal risk involved.

Ultimately, the decision should be based on a thorough discussion with your healthcare provider, weighing the benefits and any potential risks. Your dermatologist's guidance, considering your specific circumstances and health history, is crucial in making an informed decision.

Camille Cash, MD · Answer

Fillers are placed locally in the body and therefore are unlikely to circulate and transfer in significant amounts to breast milk.  However there is a lack of studies that prove safety in receiving filler treatments while breast feeding.  I encourage you to speak further with your dermatologist so that you can make an informed decision.

Lip filler while breastfeeding? How quickly does the residual unreacted BDDE breakdown & metabolize?

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